Claim by Cassandra LehmanTHE CTTY OF
DUB E MEMORANDUM
Masterpiece on the
BARRY LINDAH
CITY ATTORNE
To: Mayor Roy D. Buol and
Members of the City Council
DATE: February 27, 2008
RE: Claim Against the City of Dubuque by Cassandra Lehman
Claimant Date of Claim Date of Loss Nature of Claim
Cassandra Lehman 02/21/08 02/20/08 Vehicle Damage
This is a claim in which the claimant alleges that a City snow plow truck struck her vehicle
while her vehicle was parked near the intersection of Clarke Drive and Clarke Crest Drive.
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
Cassandra Lehman
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
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CLAIM AGAINST THE CITY OF DUBUQ ,M
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 fled 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 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: I l ~~~~~-~~ ~ /~-~ 1~~~~
2. Address: '7~ Lo l~ I I ~ S'~ ~ (~,n~ ~ ~~ V~~ ~"~ 52~}U ~
3. Telephone Number ~ I~ ~-'~~~ - ~~'~ ~
4. Date of Incident: FQ~ ~-ll, ~ l~D~
5. Time of Incident: (~ ° ~ ' 12 ~ ~5~.~1
6. Location of Incident (Be specific):
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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
tha Pmnlnvee's name_1
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9. G've name and address of any witnesses:
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10. Did police investigate . (If so, give names of officers.)
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8. What wire weather conaiti~ns riKe~!
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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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.)
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15. What amount do you claim from the City of Dubuque?
9 I q ~ • ~ ~ See. ~iS-~-i rn4~fe -F~- tvf ~ ~ ~c ~- ~ ~' Yv~y hLa(~ <~ ~rr~~"
16. Why do you claim the City of Dubuque is responsible?
17. Have you ma a any claim ainst anyone else for da ages as a result of
this incident? (If yes, give name and address.)
18. If the answer to Question 17 is yes, have you received any payment from that
source, and if so, in what amount?
Dated this ~'~ day of F~e , 20~. ~?
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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
cv~cnf of r•I~m~nc 1
Date: 2!2012008 04:16 PM
Estimate ID: 1880
Estimate Version: 0
Preliminary
Profile ID: Mitchell
Runde Chevrolet Inc.
Rt. 780 ,Hwy 35 North, East Dubuque, IL 61025
(815)747-3011
Fax: (815) 747-7238
Tax ID: 36320504
Damage Assessed By: MIKE RUNDE
Accident Date: 2120/2008
Deductible: UNKNOWN
Owner: CASANDRA LEHMAN
Address: 2222 310TH AVE., EARLVILLE, IA 52041
Telephone: Home Phone: (563) 875-8301
Mitchell Service: 910411
Description: 2006 Chevrolet Cobalt LS
Body Style: 2D Cpe
VIN: 1G1AK15F567836302
Color: SILVER
Options: AUTOMATIC TRANSMISSION
Line Entry Labor Line Item
Item Number Type Operation Description
1 000928 BDY REMOVEIREPLACE L FRT DOOR REAR VIEW MIRROR
2 NON PAINTED I BLACK TEXTURED
3 001705 BDY REMOVEIINSTALL R FRT DOOR TRIM PANEL
4 001706 BDY REMOVEIINSTALL L FRT DOOR TRIM PANEL
I. Labor Subtotals
Body
Labor Summary
Add'I
Labor Sublet
Units Rate Amount Amount
1.1 51.00 0.00 0.00
Non-Taxable Labor
1.1
56.10
56.10
56.10
Drive Train: 2.2L Inj 4 Cyl 4A FWD
Part Type/ Dollar Labor
Part Number Amount Units
15299344 GM PART 134.70 0.3
0.4
0.4
II. Part Replacement Summary
Taxable Parts
Sales Tax @ 6.750%
Total Replacement Parts Amount
III. Additional Costs Amount IV. Adjustments
Total Additional Costs 0.00 Customer Responsibility
ESTIMATE RECALL NUMBER: 02/20/2008 16:16:37 1880
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: FEB_08_V Copyright (C) 1994 - 2005 Mitchell International
UltraMate Version: 6.0.028 Ali Rights Reserved
Totals
Amount
9.09
143.79
Amount
0.00
Page 1 of 2
Date:
Estimate ID:
Estimate Version:
Preliminary
Profile ID:
I. Total Labor:
II. Total Replacement Parts:
III. Total Additional Costs:
Gross Total:
IV. Total Adjustments:
Net Total:
This is a nreliminarv estimate.
Additional changes to the estimate may be required for the actual reaair.
ESTIMATE RECALL NUMBER: 02120/2008 16:16:37 1880
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: FEB_08_V Copyright (C) 1994 - 2005 Mitchell International
UltraMate Version: 6.0.028 All Rights Reserved
212012008 04:16 PM
1880
0
Mitchell
56.10
143.79
0.00
199.89
0.00
199.89
Page 2 of 2