Claim by Jenna HunterTHE CITY OF
DUB E
Masterpiece on th
BARRY LIN
CITY ATTOI
MEMORANDUM
To: Mayor Roy D. Buol and
Members of the City Council
DATE: February 28, 2008
RE: Claim Against the City of Dubuque by Jenna Hunter
Claimant Date of Claim Date of Loss Nature of Claim
Jenna Hunter 02/25/08 02/21/08 Vehicle Damage
This is a claim in which the claimant alleges that a City Keyline bus struck her vehicle
while her vehicle was parked near the intersection of Clark 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
Jon Rodocker, Transit Manager
Jenna Hunter
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
Cpaim Fortr~ Page 1 of 2
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
This written report constitutes your daim against the City of Dubuque, Iowa. You should complete this form in
full and attach any additional information that supports your daim.
The daim must be filed with the City Clerk at City Hall, 50 West 13~' 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 Coundl. You will be
provided with a copy of that report and recommendation.
The final derision on all daims 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 daim will or will not be paid.
1. Name of Claimant: ~ ;~ 'a(l~(1 ~ ~L~
2. Address: 4t~uc~ u~~\SSC~. ~~•
3. Telephone Number: ,~~~~~~ FJ~~I~P
4. Date of Inddent: ~~ilU• 1~, ~~g
5. Time of Incident: 1~ . ~J~S I~,YY1 ,,., r
6. Location of Inddent (Be spedfic): (~~mP,r tX~ ~~C~,(~(IC ~V`{ ~~~_
~~~~~.~~
7. Describe the acddent 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.)
8. What were weather conditions like? ,y~ 5~ l ~iS~~^l,.VS.
9. Give name and address of any witnesses: _ k3-}U ~ Q - J~-CIS
1'1~~• a-1Wy 5~ N ~~~ ~~ ~~ ~~Q~~l
10. Did police investigate? (If so, give names of officers.)
I~~IP~ .. c~~ C e,r P~cb ~~ CLn~~M. C ~ha~>? . 1~~
ci ~ - u
11. Was anyone injured? (If so, give names, addresses, and extent of injuries.)
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.)
l7f'~.X`(V~c~o (~i.S {t, -k('~ r'~~ ~~ ~ t~Q i1(1~YC~
13. What other damages do you daim, if any?
http://www.cityofdubuque.org/printer_friendly.cfin?PageID=155 2/15/2008
Claim Form,
14. Have you been compensated for any part or all of your daim by any insurance company? (If so, give
name and address of insurance company and amount paid.)
r..~l~
Page 2 of 2
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~~r~CbS951~U1h ~l~i nl~l,UO -'1 C~;~nQ YOG~U ~.CQ,Yne ~~ CS'llZ. `- l.!/~ L.Q_
17. Have you made any daim against anyone else for damages as a result of this incident? (If yes, give name
and address.)
1~)1 ~l-
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 IUD day of ~Q~D~l~(~, , 20 ~J$.
( ature) /
(Print Name)
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http://www.cityofdubuque.org/printer_friendly.cfm?PageID=155 2/15/2008
15. What amount do you daim from the City of Dubuque? ~ ~~. $ b (~~m~"~-~
Date: 2/14/2008 03:36 PM
Estimate ID: E8081
Estimate Version: 0
Preliminary
Profile ID: Mitchell
KRUSE-WARTHAN Pontiac, Nissan, BMW
600 Century Drive, Dubuque, IA 52002
(563)583-7345
Fax: (563)588-3874
Tax ID: 420655341
Damage Assessed By: GAYLE PURMAN
Deductible: 0.00
Claim Number: DRIVE UP
Insured: JENNA HUNTER
Telephone: Home Phone: (563) 580-4992
Mitchell Service: 917723
Description: 2003 Hyundai Santa Fe GLS
Body Style: 4D Ut
VIN: KM8SC13D93U414519
Options: CRUISE CONTROL, AUTOMATIC TRANSMISSION
Line Entry Labor Line Item
Item Number Type Operation Description
1 702745 BDY REMOVElREPLACE R FRT DOOR POWER MIRROR ASSY
2 AUTO REF REFINISH R FRT DOOR MIRROR
3 AUTO REF ADD'L OPR CLEAR COAT
4 AUTO ADD'L COST PAINTIMATERIALS
5 AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL
" -Judgment Item
C -Included in Clear Coat Calc
Drive Train: 2.7L Inj 6 Cyl 2WD
Part Type/
Part Number
87620-26820
Dollar Labor
Amount Units
230.05 0.5*
C 0.5
0.1
19.20
3.50
Add'I
Labor Sublet
I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount
Body 0.5 51.00 0.00 0.00 25.50 T Taxable Parts 230.05
Refinish 0.6 51.00 0.00 0.00 30.60 T Sales Tax ~ 7.000% 16.10
Taxable Labor 56.10 Total Replacement Parts Amount 246.15
Labor Tax @ 7.000 % 3.93
Labor Summary 1.1 60.03
III. Additional Costs ,hmount IV. Adjustments Amount
Non-Taxable Costs 22.70 Insurance Deductible 0.00
Total Additional Costs 22.70 Customer Responsibility 0.00
ESTIMATE RECALL NUMBER: 02/14/2008 15:36:03 E8081
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: JAN_08_A Copyright (C) 1994 - 2005 Mitchell International
UltraMate Version: 6.0.028 All Rights Reserved
Page 1 of 2
Date: 2!14/2008 03:36 PM
Estimate ID: E8081
Estimate Version: 0
Preliminary
Profile ID: Mitchell
I. Total Labor: 60.03
II. Total Replacement Parts: 246.15
III. Total Additional Costs: 22.70
Gross Total: 32g,gg
IV. Total Adjustments: 0.00
Net Total: 328.88
This is a greliminarv estimate.
Additional changes to the estimate may be required for the actual repair
THIS DAMAGE REPORT IS BASED ON OUR T.NSPECTION AND DOES NOT
COVER ANY ADDIONAL PARTS OR LABOR WHICH MAY BE REQUIRED AFTER
THE WORK HAS BEEN OPENED UP THE INS,WILL BE NOTIFIED.
WE FEATURE A THREE YEAR WORKMANSHIP LIMITED WARRANTY- SEE OUR WRITTEN
WARRANTY FOR COMPLETE DETAILS.(EFECTIVE 10-01-01)
ESTIMATE RECALL NUMBER: 02/14/2008 15:36:03 E8081
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: JAN 08_A Copyright (C) 1994 - 2005 Mitchell International Page 2 of 2
UltraMate Version: 6.0.028 All Rights Reserved
•
}
Date: 2/14/2008 03:02 PM
Estimate ID: 7536
Estimate Version: 0
Preliminary
Profile ID: 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: 7536
Insured: JENNA HUNTER
Address: 8749 MELISSA CT., DUBUQUE, IA 52003
Telephone: Home Phone: (563) 580-4992
Mitchell Service: 917723
Description: 2003 Hyundai Santa Fe LX
Body Style: 4D Ut
VIN: KM8SC13D93U414519
Color: GOLD
Options: CRUISE CONTROL, AUTOMATIC TRANSMISSION
Line Entry Labor
Item Number Type Operation
Line Item
Drive Train: 2.7L Inj 6 Cyl 2WD
Part Type/
1 702746 BDY REMOVE/REPLACE
2 AUTO REF REFINISH
3 701127 BDY REMOVE/INSTALL
4 AUTO REF ADD'L OPR
5 AUTO ADD'L COST
6 AUTO ADD'L COST
L FRT DOOR POWER MIRROR ASSY
L FRT DOOR MIRROR
L FRT DOOR TRIM PANEL
CLEAR COAT
PAINT/MATERIALS
HAZARDOUS WASTE DISPOSAL
" -Judgment Item
C -Included in Clear Coat Calc
I. Labor Subtotals
Body
Refinish
Labor Summary
Units Rate
0.7 52.00
0.6 52.00
Taxable Labor
Labor Tax
1.3
Add'I
Labor Sublet
Amount Amount
0.00 0.00
0.00 0.00
T.000
87610-26300
Dollar Labor
Amount Units
230.05 0.3
C 0.5
0.4
0.1
19.20
1.56 *
Totals 11. Part Replacement Summary Amount
36.40 T Taxable Parts 230.05
31.20 T Sales Tax @ 7.000% 16.10
67.60 Total Replacement Parts Amount 246.15
4.73
72.33
ESTIMATE RECALL NUMBER: 02/14/2008 15:02:10 7536
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: JAN 08_A Copyright (C) 1994 - 2005 Mitchell International
UltraMate Version: 6.0.028 All Rights Reserved
Page 1 of 2
Date: 2/14/2008 03:02 PM
Estimate ID: 7536
Estimate Version: 0
Preliminary
Profile ID: Mitchell
III. Additional Costs
Non-Taxable Costs
Total Additional Costs
Amount IV. Adjustments
20.76 Insurance Deductible
20.76 Customer Responsibility
I. Total Labor:
II. Total Replacement Parts:
III. Total Additional Costs:
Gross Total:
IV. Total Adjustments:
Net Total:
Amount
0.00
72.33
246.15
20.76
339.24
0.00
339.24
This is a preliminary estimate.
Additional changes to the estimate may be required for the actual repair
ESTIMATE RECALL NUMBER: 02!14/2008 15:02:10 7536
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: JAN_08_A Copyright (C) 1994 - 2005 Mitchell International
UltraMate Version: 6.0.028 All Rights Reserved
Page 2 of 2
�1
Driver Information Exchange Report
Dubuque Police Department
563-589-4410
U
N
I
TGender
001
Drivers Name - Last
TIPPE
First
JOHN
Middle
C
Suffix
_
Address
30 N. BOOTH
' City
DUBUQUE
State
IA
Zip
52001
Phone
1 Drivers License Number
Male I-
Class
B
State
IA
Endorsements
P.
Restrictions
NONE
Insurance Co.
SELF INSURED
Name
-
Insurance Co. Phone 0
CITY (663) 589-130 x
Owner Company Name
CITY OF DUBUQUE
Insurance Policy
#
Owners Name - Last First
I
Middle
Suffix
Address
50 W 13TH
City
DUBUQUE
State
IA
Zip
52001-
VIN No.
4RKJNRFA62R835549
Year
2002
Make
GMC
Model
BUS
Style
BUS
Vehicle Configuration
18
License Plate #
85983
State
IA
Year I Most Damaged Area
2002 • 03 - Right Side
Approximate Cost to Repair or Replace
$0.00
U
N
T
002
Driver's Name - Last
PARKED
First
I Middle I Suffca
I r
Date of Birth
l
Address
City rSlaie
Zip
Phone
Gender I Drivers License Number
f
Class
State 'Endorsements
I NONE
Restrictions
NONE
Insurance Co. Name Insurance Co. Phone #
ALLSTATE (563) 582-2424 x
Owner Company Name
Insurance Policy #
9 21 521545 06/09
❑wner's Name - Last I First
I JENNA
Middle u`f.x
I
Address
1712 ROCKINGHAM #2
City
I NORMAL
Slate
IL
Zip
61761-
VIN No-
KM8SC13D93U414519
Year I Make
2003 I HYUN
Model j Style
SANTE FE I SUV
Vehicle Configuration
License Plate #
X446616
Stet-
IL
Year I Most Damaged Area
2003 I
Approximate Cut to Repair or Replace
County
Dubuque - 31 _
Accident occurred within corporate limits of (city)
Dubuque -2100
Literal Description
"NIA"
X-Coordinate
"NIA"
Y-Coordinate
"NIA"
If accident occurred outside of city
limits show general vacintty: "N/A"
Direction Nearest City
"NIA" of I "NIA"
Route (Cardinal)
Travel Direction "N/A"
On Road, Street, or Highway:
CLARKE DR
At intersection with:
"N/A"
Distance
100 Ft
Direction
6-SW and
Distance I Direction
"NIA" NIA" of
Milepost Number
"NIA" Or
Definable Intersection, bridge or railroad crossing
CLARKE OR! CLARKE CREST
Officer
FLANNERY, ROBERT
Badge No.
16A
Law Enforcement Case Number
01-08.6461
Date of Accident
02/12/2008
Time of Accident
10:58 Hrs. I
Printed At Dubuque Police Department 02,12/2008 11 :34 AM
Page 1 Form 0: 01-08-6451