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Claim by Russell and Diane NaumanTHE CTtY OF DUB E MEMORANDUM Masterpiece on the Mississippi BARRY LINDAHL 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 Russell & Diane Nauman Claimant Date of Claim Date of Loss Nature of Claim Russell & Diane 04/04/08 02/10/08 Property Damage Nauman This is a claim in which the claimant alleges that a City of Dubuque water main ruptured, damaging claimant's sewer line, sidewalk, and lawn. 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 Bob Green, Water Department Manager Russell & Diane Nauman 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 / EnnAIL balesq@cityofdubuque.org /r 1 ~ ~~~ CLAIM AGAINST THE CITY OF DUBU This written report constitutes your claim against the City complete this form in full and attach any additional inform ~ye%lowa. 'You should 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. r ~? ` 1. Name of Claimant: r i ~L ~ ~~~ L L a~ = P~~, ~ ( ~ %~~'~'f" .T_ ~ r ~!~~ ~ ~~; i~ ~v' _ __ .__ - - 2. Address: ' ~ f ~ ~ ~-; 3. Telephone Number: ~~ (,_ ~;) 5 5-~.- - / ~ ~~ L- 4. Date of Incident: ~~.~Y ~ /O , ,~ ~©°" 5. Time of Incident: ~~,- ~~ ~`~~9,/Yl. 6. Location of Incident (Be specific): C"~~~~ ~ ~' c ~ _< ~, :; ~ ~ ~~ ~- ~ i ~ i~'~°-~ i c r ;~~ ~, s~` 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. {Give full details upon which you base your claim. ff a City employee was involved, give the employee's name.) r 8. What were weather conditions like? 9. Give name and address of any witnesses: rji' ~~ Qiir~, ~r3-~. d.~-r,~rn 1~ °~ ice -~~~~~j 10. Did police investigate? (If so, give names of officers.) /~~ ~ ~~~~ .>'t ~R t z .R 13 z ~._ 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). 12. Was any damage done to properly? (If so, describe property and the extent of damages. Attach estimates of damages or describe basis for ascertaining extent of damage.) i i~1i~.! 13. What other damages do you claim, if any? - i ~ ~ ~L, ~ ~ ~ '~ t ~~ 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 Dubuq~ u/e is responsible~?..~~ ~~ ~c~c- ~ /f 17. Have you made any claim against anyone else for damages as a result of this incident? (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? 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Q L h S d Y 4 e z a a Q Z a ~~ u R 0 R R v Z d DREW COOK 8 SON'S EXCAVATING 10782 TIMBER RIDGE RD. DuisuQUE, IA 52001 (563)582-9292 Bill To NAUMAN DEANIN 725 GROVELAND DUBUQUE, IOWA 52001 Invoice Date Invoice # 3/12/2008 1801 Ship To NAUMAN DEANIN 725 GROVELAND DUBUQUE, IA 52001 P.O. Number Terms Ship Due on receipt 3/12/2008 Quantity Item Code Description Price Each Amount SEWER LATERAL 1 MOLBILIZATL.. WORK AND BILLING 1N SPRING TO BLACK 50.00 50.00 TOP STREET AS PER CITY CODE, 0.5 HOE RAM 120.00 60.00 6.25 BACKHOE 85.00 531.25 2.5 HOE COMPAC... 120.00 300.00 9.25 LABOR 40.00 370.00 5 LABOR 40.00 200.00 5.75 TANDEM 60.00 345.00 1 PERMIT 125.00 125.00 6 SIGNS 6.00 36.00 4 BARRICADES 4.00 16.00 1 BOX 50.00 50.00 3.5 COLD MIX 70.20 245.70 30.54 3/4" BASESTO... 7.48 228.44 16.03 LIME 4.50 72.14 8.57 1 " CLEANSTO... 9.30 79.70 1.5% SERVICE CHARGE MONTHLY Total $2,709.23 Balance Due $2,709.23 ~~~~. American Family Insurance Group Attn: Scanning Center, 6000 American Parkway Madison, WI 53783 Jamie Leick, Senior Property Adjuster Toll Free 1-888-558-2665 Ce11563-590-0044 Fax 1-866-752-2934; email: jleick@amfam.com April 02, 2008 "NAUMAN, RUSSELL D & NAUMAN, DIANE J 725 GROVELAND PL DUBUQUE, IA 52001-8163 Claim Number: 00301099860 Date of Loss: 2/11/2008 The attached estimate of damages has been prepared for your property. The estimate has used common prices for labor and material from your area. Enclosed is our draft for the actual cash value (today's replacement cost less depreciation) of your damaged property. For Dwelling and Structure damages, we may have included your mortgage company, WELLS FARGO BANK NA #936, on the draft as required by your policy. Summary For Dwelling Replacement Cost Less Recoverable Less Non Recoverable Actual Cash Value Value Depreciation Depreciation (ACV) $844.03 $844.03 Less Deductible ($250.00) Total ACV Settlement 5594.03 See the enclosed estimate for details of your settlement which may include other itemized details not shown above. If you wish to make a claim for the recoverable depreciation amount, you must do TWO things: 1. You must have the item(s) replaced or repaired within one yeaz from your date of loss. 2. You must submit a final repair bill or purchase receipt showing the item(s) has been repaired or replaced.. The attached estimate is what we expect to be the reasonable cost to repair or replace the property. This estimate may not include permit fees. If total charges for repair/replacement plus permits exceed the amount shown here for that repair/replacement, prior to any deductible, then additional amounts may be payable. If the actual cost is more or less, the final payment will be adjusted accordingly. If you wish, you may repair or replace with higher quality items, however, you will be responsible for any increase in cost. Please refer to your policy for the exact wording of your LOSS VALUE DETERMINATION or LOSS SETTLEMENT. This is found in CONDTI70NS -SECTION I. Please present this estimate to a contractor or repair facility of your choice BEFORE you authorize the start of repairs. If any additional damage or costs are identified, for which you believe we should be responsible, they must be approved by a representative of American Family Insurance prior to having the additional work done. If you, your contractor, or repair facility have any questions, please contact us at (888) 558-2665. American Family Insurance appreciates your business. Thank You, P'~'Tt~S Ti. JOIE l~IYCT~~t~~ . A~tY StlPPl,EMI]rTS MUST E~ APPROVED E R~ B~G~N. Barry A. IandaW, Esq. City llttorney Suite 330, Harbor View Place 300 Main Street Dubuque, Iowa 52001-6944 (563) 583113 office (563)583-1040 fax balesq@cityo fdubuque. org SENT V1A EMAIL Diane Nauman 725 Groveland Ptace Dubuque, IA 52001 RE: Claim Against the City of Dubuque Dear Ms. Nauman ': j ~_ ~ !.~:, q ~. -.. .. 7HE CITY OF ~~ U ~ March 31, 2008 If you wish to file a claim against the City of Dubuque regarding alleged damage to your residence caused by a water main break on Groveland Place, we would request that you fill out the attached claim form and return it to the City Clerk's Office at the following address: Ms. Jeanne Schneider, City Clerk City Hall -City Clerk's Office 50 West 13~' Street Dubuque, IA 52001 Once the claim has been stamped in by the City Clerk, it will be forwarded to the City Attorney's Office for investigation. Very sincerely, Tracey Stecklein Paralegal Enclosure