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Claim by Chalres CarrTHE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL To: Mayor Roy D. Buol and Members of the City Council DATE: April 2, 2009 RE: Claimant Charles Carr Claim Against the City of Dubuque by Charles Carr Date of Claim Date of Loss Nature of Claim 04/01 /09 03/17/09 Vehicle Damage This is a claim in which the claimant alleges that a City of Dubuque dump truck struck claimant's vehicle while it was parked in front of 1028 Dunham Drive. According to the report of John Klostermann, Street & Sewer Maintenance Supervisor, Public Works records indicate that a City of Dubuque truck did strike claimant's vehicle on March 17, 2009. It is therefore the recommendation of Mr. Klostermann to approve this claim for $498.36, the lower of the two estimates submitted by claimant. The City Attorney's Office concurs with this recommendation. BAL:tIs cc: Michael C. Van Milligen, City Manager John Klostermann, Street & Sewer Maintenance Supervisor Charles Carr . - April 2, 2009 Barry Lindahl City Attorne~ 50 West 13t Street Dubuque, IA 52004-4864 Dear Barry: This letter will respond to the claim filed by Mr. Charles Carr on March 26'", 2009. Our records show that Mr. Carr's vehicle was damaged by a Public Works Department truck when it was struck on March 17, 2009. It is therefore my recommendation to pay the claim of $498.36, the lower of the two damage estimates provided. 'ncJerel ,. t' J n ~ostermann treet/ Sewer Maintenance Supervisor ~%~ ~~, 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 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: (,~ u,,~ /.., ~ ~~. C ~z ~;- 2. Address: j 1 0 ~" l ~a ~ ~ ~., ,U~~- , 3. Telephone Number: S ~ ~~ --- ~ ~~ a - ~ ~ J%~ f C -~ -.~- f- .; ._ y~--~~ 4. Date of Incident: ~-~ ~? - ~ 5. Time of Incident: /~~ ., 6. Location of Incident (Be specific): %© ~ y ~, ~ ~~..,~ ~%~, 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? ~.~ ,<.~ 9. Give name and address of any witnesses: __,i ~~_ C/,1~ .~,,,. ~:. ~,, 1~~~' /~~lry L~ '~S, 10. Did police investigate? (If so, give names of officers.) ~~~ 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). AJ c~ ~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.) i 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.) ~~ 15. What amount do you claim from the Ci#y of Dubuque? //-i.~ 16. Why do you claim the City of Dubuque is responsible? 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) >i~ 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 ~ day of =/~ ~ ~~, _~ 20 ~'> /r`;~.e.~ ~~~ (Signature) Ci~~~/-~, ~' ~q``~ (Print Name) (Rev. 1/00 & 7/01) d~ ~~;-~E~r~~n~ ., , ~ ~0! ~~ t - ~dv 60 C(~i~f~J:~~ • ~ ~~i.l~`1t~ .K~.~.II C~~ o~ ,~~~~~ r f ~~ ~ ,/ cv,r...~ ~ ~~ C .ar L~vA' ~/c' G q~~-.~ f~--.-«l3. fo ~ ~.C, J ~ semis - ». - °e:' ~ ~~.-~' ..~~' ~rr ~ c.~o/ ~r.~,N-u-.~7 ~ea'.r~frsE . ~~~ n ~:~ ~: r_~~~ ,:- c ~._ ~_ ~ J ~.~- ~~ ~? `~ ~7 /T~' ~l~ '~ W ~~ ~~ S~ f~ C. F. Carr Construction, Inc. 1051 Barbaralee Drive Dubuque,lA 52003 Phone: (319) 556-4529 Date: 3126121108 i1:DD AM Estimate lD: 1126 Estimate Version: 0 Preliminary Profile lD: MRchell Hanley Auto Body Inc. 1030 Century Circle, Dubuque, IA 52002 (563j 583-7220 Fax: (663) 583-8355 f?arnage Assessed By: Rot~ert Hanley Deductible: UNKNOYUN Owner: Carr Construction Address: 1705 Kathy Dr., Dutwque, IA 52003 Telephone: Home Phone: (563j 580-0088 Mitchell Service: 911000 Description: 87 Chevy 7000 16 Foot St. Truck line Entry tabor Lane Item Part Type/ Item Number Type Operation Description Part Number 1 800500 ~Y' REMOVE/REPLACE REBUILD LEFT REAR STEEL BOX CORNER " QUAL REPL PART 2 900500 BDY * REMOYE/REPLACE NEW CORNER LAMP '"` QUAL REPL PART 3 900500 REF ' REFItigSH1REPAIR PAINT AS NEEDED Existing 4 AUTO ADD'L COST PAINTIMATERIALS 5 AUTO ADD'L COST HAZJIRDOUS WASTE DISPOSAL * -Judgment Item Estimate Totals Dollar labor Amount Units 75.00 * 6.0' 12.45 * 0.2* 1.0' 3D_00 * 5.00 * Add? La i. Labor Subtotals ~Y Refinish Labor Summary Units Rate Amou 6.Z 48.E 0. 1.0 48.00 0. Taxab~ labor Labor Tax ~ 7.2 Additional Costs Non-Taxable Costs Total Additional Casts ESTIMATE RECALL NUMBER: 03. Mitchell Data Version: FEB D8 V URraMate Version: 6.7.020 Sublet rt Amount Totals D 0.00 287.60 T 0.00 48.00 T 345.60 T.000 °.4 24.18 bor r D QO 369.79 ii. Part Replacement Summary Taxable Parts Sates Tax ~ 7.000% Total Replacement Parts Amount Amount N. Adjustments 35.00 Customer Responsit~ility 35.00 '2612009 11:00:36 1126 UhraMate is a Trademark of Mitchell International Copyright (Cj 1884 -2009 Mitchell International All Rights Reserved 6.12 93.57 Amount 0.00 Page 1 of 2 Date: Est~nate fD: Estimate Version: Prelirranary Profile fD: i. Total Labor: It. Total Replacement Parts: 111. Total Additional Costs: Gross Total: IV. Total Adjustrner-ts: Net Total: This is a areliminary estimate. Additional changes to the estimate rrtay be required for the actual reaair. ESTIMATE RECALL NUMBER: 03fZ6120091i:00:36 1t26 Mitchell Data Version: FEB_09_V UIEraMate is a Trademark of Mitchell kNemational Copyright (C) 1994 -2009 MOchelt International UltraMate Version: 6.7.020 All Rights Reserved 3~ 71:00 AM 1126 0 Mitchell 369.75 93.57 35.00 498.36 0.00 498.38 Page 2 of 2 HA1Z1' AU'1'U 1iU1~ Y c'Si YA11V 1 800 CEDAR CROSS ROAD DUBUQUE, IOWA 52003 PHONE: (563) 556-8323 FAX: (563) 556-8324 DAMAGE REPORT PRICES SUBJECT TO CHAtiBE thins CIRCLED are itot in tlla Irl our opinion, are not put of this -ry~p~ ~ ~ nor c ~ ` O Y~iCI OWNER C O ft .3 TIC. L g! ~ " (((YJ/; ~ ~ T~, ~, .- .s' 9 - oo gk MAKE o~L LICENSE MILEAGE COLOR SERIAL NO. CONDITION ~7 Gh~- 000 ri.olc INSURANCE CO ADJUSTER PHONE CAR LOCATED AT ~, FRONT Bumper WlPsds swrht Or Paint s.rrioe s Or Hours Parts LEFT sym. Fonder. FrL o:"Pa~urt orihurs Parts syrw. R16HT Pander. FrL m t~t orHeus; Park Bumper Abs. Fender Shield Fender Shield Fende- ExG Fender Ext Fender Midg. Side Fender M Side Fender Stripe Fender Stripe Fender Mid Perdu M Bu ReiM. Bum BrkL Side Li Asmbly Side Asmbly Bumper Cushion Headlamp Headlamp Vahrrce Hesdlam Door Headlamp Dr.' g~ ~. Sealed Bann Sealed Beam FrL Park Light Park Li Prams Cowl Cowl Cross MembK Door. Front Door, Front yy~ Door Hi Door Hi Hub Cap Dhc Door Panel Dow Parrei Lr. Cent Arm Door Stripe Dow Stripe Dow Mldgs. Dow Mkt. UP. CorrL Arm Centsr Post Cellar Part Door Rear Dow Raar Bumper Filler Dow Mld Dow M Grille Grilb Panel Grill Panel Mk! Rocker Panel Rocker Panel Rooker Mid Rocker-MI Floor Flow Dog Leg Qrsr. Panel K .r- Qusr. Panel Air Conderoer Quar. Ext Quar. Ext Roc System Quar. Wheel House Quar. Wheel House Name Plate Quar. Mkt . Sim Quar. M Side Baffle, U Qusr. MId Quar. Mklg. Lock Plate, Lr. Quar. Stripe Quar. Stripe Lack PIe l; Side Li Asmbly Side Light Asmbiy Hood Top Tail Li ht Gs.a~ ~ ~ a . Tali Light Hood Hirrgs REAR MISC. Hood Lock Bumper Inat Panel Ornament Bumper Abs. Front Ssat Rad. Sup. Bumper Cushion Front Seat Adj. Rad. Core Bumper ReiM. Top Mti Freeze Bumper Brkt Headlinin Red. Hoses Bumper Gd. Top Vinyl Fan Blade Bumper Filler Tin 96 Wom Fan Shroud Valance Painting Fan Belt Lower Panel Aerial Water Pump Flow Rust Proof Wstsr Pump Pulley Trunk Lid Batary Motor Mts. Trunk Mldg. ~A wASTrr o1sPOSnL c~ARC>E : e Lic. Li t PARTS IPrioes Subject To Imloiee) K1- SERVICES 10.3 HRS. D H S' ..f Windshield T k G SUBLET OR PAINTING an as Frame SUB TOTAL S' 3oZ• D a wheel TAX 7. ,Z. Hub & Drum PAINT-MATRL-HDw ~~` 06 . c Axle n GRAND TOTAL , oZ, $ Appraiser Symtwis: S-Shii~ten N~eWaaeP~~nOH-OvRerhsul I HEREBY AUTHORIZE THE ABOVE REPAIRS ~i~ha; ~~r~~~~~- ~~~ rr~! Mediacom ~. CEDAR RAPIDS, I OWA 52402 704 289 ~~~2 1828 6245 1V1s. Jeanne Schneider City of Dubuque 50 W. 13th Street Dubuque, Iowa 52001-4864 ~~ ~ M~~ ~~~ -~ .., ~~~:? ,' ...: ,~t_ ...... ... .w .«.. ... ...... 4Ft3~li3~t~1~}}!II}ti}f}li}if it!}417}P}F1F~fiFJ}~iFlf~}3FF11}7