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Claim by Steven MeierCopyrighted February 2, 2026 City of Dubuque CONSENT ITEMS # 2. City Council ITEM TITLE: Notice of Claims and Suits SUMMARY: Selena Fischer for vehicle damage; Ethan Luedtke for property damage; Steven Meier for vehicle damage. SUGGUESTED Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: 1. Claim by Selena Fischer 2. Claim by Steven Meier 3. Memo on Meier Claim Submission 4. Claim by Ethan Luedtke Page 106 of 865 040555002067 ACORD AUTOMOBILE LOSS NOTICE DATE(MM/DD/YYYY) 01/17/2026 H t�E AGENCY A/tQ No Ext): COMPANY NAIC CODE: MISCELLANEOUS INFO (Site & location code) (A/C, No): POLICY NUMBER POLICY TYPE REFERENCE NUMBER 040555002067 CAT # E-MAIL ADDRESS: CODE: SUB CODE: EFFECTIVE DATE EXPIRATION DATE DATE OF ACCIDENT AND TIME AM PREVIOUSLY 01/16/2026 8:30 N PM REPORTED AGENCY CUSTOMER ID: YES NO INSURED CONTACT I I CONTACT INSURED NAME AND ADDRESS SOC SEC #: NAME AND ADDRESS WHEN TO CONTACT: Tonner Clewell (Driver for City of Dubuque) Steven Meier WHERE TO CONTACT 19120 Breezy Ridge Rd Dubuque, IA 52002 E-MAIL E-MAIL louieg328@gmaii.com ADDRESS: I ADDRESS: RESIDENCE BUSINESS PHONE RESIDENCE 563 564-5451 ( ) BUSINESS PHONE PHONE A/C, No): (A/C, No, Ext): PHONE A/C, No : (A/C, No, Ext): LOSS .00ATION OF 2520 marywood Dr dubuque, 52001 AUTHORITY Dubuque VIOLATIONS/CITATIONS kCCIDENT Include city & state) REPORT #: )ESCRIPTION OF My 2019 Nissan Frontier was parked on my street in front of my house and was struck in the rear drivers side by a City k e D N ate sheet, Of Dubuque snow plow blade. I will need a new bumper, tailllight, box and paint to repair damages. necessary) POI ICY INFORMATION BODILY INJURY BODILY INJURY PROPERTY DAMAGE SINGLE LIMIT MEDICAL PAYMENT OTC DEDUCTIBLE OTHER COVERAGE & DEDUCTIBLES (Per Person) (Per Accident) (UM, no-fault, towing, etc) LOSS PAYEE COLLISION DED UMBRELLA/ P R EX E CARRIER: AGGR INSIIRFr1 VFWICI F VEH # YEAR MAKE: international BODY PLATE NUMBER STATE 3haekt 2021 MODEL: x6 V.I.N.: OWNER'S RESIDENCE PHONE NAME & A/C, No): BUSINESS PHONE A/C, No, Ext): ADDRESS DRIVER'S NAME Tonner Clewell &ADDRESSJC RESIDIEoNCE PHONE BUSINESS No ES PHONE k i same owner RELATION TO INSURED DATE OF BIRTH DRIVER'S LICENSE NUMBER STATE USED WITH (Employee, family, etc) PURPOSE MISSION? OF USE EYES NO DESCRIBE ESTIMATE AMOUNT CAN WHEN CANVEH BESEEN? THER INSURANCE ON VEHICLE DAMAGE �WHERE HICLESEEN? PROPERTY DAMAGED VEHICLE? I IYES I INO DESCRIBE PROPERTY 2019, Nissan, Frontier, OTHER VEH/PROP INS? AGENCY NAME: (If auto, year, make, I POLICY #: model, plate #) YES NO OWNER'S Steven Meier RESIDENCE PHONE 563 (A/C, No): 1l ) 564-5451 NAME & BUSINESS PHONE ADDRESS (A/C, No, Ext): DRIVER'S NAME A/C, No : & ADDRESS BUSINESS/C,o,E )HONE same as owner A/C, No,Ext DESCRIBE ESTIMATE AMOUNT WHERE CAN DAMAGE VEHICLE BE SEEN? INJURED NAME & ADDRESS PHONE (A/C,No) PED VEH VEH AGE EXTENT OF INJURY WITNESSES OR PASSENGERS NAME & ADDRESS PHONE (A/C,No) IN VOEH OTHER (Specify) REMARKS (Include i dont have a "police report" i was given a "driver information exchange report" by the Dubuque Police. This was a city adjuster assigned) vehicle that hit a parked car on a residential street. The city driver is 100 percent at fault. REPORTED BY REPORTED TO SIGNATURE OF INSURED SIGNATURE OF PRODUCER ACORD 2 (2003/11) NOTE: IMPORTANT INFORMATION ON REVERSE SIDE UA(;t)KD GUIRPUKAI IUN 1985 Page 109 of 865 THE CITY OF DUB E Masterpiece on the Mississippi TO: Mayor Brad M. Cavanagh and Members of the City Council FROM: Adrienne Breitfelder, City Clerk DATE: January 26, 2026 RE: Claim Submission via ICAP Dubuque AI•Ameriw Cip 2007-2012.2013 2017*2019 Please be advised that the recent claim submitted by Steven Meier was filed directly through the Iowa Communities Assurance Pool (ICAP) system rather than using the City's standard claim form. As a result, the submission appears different from the usual format. The claim will be processed in accordance with the City's standard procedure. Page 110 of 865 City of Dubuque City Council CONSENT ITEMS # 3. Copyrighted February 2, 2026 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: Peter Dotterweich for vehicle damage; Sean Faherty for vehicle damage; Richard Herrig for vehicle damage; Ethan Luedtke for property damage; Steven Meier for vehicle damage; Alyson Nelson for vehicle damage; Daniel Schleter for property damage. SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. ICAP Referral Page 113 of 865 THE CITY OF DUB UE MEMORANDUM Masterpiece on the Mississippi JONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT DATE: RE: Claimant Steven Meier Mayor Brad M. Cavanagh and Members of the City Council 1 /23/2026 Claim Against the City of Dubuque by Steven Meier Date of Claim Date of Incident Nature of Claim 1/17/2026 1/16/2026 Vehicle Damage This is a claim in which Claimant alleges Claimant's vehicle was struck by a City snowplow. This claim has been referred to the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Arielle Swift, Public Works Director Steven Meier 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 118 of 865