Claim by Vionna NaeseTHE CTTY OF
DUB E
Masterpiece on the Mississippi
BARRY LINDA
CITY ATTORN Y
To:
DATE:
RE:
Claimant
MEMORANDUM
Mayor`Roy D. Buol and
Members of the City Council
March 20, 2008
Claim Against the City of Dubuque by Vionna Naese
Date of Claim
Vionna Naese
03/14/08
Date of Loss
02/26/08
Nature of Claim
Vehicle Damage
This is a claim in which the claimant alleges that the tire and rim of claimant's vehicle was
damaged after claimant drover over a pothole on Kerper Boulevard.
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 Kerper Boulevard prior to this incident on February 1St 4tn Stn
11tH 15tH 23~d and also on February 26tH, 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 $122.44
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
Vionna Naese
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 3O0 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 DUBUQUE, IOWA ~'~'"~
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This written report constitutes your claim against the City of Dubuque, Iowa. Yom ~ v`
should complete this form in full and attach any additional information that ~--
supports your claim.
The claim must be fated 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 ciaim will or wiii not be paid.
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1. Name of Claimant: ~ ~ ~~ ~
2. Address:
3. Telephone Number ~~
4. Date of Incident:
5. Time of Incident:
6. Location of Incident (Be specific):
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7. Describe the accident or occurrence that caused injury or damage. (Give full ~,~ ~z,~v~k c~i~'Pc~y
details upon which you base your claim. If a City employee was involved, give ; nac ~-%~z
the employee's name.) P`'*h~'~
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8. What weFe weather conditions like?
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9. Give name and address of any witnesses:
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10. Did police investigate? (If so, give names of officers.)
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
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14. Have you been compensated for any part or all o~your claim by any ~f car.
insurance. company? (If so, give name and address of insurance company and t-~-'~~~n '~
amount paid.) --1-. r~ ~-~'='
15. What amount do you claim from the City of Dubuque?
16. Why do you claim the City of Dubuque is responsible?
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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?
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13. What other damages do you claim, if any?
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DRIVEN TO PERFORM'"
Dubuque (2 locations), Cedar Falls, Clinton, Maquoketa, Potosi
www.tandemtire.com
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STOCKTON SERVICE CENTER
325 1/2 EAST NORTH AVE.
STOCKTON IL 61085
815-947-3477
NAPA AUTO CARE CENTER ***ASE,NIAT CERTIFIED TECHNICIANS***
COMPLETE AUTO,TRUCK,SERVICERND REPAIR.***AAA TOWING***
*/*/*/*/* STOCKTONS ONE STOP REPAIR SHOP*/*/*/*/*
3/7/2008 3:53 PM page 1
Invoice # 49219
NAESE, WILLIAM
11619 E CHELSEA RD
STOCKTON IL 61085
Day Phone 815-947-2252
Eve Phone 815-291-5759
-fold here -
Vehicle :2004 Chevrolet Aveo 1.6 L 1598 CC L4 DOHC 16 Valve
VIN : KL1TD52694B159116
Tag/State :7736838 / I L
Color : AT
Created :3/7/2008 10:14:40 AM Odometer In :95145
Complete :3/7/2008 3:50:57 PM Odometer Out :95145
Invoiced :3/7/2008 3:50:57 PM
Labor/Notes
Qty Code/Tech' Reference Description Unit Price Price
0 TS' INSTALL MOUNT, BALANCE, VALVE STEM $59.00 $14.75
SWAP THE RIGHT REAR RIM WITH RIM IN FRONT SEAT. AND MOUNT TIRE ONTO REPLACEMENT. SAVE OLD RIM.
Labor
....................................................... $14.75
Parts ....................................................... $0.00
Sublet/Misc. ....................................................... $0.00
Other Charges ....................................................... $0.66
Charges ....................................................... $0.00
Sales Tax Tax @ $0.66 * 6.2500% $0.04
Total Due $15.45
ec rt' ication
TS ASE MASTER ADVANCED
PAID IN FULL BY: CASH CHARGED TO: VISA MC APPROVED OPEN
ACCOUNT SIGN HERE