Claim by Julio Ricardo Vega ChaconCity of Dubuque
City Council
ITEM TITLE:
SUMMARY:
SUGGUESTED
DISPOSITION:
ATTACHMENTS:
Copyrighted
December 1, 2025
CONSENT ITEMS # 2.
Notice of Claims and Suits
Julio Ricardo Vega Chacon for vehicle damage.
Receive and File; Refer to City Attorney
1. Claim by Julio Ricardo Vega Chacon
Page 71 of 1214
Confidential
This communication and any attachments may contain information which is confidential
and privileged by law and is for the use of the designated recipient. If you are not the
intended recipient, you are hereby notified that you have received this communication in
error, and that any review, disclosure, dissemination, distribution or copying of its contents
is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of
your receipt of these items and destroy the communication and any attachments
immediately. Further disclosure of this information may violate state and federal
restrictions.
Confidential information may include the following:
1)Social Security Number(s)
2)Medical/Health Information
3)Personnel/Disciplinary Information
4)Bank Account Information
5)Financial Information
6)Credit Card Numbers
If any documentation you desire to submit to the City of Dubuque contains any of the items above
this cover sheet must be attached directly to the confidential information and indicate the type of
information that is included.
I, , hereby certify that the attached documents
include the following protected information:
Social Security Number(s) Bank Account Information
Medical/Health Information Financial Information
Personnel/Disciplinary Information Credit Card Number(s)
I understand that this information may be distributed within the City organization or to agent's of
the City for processing and I hereby authorize the City to act accordingly taking all precautions to
protect my information from unnecessary distribution.
Signature
11 /20/2025
Date
Page 72 of 1214
MVM
Legal
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA Ryan Knuckey
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 Clerk 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.
1. Name of Claimant:
2. Address:
3. Telephone,-ft� g!
4. Date of Incident:
5. Time of Incident:
6. Location of Incid8qt4R"pW, ill aeross frorn my house om the street
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.)
-- -- ---- - -- - -- - - - - - - - -- -- -- -- -- --
nJ � l�l l \�� ��\�l�f ■��i � � 1 �J ►�J���l��i \�\ �►�� \\�t�J ��lRl �1� \RlR►�i� � 1 \� � � \�t�li I ��1� 1 �►t�l�t�1 � �\ �►�r7� li�i
lhoYftit were weather conditions like?
9. Give name and address of any witne�g%-
V0s�agipeo�WRlt19Xfe ? (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.)
No
13. What other damages do you claim, if any?
Nothing besides the car damages
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?
The amount to fix and repair damages
16. Why do you claim the City of Dubuque is responsible?
Because they hit and caused damage to my car.
17. Have you made any claim against anyone else 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 20 day of November 20 25
(Signature)
Julio Ricardo Vega Chacon
(Print Name)
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