Claim by Steven D. ConnollyTHE CTTY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
BARRY LINDAHL XLA
CITY ATTORNEY I ~"JJJ"`rrr
To: Mayor Roy D. Buol and
Members of the City Council
DATE: March 26, 2008
RE: Claim Against the City of Dubuque by Steven D. Connolly
Claimant Date of Claim Date of Loss Nature of Claim
Steven D. Connolly 03/14/08 02/24/08 Vehicle Damage
This is a claim in which the claimant alleges that his vehicle was damaged after driving
over a pothole near the intersection of Maquoketa Drive on Rockdale Road.
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 Rockdale Road prior to this incident on February 4t", and on
February 25t", the day after this incident. It is Mr. Klostermann's opinion that the
records show that the Public Works Department was responsive in patching the pothole
hazards as they developed.
It is therefore the recommendation of John Klostermann to deny this claim of $856.00
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
Steven D. Connolly
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
~,~1~~, may, ~,
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: ~,~ ~~~-'/~ ~ . i~.~~y~7~( ~. ~~
2. Address: 3`/D ,~ Gy ~l 11,~~ ~ t YO y C3 ('Q U L 1.~ .~ ~ ~ ~
3. Telephone Number 5 ~~ - ~ S ~ - 70y~ .
4. Date of Lncident: f~ ~~ ~ _ ~~ ~
5. Time of Incident: ~~.' ,3CU ~/~ ~ ,
8. What were weather cgpditions lijce
/Q~ .
9. Give name and address of any witnesses: _ _
10. Qid polic,,e iryyestigate? (If so, give names of offs
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.) ~,.,, ~l ~ ~~ _ ~ ~ /~ G
--
11~s anyone injured? (If so, give names, addresses, and extent of injuries).
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
`~ What amount do you claim o/m'' the-City of Dubnuque?
~l ~~ ~ 7 u ~~_ ~/1 I Lllnan~ f ~L .u s1.~.~i~,
16. Why do,you claim the City of Dubuque i~ re~onsible?
17. Have you made any claim against anyone else for damages as a result of
thi~~dent? (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?
C7_ °cc~
Dated this ~ day of _ _, 201~~. ~~ ~ ~
C'~ ~ ' l~!
r. = c_. r ~.,'
~. r
(Signature) ~ ~_ -Q '-.,,'~
~~ ~° ~ ~' ~ ~ ~ ~ ~ N iT1
cam,' O
(Print Name) n' ~,
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
TURPIN DODGE
90 KENNEDY ROAD
DUBUQUE, IA 52002
563-583-5781
ESTIMATE OF REPAIR COSTS
NAME
YEAR dc. DD
MAKE ~[/d d 6 ~.
MODEL 11! POIV`
DATE ~ _S-_lj ~
MILAGE
ADVISOR
TECHNICIAN
I~~~~~y~x'~~n~Q~, i~~
RI ON OR P TOTAL
~` ~ 1 a ~
~5 -Sd R I b ~ 7 S' So
~##
~ ~S s P ~ ~q 1 9 n
~3.ao
,q ~ N ~ ~o~
SUB TOTAL ~ ~ (o (?
TAx G5, °//
TOTAL / D ~ 7~ ,~~
J`~Og~ZED DFq`~'P
Q ~~" Nationwide Warranty
~,~ ~~`.~`°~o~~e~Re ow TIRE & CAR CARE Roadside Assistance
t s~'D NATION
Earning Your Trust With Every Mile
°`,t :, .;, ,;-~i i ~t, Stave Rt~n Gate Tire
Ot_'fc?•~1~3 10: iF, AM
TANDEM T~~` (S%,r) SBc .=,F~DE•
"s'+aS OTOPdEMAhd RGAD Page 1
UEUG!UE, IA ~F'~~1
v: t'41~~7'~~ `jO--T~;~ PAT ON RECEIF'
Id-Tc,e Ship--Tn: TyF~e -. Pc~~eent
~;TEVEN D CONNOLLY rk?a78 ~ ik'1(b. A~
~4~f6 t~lAl_LER ~
Total ~ iN~, k~~+
~1F~ #~4•~#~aE,~ # 34iFiFaF it•iF#~1F~##~F 3F###.*#iF:~ iF#~#iF~#~ ##~F~aE~if~(; ~ ~ ~ # 36####'#
tat Inv Apt lINc1~_~riing ALL baek orders)
o be d~_~e.... ~FS~Es. ~~
PRE--Payeaents Received to date
.. t0. ~+~
al GRE°Payment Received now
...... ~ 1 ~~. k~~
be DUE. ~ ~~~. _ at~~?+
tal:
wF'vmt :
t DUE:
SP:DAN DRISCOLL
~85F~. ~t@
~ 1 ~~. ~~+
ro~or~RES~~
DRIVEN TO PERFORM'"
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