The URL can be used to link to this page

Claim by Karen LynessTHE CITY OF DUBUQUE Masterpiece on the Mississippi Dubuque All-American City 2007 BARRY LINDAHL CITY ATTORNEY TO: Mayor Roy D. Buol and Members of the City Council DATE: January 9, 2009 RE: Claim Against the City of Dubuque filed by Lyle Long of EMC Insurance Companies, Insurance Carrier for the Dubuque Racing Association, Concerning Claimant Karen Lyness Claimant Date of Claim Date of Loss Nature of Claim EMC Insurance 01/09/09 12/10/08 Personal Injury Companies This is a claim in which claimant alleges that Karen Lyness fell in the parking lot next to Houlihan's Restaurant and broke her knee. 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 Barry A. Lindahl, City Attorney Lyle Long, EMC Insurance Companies Karen Lyness 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 / EnnAIL balesq@cityofdubuque.org CLAIM AGAIN THE CITY OF DUBUQUE, IOWA DBE Fax 1/7!2009 11,31:28 AM PAGE zino;~ r~ax Server CLAIM r4.GA1M9T 7HE CITE O#= Di.)BU~GIUE, IUWA This wr3ttcn report Gonatitute~s claim ag31n$t the CIYy of Dubuque. Iowa- Your sl7oulcl comptota thin fvrrrt In full and Attach any adaifianal Inforr-~gtlan tl~st supports your claiirt. ThO Glalm must be flied witF~ th© Clty CIerK tit City Malt, SD W. 13"' St., Dupuquo, IA S«'L"pp1 _ it wait thb~n be referred IaY the Glty Counall to tha aplsroprlat® departxseant for inve+stlgatlan. Untie that inYesti~atior`- is completed, a report ghst rocomm@tt[tyltlOn will bQ aupmltted tc~ the Glty Councli. Yol~ will be pr4vldad with a copy of that report anti reaommendattc~n. THE FINAL DEGi$ION ON ALL CLAIMS lgi {InADE SY TIi~ C{YY CCMUIVC{i... Nl7 EMPL4Y~E OF 7H~ CITY Dt= DUBI.IGUS riAS THE AU'THOFLITY TO tif1AK1: IANY R~s~rtt~~t=9~1 f A'L'iON "I'[] Yc7U .113 T4 WHETHa=1~ YUUR CLAIM WILL. OR WJttl_ i~tOT BE PAID. j. Hamer of Giaimant: ~. Addre$e: 3. Tela~l~ana Number: d, t~7et'6~ O} InCldeni= 5. Time of incident: a. 6. Location Qf Incident (Bo specific): 7. DESCRIBE ACCIDI=NT OR OCCURRENCE THAT CAUSED 1~1,lURY 4R DRMAGE. (Glue full details upon which you base your elsllm. If a City employee was IJlvvtvetl, glue the employee's n~r~r~e.) $, What were weather condltlans like? , / 9. C3ive name end address of any wifnQSSes: _,,,, J" ~ !/v ~..:` ' - 7'0. Did ~013.Ce Invesfig2lt$? ttf s4, give names p~ officers.) ~o . 11. Wes anyone inJured7 (if sa, give nam®s, addresses, and extant of inJurles). 1Z. Was any damage done to property? (lf sa, dgacritae properiy and trte extent of~damages. Attach ast/trr-atss of damages or descrFba baels for ascertaining sxten# of dam~a~e~j N ~ 13. What other damages cto you claim, if ar-y? 14. Have ybu bean campens>~ted fpr arty pant or sit Qf your cialrn by any Insurance company'? (If sn, g,Pve name and address of insurance eompany and amount paId.j 75. What amount do you claim from the City of Dulauyr~e? 't6. Why do you claim the Gity of Dutsuqua is re,~pnnsibte7 't7. Move yau~ made i~ny elalm~ against anyone efse for mages as a rese,lx of this in~ctdent7 (tf ems, give name axtd addrea~ 18. jf the answer to Question 'tT i$ yes, have you received any payment from that source, and it so, tn~what amount? Dated at t]ubuque~, {owe this day of ~'fil ~. 2fl~. Insurance ani~.s Lyle long, SClA Sa~io~ Clalms Adjustgf Davenport SeMC9 Office Sulfa 285N, 2322 E. Klm6erly Road P.O. Box 165'7 OaVenport,lA 52589-1867 Phone 563.441.3305 Pax 563.358.6131 W ww.smcingufance.cpm fe-nal Lyla.M.Long6lEMChS.com fin! a b00fb00 ~ la0dN3AV~ SNI ~W3 lEl6 6~E E9S XUd E9~ll ii00ZlZ0/l4 ~ Ems(; ,R, FAX OVER SNLE7 S DAVHNPOR7i SERVICE OFFICE Suite 265N, 2322 E. Kimberly Rd., Davenport, IA 82807-7205 Mail Address: P.O. Box 1657, davenport, IA 52$09-1857 p Ph (583) 441-3300, FAX (583) 359-9131 -7 ~ a ~,,, ~ / Date Sent y pr ~ Q 9 Date I To CY Location # Pages (Including Thls Page) j If mare is a probterri From ~ D Department ~n~ith tnistransmission, all the number below Fax # ~, ~ "~ ~ ~ ~ 1 p 11! © for assistance. Subject (583}441-3300 TM~ INFGRMATION wnrelned :+ ihie tacsimik Y legalry pri,n7•gatl and cgnrd•ndal, kuena•d for the uee or Ina ineMdual or enGly named aoo~•• 11 Me reader or lhi• meteage is npr the nl•noetl rec®iem, you are herby neelled that any ueaemtnafwr~ dieUfhVtlOn. •r ceptnnq at q+ic eornMUnkaWn is siAalY Proidbir•d. K you have rec•'m~tl Mb camnw~alien In error, pi••=e noUly the setwer and pleaw relum iha eriglnal mes••ge [o ue by 4•S. Marl al the •ddrose ahOWn •hav-Thank yar• 004$.8 (10-07) tr00/L001~1 1>i0dN3RV0 SNI 3W3 lEl6 64E E99 XY~ ZS~GL 600ZlLO/t0 DHQ Fax 1/7!2008 11:31:2a AM PAt1E 1!003 t<ax server -~° ;i,; t' To: Lyle Long Company: Fax: 1 563-359-91311968 Phone: ~„ From: ,: '"~ Fax: 563-583-1040 • ,~,, Phone: 589-4113 y,•t E-mails tsteckle@cityofdubuque.o~g NOTES: Mr. Long: Attached is a City of Dubuque claimform. After completed, please fax it to the City of pubuque City Clerk's Office at (563) 689- 0890. They will file stamp the claim and foward it to this department far invesiigatiorl- In the meantime, I wil! contact ICAP. Please feel free t0 contact me if you need additional inforrnaiton. Thank you. Tracey Stecklein City of pubuque City Attorney's Office Suite 330, Harbor View !'lace 300 Main Street Dubuque, IA 52001-6844 phone: 563.583.4113 Fax: 5 63.583.1040 oAV~NPOFr(SERV QFi JAN -- 7 2.oa9 ;: ~~ ,; P1tZ .:~ ~. Data an0 time of trartemissian: Wednesday, .fanuary 07, 200 11:30:58 AM Number of pages InCludiri9 this cover sheet: 03 tr00/Z04f~j la0dN3AH0 SNI aiV3 lEl6 69E E94 xVj ES~LL 6042/LO/l0 /EMC a Insurance Companies December 24, 2008 CITY OF DUBUQUE 50 W 13T" ST DUBUQUE IA 52001 RE: Our Claim Number: Our Insured: Loss Date: Claimant: To Whom It May Concern: Davenport Service Office P.O. Box 1657 Davenport, IA 52809-1657 Phone 563.441.3300 FAX 563.359.9131 www.emcinsurance.com AD88-559039 Dubuque Racing Association 12-10-08 Karen Lyness We have learned, in our capacity as the liability insurance carrier for Dubuque Racing Association, that the captioned claimant fell on the parking lot which is owned by the City and leased to the racing association. We have undertaken an investigation of this accident and have found no liability on the racing association. Our policy does contain medical payments coverage which would apply to the claimant's medical expenses arising from this accident but it would appear that the amount of our medical payments coverage may not be adequate to pay all of the bills. would therefore suggest that you notify your liability insurance carrier of this accident and have them contact me so I can bring them up to date. Truly yours, -~ ~ ~ ~- y Ly e M. Long, SCLA Senior Claims Adjuster LML:tm1 Employers Mutual Casualty Company Dakota Fire Insurance Company EMC National Life Company EMC Reinsurance Company Hamilton Mutual Insurance Company ~t~~~~® EMCASCO Insurance Company EMC Risk Services, LLC Illinois EMCASCO Insurance Company EMC Property & Casualty Company EMC Underwriters, LLC Union Insurance Company of Providence