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Claim Link, Lois - Heritage CoCITY OF DUBUQUE, MEMORANDUM TO: Jeanne Schneider City Clerk FROM: Carol Gulick, Legal DATE: January ll, 2001 SUBJECT: Lois Link Claim Dear Jeanne, Attached is a subrogation notice from Heritage Companies that has been putting down roots on my desk because I didn't know what to do with it. Barry says. File this in as an extension to the Lois Link Claim, which you don't have. Complicated enough yet? Also attached is a copy of a letter from Attorney Coyle, dated 12/6/00, which you filed in on Dec. 7, but not really as a claim. We are going to treat this letter as the claim because it was sent to Public Entity Risk Services, in a timely fashion I might add, and they assi~ed it a claim number. I'm sending the Heritage letter to PERS because once I get going I am really fast. Anyway, you can send a copy to MVM and Mike Koch, I guess we can use the December 7th date (when you filed the letter in) as the date of the now-official Lois Link Claim. drum roll please. Can we do an Ordinance that says that all claims that don't follow our rules can be thrown in your waste basket? HERITAGEHe g..u a,,nsu, nce 0omp y Grea[way Insurance Company COMPAN lES 2800 South Taylor Drive. PO Box 58. Sheboy§an. WI. 53081 920-458-9131 ext. December 18, 2000 City of Dubuque 50 West 13th Street Dubuque, IA 52001-4864 Your Claim No.: N/A Your Insured: N/A Our Claim No.:J13873 Our Insured: Monique Wilson Date of Loss: 09-17-00 Type of Loss: Medical Pmts. Slip and Fall Location: 997 MT Loretta Street Amount of Payment: $2500 Deductible (if applicable Dear Sir or Madam: : N/A Because of our payment of the above claim, we are lookin9 to you for reimbursement. Our documentation in substantiation of this claim is enclosed. Separate drafts for the respective interests are requested. Please mail the trafts to the address lis~ed below: Heritage MutBal Insurance Company Claims Department PO Box 58 Sheboygan Wi 53082-005~ Your prompt consideration will be appreciated. Please be sure to include the a ' ' bore clamm number on the payments Sincerely, Dar~e'n Meiselwit z Clams Department Enclosure(s) K-141(9-98) C!ai~ J13873. DISPLAY MECHA~YIZED PAYMENT UPDATE Pdlicy F58570 WILSON, MONIQUE CLOSED .... Payment ...... Current Payment -- Date Nbr Status Status Date 12 18 00 4092336 ISSUED 12 18 00 Amount 2,500.00 Pay To LOIS LINK & FUERSTE CAREW COYLE JUERGENS & SUDMEI Mail To FUERSTE CAREW COYLE JUERGENS & SUDM Street 200 SECURITY BUILDING City DUBUQUE State IA in Payment of MEDICAL PMT FOR CLMT. Attachments N IRS Reporting: Service Dates invoice Nbr IRS Nbr 421169272 Type F Gross Pay Period Accounting Status Zip 52001 Pmt to Arty Y Select KLSNP05 CERTIFIED NOTICE TO REPAIR SIDEWALK 05/24/00 MONIQUE WILSON 3126 CHADWICK DRIVE LOS ANGELOS CA 90032 995 MT, LORETTA LOT 59 AND 1-60 OAK GROV] ADDITION ENC.: CONTRACTOR'S LIST Service People lnta~ity ' R~spo~siklI]t~' Innovation T~amwork Sprint Account Summery Description Cihareea for June Total ~;|nt A~ou~ 8umma~ Charges C~stemer In[ormntion · luvoJoa Chafe# far Juc Sprint Monthly Charges 8print Service thru Jun 10, 2000 Do~on 1. CA~[~ UNIVerSAL 4. ~tate mn~ Local 'Tax ~ :. .: . ~:; .:< ~....~> .'.~&~ Sprint Dial 1 Cells *~memti= ~, Ma 7. ~a 8. Ma 9. 10. Ma 11,--Ma 12." Jut 13. Jun10 14, '-~nle ~E mm.it Date Page ' $ 2, 2000 Invoice eumstio# about your Sprint bill? Pe 06066338 888-361-e794 7e.44 5.23 r, Time Phca and Number ~25' 8;53pm M.A. RIET[A 6;, ,25 12:35pm DOBUOUE IA r26 12:Cape DUBUQUe IA' ~30 12:3~3'pm Ouauoua IA ~ao t2:34pm 0UBUQUE IA ~31 7:Slam DUBUQUE IA : 19 556-45~7 ~31 6,:02~m ~A~IETTA ~A ~ 70 419-~794 1~ 11:36a~ dUBUQUE IA : 19 58~-4270 s:3opm ~RIETTA ~ ~ 70 419-~794 ~:31pm MARIETT~ '~ 70 ·International Date Time Ph'ao and Number '1'5. May2g 7~03nrn UNITED}L~,~L~YlUK 16. -TvTcy2n 7:0~pm UNITEDK~DMUK 17, .~.May29" 7 oaam ua ITEDKSDM'~K ' Sprint Discoun~ "SPRINT ~ENBE P~uot $ummm~ 15. LONe'DISTANCE CHARGES THIS MO~TH 1~. "CASH ~ACK THIS MONTH 20. PHEVIOUS CASH RACK BALANCE 21 · "CuRHeNT CASH I~A~K' BALANCE ¢ ailed 'l~pm Rate Minutes AmcuM "70 4.1B-BT~'4 Di~nct Nig~_t 7.0 .70 ;:'16 58~--4270 D;rec{'" Day -- '1.0 ........... ;la 569;4270'" Direct Day 3;0 .'IS : ~8 5~-427o ot~t" Day 3.0 Direct Day Oire~ DaY 2.0 ~ite~ Night ~irect 1.0 .10 1,00 Amount $6,24 $127.29 ¢062 RTEN eorrtlnue,g · · I 7 See3 BC4? lB 323Z2~'7768 567 9003228~1 iliad . TLRm_ Minutaa Amount 44'1752775025 Direct aeon 1.o ~,Im 44175277~025 ~ir~t EBon %0 1,1~ Am=oust Nulu~er 323 227-7768 567 S 8184 ~uriat Aeonunt Sprint Aeoount Summary T~al Sprint Amount 8~mma~ Charg , Custnmer Information Sprint Monthly Charges $pr~ Service thru May qg, 2000 8te~ aeltt Date Jun: 2, 2000 Num or 05077287 ~estioJi about your Sprint b;ll? · 888-361-8704 Sprint · hlturastiollai Il)ItU Time ~Place and Number C -a:'_-~._-~--~-~_~7~.~-- ~., ~,.....-.......~, .. ,,~..-~ ............. ~ ,~. ,..:~.~..~ .~. ,. ~ ...... ~ ~p~nt.m,~, ~l~,:~. ............. . ........................ Sprint Discounts ~IPRI~ SENSE Pmduo~ 8mama~ I1, ~E~ BAO~"~A~r--- Adve~iseme~a are pa~d for by BI w~h 6print a~d ca~ot endorse, ri services described here~n. :! I 6671 BC47 10 323227776a G67 900322131 COG2 allad Type Rate Mnutes Ameun~ ...... ~ount ~40 ~22 ~127.26 'tm, Pacific Sell has no affiliation :ommend or warrant any produ~s or RTEN ~294 3469 _ _Das;Hption Amount _T7, ,__C~[O~V~'s~r'-~IC~ **CFr~ ~ ........... ,.~* *~.?~ · . P~eSUBBCRIBG~ 'C~E" CRAR~G .................................................... Dial 1 Calls ,_~Dete ~me Plice and Numbe~ ( ~, a~d Tvae Rah Minutes Amount 7. ~~-~,.,,, ~A ";~-~sa-2~'~ ..... oi,.~ "~f Amou#t ............. ~.~.. .... T .......... ~,r 54.01 323 227-77E8 567 S 5184 Moy Sprint A~Goont Sprint 'Sprint Account Summap/ Charl~ee 16r April ,,, TOtal 8prld~ Account Summary C~rgee Co,omar I~orm.tlnn · lavoino Charges for Apr Sprint Monthly Charges 5priht Service thru Apr 19, 2000 Dei~rlDtlon 2. ~RESUBG~RI~ED' LIN5 CHARGE 3, Federet Tax 4, "5(eta ~ L~at Tax Sprint Diu! 1 Ceils ~[~'~2~" 3:5~ ~AR ETTA ~ 7 7. Apr 2 8:05Dm MARIETTA ~ 7: 8., Apr18 7:03p~ BARIETTA~"' Sprint Discoun~ *SPRINT SENEE P~du~ 10. ~AEH BACK THI6 MONTH 11. -'F~LV~B~F( BALANCE 12. "'~b'FiqFACJC'B-A'[;A N C E AdverUoementa -.re paid for by Spr with Sprint end cannot endorae, rec aervioea de~ribed herein, : Poga 1 about your Sprint bljl? 500-457-7746 I~d Ty~n Rata MInumn Amount 0 419-9794 Direct Night 5.50 FH ns. Pacific Bell hen no affiliation )remand or warrant any products or G062 RTEN 9291 g2Bg Amount ~-~-- Amount .$t 6649 BC47 1(~ 3~1322777611 GG7 900322a~ ,ns Data 2, 2000 [woic~ 04077310 M~¢I4AFJ. J. COYLE ST£PHEN J, JUEROEN$ Ms. Monique Wilson 3126 Chadwick Drive Los Angeles, CA 90032 Dear Ms. Wilson: L ~ Offle~ Of FUERSTE, CAREW, CO~ ,g, JUERGEN$ & SUDMEIER, P.C. 200 $ CURITY BUILD,NO 151 W~$TSTII STREET DUnO~E, IOWA 52001-6~32 Oc~ ,bet 12, 2000 May 23, 2000, the City of Dubut Loretta, Dubuque, Iowa, and determine, needed correction. As of September 17, our client, Lois M. Link, tripped and fell a~k that you notify your insurance carrie ae inspected a sidewalk in front of 997 Mt. that there were certain deficiencies which 2000, you had not made the required repair and as a result of the condition of that sidewalk. We to make contact with the undersigned laWYer. Very truly yours, FIJERSTE, CAREW, COYLE, Jr JERGENS & SLID,MEIER, P.C. MICHAEL J. COY'LE MJC:dh cc Lois M. Link WILLIAM C. FUERSTE ALLAN J. CAREW MICHAEL J. COYLE STEPHEN J. JUERGENS ROBERT L. SUDMEIER* DOUGLAS M. HENRY MARK J. WILLG1NG MICHAEL J. SHUBATT* NORMAN J. WANGBEKG A. THEODORE HUINKER DANITA L. OALDlCK · Law Offices Of FUERSTE, CAREW, COYLE~ JUERGENS & SUDM~,IER, P.C. 200 SECURITY BUILDINO 15 ~ WEST 8TH STREET DURUQOE, IOWA 52001-6832 TELF~HONE: ~ (319) 556~4011 October 30, 200,0 k (319)s56-7134 , fecjs{~nwci.nct Mr. Mike Loveless Ludovissy & Associates 787 West Locust Dubuque, IA 52001 Re: Dear Mike: Lois Link D/Injury: September 17, 2000 We represent Lois Link who was walking down a City of Dubuque sidewalk in front of 997 Mt. Loretta in Dubuque when she fell on concrete which was broken and displaced. The property is owned by Heritage insured, Monique Wilson. We wroteto Ms. Wilson to ask if she could not tell us about the identity of her insurance company so we could seek any med pay benefits that might be'available io our client. Would you please advise. MJC:db cc Lois Link Vow truly yours, FUERSTE, CAREW, COYLE, JUERGENS & SUDMEIER, P.C. WILLIAM C. FUERSTE ALLAN J. CAREW ~VIICHAEL J. COYLE STEPHEN J. JUERGENB ROBERT L. SUDMEIER* DOUGLAS [VI. HENRY MARK J. WILLGING MICF~EL J. SHUBATT* Law Offices Of FUERSTE~ CAREW~ COYLE~ JUERGENS & SUDMEIER~ P.C. 200 SECURITY BUILDING 151 WEST 8TH STREET DUBUQUE, IOWA 52001-6832 December 6, 2000 TELEPHONE: (319) $56401 l TELECOPIER: O19) 556-7134 E-MAlL: fccjs~mwci.net Ms. Jeanne F: Schneider City Clerk City Hall 50 West 13th Street Dubuque, IA 52001 Dear Clerk Schneider: Re: Lois M. Link We represent Lois Link who was seriously injured in a fall on September 17, 2000, while she was walking on a city sidewalk in front of 997 Mt. Loretta. While she is still recovering from surgery, we would be able to provide the City's representative with a considerable mount of information about the incident and injury. Kindly pass this letter on to the appropriate person. Very truly yours, FUERSTE, CAREW, COYLE, JUERGENS & SUDMEIER, P.C. MICHAEL J. COYLE