Claim by Robert and Sharon Bradely Copyrighted
September 5, 2017
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Robert& Sharon Bradley for property damage, Anthony
Hemmer for property damage, Heather Splinter for vehicle
damage
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City
Attorney
ATTACHMENTS:
Description Type
Bradley Claim Supporting Documentation
Hemmer Claim Supporting Documentation
Splinter Claim Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA cni,. �,k&-�
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 W. 13th 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.
1. Name of Claimant:
2. Address:
3. Telephone Number: slo '-- b n
4. Date of Incident:" ,
5. Time of Incident:
6. Location of Incident (Be specific):
7. DESCRIBE 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.)
8. What were weather conditions like? Dr4yevN w 'n 4 �j + d
9. Give name and address of any witnesses:
10. Did police investigate? (If so, give names of officers.)
No
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
leo
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.)
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13. What other damages do you claim, if any?
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.)
/OCA
15. What ar�mount do you claim from the
iCity
y of Dubuque? n 1 ,
16. Why do you claim the City of Dubuque is responsible?
Because o f +-h e o f +} 'e-
17.
e-17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
0
18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
Dated at Dubuque, Iowa this a njday of At i s f 20 /7 .
(Signature)
(Print Name)
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(Rev. 7/12) -
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12.
During the road construction for the Southwest Arterial,next to our property, all of our buildings were
covered with dirt due to heavy road construction equipment moving dirt.
The dirt has not come off of our buildings with the rains,they remain dirty. (see enclosed photos of the
dirty buildings) Most of our buildings were either newly tinned or painted before 2015.
NO water was used for dust control by the construction crew. It was very dusty.
We had talked to the manager of the construction crew about this issue and he said they would clean
the buildings when they were finished moving dirt.When they were finished with the project he said
that they would not clean them.
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)-589-4120 of
your receipt of these items and destroy the communication and any attachments
immediately. Further disclosure of this information may violate state and federal
restrictions.
Confidential information may include the following-
1)
ollowing:1) Social Security Number(s)
2) Medical/Health Information
3) Personnel/Disciplinary 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. Please indicate below the
type of information that is included.
I, , 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.
7
Signature Date
1-
THE CrFY OF
DUBUQUE MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE: August 23, 2017
RE: Claim Against the City of Dubuque by Robert & Sharon Bradley
Claimant Date of Claim Date of Loss Nature of Claim
Robert & Sharon 08/22/17 2015-2017 Property Damage
Bradley
This is a claim in which claimants allege that during the construction of the Southwest
Arterial, claimant's buildings became covered in dirt due to heavy road construction
equipment moving dirt, and remain covered in dirt after rain.
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
Bob Schiesl, Assistant City Engineer
Robert & Sharon Bradley
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
I
Copyrighted
September 5, 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: Robert and
Sharon Bradley for property damage, Michael Elliott for
property damage, Anthony Hemmer for property damage,
Heather Splinter for vehicle damage
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Supporting Documentation