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Claim by Robert KressTHE CTTY OF DuB E Masterpiece on the MiAsissippi BARRY LINDA CITY ATTORN To: DATE: RE: Claimant Robert Kress Date of Claim Date of Loss Nature of Claim 12/28/07 12/21/07 Vehicle Damage This is a claim in which the claimant alleges that while his vehicle was parked in front of his residence of 3337 Kimberly Drive, a City snowplow struck the front end of claimant's vehicle. This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. BAL:tIs cc: Michael C. Van Milligen, City Manager Jeanne Schneider, City Clerk John Klostermann, Street & Sewer Maintenance Supervisor Robert Kress MEMORANDUM Mayor Roy D. Buol and Members of the City Council January 2, 2008 Claim Against the City of Dubuque by Robert Kress OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563) 583-4113 / FAx (563) 583-1040 / EMAIL balesq@cityofdubuque.org BU UE IOWA '~~~~ CLAIM AGAINST THE CITY OF DU Q ~ ~, 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 West 13th St., Dubuque, IA 52001. It will then be referred to the appropriate department for investigation and to the City Attorney's Office. 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 aU 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: ROb~~ ~ ~~es, 333`1 K;Mb~~l~ ~r D.~~~yue S`~.vaa 2. Address: 3. Telephone Number 4. Date of Incident: ~~/~I/d 5. Time of Incident: Q e ~ sue e i^ I D ~ ~ U ~ 1 ~ ~ v ~ P ~ 6. Location of Incident (Be specific): c`~n }~~ S't`~ee fi jn ~,r~n~ O C ~~3~ K~+n~tr~7 ~~ 7. Describe the 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.) R c ~ ~'-, Sny w ~~vw ~~ '~' ~-~`2 ~ r©.~~ ~ nc~ 0 1~ 1'"` `f 8. What were weather conditions like? S -~'~C ~fis W e f Cv,, ~ 'r'.. f o ~1 cl ~,, 9. Give name and address of any witnesses: ~0~~ ~IDS'~'CSw~Ann ~l ~ .pr C~~~ .~ ,~b~,a U-e- S d C:D ~ 10. Did police investigate? (If so, give names of officers.) .5~3-S~3-i 13 ~ d 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). Iii o 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.) Yes . ~ro~~ ~ n~l ~, .f (`~~ cal' .~/ us o~ 4,r. a ~; e d 13. What other damages do you claim, if any? ~_S `~ ~_~C~a 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.) rUd 15. W at amount do you claim from he City o Dubuque? ~~P~x ~3~5 ~ ~O~ ~ A~~s -~~01 , S ~ D ~r w~-e-~ 16. Why do you claim the City of Dubuque is responsible? ~e~~~. K I~g+cr~r~u,.~ i ~ ~ ~; wee cQ ~s ~e hs ~~- ~~-~~ . ~U~ ~ He ya~~ us h;s b•~s~~~ss cQ>-rrf 17. Have you made any claim against anyone else for damages as a result of this incident? (!f yes, give name and address.) , / /`~ O 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? C7 0 ~]4~ ~ t'i N :~ Dated this a~ ~~'` day of ~ 2.c C' n.~ie ~ , 20d 7 .~ ;~=~ °D {` c~ ~ -.~ ~ ~ r~ (Signature) ~ rv Q w ~©be r ~ \<~e ss (Print Name) 12/26/2007 16:24 5635831327 RILEY AUTO SALES PAGE 01 12/26/2007 at 09:25 PM 18174 RILBY AU'.CO 5111I+SB Federal ID #:420957277 4455 DODGE STREET DUBUQUE, IA 52003 (563?588-2326 Fax: (563)583-7.327 pR~;LIMINARY SSTYM~iT14 Written By: DAVE DEMOBS Adjuster: Insured: ROEERT KRESS Claim ~ o~»er: ROBERT KRESS Policy # Adctreaa: 3337 KIMBERLY Deductiblo: DUBUQUE, IA 52002 Data of Losa; Day : Typo of Loss Evanirsq: Poi»t of Impact: 2»apoct Looatio»: Insurance Company: 1998 FORD ESCORT ZX2 COOL 4-2.OL-FI 2D CPE Int: Job Number: Days to Repair VIN: 3FAFP1134WR176219 Lic: Prod Date: Odomotor: Intermittent Wipers Body Side Moldings Dual Mirr ors Console/storage Clear Coat Paint Power Ste ering Power Brakes AM Radio FM Radio Stereo Driver Air Bag Passenger Air Bag Cloth Seats Bucket Seats 5 Speed T ransmission Overdrive Full Wlaeel Covers N0. OP. DESCRIPTION QTX EXT. PRICE LABOR PAINT 1 FRONT BUMPER 2 0/N bumper assy 1.8 3 Repl Bumper cover w/o fog lamps 1 355.00 Incl. 3.0 4 Add for Clear Coat 1.2 5 FRONT LAMPS 6 Repl Mount panel 1 193.38 1.0 7 Repl LT Headlamp assy from 8/25/97 1 272.55 Incl. 8 Aim headlamps 0.5 9 Repl RT Headlamp assy from 8/25/97 1 272.55 Incl. 10 FENDER 11* Rpr LT Fender 5.0 2.0 7,2 Add for Clear Coat 0.8 13# CAR COVER 1 5.00 14# TOWING 1 65.00 15# HAZARDOUS WASTE DISPOSAL 1 9.00 16# CORRISION QROTECTION 1 10.00 0.3 17 HOOD 18 Rep1 Hood 1 319.57 1.0 2.8 1 12/25/2007 ].6:24 5635831327 RILEY AUTO SALES PAGE 02 12/26/2007 at 04:25 PM Job Number: 18179 PREJ,II3IN71AY S3TT~'PE 1998 FORD ESCORT ZX2 COOL 4-2.OL-FI 2D CPE Int: NO. OP. - DESCRIPTION _ QTY EXT. PRICE LABOR PAINT --------- 19 -------- P Overla Major Adj. Panel -0.4 20 Add for Clear Goat 0.5 21 Add for Undexside(Complete) Subtotals > 1492.05 9.6 11.3 Parts 1492.05 Body Labor 9.6 hrs @ $ 51.00/hr 489.60 Paint Labor 11.3 hrs @ $ 51.00/hr 576.30 Paint Supplies 11.3 hrs @ $ 32.00/hr 361.60 SUBTOTAL - S 2919.55 Sales Tax S 2557.95 @ 7.0000$ 179.06 GRAND TOTAL S 3098.61 ADJUSTMENTS: Deductible 0.00 CUSTOMER PAY $ 0.00 TNSURANCE PAY $ 3098.61 THIS ESTIMATE IS BASED ON A VISUAL INSPECTION AND DOES NOT INCLUDE ADDITIONAL PARTS OR LABOR THAT MAY $E REQUIRED TO COMPLETE REPAIRS. PART PRICES ARE CURRENT AND SUBJECT TO INVOICE. WE FEATURE A LIFETIME WORKMANSHIP LIMITED WARRANTY - SEE OUR WRITTEN WARRANTY FOR COMPLETE DETAILS. LIFETIME PAINT PERFOR~+JANCE GUARANTEE USING APPROVED PPG PRODUCTS AND A LIFETIME GUARANTEE ON OVERALL WORKMANSHIP TS VALID AS LONG AS YOU THE VEHICLE STATED HEREIN. 2 12/26/2007 16:24 5635831327 RII_EY AUTO SALES PAGE 03 R ' 12/26/20D7 at 09:25 PM 18174 Job Number plttLIMINIIRY ESTIt~ATB 1998 FORD ESCORT zX2 COOL 4-2.OL-'~'T 2D CPE Int: Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived £rom the Guide DR2JK9B, CCC Data Date 12/01/200'7, and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/VehiC7.a dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, oz unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (k) or Double Asterisk (*`) indicates that the parts andlOr labor information provided by MOTOR may have been modified oz may have come from an alternate data source. Tilde sign (-) items indicate MOTOA Not-Included Labor operations. Non-Original Equipment Manufacturer aftermarket parts are described as AM, qual Repl Parts or Comp Rep]. Parts which stands for Competitive Replacement PazCS. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Record. RQCOrad parts are described as ReCOre. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS informdCiOn are MOTOR suggested labor operation times. NAGS labor operation times are noC included- Pound sign ('RI items indicate manual entries. Some 2006 vehicles contain minor Changes £rom the previous year. Foz those vehicles, prior to receiving updated data from the vehicle manu,faCturQr, labor and parts data from the previous year may be used. The Pathways estimator has a complete list of applicable vehicles. Parts numbers and pri,Ces should be confirmed with the lotal dealership. CCC Pathways - A product of CCC Information Services Inc. 3 ? e Date: Estimate ID: Estimate Version: Preliminary Profile ID: 12/2612007 03:38 PM 7398 0 Mitchell Mike Finnin Ford 3600 Dodge Street, Dubuque, IA 52003 (563) 556-1010 Fax: (563)690-1086 Tax ID: 14-1762673 Damage Assessed By: Rick Stumpf Deductible: 0.00 Claim Number: 7398 Insured: ROBERT KRESS Address: 3337 KIMBERLY, DUBUQUE, IA 52002 Telephone: Home Phone: (563) 583-1134 Mitchell Service: 914623 Line Item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Description: 1998 Ford Escort ZX2 Body Style: 2D Cpe Drive Train: 2.OL Inj 4 Cyl 4A VIN: 3FAFP1134WR176214 Color: BLACK Options: AIR CONDITIONING, AUTOMATIC TRANSMISSION Entry Labor Line Item Part Type! Number Type Operation Description Part Number 400006 BDY REMOVE/REPLACE FRT BUMPER COVER F8CZ 17757 BA AUTO REF REFINISH FRT BUMPER COVER 400024 BDY REMOVE/REPLACE FRT BUMPER HEADLAMP MNTG PANEL F8CZ 8A284 AA 401122 BDY REMOVE/REPLACE R FRT COMBINATION LAMP ASSEMBLY XS4Z 13008 CA AUTO BDY CHECK/ADJUST HEADLAMPS 401123 BDY REMOVE/REPLACE L FRT COMBINATION LAMP ASSEMBLY XS4Z 13008 DA 400060 BDY REMOVE/REPLACE HOOD PANEL F8CZ 16612 AA AUTO REF REFINISH HOOD OUTSIDE AUTO REF REFINISH HOOD UNDERSIDE 400144 BDY REPAIR L FENDER PANEL Existing AUTO REF REFINISH L FENDER OUTSIDE 936001 ADD'L COST TOWING AUTO REF ADD'L OPR CLEAR COAT 933005 BDY ADD'L OPR RESTORE CORROSION PROTECTION 933018 REF ADD'L OPR MASK FOR OVERSPRAY AUTO ADD'L COST PAINT/MATERIALS AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL " -Judgment Item # -Labor Note Applies C -Included in Clear Coat Calc ESTIMATE RECALL NUMBER: 12/26/2007 11:07:25 7398 UltraMate is a Trademark of Mitchell International Mitchell Data Version: DEC_07_A Copyright (C) 1994 - 2005 Mitchell International UltraMate Version: 6.0.028 All Rights Reserved Dollar Labor Amount Units 346.98 1.5 C 2.7 193.38 0.7 # 272.55 INC # 0.4 272.55 INC # 314.57 1.0 C 2.9 C 1.5 5.0* # C 1.6 65.00 * 2.3* 3.00 * 0.1 15.00 * 0.2* 352.00 5.00 Page 1 of 2 .~ ~~ Date: 12/2612007 03:38 PM Estimate ID: 7398 Estimate Version: 0 Preliminary Profile ID: Mitchell Add'I Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount Body 8.7 52.00 3.00 0.00 455.40 T Taxable Parts 1,400.03 Refinish 11.2 52.00 15.00 0.00 597.40 T Sales Tax @ 7.000% 98.00 Taxable Labor 1,052.80 Total Replacement Parts Amount 1,498.03 Labor Tax @ 7.000 % 73.70 Labor Summary 19.9 1,126.50 III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 65.00 Insurance Deductible 0.00 Sales Tax @ 7.000% 4.55 Customer Responsibility 0.00 Non-Taxable Costs 357.00 Total Additional Costs 426.55 I. Total Labor: 1,126.50 II. Total Replacement Parts: 1,498.03 III. Total Additional Costs: 426.55 Gross Total: 3,051.08 IV. Total Adjustments: 0.00 Net Total: 3,051.08 This is a preliminary estimate. Additional changes to the estimate may be required for the actual repair. ESTIMATE RECALL NUMBER: 12/26/2007 11:07:25 7398 UltraMate is a Trademark of Mitchell International Mitchell Data Version: DEC_07_A Copyright (C) 1994 - 2005 Mitchell International Page 2 of 2 UltraMate Version: 6.0.028 All Rights Reserved