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Claim by Gloria KramerTHE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi BARRY LINDAHL Q,,,f~IJ~'" ATTORNEY ;~ ` CITY To: Mayor Roy D. Buol and Members of the City Council DATE: December 22, 2008 RE: Claim Against the City of Dubuque by the Gloria Kramer Claimant Date of Claim Date of Loss Nature of Claim Gloria Kramer 12/17/08 12/01/08 Vehicle Damage This is a claim in which claimant alleges that while she was in her vehicle which was parked near 1124 High Bluff, the shovel fell off of a passing City of Dubuque snow plow truck and struck her vehicle. 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 & Maintenance Supervisor Gloria Kramer F:\USERS\tsteckle\Claims\Kramer\Report macro-PERS_122208.doc 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 /~f~~ i DEC-16-2008 TUE 08 49 Ahl GOODMANN FAhIILY SERVICES l -~ FAX f~ 563 556 1142 ~~/~~-~ P, 03 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 mus# be filed with the City Clerk at Clty Hall, 50 W. 13~' St., Dubuque, IA 5200'1. It wil! 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. TWE FINAL pECISION ON ALL CLAIMS IS MApE BY TWE CITY CQUNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE Has THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOu AS TO WHETHER YOUR CLAIM WILL OR WIIJLL NOT BE PAID. 7. Name of Claimant: ~~-~~~A r~~Am ~~. 2. Address: ~d -~ UN 1 des rT~ ~) try. . ~u~ c+~ .tea, ~3c~/ 3. Telephone Number: l~J ~-"` ~~~'- ~~~ A p ~~ ~ 4. Date of Incident: ~~' ~~-~08 rn 5. Time of Incident: ~~~X~ ~'~" ! ~~RR i I 6. Location of Incident (Be specific): ~~ ~~~ o~ ~ i G ~) $ ~~ ~~J ~~`~' V~~-I~~ Awrn1G G~t7`~ ~ruvcv I.ow SnL.T' -77~.vC'.IL h~vi.d ~P d~ Shc~~L ~ ate, STaI iCe ~u ES m, y}~' ~.+~ ~ 7, DESCRIBE ACCIpENT 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.) _ b-r IBS 1 h~ m CA l~ Gv 1~~N 17" `~I ~ CN, $. What were weather conditions like? ~i f hr ~~a~c-~' 9. Give name and address of any witnesses: ~ ~~ ~ Yur 1~1~ ~"' ~~ ~ ~~ 10. Did police investigate? (If~s~,~g~v~~ames4o~fficers.} Caslw~' (~$.-~~e~ 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). ~ _. ~.. D ~~f ~C li 1`..! t~l ~a '~ ~ ~~ DEC-16-2008 TUE 08;50 AM GOODMANN FAh1ILY SERVICES FAX N0, 563 556 1142 P, 04 _ 12. Was any damage done to property? (If so, describe ro e Attach estimates of damages or describe basis for ascerptain ng eaten pfd mage.jdamagas. ~~.~ Sr c7~ ~~ 7°~0~ 13. What other damages do you claim, if any? SeP~. A,Bov~ 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.) ND 15. What amount do you claim from the City of I]ubuque?~ ~~~~ ~~ 7B• Why do you claim the City of pubuque is responsible? ~~~ ~~ ~ ~,G~t6 ~a~,~ 77. Have you made any claim against anyone else far damages as a result of this incident? (If yes, give name and address.) ~d 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 pubuque, Iowa this ~ day of ~,.~ "-' 20 0~ . (signature) Name) (Rev. 1100 & 7107) DEC-16-2008 TUE 08 50 AM GOODMANN FAMILY SERVICES FAX N0. 563 556 1142 sec tY2 08 Q8;39a Winuser 5~.,~207 TOYS DONE'R/GHT ~~~~ ~~~~ SAX 9 ~$3~2~Q7 14DDRESS '~ ~~ ~~. ~~ ~ ~ ~C~~+C~V~R SHEET ~ ~ - ~ rw.,.r..,~_.._ aF TO[~AY'S ,Q14~ ~ ~ ~~ ~ 77 QF FIRST AT~'alIP7' ~ l • I ~ IIT7~IT101~ ~~'f~ `~ .~, r FA~~ ~ E ~rs~-~ ~~~~ n_~ i iu~~_r i~r+wa i rrr L FIK ~i't !1'/!~/Va l 1 ~ /VZ'r~f"~+'~ rr Q~/~ jiyrarf % ~I-''¢~ f ~~~~ ~~ P, 05 p.i -~-7~~ ~~ DEC-16-2008 TUE 08 51 AM GOODMANN FAh1ILY SERVICES FAX N0. 563 556 1142 P, 06 ~'Dec~02 08 08;40a Winuser 5522207 P•2 'PAYS DANE R~G~I'1~' 1006 aaatrsl acre pUBUQUE, .[A, 52D01 Tei: 5b3-552,1601. Fax: S63-SS2-2207 Tax ID: 2b-I444p14 Est9r~te Prapardl hy: Accident bate: I}sme of Loss: Art'rvtll Dare: 'l~+pe of Loss: Policy Nurnher. Chita lrl'wnber. Orvaer: Appraised fnr: Date: 12l1/Z.008 Estimate#: CarnaGt: Gla~ria ICr~ier Address: 214-934}1243 Year 1VI~ke lbiodel Color Trim 2003 Kia Spectra L$ Sedan UniC Namber l.ieQmse Plate # MlleaBe sorial#!IJ'Ylrl'# KNAF81212352b2042 Sap Seq Q#Y Labor Labor til~cription T p ~ r '~'Pe oP y e Nomber Pr4ee Pricc ~ i4s l 1. Ref R~sf Refmisb Fendw' Exist 1.8 datsida ~. 2 X Body Repair Fender L Exist 1.0~ 3 1 Ref Ref Rei'iaish Doan Exist 2.0 Outside L 4 1 Body Repair Shell Assy, Dona Exist l.0(~ wlSide ikildg Sedan L 5 1 .ltcf Ref RefiaishRear~Jie~u Exist .6 l++lirror L 6 1 Body Repair Muror ASSy, Rear Exist •5 View (P) Mam1a1 2042-04 L 7 1 Body Rem/Rep lt&I MIR1I.+DR LT New ~ 8 1 13ody RemlRep Moulding, doter Belt New 0IC2AI i;20~60 T ~.0.6Q .3 L, 59810 9 1 Body Itemllns R&I dutside Handlc Exist .'7f~ L 10 I lief Re£ CLEARCaAT Exist 1•~" 11 Paint tvlsteriols $189.00 +' - 7udgeax'oC Itam Vaesi~ 2.0 l?-pie ~ not in~Cluded. Debase Bdition CPL 48-49 FBge 1 of 2 DEC-16-2008 TllE 0$;51 AM GOODMANN FAMILY SERVICES FAX f~0. 563 556 1142 P. 07 ....:sec Q2 t7li 08;4ba Winus®r ~2~207 p,3 #} -labor Note Applir~ Y1abo~ Body 3.7 Hrs {~ $5504 $~U3.S4 R~ulisb SA NIS ~ 535.x4 5297.D4 Labor Total $504'50 Parl'tS Parts Subbaca] S20.bt7 l.esa Adjuatmcnrs Parts Total SI2A.50 Additions Cots and Operations Addl. ~ostsf4ps Total S1S9.44 Tax Labor rax ~ ~.oo~ ~~s.oa Parts lax Q 7.44°x6 57.44 Tax Total ~ ~'~•~ Totals ss above is as estimabs: based ~ ~~ inspecti~ and a not cover any additiaasl Parts or Iabar which may required afier the work isas started. t3ccasiottally. ~rn or damagod Paris are d~cover~ed which ma'y not evidart on the first inspection- ~ccaarse oftl~is, the ave prices are nat guaranteed. QuotaEiona ors parts d labor are current and subject to cl~ge. Sub'~'atal: 57gb.58 Cus'homer Resp. $4.40 NPR ~'Q~ $765$ This is ap-'ellminary estiraafe Additional ehaag~ to thes estrsssate wary brr regr~irad for Ilse actual r~aair. Repa~~~klata dares scot arrtwna<lcally trxluaie irerxs regufred by marry bs~siness repair partnw'r. T7efs ulaplfcarion allows fke aa~ar to rnarwa!ly erner line ltessts s~u~ii as ot'ea'1gP deducn'am. 20D3 liCia Spectra LS Vc~ion ~4 P-1?a$e ]ogl¢ ~nOt included. 'l3atabase P.ditian CPL 0&49 Page Z of 2 DEC-16-2008 TUE 08 49 AM GOODMANN FAMILY SERVICES FAX N0. 563 556 1142 P. 01 2774 Unfvefsity Avenue ^uauque, IA 520151 • r ~ phone: 5S3~Sfi-3232 Fax: 56,3.556-1142 FaX ~,. ~S9 -~ ~ ego o_ ~ ..,._..,_~.. __~_,.. .. ----- ~.,~. ~: ~1..~ ~ i~h //+~yy++. V~+X ~r~ d2r A 1~12.A lNl~ ^ Urgent ~ ~vr QZevierw ^ ~IQ-ase Cornrn~nt Q Pleras$ Reply ^ File i3e~ycl~ • CarnrFnerrts: ~~~ ~ ~ ~ .ter-~~w,~ DEC-16-2008 TUE 08;49 AM GOODMAKN FAMILY SERVICES FAX N0. 563 556 1142 Bsrry A. Lindnhr, Esq. City Attorney Suitr 330, Harbor View Place 300 Main Street I?ubuque, Iowa 52001-6944 (Sfi3) 5$3-4113 office (5fi3) 583-1040 fax balexl©cityofdubuque.org Dubuque ~~~~~r 2009 December 1, 2008 P, 02 ~ cmr ap r DUB ~ E °~."~'~- Sent to Bart Brown of Goodman Insurance on behalf of insured Gloria Kramer via email to aoodinsCa~real-good.com RE: Claim Against the City of Dubuque on Behalf of Gloria Kramer Dear Mr. Brown: If you wish to file a claim against the City of Dubuque on behalf of your client, Gloria Kramer regarding alleged damage to her vehicle by the blade of a City of Dubuque snow plow truck, we would request that you fill out the attached claim farm and return it to the City Clerk's OfFce at the following address: Ms. Jeanne Schneider, City Clerk Clty 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, Its Tracey Stecklein Paralegal Enclosure