Claim by Carol ArlingTHE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
BARRY LINDAHL ~~
CITY ATTORNEY
To: Mayor Roy D. Buol and
Members of the City Council
DATE:
RE:
Claimant
Carol Arling
March 26, 2008
Claim Against the City of Dubuque by Carol Arling
Date of Claim
Date of Loss
Nature of Claim
03/18/08
02/29/08
Vehicle Damage
This is a claim in which the claimant alleges that as she was driving near 2150 Kerper
Boulevard, she struck a pothole in the road and damaged her right front tire of her vehicle.
According to the report of John Klostermann, Street & Sewer Maintenance Supervisor,
Public Works records show that the City of Dubuque Public Works Department had
crews patching holes on Ker~er Boulevard prior to this incident on February 1St 4tH Stn
11tH 15tH 23~ 26tH 27tH 28 n and on February 29tH, the day of this incident. It is Mr.
Klostermann's opinion that the Public Works Department made several attempts to
respond to these pothole hazards as they developed.
It is therefore the recommendation of John Klostermann to deny this claim of $87.20 as
filed due to the efforts of the Public Works Department to repair the hazards in a timely
manner. The City Attorney's Office concurs with this recommendation.
BAL:tIs
cc: Michael C. Van Milligen, City Manager
Jeanne Schneider, City Clerk
John Klostermann, Street & Sewer Maintenance Supervisor
Carol Arling
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
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
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 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: (~~~
2. Address: v~ ~~~~ ~~ ~~a ~S BSI`-
3. Telephone Number ,~1~_~ `~~~~~ ~~J~ i' ~~`~ ~~~ '-~-~~- ~~~.~ ~~~~
4. Date of Incident: ~~k, , ~ f ~, ~'~~
5. Time of Incident:
Location of Incident (Bq specific):
9. Give name_a
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10. Did police i
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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
the employee's name.)
8. What were weather conditions like?
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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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
extent of damage.) >
13. What other lamagqes 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.).
15. What amount do you claim from the City of Dubuque?
16. Why do you claim the City of Dubuque is responsible?
17. Have you made any claim against anyone else for damages as a result of
this incident? (If yes, give name and address.)
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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 ~fi~1 day of /~~"i?('`1 , 2o~f! ~~,-~~,,nC~rO
Cd7 /,', a~l~{(1 `~ ''>`,< '3;") 1(1.1
(Signature) -C'~
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(Print Name) C~J~/1i:~~.~~