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Claim by Thomas Mercer Copyrighted May 18, 2026 City of Dubuque CONSENT ITEMS # 3. City Council ITEM TITLE: Disposition of Claims SUMMARY: City Attorney advising that the following claims have been referred to Public Entity Risk Services of lowa, the agent for the lowa Communities Assurance Pool: Thomas Mercer for Property Damage SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. ICAP Referral Page 145 of 890 THE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi JONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT To: Mayor Brad M. Cavanagh and Members of the City Council DATE: 5/11/2026 RE: Claim Against the City of Dubuque by Thomas Mercer Claimant Date of Claim Date of Incident Nature of Claim Thomas Mercer 3/16/2026 3/16/2026 Property Damage This is a claim in which Claimant alleges a City snowplow drove up and over the curb and dug ruts in Claimant's lawn. This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Arielle Swift, Public Works Director Thomas Mercer OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)589-4113/Fax (563)583-1040/Ennai� jmedinge@cityofdubuque.org Page 146 of 890 ��� CLAIM AGAINST THE CITY OF DUBUQUE, IOWA � � _ Q�r�t��... �,��`��-" This written report constitutes your claim against the City of Dubuque, lowa. 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: %����� � ��Y�„� `� �'���;r-����'"' 2. Address: / ��5 �a�������C' � ��� City: ,���� C� State: �-1— � Zip: �� `���'�'.�� � � f ' `- 3 :�._ �� ,� _c:; ? :� �� 3. Telephone Number: 'C'�°� — 77� '�'� �', ��� >� , � 4. Date of Incident: ��/��'� �� � 5. Time of Incident: �: /Z� ' 6. Location of Incident (Be specific): /_°���r"'�r� ��' � C�: 3 �=�=�� .��'. �t ,d���J�-��-:�% // � / /1 Y�� / ��/�,/` . l���Ci / 7. DESCRIBE ACCIDENT OI� 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.) J.'"/C�l�v' ��i�"t.r� c/J`� t,�r-�� �.�G� vf' L�✓� ��� C�%�/'1'� L�z/�' � [,�� � �� �6 � �� a/;: ,- .-�-- ��:,s�. �� ;j� Y L� ,9>/' , �� .5�� 5 s �-,� c 8. What were weather conditions like? �✓/��zv ,/� ��i��y� c-� 9. Give name and address of any witnesses: 10. Did police investigate? (If so, give names of officers.) ,,�C> 11. W�s anyone injured? (If so, give names, addresses, and extent of injuries). i' V�' Page 141 of 890 Copyrighted May 18, 2026 City of Dubuque CONSENT ITEMS # 2. City Council ITEM TITLE: Notice of Claims and Suits SUMMARY: Donald Boyle for Vehicle Damage; Thomas Mercer for Property Damage SUGGUESTED Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: 1. Claim by Donald Boyle 2. Claim by Thomas Mercer Page 137 of 890 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.) �i�F S` �� , � .�-��= r` � /a ��'lL� ��� ?'�'�3� i a--- �����/� . l �� �� c � i 1 ;�� ���� c��/����- � ���� �� 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.) �✓� 15. Whatp amo nt do you claim from he City of,Dubuque? . G�2.����� ii(-'7`' �'j�' i7 O-/�y S Y v ,'�LU �C"I,�r'1 i . /4,L`,�f'/�, �(:!(-�'���i S�'� . 16. Why do you cl im the City of Dubuq e is resp9nsible� r �//G�e-z.-3 /'�e.�� ��=;'i�r">° �G���G�c- i �/ �� ,�«�`c� . 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) „ f�� �/ �/ 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, lowa this ��' day of /���'`'t� � , 20�� (Signature) � hl�i�'/��� ���-;� � ��� ,�-c�� j— (Print Name) . .' . .... ...,.3d,.:7 �.... .. ..� f ...... . .., ...,���...r � - a. i ,.,„,.{ � , r„...w„1'� �p . ' .w�. i 7.Yr (Rev. 9/24) _ -- � � �� .°:� , -�� � u,� �w Page 142 of 890