Claim by Durrant Group_Gary BechtelTHE CTTY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE: June 8, 2009
RE:
Claimant
Claim Against the City of Dubuque by the The Hartford on behalf of The
Durrant Group/Gary Bechtel
The Durrant Group/
Gary Bechtel
Date of Claim
06/01 /09
Date of Loss
04/26/09
Nature of Claim
Vehicle Damage
This is a claim in which claimant alleges that a nearby retaining wall located at 400 Ice
Harbor Drive fell 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
Gus Psihoyos, City Engineer
The Durrant Group/Gary Bechtel
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 3OO MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 583-4113 / FAx (563) 583-1040 / EMAIL tsteckle@cityofdubuque.org
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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:
2. Address:
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3. Telephone Number: ~~ 3 5 ~ ~ `d ~ ~ ~
4. Date of Incident: ~ ~d~Ll T j~
5. Time of Incident:
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6. Location of Incident (Be specific): ~G ~ j L~ 1'T~-/~~ ~' ~~
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.}
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8. What were weather conditions like? Cr~t? Q+~ ~ ~i ~' LI
9. Give name and address of any witnesses: V1 ll h ~
10. Did police investigate? (If so, give names of officers.}
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
PCN: 30014200905152001248 DCN: 30014200905152001248001 Received DateITime: 5115!2009 3:13:00 PM Page 2 of 6
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.}
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.}
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15. What amount do you claim from the City of Dubuque? ~' ~~ 3q , 3
16. Wh do you claim the City of Dubuque is r sponsible?
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.) ,~ A
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18. If the answer to Question 17 is yes, have you received any payment from that ~s~ource,
and if so, in what amount? C7 ~
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Dated at Dubuque, Iowa this ~ day of 20~. -`= ..~, -~•
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72. 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.)
13. What other damages do you claim, if any?
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.)
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16. What amount do you ciairn ram the City of Dubuque? ~'t~ ~ . 3
1fi. Wh~l d~D you claim the City of
17. Have you made any claim against anyone eise for damages as a result of this incident?
(if yes, give name and address,) ~~l
18. If the answer to Question 1T is yes, have. you received any payment frorri that source,
and if so, in what amount? E~ ~
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Dated at Dubuque, Iowa this ~ day of _ ~_...+ z0.s~•
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PCN: 30D14200905152001248 DCN: 30014200905152001248001 Received Datefrfine: 5/15/2009 3:13:00 PM Page 3 of 6