Claim by Schumacher Pool and Spa LLCCity of Dubuque
City Council
CONSENT ITEMS # 2.
Copyrighted
August 4, 2025
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Toni Eckstein for property damage; Daniel Healy for vehicle
damage; Harrison Runde for property damage; Schumacher
Pool and Spa LLC for vehicle damage; Frank Washington for
vehicle damage.
SUGGUESTED Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
1. Claim by Tony Eckstein
2. Claim by Daniel Healey
3. Claim by Harrison Runde
4. Claim by Frank Washington
5. Claim by Schumacher Pool and Spa LLC
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA -P;.�
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: c_v�1� cxcLkcC)-o c am\ ` � L L. C
2. Address: H-7 ;.4- A v�
City: 0-t bkc( LL, State: Zip: v a-cC )
3. Telephone Number:
4. Date of Incident: -7 It b t
5. Time of Incident:
6. Location of Incident (Be specific):
7. DESCRIBE ACCIDENT OR OCCURRENCE
full details upon which i
employee's name.) ( _{,
iou base your claim.
Q-MpEoL4oep— Cat i0QX--
THAT CAUSED INJURY OR DAMAGE. (Give
If a City employee was involved, give the
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8. What were ather conditions like?
9. Give name and address of any witnesses:
10. Did police investigate? (If so, give names of officers.)
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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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.)
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15. What amount do you claim from the City of Dubuque?
16. Why do you claim the City of Dubuque is responsible?
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17. Have you made any claim aga.Zt anyone els or damages as a result of this incident?
(If yes, give name and address.)
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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 7-day of -D-Uf-" 20 'Da6.
Signature)
Print Name)
(Rev. 9124)
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