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Claim by Neil PitmanTHE CITY OF DUBUQUE MEMORANDUM Masterpiece on the Mississippi BARRY LINDAHL CITY ATTORNEY To: Mayor Roy D. Buol and Members of the City Council DATE: May 22, 2008 RE: Claim Against the City of Dubuque by Neil Pitman Claimant Date of Claim Date of Loss Nature of Claim Neil Pitman 05/19/08 04/25/08 Property Damage This is a claim in which the claimant alleges that due to a rainstorm that occurred on April 25, 2008, a sewer backed up causing water damage in claimant's basement located at 1144 Rosedale Avenue. 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 Gus Psihoyos, City Engineer John Klostermann, Street & Sewer Maintenance Supervisor Neil Pitman 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 CLAIM AGAINST THE CITY OF DUBUQUE, IOWA CC: MVM Barry- John Klosterman 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: Neil and Beth Pitman 2. Address: 1144 Rosedale Avenue 3. Telephone Number: 563-588-0871, 563-580-7668 4. Date of Incident: Friday, April 25th 5. Time of Incident: Between 1 and 3 pm 6. Location of Incident (Be specific): The basement of our residence, 1144 Rosedale 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.): Our basement received approximately 6 inches of waste and water as a result of the city's sanitary sewer backing up. 8. What were weather conditions like? Thunderstorm 9. Give name and address of any witnesses: N/A RECEIVED 08 MAY 19 PM 12:49 City Clerk's Office Dubuque, IA 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. 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.) Yes. Due to the fact that the sewage is toxic, any items that came into contact with it either had to be disinfected or destroyed. We tried to salvage as much as possible, but some items were unable to be disinfected due to their nature. • Professional cleaning and sanitizing by Service Master: $703.70 • Clothing: $200 • Dehumidifier: $100 • Electric Water Heater: $300 • Books: $75 • Floor (our basement floor was just redone (not by us), and now will have to be painted again): $200 • Window air conditioner: $300 • Cleaning supplies: $33.93 13. What other damages do you claim, if any? None. 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? $1912.63 16. Why do you claim the City of Dubuque is responsible? This is the 2nd time in 9 months that we have had a sewer backup in our basement. We just paid a large assessment to have our street redone, including sewers. According to the City of Dubuque the problem with the sewer backing up on Rosedale originates on West Locust. The City of Dubuque has failed to maintain the sewer infrastructure adequately and therefore is responsible for this damage. 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? N/A Dated this 16th day of May, 2008. (Signature) Neil Pitman (Print Name) ServiceMASTER Clean ServiceMaster of the Key City 1845 Washington St Dubuque, IA 52001-3662 (563) 557-1488 WAL*MART Save money. Live better WAL*MART WE SELL FOR LESS MANAGER REBECCA WOLF ( 816 ) 777 - 0607 ST1 5044 OP1 00000694 TE1 09 TR1 02342 TOTE BOX 007314981682 4.60 X TOTE BOX 0073149815$2 4.60 X GV BLEACH 068113163717 2.36 X GV BLEACH 068113163717 2.36 X 18PK WASH 060638894265 3.92 X PUREX 64 LD 002420004790 6.9? X SPRAYER 068333321209 0.98 X SCRUB SPONGE 002120047629 6.97 X MC 2PK GLOVE 007039400237 1.22 X SUBTOTAL 31.78 TAX 1 6.750 x 2.16 TOTAL 33.93 VISR TEND 33.93 ACCOUNT 16494 APPROVAL 1401215 TRANS ID -0008117618390837 VALIDATION -M269 PAYMENT SERVICE - E CHANGE DUE 0.00 # ITEMS SOLD 9 TC1 6496 1739 3617 2970 0891 New Products. Latest rollbacks. Sign up at Walmart.com/email 04/26/08 12:10:60 ***CUSTOMER COPY***