Claim by Al Lundh 3 3 09THE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE:
RE:
Claimant
March 4, 2009
Claim Against the City of Dubuque by the AI Lundh
Date of Claim Date of Loss Nature of Claim
AI Lundh 03/03/09 03/01/09 Vehicle Damage
This is a claim in which claimant alleges that due to insufficient lighting and warnings,
claimant drove into cables located in the Diamond Jo parking ramp and tore the front
bumper off of his 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
Tim Horsfield, Parking Systems Supervisor
AI Lundh
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
iT
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. r"~
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The claim must be filed with the City Clerk at City Hall, 50 West 13t" ~~', r , r~,
Dubuque, IA 52001. It will then be referred to the appropriate departrr~~en~`For ~~
investigation and to the City Attorney's Office. Once that investigationrts '_
completed, a report and recommendation will be submitted to the Cit~C uncil.~-
You will be provided with a copy of that report and recommendation. ~~=~.~=
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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.
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1. Name of Claimant: ~~
2. Address: ~~ 7
3. Telephone Number ~ ~ ~ `~ l~_
4. Date of Incident: °S~J~,. Q. L '2 W
5. Time of Incident: ~, ~_. , ~~- ~1 ~
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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15. What amount do you claim from the City of Dubuque?
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