Claim by Amy SmithCity of Dubuque
City Council
CONSENT ITEMS # 2.
Copyrighted
January 6, 2025
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Elijah Callahan for vehicle damage; Daniel Dunne for vehicle
damage; Elizabeth Gonner for vehicle damage; Amy Smith
for vehicle damage.
SUGGUESTED Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
1. Claim by Elijah Callahan
2. Claim by Daniel Dunne
3. Claim by Elizabeth Gonner
4. Claim by Amy Smith
Page 51 of 366
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This written report constitutes your claim against the City of Dubuque, Iowa. You should
complete this form in full and attach any additional information that supports your claim.
The Claim must be filed with the City Clerk at City Hall, 50 W. 13t" St., Dubuque, IA 52001. It
will then be referred by the City Council to the appropriate department for investigation.
Once that investigation is completed, a report and recommendation will be submitted to the
City Council. You will be provided with a copy of that report and recommendation.
THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF
THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU
AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID.
1. Name of Claimant:
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2. Address: MCI
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City: Ltd ii C State: (_ '''�t G1 Zip: . �A )o " _
3. Telephone Number:
4. Date of Incident:
5. Time of Incident: %,\t_f ry
6. Location of Incident (Be specific):
7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give
full details upon which you base your claim. If a City employee was involved, give the
employee's name.) I u) a� C " is "ic m,4k l y- &hut. *cet� hYav sc t4 -�te br t'��tao �e
�d t l id "uchcn , LtkALV' Iotrrn I cy* &( of tvt+� C 6� ' 14cb)t ale 5plaftled On rn
67 1 Vick O Ico_jq Ctxr ujc5h d M ithcd It X'� (6
ds
at were W'eafher conditions like? hit da, ` xttv�t
9. Give name and address of any witnesses: X
-10. Did-police-investigate-7- -(If so, -give -names -of -officers.-) -
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
Page 58 of 366
12. Was any damage done to property? (If so, describe property and the extent of damages.
Attach estimates of damages or describe basis for ascertaining extent of damage.)
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13. hat dke' r amages do you c aim, if any.
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14. Have you been compensated for any part or all of your claim by any insurance company?
(if so, give name and address of insurance company and amount paid.)
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15. What amount do you claim from the - City of.Dybuque?
16. Why do you claim the City of Dubuque is responsible?
'1 x, 111 1,->:,r~,� L-4,,�.— I_ 1 ,Al i\__ 1 . _ i-I
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, gige name and address.)
18. If the answer to Question 17 is yes, have you received any payment from that source, and
if so, in what amount?
Dated at Dubuque, Iowa this q � :J day of � � (('h'1kC20�.
C)
(Rev. 9124)
Signature)
rint Name)
City Clerk's Office
2024 Dec 16 PM 4:38
Received
Page 59 of 366
Copyrighted
January 6, 2025
City of Dubuque
City Council
CONSENT ITEMS # 3.
ITEM TITLE: Disposition of Claims
SUMMARY: City Attorney advising that the following claims have been
referred to Public Entity Risk Services of Iowa, the agent for
the Iowa Communities Assurance Pool: Lois Kamp for vehicle
damage; Amy Smith for vehicle damage.
SUGGUESTED Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
1. ICAP Referral
Page 60 of 366
THE CITY OF
DUB abE MEMORANDUM
Masterpiece on the Mississippi
JONI MEDINGER
LEGAL ADMINISTRATIVE ASSISTANT
DATE:
RE:
Claimant
Amy Smith
Mayor Brad M. Cavanagh and
Members of the City Council
12/18/2024
Claim Against the City of Dubuque by Amy Smith
Date of Claim Date of Incident Nature of Claim
12/17/2024 12/18/2024 Vehicle Damage
This is a claim in which Claimant alleges that Claimant's vehicle had "a white substance
splattered" on it due to wet paint on Grandview, has been referred to the Iowa
Communities Assurance Pool.
This claim has been referred to the Iowa Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Gus Psihoyos, City Engineer
Amy Smith]
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 589-4113 / FAX (563) 583-1040 / EMAIL jmedinge@cityofdubuque.org
Page 62 of 366