Claim by Daniel SchleterCity of Dubuque
City Council
CONSENT ITEMS
# 2.
Copyrighted
January 20, 2026
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Peter Dotterweich for vehicle damage; Richard Herrig for
vehicle damage; Alyson Nelson for vehicle damage; Ryan
Scherrman for property damage; Daniel Schleter for property
damage.
SUGGUESTED Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
1. Claim by Richard Herrig
2. Claim by Alyson Nelson
3. Claim by Ryan Scherrman
4. Claim by Daniel Schleter
5. Claim by Peter Dotterweich
Page 192 of 1459
MVM
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA Legal
al Swift
Steve Fehsal
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: t� A - ett (Z-
2. Address:
City:.���3W C— T State. Zip: -5a c
3. Telephone Number: 5�3
4. Date of Incident: 2 c�
5. Time of Incident:
6. Location of Incident (Be specific): -14 2 V1 d V4
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.)
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8. What were weather conditions like?
9. Give name and address of any witnesses: 062--0 1
10. Did police investigate? (if so, give names of officers.)
N.4.
11. Was anyone injured? (if so, give names, addresses, and extent of injuries).
Al -A 11 --
Page 199 of 1459
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 damaae_1
13. What other damages do you claim, if any? f
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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P 2. d-_�
17. Have you made any claim against anyone else for damages as a result of
(If yes, give name and address.)
law
5 incident?
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 1-5 day of T2p`Z
Signature)
Print Name)
(Rev. 9/24)
Page 200 of 1459