Claim by Mildred FinzelTHE CTfY 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 17, 2009
Claim Against the City of Dubuque by the Mildred Finzel
Date of Claim
Mildred Finzel
03/17/09
Date of Loss
02/03/09
Nature of Claim
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 damaged
claimant's 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
Mildred Finzel
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
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ITY OF DUBU UE - Q~A
CLAIM AGAINST THE C Q
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 Halt, 50 West 13th St.,
Dubuque, IA 52001. It will then be referred to the appropriate department for
investigation and to the City Attorney's Office. 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: ~' ~~~~~~ ~2C -~' ~~% ~~=~--~-~
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2. Address: ~ ~ ~J~ ~ ~2~1,f~~"'t ~ ; ~ /~ ~ L ~ ~~` ~ ~J~~f.r,.
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3. Telephone Number --~ ~~ -~ ~~~ - =~~>~~
4. Date of Incident: ~Ci~-~'~ ~ ~ -~ ~ t ~-~~ -~ -~
5. Time of Incident: ~"~l ~ =-~-` ~~'' `~ ~ ~ ~~ ~ -
6. Loc~aJtion of Incident (Be specific):.
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7. Describe the 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.)
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8.11uhat were weather conditionsJlike? jJ ~_ ,
9. Give name and address of any witnesses:
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10. Did police investigate? (,If so, give names of office/frs.) ~J
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A Great Deal Better.
JOF:~N E. KLOTZ JR.
Body Shop Manager
Fax 563-556-4482
3255 University Avenue Phone 563-583-9121
Dubuque, Iowa 52001 Toll free 800-747-4042
johnklotz@birdchevrolet.cam www.birdchevroletcom
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3255 University Avenue Phone: (563) 583-9121 B i R D
P.O. Box 57 Fax: (563) 583-9519
Dubuque, IA 52004-0057 Toll Free: {800) 747-4042 CHEVROLET
www.birdchevrolet.com
SERVIGE
INVOICE
MILDRED GERALDI FIN
ZEL
2955 KAUFMAN AVE APT 303
DUBUQUE IA 52001
Business Phone:
Home Phone: (563 556-2835
OTHER SMALL INSURANCE CO.
2/oa/loos 7:os ~ z/1s/loos 14:2s
BODY SHOP CLAIMS ~ '~ t~JD
DUBUQUE IA 5 2 0 01 oZ~ b3 ~1 ~~.,
A/R#: 8
--------------------------------------------------------------------------------
LINE 1 REPAIR BODY DAMAGE AS NEEDED TO REPAIR FOR ESTIMAT
DAMAGE TO FT OF UNIT
REPAIR 1
OPCODE: BODY
PRIMARY TECH:
PARTS
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GM
GIM
NET ITEM: M
REPAIR BODY DAMAGE AS NEEDED TO REPAIR FOR ESTIMAT
SALE TYPE: COST PAY BO $530.40
732
15252974
15253233
15276074
15246806
15246805
15773839
15248110
15248111
15214862
12499902
25784530
25784531
15223484
15226661
TYR26O8
1200545
14718
169D
15849632
1665
12346290
DESC FP QTY
EMBLEM N 1
BRACKET N 1
GRILLE N 1
GRILLE N 1
GRILLE N 1
DEFLECTOR N 1
BRACKET N 1
BRACKET N 1
ABSORBER- N 1
GRILLE N 1
HEADLAMP N 1
HEADLAMP N 1
EMBLEM N 2
CONNECTOR N 2
RADIATOR N 1
GRILLE N 1
CONDENSER N 1
BUIMPER N 1
SHROUD N 1
RETAINER N 5
COOLANT N 1
PAINT & MATERIAL - BODY SHOP
SAL
OUST
OUST
OUST
CUST
CUST
CUST
CIIST
CUST
OUST
OUST
CUST
CUST
OUST
OUST
OUST
OUST
CUST
CUST
OUST
OUST
OUST
E TYPE
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
PAY BODY S
SALE TYPE
OUST PAY BODY S
$16.48
$11.99
$25.33
$23.68
$23.68
$132.09
$60.00
$78.90
$59.89
$125.00
$119.00
$196.99
$9.50
$50.96
$234.00
$116.00
$184.00
$296.00
$173.00
$4.25
$25.07
LINE TOTAL $2921.25
----------------------------------------------------------------------------------
LINE 2* REFINISH AS NEEDED FOR BODY ESTIMATE
7ii~ttth ~oul
WE APPRECIATE
YOUR
PATRONAGE
DISCLAIMER OF WARRANTIES
The Factory Warranty, 12 Months/12,000 Miles, Constitutes All Of The Warranties With Respect To The Sale Of
This Item/Items. The Seller Hereby Expressly Disclaims All Warranties, Either Express Or Implied, Including
Any Implied Warranty Of Merchantability Or Fitness For A Particulr Purpose, And The Seller Neither Assumes
Nor Authorizes Any Other Person To Assume For It Any Liability In Connection With The Sale Of Said Products.
284845 JOHN KLOTZ iG1AL55F077309595
Ccs~c~r:'`: ;:~::':~`rr~tt M~I~fAll:>.;:.>::;::> ;::;: a:'>:_ <>:>: ~ in~~: s<;:':;;::::` ~tic.,x ..::;'
TAN 2007 CHEVROLETCOBALT L2 117AVW 2.2L L4MFI 27247
~ 8659 / 8659 ~ ~ 4/30/2007 ~ ~ 8 ~ I
PRICE
16.480
11.990
25.330
23.680
23.680
132.090
60.000
78.900
59.890
125.000
119.000
196.990
4.750
25.480
234.000
116.000
184.000
296.000
173.000
.850
25.070
Page 1
3255 University Avenue Phone: (563) 583-9121 ~, R D
' P.O. Box 57 Fax: (563) 583-9519
Dubuque, IA 52004-0057 Toll Free: (800) 747-4042 CHEVROLET
www.birdchevrolet.com
SERVICE
INVOICE
3ald.Ta;~; ':,~er~fi~:£~~ar:NLi~be' ' &~e`picaR~it#~vl~``:><<:::..:. .. .:.?I(1~{. .;
284845 JOHN KLOTZ iG1AL55F077309595
MILDRED GERALDI FINZEL
<.
8 2/04/2009 ,7:09 2/18/200914:26
--------------------------------------------------------------------------------
REPAIR 1 REFINISH AS NEEDED FOR BODY ESTIMATE
OPCODE: BR SALE TYPE: OUST PAY BO $524.80
PRIMARY TECH: 273
LINE TOTAL $524.80
LINE 3* MECANINCAL BODY REPAIR NEEDED FOR ESTIMATE REPAIR
REPAIR 1 RECHARGE AC SYSTEM
OPCODE: BM SALE TYPE: CUST PAY BO $_86.80
PRIMARY TECH: 648
LINE TOTAL $86.80
--------------------------------------------------------------------------------
INVOICE PRINTED FROM CLOSED SO: 3/13/09
"*" Following the line number denotes added operation.
CUSTOMER SIGNATURE
.Jh.art.~z ~ou~
WE APPRECIATE
YOUR
PATRONAGE
LABOR ...............
PARTS ...............
NET ITEMS ...........
TAX (DUBUQUE CITY TA)
TAX (IOWA STATE TAX }
CUSTOMER TOTAL ......
PAYMENT (A/R CHARGE )
PAYMENT (CHECKS }
DISCLAIMER OF WARRANTIES
The Factory Warranty, 12 Months/12,000 Miles, Constitutes All Of The Warranties With Respect To The Sale Of
This Item/Items. The Seller Hereby Expressly Disclaims All Warranties, Either Express Or Implied, Including
Any Implied Warranty Of Merchantability Or Fitness For A Particulr Purpose, And The Seller Neither Assumes
Nor Authorizes Any Other Person To Assume For It Any Liability In Connection With The Sale Of Said Products.
$1142.00
$1965.81
` $425.04
$62.17
$155.39
$3750.41
$3500.41
$250.00
Page 2
3255 University Avenue Phone: (563) 583-9121 ~'
P.O. Box 57 Fax: (563) 583-9519 D
Dubuque, IA 52004-0057 Toll Free: (800) 747-4042 ``/~finn,, CC
www~birdchevrolet.com ~y~T
.ail r., c'f
BIRD CHEVROLET
Business Phone:
Home Phone:
MILDRED FINZEL
285618
JOHN KLOTZ
BLUE 12009 I CHEViiOLEAVEO BS LS
10/
2/19/2009 10:03
SERVICE
INVOICE
KLiTD56E59B611006
2955 KAUFMAN AVE APT 303
DUBUQUE IA 52001
A/R#: 2953
---------------------
---------------
LINE 1 REPLACE LR DOOR GLASS tiN% W/SHnILD
CAUSE: SRATCHED WITH ICE SCRAPER WHILE RENTED
TECH COMM: INSTALL NEW WINDSHEILD AND NEW LR DOOR WINDOW
CAR RENTED BY MILDRED FINZEL
REPAIR 1 INSTALL NEW WINDSHEILD AND NEW LR DOOR GLASS
OPCODE: REPAIR
PRIMARY TECH: 798 SALE TYPE: OUST PAY BO $,00
NET ITEM: M W/SHEILD AND DOOR GLASS KEMP
SALE TYPE
OUST PAY BODY S
------------------------------------------LINE-TOTAL $695.00
~USTOMER SIGNATURE
Jhanh ~ou.
WE APPRECIATE
YOUR
PATRONAGE
NET ITEMS .
TAX ;~DUBUQUE•CITY•TA)
TAX ( IOWA STAF!'E TAX )
CUS7:TOME12 TOTAL ~ . , -,`, , ,
PAYMENT (A/R CHARGE )
The Factory Warranty, 12 Months/12,000 MLiI~esMCoRnstOitutesVAl Of~ThNe Was anties With Respect To The Sale Of
This Item/Items. The Seller Hereby Expressly Disclaims All Warranties, Either Express Or Implied,. Including
Any Implied Warranty Of Merchantability Or Fitness For A Particulr Purpose, And The Seller Neither Assumes
Nor Authorizes Any Other Person To Assume For It Any Liability In Connection With The Sale Of Said Products_
$695.00
$13.90
$34.75
$743.65
$743.65
--_p3ryP 1
11. Was anyone injured? (If so, give names, addresses, and extent of inju
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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.)
/~,
f~' _ ~ ~, ~-t ~~~ ~ __ ~~-t.~ lam' C.f'-~ ~~ _ ~ ~' ~' r ~ ~ -~t=
16. W~y do you claim the City of Dubuque is res onsible?
~ ~' ,~ 'J
~~ ti _ ~ felt ~~~~ ~ : ~ , _~~ f~ ~' . , ~ ~i=~ > „ ~ ~~ ~/~~
17. Have you made any claim against anyone else for damages as a result of
this incident? (If yes, give name and address.)
7~
18. If the answer to Question 17 is yes, have you received any payment from that
source, and if so, in what amount?
~~~-~ ~ , 20~~ ~.
Dated this ~ day of ~
,
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~
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c..
-~
(Print Name) ~
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rv
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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 f damage.)
15. What amount do you claim from the City of Dubuque?