Claim by Teamsters Local 120 Copyrighted
April 3, 2017
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Mark Laird for property damage; Marvin and Mary Ritt for
vehicle damage; Teamsters Local 120 for property
damage, Rachel Wedewer for vehicle damage and
personal injury; Linda Wessels for personal injury
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City
Attorney
ATTACHMENTS:
Description Type
Laird Claim Supporting Documentation
Ritt Claim Supporting Documentation
Teamsters Local 120 Claim Supporting Documentation
Wedewer Claim Supporting Documentation
Wessels Claim Supporting Documentation
THE CU�-�QbE
DMEMORANDUM
Masterpiece on the Mississippi
TRACEY .STECKLEIN
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
I
DATE: March 20, 2017
RE: Claim Against the City of Dubuque by Teamsters Local 120 9
Claimant Date of Claim Date of Loss Nature of Claim
Teamsters Local 120 03/17/17 02/12/17 Property Damage
This is a claim in which claimant alleges that the City sewer line located near 195 E 14th '
Street was recently lined by the City of Dubuque, and when doing so, the City failed to
cut open the lateral for the sewer pipe located at this address. As a result, sewage
backed up into claimant's property.
This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa
Communities Assurance Pool
cc: Michael C. Van Milligen, City Manager
Gus Psihoyos, City Engineer
Kevin Saylor, Teamsters Local 120
S
I
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 tsteckle@cityofdubuque.org
Copyrighted
April 3, 2017
City of Dubuque Consent Items # 3.
ITEM TITLE: Disposition of Claims
SUMMARY: City Attorney advising that the following claims have been
referred to Public Entity Risk Services of Iowa, the agent
for the Iowa Communities Assurance Pool: Kaitlyn Birch for
personal injury and vehicle damage; Mark Laird for property
damage; Marvin and Mary Ritt for vehicle damage;
Teamsters Local 120 for property damage; Rachel
Wedewer for personal injury and vehicle damage; Linda
Wessels for personal injury.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Supporting Documentation
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-PaPI-C
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 Clerk at City Hall, 50 West 13t' 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
estigation 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: Teamsters Local 120
2. Address: 195 E 14th Street Dubuque IA 520.01
3. Telephone Number (563) 583-9149
4. Date of Incident: February 12, 2017
5. Time of Incident: Approximately 12:00 PM
6. Location of Incident(Be specific):
Res troo.its on the main floor of our office.
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.)
On February 12; 2017 around 12:00 PM sewage from our lateral cound not make it to the
main due to a lining failure. Sewage came back up through the floor drainsh'flooding
the bathrooms, lobby, reception area, breakroom,,and the copy room on the main floor,
of our office.
8. What were weather conditions like?
Weather was not a factor.
9. Give name and address of any witnesses:
John Rosenthal - 503 South St. Galena IL 61036
Kevin Saylor 1610 South Main St. Hazel Green WI 53811
Ron Gulyash 10009 Boleyn Rd Dubuque 1A 52001
10. Did police investigate? (if so, give names of officers.)
No. but City employee Ron Gulyash did a follow up inspection locating the lining
jai ure- my, RoQter was algo called in for a follow up inspection verifying
the lining failure.
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, the sewage back up damaged the flooring in the bathrooms, lobby,
reception area, breakroom and copy room of our office.
The total amount of damage was $6583.00 (Estimate Attached)
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.)
Yes, we received a check in the amount of $2594.11 from our insurance company.
Western National Mutual Insurance Company
5350 West 78th Street Minneapolis MN 55439
15. What amount do you claim from the City of Dubuque?
We are claiming the balance of the cost to repair the damaged flooring
which is $3988.89
16. Why do you claim the City of Dubuque is responsible?
The City recently had the sewer lined and failed to cut open thelateral
for our sewer pipe.
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?
Dated this 17th day of March 2017
:0114��� `W
(Signature)
-ZJ W .L
Alin 7,
(Print Name)
Confidential
This communication and any attachments may contain information which is confidential
and privileged by law and is for the use of the designated recipient. If you are not the
intended recipient, you are hereby notified that you have received this communication in
error, and that any review, disclosure, dissemination, distribution or copying of its contents
is prohibited. Please notify City of Dubuque immediately by telephone at (563)-689-4120 of
your receipt of these items and destroy the communication and any attachments
immediately. Further disclosure of this rinformation may violate state and federal
restrictions.
Confidential information may include the following:
1) Social Security Number(s)
2) Medical/Health Information
3) Person nelil)iscip]ina ry Information
4) Bank Account Information
5) Financial Information
6) Credit Card Numbers
If any documentation you desire to submit to the City of Dubuque contains any of the items above
this cover sheet must be attached directly to the confidential information and indicate the type of
information that is included.
hereby certify that the attached documents
include the following protected information:
Social Security Number(s) Bank Account Information
Medical/Health Information Financial Information
Personnel/Disciplinary Information Credit Card Number(s)
I understand that this information may be distributed within the City organization or to agents of the
City for processing and I hereby authorize the City to act accordingly taking all precautions to
protect my information from unnecessary distribution.
Signature Date
I have read the information above and do not have any confidential documentation to submit to the
City of Dubuque as part of this Claim Against the City
Signature Date