Claim by Todd WesselsTHE CITY OF
DUBUQUE MEMORANDUM
Masterpfece on the Mississippi
BARRY LINDAHL I I
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 Todd Wessels
Claimant Date of Claim Date of Loss Nature of Claim
Todd Wessels 05/19/08 05/17/08 Property Damage
This is a claim in which the claimant alleges that the City sewer in front of his residence
located at 1330 Belmont, was blocked, resulting in water backing up into claimant's
basement.
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
John Klostermann, Street & Sewer Maintenance Supervisor
Todd Wessels
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
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 Clertc 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: Todd Wessels
2. Address: 1330 Belmont, Dubuque, IA 52001
3. Telephone Number.563-556-2186
4. Date of Incident: 5/17/08
5. Time of Incident: 9:00 am
6. Location of Incident (Be specific)1330 Belmont St.
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.)
The City sewer in front of our house was blocked
forcing sewer water into our basement there was
approx 2 in of water
8. What were weather conditions like? sunny
9. Givne name and address of any witnesses: Mr. Rooter plumbing responded
and contacted the city works department on our behalfs
10.wwD//id police investigate? (ff 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
ersttimates off damages or describe basis for ascertaining extent of damage.)
Floor tile came loose, a load of laundry was thrown out,
the washer, dryer, deep freezer, refrigrator and furnace all
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had 2" of sewer water on them
13. What other damages do you claim, if any? We spent 6 hours cleaning
up the water
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?100%
16. Why do you claim the City of Dubuque inns responsible? It was the City
sewer that was blocked in the street
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?
5/19/08 8:17 AM
Dated this 19th day of May 2008
(Signature)
RECEIVED
08 MAY 19 PM 12:01
City Clerk's Office
Dubuque, IA
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