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Claim by Alizabeth ChapmanCity of Dubuque City Council CONSENT ITEMS # 2. Copyrighted March 2, 2026 ITEM TITLE: Notice of Claims and Suits SUMMARY: Alizabeth Chapman for vehicle damage; Nicholas Fuller for property damage; Hendrik Van Pelt vs. City of Dubuque for Petition Pursuant to Iowa Code Chapter 22 for Writ of Injunction or Writ of Mandamus. SUGGUESTED Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: 1. Claim by Alizabeth Chapman 2. Claim by Nicholas Fuller 3. Memo and Van Pelt Petition Page 93 of 939 f-yVM CLAIM AGAINST THE CITY OF DUBUQUE, IOWA="'Z(1�- 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: 1/7 2. Address: _-)0, S Cain S4 City:State: ! Zip: 3. Telephone Number: 09' 4. Date of Incident: 5. Time of Incident: 11 .1AS A _ A'l . 6. Location of Incident (Be specific): carve-il UIl�t ff. J IL�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 weather conditions like? V VJVl61tJ I_ j'vtf[Lt L U i v1 9. Give name and address of any witnesses: 19( 10. Did police investigate? (If so, give names of officers.) I An 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). Page 94 of 939 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? N PA 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.) k o 15. What amount do you claim from the City of Dubuque? 4 L2) ; F b 16. Why do you claim the City of Dubuque is responsible? S V11%h -4r 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) �( U 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? r� 1 0- Dated at Dubuque, Iowa this day of a� bilU ft 20 Signature) (Print Name) (Rev. 9/24) IJ TI t Page 95 of 939 City of Dubuque City Council CONSENT ITEMS # 3. Copyrighted March 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: Alizabeth Chapman for vehicle damage; Thomas Davis for property damage; Nicholas Fuller for property damage; Deon Lawrence for property damage. SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. ICAP Referral Page 119 of 939 THE CITY OF DUB UE Masterpiece on the Mississippi CRENNA BRUMWELL CITY ATTORNEY MEMORANDUM To: Mayor Brad M. Cavanagh and Members of the City Council DATE: 2/17/2026 RE: Claim Against the City of Dubuque by Alizabeth Chapman Claimant Date of Claim Date of Incident Nature of Claim Alizabeth Chapman 2/16/2026 2/6/2026 Vehicle Damage This is a claim in which Claimant alleges Claimant's vehicle was damaged by a city sign fall onto her vehicle This claim has been referred to the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Ryan Knuckey, Director of Transportation Services Alizabeth Chapman 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 120 of 939