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Claim by Tony and Michelle ZurcherTHE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN ~;n PARALEGAL ~'" To: Mayor Roy D. Buol and Members of the City Council DATE: RE: Claimant March 16, 2009 Claim Against the City of Dubuque by the Tony & Michelle Zurcher Date of Claim Tony & Michelle Zurcher 03/13/09 Date of Loss 01 /25/09 Nature of Claim Property Damage This is a claim in which claimants allege that their residence, yard, retaining wall and driveway were damaged due to a water main break near 3120 Kaufmann Avenue. 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 Bob Green, Water Department Manager Tony & Michelle Zurcher OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 3O0 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563) 583-4113 / FAx (563) 583-1040 / EMAIL tsteckle@cityofdubuque.org ~ ~~ r i /7 ~ ~ / .~ I`~t ~ ~.!~I^1~~ CLAIM AGAINST THE CITY OF DUBUQUE, IOV~A 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 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: ~ fl v, ~ Phi c~,~..-~~~ 2-~f G~-~ 2. Address: 3 ~ ~.~ K~~~ fYlc:~n ,n ~"v'e- ~ ~ 52UO 3. Telephone Number (J ~ 3) S ~ 3 - ZloB `~ 4. Date of Incident: St~.nd a~ J c~,n . ~`~ ; 2UU~' 5. Time of Incident: 3~'~ cv\ (vie ~-~~ ~ na}~~•~~~ ~ ~ G-~~, Er~Uly ~e~ c~ ~UAM~ 6. Location of Incident (Be specific): ~ttedl~, i nFfon~t D~ o ,~~ ~vM~ ~ ~t'1 ~~~ S-'t !~e-~'~ ~gS~rr~-,r~ }\f,~~~-'} R\\ ~G~O COGT°~.t n 1`(\U.A" v 8. What were weather conditions like? /~`` . TztY~p '„Jct.o G(y~n~ ~-~~ - ~~~ ~~ti v-~:..~~1. PCiO~ ~~mD .;'cy ~v ~v ~. -~ ~ r.. t'~ `"` 9. Give name and address of any witnesses: _ ~- ~"~ ~, ___ 10. Did police investigate? (If so, give names of officers.) }' rv z cD n n __ ct/ Dde6i ~% ,-,~ ;W`i ,~ }~ 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.) 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). n~ 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.) / YQS. U~iJLwi', C.{cic~r+-~ Sid~zv.~.l~cr~~lr...c~. \S~,1er~sio/) ~r~~Wo.`tc(~ Qx_t'~,/~~ " v~a.~.SL lA~'1Sfihlol~ Aga--to a~cx 04 t,.,~-3C~{~, C~p.~ao,,~ coo(' bro~o n Lb~oe~. Pa!w.-~ bt.r.~ inworcl row. ~or~..~(yo~~cr~ ~i^~O V ~'~,C o',.~ $ v\o w,.-/ ~.c 5+ ~~n u ~ ~"-.r ~ n 4 u (GA s C 0.r S v~0 r.../'~~ ~ ~C,~F ~-~r~'' ~ 1 O~c~.3~ w~~~ l.r i.~-.r' ~ W-, u c~ ,/ 1~ c ; s ~",~ c c avY r :..s " vim! f ~ ~ ~ (1A ~ a.Rs. . •w s nd a'•JS -t c~pu'~5 V1O~ ~a~ ~ nSt~-1~a.Sl wc.~ c~a.nno- .+~~ ~.:~u~C - 13. What other damages do you claim, if any? tiy v,r<-~ f~-' f c~c~ ~k l,-r sc ~ y i <.._, .}- 1^o-~y ~: l t~~ G cslzr ~ r ~J ~~~,~ d~. d A •~n att~ ~[ ~.~.. WG`-~~f MIA\r\ ~a.a.~ . 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.) ~.i o 15. What amount do you claim from the City of Dubuque? ~ I~ 500 ~ 1~c.nncio .?zI~/ic.a, f°`p6.f ofS1~ \k, ~ ~ ~.11,C1rlv+wc~ Sr~ovbin..~ tless~~,~~ l~,~old~; ~1;c\inti w;nd~e.~, dao~! blind~StolMPa.,R-1 ~a11 r~,W2~~ ~o.r+~ 1~n3indi~\~.~~- °t ~J~Cj4 doQ~r, lYlix b..\on5~`n~-Shoco,clo~4-~,d~n.e~aNlyb~~S t-i'c• 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.) ~(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 this ~ day of 20~. m~~ (Signature) ~ ~ cl~-ILe ZU~~~v~' T ~, u ~~~ch e~' (Print Name) Kanndo Professional Services 950 Main Street Dubuque, IA 52001 Biil To Tony Kircher 3120 Kaufmann Ave Dubuque, IA 52001 Invoice Date 2/17/2009 Invoice # 3085 Ship To 3120 Kaufmann Ave Dubuque, IA 52001 P.O. # 583-2689 Ship Date 2/17/2009 Terms Due on receipt Due Date 2/17/2009 Other Item Descrip#ion Qty Price Amount WD Residential Water Damage 995.47 995.47 Equipment Equipment Rental 367.62 367.62 THANK YOU FOR CALLING KANNDO! Subtotal $1,363.09 Sales Tax (0.0%) $0.00 Total $1,363.09 KANNDOfNCDBQt/40L.com 563-556-6168 Payments/Credits $0.00 WWW.KANNDOINC.COM 800-556-6168 Balance Due $1,363.09 ivwaio-avn n~i PROPOSAL lC 3818-50 3 PART M.E Custom Building ® Monti Fernandez 563.672.3416 PROPOSAL NO. 563.495.0976 cell SHEET NO. Remodeling • New Construction • Decks • Landscaping • Designs DATE PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME -- ~ I -~ ADDRESS t~ +, /^~ (~~. _ { f ~/ L..~.' ~~ V`!~ P~C.. y .+`:Y~L ~ ~,i I ate-. -_'r-._ r a PHONE NO. 9 ADDRESS ~, DATE OF PLANS ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the comple#ion of ~ t 1 `~": ~L t 'Tc:_;;'~I l ~ =-~:i:~ ~~t3Gz. 1 s~.,~ t~~ LE 5:, 1;~ ~~'r..~t~:~ ~ ~-~' ~ {C_ t, s' Crl f~+~-~ ' :~ ~~-Z -_ ~- i-t ti. t (V ~Lt.::, ~ 5~. ti Ic: ~.; AY`~' Sid . ' ~` G '~C 4--1. ` ~ ~ ilk ~,'LVC.iIr~ ~ 4 ~ 1/(~ +`~~,1, ~ =~ `L'''~~~ ...~ w 7)~~~ r r-' IV.~~'L~V G~ v -X l r l tV'I~ `' .-- f, 1 ji~„1~,.:~L ~ t,;~ ~L~.~C:`/i'".~~~ - '~;jt ~G r /~ ~e f~ N All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of _~, • =.,J ., ~-t ,~ ~t~ts ;; Dollars ($ ~ ~:~%,~ ) c> ; with payments to be made as follows. ' J r ,. n - ~ ~--,. .~;i ' : Respectfully submitted i Any alteration or deviation from above specifications involving extra costs witl be executed only upon written order, and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes, ac- ~ cidents, or delays beyond our control. Note- This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Signature l4F41:1 Sears Card® ~t "- ~ *' ANTHONY M ZURCHER Account Number: 5049 9413 7234 0940 r ~ Page 1 of 1 Call us at 1-800-917-7700 Go to www.searscard.com Write to us at PO Box 8924 The Lakes, NV 88901-6'924 Pa went Due Oate 03/11 /OS Your Account Summary Billing Cycle Closing Date 02/12/08 Amount Over Credit Line $0.00 Amount Past Due $0.00 Total Minimum Due $0.00 Previous Balance $0.00 Payments & Credits $0.00 Purchases & Debits $475.82 Other Charges $0.00 Total FINANCE CHARGES $0.00 Account Balance $475.82 Your Credit Summary Total Credit Line $3,800.00 Total Credit Available $3,324.00 searscard.com 24/? Manage your Sears card account Pay and Save View and Print tfpdate and Manage - Pa1f Your • Ytaw recent acliviry • update personal Sears card till • View up to 12 information • Transfer a balance months of • Set up email alerts ts~iect w statements • f2~lace a lost card xcoura s5c~ry~ • Print Sears • Get exclusive offers store rec~pts .10 2 "- ACtlVlty Sale Date Poat Date Description Amount ~_ 02/06/08 02/06/08 PROMOTIONAL SALE 475.82 ~_ THRWR, OIL280Z ~ Billed Accrued Previous Payments Purchases FINANCE Promo. FINANCE Exp. _~ Promotional Balances Balances 8<credits a Denies CHARGES Balance CHARGES Date ~_ DEFERRED INT NO PMTS $0.00 $0.00 $475.82 $0.00 $475.82 $2.11 03/01/09 ~ Averse g Correa g pondin Periodic Rate Periodic Rates 'R Daily ANNUAL D=Day FINANCE ate Varies Balance Balance PERCENTAGE RATE M=Month CHARGE z SEARS Z *- ' g REGULAR $0.00 $0.00 23.15%• .06354~o(D)' $p,00 DEFERRED INT NO PMTS $475.82 $115.07 23.15%' .06359'o(D)' $0,00 z ~ EXTERNAL ? ~ REGULAR $0.00 $0.00 23.15%• .06354~o(D)' $0.00 z M CASH ACCESS } ~ REGULAR $0.00 $0.00 24.15%` .06629~o D ' () $0 00 ~ ~ Days in Billing Period: 29 Effective ANNUAL PERCENTAGE RATE: 24.15% . Minimum FINANCE CHARGE: $0.00 rg SY10 ~ ~~ o ~~ Builders Copy Quote # 593009 RepleoemeM for water damaged parts SPAHN >i ROSE LUMBER CO. POBOX149 Ea a ~- ^~rs~ws s+srs ~ DUBUQUE IA 52004-0149 sa~nr (563583.6481 FAX (563)582.3749 Bid By mote 593009 Job Tap Zuricher, Tony -580-8050 Job Sloe ; ~9 "'~ Torry Zurr;Ner 3120 Kaufman Ave IA 52001 560 8050 FAX " 2/1720 -__ Ulna Item Number UM oty Custornsr Price E~aended Prbe pools 1« i 100 CSLDS2 EA 1 CLAD SUDE-BY WINDOWS 1 WIDE UNIT, 4 9/16" WALL, NAILFIN, NO BRICKMOLD, WHITE, WHITE, COLONIAL STOPS 3UDER, CSLD-02, 3', 8", 0, 3', 0, 0, XO, BEIGE, 1 LOCK, ONE PULL, BRONZE, ANNEALED, ANNEALED, LOW E W/ARGON, LOW E W/ARGON, DP POS 30, DP NEG 30, FULL SCREEN (STANDARD), WHITE FIBER MESH, 6511.44 =511.44 593009 i 1 Rough Opentrtg: 3' 61/2" X 3' 012" Una Poem Number UM Oty C:ustorner Price Extended p~ p~ ~ 200 BL11180 EA 1 :479.05 BL71180 VEN SYS3 28810 SP1 BRZ KNOB LH TAN BOND TCL W/CONTROL KNOB 38' FROM BOTTOM CAFDIS (22 5/18X6712) 5479.05 593009 f2uote ~ 593009 Replaoem~t for water damaged parts Line stern NtunHer UM Glty Custorrrer PHoe Extenried Price Quote # 300 CPATS EA 1 51,094.84 51,094.84 593009 CLAD PATIO DOORS SINGLE UNIT, SIR JOINT SL FRM ASSM PNL INST, 4 9h6° WALL, NO, NO BRICKMOLD, ELEPHANT -RES, ELEPHANT -RES, AUTUMN OAK POLY SATIN, COLONIAL CLAD ASCENT PATIO DOOR, AFS = 3' 2' X 6' 10", SP3, SL, DP POS 30, ^ DP NEG 30, FIBERGLASS SILL, BEIGE SILL, TEMPERED, TEMP LOW m E 366, 1 Rough OpeMrq: 3' 21/2' X 6' 101/2" SeNing Price Lsbor Freight Sales Tax Total Quote $2,085.33- 30.00 50.00 50.00 $2,885.33 Disclaimer Dubuqueland Door Co. 14628 Mile Hill Ln Dubuque, IA 52003 Phone # 563-556-5702 Fax # 563-556-5703 E-mail doors@dubuquelanddoor.com Name !Address Tony Zurcher 3120 Kauffman Ave Dubuque, IA 52001 Proposal Date Proposal # 5/8/2008 1140 Ship To 563-583-2689 Terms Rep 50% down/ Net 20 C Item Description Qty Size Color 22161-97 CHI 2216 series is a wood-grain texture, raised short panel, and I 9x7 White double-sided steel door, 2" thick. Standard color of white. Standard track is 2" galvanized steel, bracket mount. Torsion spring. Heavy-duty hardware. Bottom, top, and side weather seal. Standard headroom of 12 inches of clearance. Gauge: 26. R-Value 14. Other colors available: Almond, Sandstone, Brown, Bronze, and Evergreen Low Headroom Low Headroom- 10" headroom I Remove and Haul-... Remove and Haul old Door I Add-on: $219.00 for Operator Linear 7' [ Linear LDO 50 is a'/, HP chain drive operator. This operator has a I solid galvanized steel rail and photo sensing eyes for safety. Available for 7', 8', or 10' garage doors. Each operator comes with a wall button and a remote button. Other options available: extra remotes, keyless entry 1 car unit. Add on• for (4) insulated windows, $149.80 tax included. Instal led. Sales Tax All Material is guaranteed to be specified. All work to be completed in workmanlike manner All Wiring and Pad work by others. Due to the according to standard practices. Any alterations or deviation from above specifications volatility of steel prices, all prices are valid for 30 involving extra charge over and above the proposal will be executed only upon written days orders, and will become extra char e over and above th l All . g e proposa . agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance . Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and Tota I $715.62 are hereby accepted. Signature