Claim by Craig KowalskiTHE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
BARRY LINDAHL ~~ I
CITY ATTORNEY
To: Mayor Roy D. Buol and
Members of the City Council
DATE: April 14, 2008
RE: Claim Against the City of Dubuque by Craig A. Kowalski
Claimant Date of Claim Date of Loss Nature of Claim
Craig A. Kowalski 04/07/08 04/01/08 Property Damage
This is a claim in which the claimant alleges that the City's retaining wall located on
Grove Terrace collapsed and damaged claimant's house at 1106 Grove Terrace.
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
Gus Psihoyos, City Engineer
Craig A. Kowalski
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 30O MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 583-4113 / FAx (563) 583-1040 / EnnAIL balesq@cityofdubuque.org
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City Clerk
First floor of City Hall, 50 W. 13th Street
Phone: (563) 589-4120
Fax: (563) 589-0890
Hours: 8 a.m. to 5 p.m. Monday through Friday
Email: jschneidCa)cityofdubuaue.org
a' ~ CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
I-l-I ..- J +-~ This written report constitutes your claim against the City of Dubuque, Iowa. You should comple
%' n ~,~ ~~ full and attach any additional information that supports your claim.
L. ~i ~`-~ ~ The claim must be filed with the City Clerk at City Hall, 50 West 13th St., Dubuque, IA 52001. It
-~,; ~ ~ referred to the appropriate department for investigation and to the City Attorney's Office. Once 1
tom[ d~'~, G is completed, a report and recommendation will be submitted to the City Council. You will be prc
~ ~ 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
authority to make any representation to you as to whether your claim will or will not be paid.
1. Name of Claimant: (_ 0. '~~ ~o ~/ ~J .S 1~
2. Address: 1 ~ [~ ~ L7' Gro, /~ ~ ~ f r ~ C .Q
3. Telephone Number: S~ ~ ~ (7y ~ ,.S , ~~ y~
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v ~ r z ~ °; `' ~~yy 4. Date of Incident:
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~, ~ ~ ~ o , , ~ `d ~ 5. Time of Incident: -~p~~~ ~ Y'~ ~1-~- ~/ ~
~ `w° ~ o ~ z ~ ~ r ~ 6. Location of Incident (Be specific): ~ ~ t T 6 ~ '~ -e- ~ ~ ~ ~ a C e
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~, o N ~ n ~ 7. Describe the accident or occurrence that caused injury or damage. (Give full details upon whi
trl your claim. If a City employee was involved, give the employee's name.)
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8. What were weather conditions like? ~" ~./-Q-- ~ .>2 +^-~
9. Give name and address of any witnesses: ~ ~G ~ P
10. Did police investigate/? (If so, give names of officers.)
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http://www.cityofdubuque.org/index.cfin?pageid=155 4/7/2008
Claim Foram Page 2 of 3
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. Att
damages or describe basis~for~ascertaining extent of damage.)
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13. What other damages do you claim, if y? ~ dl r ~ k"f" r ~ ~ ~~ f Q ~ -
14. Have you been compensated for any part or all of your claim by any insurance company? (li
and address of insurance company and amount paid.)
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15. What amount do you claim froom the C-i}ty of Dubuque? ~n 6 ~
.2 ~ -2 (w~ ~ ~ -" .1- ~ w` C o ~ I.~C~.'Z- ~ fCS f.~q -F~--S
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 y
and address.)
18. If the answer to Question 17 is yes, have you received any payment from that source, and if
amount?~ /
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Dated this ~ ay of ~' / , 20 d
(Signature)
(Print Name)
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