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Claim by Susan LessCity of Dubuque City Council ITEM TITLE: SUMMARY: SUGGUESTED DISPOSITION: ATTACHMENTS: Copyrighted April 7, 2025 CONSENT ITEMS # 2. Notice of Claims and Suits Susan Less for vehicle damage; Mathew Willis for property damage. Receive and File; Refer to City Attorney 1. Claim by Susan Less 2. Claim by Mathew Willis Page 78 of 386 Ivan CLAIM AGAINST THE CITY OF DUBUQUE, IOWA M k, W°.ft- �rL This written report constitutes your cia rn against the City of Dubuque, Iowa. You should complete this form in full and attach any additsonal information that supports your claim. The Claim must be filed with the City Cleirk at City Hall, 50 W. 13t" St., Dubuque, IA 52001. It will then be referred by the City Coun'cl to the appropriate department for investigation. Once that investigation is completed, a Mport and recommendation will be submitted to the City Council. You will be provided with C-1, 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. 5. Name of Claimant. -~I 1 e? h L -ems S Address: _1 l� , � �, IV 1*11 City: d" t� �s State: —LA-- 6 - - - _ ipa Z 3. Telephone Number: S � 7 - 1 ig 41.L z 9 _. Date of Incident: t 2 5 5. Time of Incident: � P i£l 5. Location of Incident (Be specific): '• 7 DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give Null details upon which you base your claim. If a City employee was involved, give the ampioyee's name.) M I Gt �) V �'1 to e- �� . f l st �lr tt. ee C t 'v N i.,s L,- et 5 1` /< i 1� �+ c h°� G( ttic9 it min a. What were weather conditions like? / . Give name and address of any witnesses: #7 C F& :- a 10. Did police investigate? (if so, give names of officers.) 12 )., LLi, O :l o L? irg 4 :e i' 11. Was anyone injured? (if so, give names, addresses, sses, and GXtent of injuries). Page 79 of 386 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.) 0 J OR b, tf c S C Y a 6:e f a n L/ C2 r_9 I 0/ :2 0 1 `% �. �J Ls G Q� 7� 14 1 ] rM & 1 6 ' i- 13. What other damages do you claim, if any? 14. Have you been compensated for any part or all of your claim by any insurance connpany? bIf so, give name and address of insurance company and amount paid.) 15. What amount do you claim from the City of Dubuque? 16. Why do you claim the City of Dubuque is r espoe",SMe? 1''f ter' -1 Vic'.. J` e 7 4- , / Z 17. Have you made any claim against anyone also for damages as a result of this incident? (if yes, give 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 G t-6 day of M 1, Y 20: F tib m9 _(Signature) -� Lswf rya ,�vsa (Print Name) Fri � W�r Ti (Rev. 9/24) Page 80 of 386 City of Dubuque City Council CONSENT ITEMS # 3. Copyrighted April 7, 2025 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: Tim Connolly for personal injury; Amy Keierleber Gorchala for vehicle damage; Susan Less for vehicle damage; Mathew Willis for property damage. SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. ICAP Referral Page 83 of 386 THE CITY OF DUB UE MEMORANDUM Masterpiece on the Mississippi JONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT DATE: RE: Claimant Susan Less Mayor Brad M. Cavanagh and Members of the City Council 3/28/2025 Claim Against the City of Dubuque by Susan Less Date of Claim Date of Incident Nature of Claim 3/26/2025 3/25/2025 Vehicle Damage This is a claim in which Claimant alleges Claimant's vehicle was damaged when a branch fell from a tree that the City tree crew was working on. This claim has been referred to the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Steve Fehsal, Park Division Manager Susan Less 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 86 of 386