Claim by Nathan and Shauna PetersonCity of Dubuque
City Council
ITEM TITLE:
SUMMARY:
SUGGUESTED
DISPOSITION:
ATTACHMENTS:
Copyrighted
April 21, 2025
CONSENT ITEMS # 2.
Notice of Claims and Suits
Nathan and Shauna Peterson for vehicle damage; Susan
Schueller for vehicle damage.
Receive and File; Refer to City Attorney
1. Claim by Nathan and Shauna Peterson
2. Claim by GEICO a.s.o. Susan Schueller
Page 74 of 1152
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
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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. 13th 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: Na�ham pP.� rFsc�nd1,f1 I i VI L�r �C E-i it (�i
2. Address: N. &Lkyj&V�CA ftV2.
City: Wb" yuu State: 10 W AI Zip: rJ200 1
3. Telephone Number: UP; r)q Z CJO7V
4. Date of Incident: 031 lb 12 07-5
5. Time of Incident: lb 00 PM
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.)
As Ixt- AWL VUr. \lA y' A . AVI LyVc inyn i b pxh � t o I c u c e\ -YW, Sl k a s y
y
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C t LA V" 146vi u\t.
8. What were weather conditions like? KO rma�l . LAO' cuWk �m
9. Give name and address of any witnesses: Jvlkh VP, S-6 I(1 - 1�?
10. Did police investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
No.
Page 75 of 1152
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.)
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 company?
(If so, give name and address of insurance company and amount paid.)
No.
15. What amount do you claim from the City of Dubuque?
16. Why do you claim the City of Dubuque is responsible?
IYvLy- To-v►veer' cm:bw- yA ht Wat ' a� �01 l+--
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
-No -
18. If the answer to Question 17 is yes, have you received any payment from that source, and
if so, in what amount?
N/&
M&'YM
(Rev. 9/24)
2015 .
(Signature)
Print Name)
t
7
Page 76 of 1152
RICHARDSON MOTORS
5400 WESTSIDE DR., DUBUQUE, IA 52003
Phone: (563) 582-5411, Fax: (563) 582-4129
ReportImage
Owner: Peterson, Nathan Insurance:
Estimator: Andrew Gillip
Vehicle Out:
RO Number: Claim Number:
Year: 2015 Color: Summit White
License Plate:
Production Date: 10/2014
Make: GMC Body Style: 41D UN
State: IA
Mileage In: 156,391
Model: Yukon XL Denali 4... Engine: 8-6.2L Flex Fuel ...
VIN: 1GKS23KJ9FR521029
Condition: Good
4/7/2025
Comments:
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"70-Aiii" I drl
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Pa(-e
Page 77 of 1152
RICHARDSON MOTORS
5400 WESTSIDE DR., DUBUQUE, IA 52003
Phone: (563) 582-5411, Fax: (563) 582-4129
Image Report
Owner: Peterson, Nathan Insurance:
Estimator: Andrew Gillip
Vehicle Out:
RO Number: Claim Number:
Year: 2015 Color: Summit White
License Plate:
Production Date: 10/2014
Make: GMC Body Style: 4D UN
State: IA
Mileage In: 156,391
Model: Yukon XL Denali 4... Engine: 8-6.21- Flex Fuel ...
VIN: 1GKS2JK19FR521029
Condition: Good
Y I
I
4/7/2025
Comments:
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Page 2
Page 78 of 1152
RICHARDSON MOTORS
5400 WESTSIDE DR., DUBUQUE, IA 52003
Phone: (563) 582-5411, Fax: (563) 582-4129
Image Report
Owner: Peterson, Nathan Insurance: Estimator: Andrew Gillip Vehicle Out:
RO Number: Claim Number:
Year:
2015
Color:
Summit White
License Plate:
Production Date:
10/2014
Make:
GMC
Body Style:
4D UN
State: IA
Mileage In:
156,391
Model:
Yukon XL Denali 4...
Engine:
8-6.21- Flex Fuel ...
VIN: 1GKS2JK39FR521029
Condition:
Good
4/7/2025
Comments:
4/7/2025
Comments:
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Comments:
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Comments:
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Page 3
Page 79 of 1152
RICHARDSON MOTORS
5400 WESTSIDE DR., DUBUQUE, IA 52003
Phone: (563) 582-5411, Fax: (563) 582-4129
ReportImage
Owner: Peterson, Nathan Insurance:
Estimator: Andrew Gillip
Vehicle Out:
RO Number: Claim Number:
Year: 2015 Color: Summit White
License Plate:
Production Date: 10/2014
Make: GMC Body Style: 4D UN
State: IA
Mileage In: 156,391
Model: Yukon XL Denali 4... Engine: 8-6.2L Flex Fuel ...
VIN: 1GKS2JKJ9FR521029
Condition: Good
4/7/2025
Comments:
4/7/2025
Comments:
4/7/2025 4/7/2025
Comments: Comments:
4/7/2025 1:01:41 PM
Page 4
Page 80 of 1152
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Customer: Peterson, Nathan
Insured: Peterson, Nathan
Type of Loss:
Point of Impact: 07 Left Rear
Owner:
Peterson, Nathan
(563) 542-5883 Cell
RICHARDSON MOTORS
EWEBER@RICHARDSONMOTORS.COM
5400 WESTSIDE DR., DUBUQUE, IA 52003
Phone: (563) 582-5411
FAX: (563) 582-4129
Preliminary Estimate
Written By: Andrew Gillip
Policy #:
Date of Loss:
Inspection Location:
Other
VEHICLE
2015 GMC Yukon XL Denali 4WD 4D UTV 8-6.2L Flex Fuel Direct Injection Summit White
VIN: 1GKS2JKJ9FR521029
Interior Color: Cocoa/Shale
License:
Exterior Color: Summit White
State: IA
Production Date: 10/2014
TRANSMISSION
Intermittent Wipers
Automatic Transmission
Tilt Wheel
Overdrive
Cruise Control
4 Wheel Drive
Rear Defogger
POWER
Keyless Entry
Power Steering
Alarm
Power Brakes
Message Center
Power Windows
Steering Wheel Touch Controls
Power Locks
Rear Window Wiper
Power Mirrors
Telescopic Wheel
Heated Mirrors
Heated Steering Wheel
Power Driver Seat
Climate Control
Power Passenger Seat
Dual Air Condition
Memory Package
Navigation System
Power Adjustable Pedals
Backup Camera
DECOR
Parking Sensors
Dual Mirrors
Dual Screen Entertainment
Body Side Moldings
Remote Starter
Console/Storage
Home Link
Overhead Console
RADIO
CONVENIENCE
AM Radio
Air Conditioning
FM Radio
Workfile ID: 82bef135
Federal ID: 42-0813744
Claim #:
Days to Repair: 0
Insurance Company:
Mileage In: 156,391
Vehicle Out:
Mileage Out:
Condition: Good
Job #:
Stereo
Luggage/Roof Rack
Search/Seek
Electric Glass Sunroof
CD Player
SEATS
Auxiliary Audio Connection
Bucket Seats
Premium Radio
Reclining/Lounge Seats
Satellite Radio
Leather Seats
SAFETY
Heated Seats
Drivers Side Air Bag
Rear Heated Seats
Passenger Air Bag
Ventilated Seats
Anti -Lock Brakes (4)
Power Third Seat
4 Wheel Disc Brakes
WHEELS
Traction Control
20" Or Larger Wheels
Stability Control
PAINT
Front Side Impact Air Bags
Three Stage Paint
Head/Curtain Air Bags
OTHER
Communications System
Fog Lamps
Hands Free Device
Signal Integrated Mirrors
Xenon or L.E.D. Headlamps
TRUCK
Positraction
Trailer Hitch
Blind Spot Detection
Trailering Package
Lane Departure Warning
Running Boards/Side Steps
ROOF
Power Trunk/Liftgate
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Page 81 of 1152
Preliminary Estimate
Customer: Peterson, Nathan
2015 GMC Yukon XL Denali 4WD 4D UTV 8-6.2L Flex Fuel Direct Injection Summit White
Line
Oper
Description
Part Number Qty Extended Labor
Price $
Paint
1
REAR DOOR
2
* Rpr
LT Door shell Yukon XL
5.0
2.1
3
Add for Three Stage
1.5
4
R&I
LT Belt w'strip
0.3
5
Repl
LT Body side mldg chrome
22832440 1 100.92 0.3
6
QUARTER PANEL
7
R&I
LT Qtr outlet vent
0.1
8
* Rpr
LT Quarter panel
10.0
3.1
9
Overlap Major Adj. Panel
-0.4
10
Add for Three Stage
1.1
11
Add for Edging
0.3
12
R&I
LT Qtr glass w/o privacy tint
2.0
13
REAR LAMPS
14
R&I
LT Combo lamp assy
0.3
15
REAR BUMPER
16
O/H rear bumper
2.8
17
<> Repl
Bumper cover
23386116 1 891.52 Incl. 3.2
18
Overlap Major Non-Adj. Panel
-0.2
19
Add for Three Stage
1.2
20
R&I
Step pad w/chrome molding
Incl.
21
Repl
Deflector
22938783 1 419.73 Incl.
22 VEHICLE DIAGNOSTICS
23 * Rpr Pre -repair scan m 0_5 M
24 * Rpr Post -repair scan m 0_5 M
25 # Subl Hazardous waste removal 1 8.00 T
26 # Repl Cover Car 1 T 0.5
27 # Color tint / color match 1 0.5
28 # Rpr Color sand and buff 1.5
SUBTOTALS 1,420.17 23.8 12.4
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Page 82 of 1152
Preliminary Estimate
Customer: Peterson, Nathan
2015 GMC Yukon XL Denali 4WD 4D UTV 8-6.21- Flex Fuel Direct Injection Summit White
ESTIMATE TOTALS
Category
Basis
Rate
Cost $
Parts
1,412.17
Body Labor
22.8 hrs
@
$ 76.00 /hr
1,732.80
Paint Labor
12.4 hrs
@
$ 76.00 /hr
942.40
Mechanical Labor
1.0 hrs
@
$ 105.00 /hr
105.00
Paint Supplies
12.4 hrs
@
$ 55.00 /hr
682.00
Miscellaneous
8.00
Subtotal
4,882.37
Sales Tax
$ 4,882.37
@
7.0000 %
341.77
Grand Total
5,224.14
Deductible
0.00
CUSTOMER PAY
0.00
INSURANCE PAY
5,224.14
MyPricel-ink Estimate ID / Quote ID:
1338563835983831040/144422732
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Page 83 of 1152
Preliminary Estimate
Customer: Peterson, Nathan
2015 GMC Yukon XL Denali 4WD 4D UTV 8-6.2L Flex Fuel Direct Injection Summit White
Estimate based on MOTOR CRASH ESTIMATING GUIDE and potentially other third party sources of data. Unless
otherwise noted, (a) all items are derived from the Guide DR1GA15, CCC Data Date 04/01/2025, and potentially other
third party sources of data; and (b) the parts presented are OEM -parts. OEM parts are manufactured by or for the
vehicle's Original Equipment Manufacturer (OEM) according to OEM's specifications for U.S. distribution. OEM parts
are available at OE/Vehicle dealerships or the specified supplier. OPT OEM (Optional OEM) or ALT OEM (Alternative
OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle
dealerships with discounted pricing. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor data
provided by third party sources of data may have been modified or may have come from an alternate data source.
Tilde sign (—) items indicate MOTOR Not -Included Labor operations. The symbol (<>) indicates the refinish
operation WILL NOT be performed as a separate procedure from the other panels in the estimate. Non -Original
Equipment Manufacturer aftermarket parts are described as Non OEM, A/M or NAGS. Used parts are described as
LKQ, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS
Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed
on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are
not included. Pound sign (#) items indicate manual entries.
Some 2024 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated
data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE
estimator has a list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership.
The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to
be repaired or replaced:
SYMBOLS FOLLOWING PART PRICE:
m=MOTOR Mechanical component. s=MOTOR Structural component. T=Miscellaneous Taxed charge category.
X=Miscellaneous Non -Taxed charge category.
SYMBOLS FOLLOWING LABOR:
D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category.
M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories.
OTHER SYMBOLS AND ABBREVIATIONS:
Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. Bind=Blend. BOR=Boron steel.
CAPA=Certified Automotive Parts Association. CFC=Carbon Fiber.
D&R=Disconnect and Reconnect. HSS=High Strength Steel. HYD=Hydroformed Steel. Incl.=Included. LKQ=Like
Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non Adjacent. NSF=NSF International Certified Part.
O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace. R&I=Remove and Install. R&R=Remove and
Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel, Sect=Section. STS=Stainless Steel. Subl=Sublet.
UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line.
CCC ONE Estimating - A product of CCC Intelligent Solutions Inc.
The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR
CRASH ESTIMATING GUIDE:
BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway
Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number.
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Page 84 of 1152