Claim by Dawn HansonCity of Dubuque
City Council
ITEM TITLE:
SUMMARY:
SUGGUESTED
DISPOSITION:
ATTACHMENTS:
Copyrighted
May 19, 2025
CONSENT ITEMS # 2.
Notice of Claims and Suits
Vicki Carnicle for personal injury; Dawn Hanson for vehicle
damage.
Receive and File; Refer to City Attorney
1. Claim by Vicki Carnicle
2. Claim by Dawn Hanson
Page 89 of 950
►(-Y1-\/ Y,N l
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
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: jG�i L]L VAa t,SnL
2. Address: L(�
City: _ i 11,u C/ State: =Zui Zip:
3. Telephone Number:
4. Date of Incident: 15
S. Time of Incident: (�d(�r�2 , L-a bn
6. Location of Incident (Be specific): i
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.)
8. What were wea�he P�on`L1�ions like?
9. Give name and address of any witnesses:e��o�il
10. Did police investigate? (If so, give names of officers.)
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
Page 92 of 950
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.)
MIA■rl=li17Llrt Iff �MIa!/f�� AIR fiMG7A WA is MW//r1-AW' MYM&M�VOR�9 i,5
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.)
15. What amount do you claim from the City of Dubuque?
� -Q PI r L)C
16. Why do y LPai"e City of Dubuque i responsible?
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
J,\,l [-a
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 day of 20`.
Signature)
Print Name)
(Rev. 9/24)
I NJ
Page 93 of 950
Copyrighted
May 19, 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: Vicki Carnicle for
personal injury; Dawn Hanson for vehicle damage.
SUGGUESTED Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
1. ICAP 5 19 25
Page 94 of 950
THE CITY OF
DUB UE MEMORANDUM
Masterpiece on the Mississippi
JONI MEDINGER
LEGAL ADMINISTRATIVE ASSISTANT
To: Mayor Brad M. Cavanagh and
Members of the City Council
DATE: 5/15/2025
RE: Claim Against the City of Dubuque by Dawn Hanson
Claimant Date of Claim Date of Incident Nature of Claim
Dawn Hanson 5/14/2025 5/14/2025 Vehicle Damage
This is a claim in which Claimant alleges Claimant's vehicle was struck by a City garbage
truck.
This claim has been referred to the Iowa Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Arielle Swift, Public Works Director
Dawn Hanson
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 96 of 950