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Claim by Nicholas Holzer Copyrighted June 15, 2026 City of Dubuque CONSENT ITEMS # 2. City Council ITEM TITLE: Notice of Claims and Suits SUMMARY: Dan and Beth Kennedy for property damage; Nicholas Holzer for property damage SUGGUESTED Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: 1. Claim by Dan and Beth Kennedy 2. Claim by Nicholas Holzer Page 79 of 1594 MVM Legal .CLAIM AC�At�NST TH�E �CITY �F DIJ�BI�QEJE, �OWA Arielle Swift This written report constitutes your claim against the City of Dubuque, lowa. You shoultl complete this form in full and attach any additional information that supports your claim. Th� 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 �ity 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 r�port and recommendation. 1. Name of Claimant: /�iC����s (��Z��� 2. Address• °�bC� (���,.key� �'�". , (�v�'����e � Z� ��� � 3. Telephone RFumtrar: ��v �' ��r — l� � � 4. Date of Incid�nt: ������-� —� 5. Time of Incident; '`' � i�`"� 6. Location of Incident(Be specific): ��� �w�rye l��'- , �v.�-�r�e , 1'4 ��`�� l 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAIJSED INJURY OR DAMAGE. (Give full details upon which you base your claim. If a City �mployee was involved, give the employe�'s name.) j 1,,� C�'�.� �e�.,o�' �lj�ke� �..� i`,�� w.Y ��Pt-�.c���. �� c�`��r Vl�d � �Oc/V\e 6``i� Gl�,� �ililClGC{ � �l�'�/`�4��� �c� ��� l��/'w� � �i �'oil� Cj�-�-:✓� �v-�' o''� L.�.y �/lo�.,�e. �` ��.� �J �T�'f- 8. What were w�ather conditions like? ���1n,�� �° ``�''�� 9. Give name and addr�ss of any witnesses: � CGL� ,����`�e �i"``���``'�`�`'�'� �� i�CC�ini��1�0 ,�v.� �G.l��2f5 i L�'�,•.�� �l'.'C�vt iv�5 �C.�C�.'�6E� � ( T` l�•C�'c�'�� 10. D��rpolice investigate? (If so, give names of officers.) J 11. Was anyone injured? (If so, give names, addresses, and ext�ent of injuries). ��� Page 96 of 1594 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.) >(��S- � c�� v►�� �„�,�;� P�.f-�.�w.�.��-r )re-�_ � ��..�-� �'��j . . ��"��' �nl���) ���� �Lv�Ga�1.Z � ��'�,f `lui�•_� ��CL'�� �J�I�'� VJ�tIc�S"� Gtfi�� ��� �r�e (i,.i,l f� 4ra�� ��„w`�� -�ri t i�:-'�� d'�:,•,r` ��..,r�� f �K c� c�,.�!.. �l rr>� t.h..� �,w��-st � �c.�,h.c� /u�k.... �,•�_ 13. What other dama�es do you claim, if any? Y�'j- �.G�s c��- r���sd`"`�� ` ��,^�- `�<vc+h i.-��.� �c�+c��, ��. 11�'t'� TV 5'�`��.0 . Vjs�7 ��S• Gv�c� �`I"�",7, ..� �c,VE � 1. 14. Have you been compensated for any part or afl of your claim by any insurance company? (If so, give name and address of insurance company and amount paid.) !v� 15. What amount do you claim from the City of Dubuque? �'`� �w-��'�" �� Dr�`i''��' l�lvv�v.a f-Q l c,f c�� ��-1 j'�r..�' t'�v'^S� G w c� � f� C � w PqvL:tn y t�rJ�J; 16. Why do you claim the City of Dubuque is responsible? T�^� �'�+��` � �s �rl'�o�� S.�/t�' ^��/ L�n�<<✓l�'6t,e�i�� '�� �E'r-v(�. 17. Have you made�any claim against anyone else for damages as a result of this incident't (If yes,A�ive name and address.) 1V d 18. If the answer to Question 17 is yes, hav� you received any payment from that source, and if so, in what amount? /U/'.� � Dated at Dubuque, fowa th�s �� day of ��`Y , 20 �� . �, �,/l / (Signature) ����1�•!� �-�[�Z�� �Print Name) , Page 97 of 1594 Copyrighted June 15, 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: Austin Bodenhofer for vehicle damage; Shannon Brenner for personal injury and vehicle damage; Nichloas Holzer for vehicle damage; and Dan and Bet Kennedy for property damage. SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. Bodenhofer - PERS 2. Brenner - PERS 3. Holzer - PERS Page 106 of 1594 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: 6/3/2026 RE: Claim Against the City of Dubuque by Nicholas Holzer Claimant Date of Claim Date of Incident Nature of Claim Nicholas Holzer 5/18/2026 5/15/2026 Property Damage This is a claim in which Claimant alleges Claimant's basement was flooded due to a City sewer back up. This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Arielle Swift, Public Works Director Nicholas Holzer 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 109 of 1594