Claim by Northeast Iowa Community CollegeCLAIM 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 W. 13~' St., Dubuque, IA 52001. It
will then be referred by the City Council to the appropriate department for investigation.
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: Northeast Iowa Community College
2. Address: 10250 Sundown Road, Peosta IA 52068
3. Telephone Number: 563-556-5110
4. Date of Incident: 3/6/07
5. Time of Incident: 11:30 a.m.
6. Location of Incident (Be specific): .680 Main, Dubuque, IA 52001
Northeast Iowa Community College
7. DESCRIBE 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.)
Main sewer line located in alley behind 680 main was clogged. Sewer backed up into
Northeast Iowa Town Clock Center at 680 Main.
8. What were weather conditions like? sunny
9. Give name and address of any witnesses: Laurie Kotz (employee) of Northeast Iowa
Community College.
10. Did police investigate? (If so, give names of officers.)
NO
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
NO
` r
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.)
Carpet and VCT the was damaged. It needs to be removed and Professionally cleaned.
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.)
NO
15. What amount do you claim from the City of Dubuque?
$5215.02
16. Why do you claim the City of Dubuque is responsible?
T e main sewer line that clogged belongs to the City of Dubuoue not NICC
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
NO
18. if the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
NO
None.
Dated at Dubuque, Iowa this 1 day of April 20 os ,
T S <lZU ~Cc D~ 2FcTar2_
Signature)
Ron McClain ~L~Nr 5 F 2 U~~ ~ c !z-(-~I-O Q {Print Name)
(Rev. 1 /00 8 7/01)
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03/202008 TH[115;12 FAQ 563 582 1727 Commercial Flooring f~002/002
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Box 3218. 1042b Stonewood Dr. • Dubr~que, IA 52003 • (563) 582-497b • Fax (Sb3) 582-1727
March 20, 2008
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Northeast Iowa Community College
10250 Sundown Rd.
Peosta, IA 52068
Attn: Ron McClain
Re' Downtown Dubuque Campus.
NORTHEAST IOWA
COMMUNITY COLLEGE
~~~~<<s
Below, you Will bnd the price t0 iurnls ph: 888.nicc.edu www.nicc.edu
Also included, is the price to put carpe
treads and tiles on landings and vinyl ti.., ...._.~...~....- ............ ..-:-- -- _----- ---~
Mohawk Surreal, it is comparable, due to the backing, with the carpet that 'o'1es damaged.
Total bid carpet damaged from water ..................... 53,800.00.
Total bid for vinyl file ............................... 5360.00_
Total bid far carpet in corridors on lower level ............ ..... X4,250.00.
Total bid for stair' treads and landing in both stairwells ...... . . ........ $9,750.00.
Thank you for giving me the opportunity to bid this project. Yf you have any questions or
wncerns, please feel free tv call me at 563-582-4976.
Sincerely,
Rick Jochum
Contract Sales
Commercial Carpet • Sheet Vinyl • Ceramic Tile
~r
SERVICEMASTER by BANFIELD
SEVEN HILLS
O. BOX 832
~UBUQUE, IA. 52004-0832
Bill To
NICC
ATTN.: RON McClain
700 Main Street
Dubuque, Iowa 52001
Invoice
Date Invoice #
3/21/2008 4722
Ship To
P.O. No. Terms Due Date Account # Project
3/21/2008
Description Qty Rate Amount
EMERGENCY CLEANUP DUE TO SEWER BACKUP AT O.OOT
DOWNTOWN CENTER MARCH 13
EXTRACTION /REMOVAL OF SEWER BACKUP IN 1 325.00 325.OOT
AFFECTED AREAS
MOVAL OF WET DAMAGED BOXES & REPACKING INTO 1 87.00 87.OOT
ERMANENT STORAGE CONTAINERS
STORAGE CONTAINERS 1 88.00 88.OOT
REMOVAL OF AFFECTED CARPETED AREAS 1 236.00 236.OOT
FLOOR SERVICES --- ROTARY SURFACE CLEANING AND 1 250.00 250.OOT
DISINFECTION/DEODORIZATION OF HARD FLOORS,
INCLUDING
CERAMIC BATHROOMS AND CONCRETE ROOMS
Sales Tax (7
0%)
.
$69.02
Total
s>r,a~2
Payments/Credits
$o.oo
Balance Due s]l,rakss ~
Phone # Fax #
563-557-7459 563-557-9508