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Claim by Donovan Properties, LLC / Rob Donovan Copyrighted December4, 2017 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUMMARY: Rob Donovan on behalf of Donovan Properties, LLC for property damage, Ramona Fraction for vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City Attorney ATTACHMENTS: Description Type Donvan Claim Supporting Documentation Fraction Claim Supporting Documentation �'( ��f �9�, � CLAIM AGAINST THE CITY OF DUBUQUE, IOWA �_ � �n� � , This written report constitutes your claim against the City of Dubuque, lowa. You s oul 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. 13t" 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 REPRESENTATI4N TO YOU AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID. 1. Name of Claimant: �v�1Gvt�� ��,c�'��v���5 ��--�- � `��� i�a,'��lA�C,,,��t��=1 2. Address: ��� 1��v`��3�i'� f-'�v� 3. Telephone Number: �f��� ���'' �'�1 l 4. Date of Incident: ����e �;� h���c� ,�,(a 5��;�..���z SL��� 4�ts�-1�►�c� ti 5. Time of Incident: 6. Location of Incident (Be specific): S���c�� c:��- �u;Z�•1E�'`� �� 1�1nc��i�'r� �` \"�v•rt��"�.�i ��' • �•� ��\���� �� ��� �1��1c�M��c� 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT GAUSED INJURY OR DAMAGE. (Give full details upon which you base your claim. If a City employee was involved, give the employee's name.) �c..��'� c}�i���n�� GG��C_S'�� �3�U��L�\� L�t:='�"S `�?o�lG��'��. '�0'l� \�`C.�/t `���i c�.-� P Lvc,`'�°� �1v� �.,:`�ti.c� C(.�v•�� �e� ,t�5�' ���,Me u;'t�c� �!-�:-,��r��`�IL�tc:�l , 8. What were weather conditions like? s 9. Give name and address of any witnesses: 10. Did police investigate? (If so, give names of officers.) ��(� 11. Was anyone injured? (!f so, give names, addresses, and extent of injuries). �� 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.) ��.e- � � 13. What other damages do you claim, if any? �b�1� 14. Have you been compensated for any part or ail of your claim by any insurance company? (If so, give name and address of insurance company and amount paid.) �O 15 What amount do you claim from the City of Dubuque? � \���c� 16. Why do ou claim the City of Dubuque is responsible? + (� r- ( - �1, � C t� (_; �'l��`.:c:�v� �ilCi S :�'�:J['�,'1�i U'�\� �J� �J+`l�.('l'�� i�'�r�G ��'�'"�E.�'r�T� 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) �\� 1�� 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, lowa this �day of����,ier��c�� , 20�. r `�`e��►�--� �^��`.-�z�' (Signature) 2C�� ��U�C:�c.J�`�--J (Print Name) � � -��� o �J �; `� �� ` �', N ^m, �_� � ;�1 � -�y -�-. (Rev. 7/12) r� �T - � ��t-1 t> �: � �� �, Copyrighted December4, 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 lowa, the agent for the lowa Communities Assurance Pool: Donovan Properties, LLC for property damage; and Ramona Fraction for vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referral Supporting Documentation � � 0 THE CTTY OF L�UB � E MEMORANDUM Master�aiece on the Mississippi TRACEY STECKLEIN ,�� � PARALEGAL � � I To: IVlayor Roy D. Buol and � Members of the City Council � � �i DATE: November 29, 2017 i; 4 f RE: Claim Against the City of Dubuque by Donovan Properties LLC ,i � ;� Claimant Date of Claim Date of Loss Nature of Claim ', �I� Donovan Properties 11/28/17 During Access Property Damage LLC Ramp Project I Installation �i �; This is a claim in which claimant alleges that the outdoor post and stairway attached to " the building at 830 Rhomberg was damaged at the time of the access ramp project � installation at the corner of Humboldt Street and Rhomberg Avenue. ,� This clairtl has been referred to Public Entity l�isk Services of lowa, the agent for the lowa � Communities Assurance Pool. � cc: Michael C. Van Milligen, City Manager � Gus Psihoyos, City Engineer ' Rob Donovan, Member, Donovan Properties LLC i � Q OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA � SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)583-4113/F,vc (563)583-1040/EMAi� tsteckle@cityofdubuque.org �!