Claim by Pamela SchmittTHE 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
September 1, 2009
Claim Against the City of Dubuque by Pamela Schmitt
Date of Claim
Pamela Schmitt
08/24/09
Date of Loss
08/20/09
Nature of Claim
Vehicle Damage
This is a claim in which claimant alleges that while she was attempting to exit the Stn
Street ramp at the south exit, the exit arm came down prematurely and scraped the
driver's side of claimant's vehicle.
This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Tim Horsfield, Parking Systems Supervisor
Pamela Schmitt
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
~~~~~
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 West 13~h 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: Pamlea Linn Schmitt
2. Address: 101 1st Street SE, APt#1, Farley, IA 52046
3. Telephone Number: 563-585-6904(w) 563-744-8037(h) 563-599-3387(c)
4. Date of Incident: 08/20/2009
5. Time of Incident: 3:40 p.m.
6. Location of Incident (Be specific): 5th & Iowa Parking Ramp by Prudential
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.)
Driving out of ramp on 5th & Iowa, Holiday Inn side, swiped card and arm went up. Proceeded
out of the ramp and the arm came down on top of my vehicle as I drove forward.
8. What were weather conditions like? Dry & Clear
9. Give name and address of any witnesses: Tim Brockling 563-585-6218 (w)
14674 North Cascade Rd #117, Dubuque, IA 52003
10. Did police investigate? (If so, give names of officers.)
Officer Tuegel Case#09-38967
11. Was anyone injured? (If so, give names, addresses, and extent of injuries.) No
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.) Yes, top of driver and passanger doors on the drivers
side paint is scuffed. Luggage rack rail is scuffed on drivers side as well as the rear tinted glass window. See attac~d
estimates. Providing two for comparison of damage. n u~
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13. What other damages do you claim, if any? None
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.) No
15. What amount do you claim from the City of Dubuque? Full amount
16. Why do you claim the City of Dubuque is responsible? No fault of mine, Damage was caused by city property that was
disfunctional and caused the damage to the vehicle.
17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and
address.) No
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 21 day of August, 2009.
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(Print Name)
08/21/2009 at 01:12 PM Job Number:
~ 30799
BRIMEYER AUTO BODY
License #:30799 Federal ID #:421438480
10709 COLLISION DR.
DUBUQUE, IA 52001
(563)583 4456 Fax: (563)583-1838
PRELIMINARY ESTIMATE
Written By: BOB COOK
Adjuster:
Insured: PAM SCHMITT Claim #
Owner: PAM SCHMITT Policy #
Address: 101 1 ST SE APT1 Deductible:
FARLEY, IA 52046 Date of Loss:
Day: Type of Loss:
Evening: Point of Impact:
Inspect
Location:
Insurance
Company: Days to Repair
2005 BUIC RENDEZVOUS 4X2 CX 6-3.4L-FI 4D UTV Int:
VIN: 3G5DA03E75S5 08267 Lic: Prod Date: Odometer:
Air Conditioning Rear Defogger Cruise Control
Intermittent Wipers Keyless Entry Rear Window Wiper
Message Center Tinted Glass Dual Mirrors
Console/Storage Overhead Console Luggage/Roof Rack
Fog Lamps Clear Coat Paint Power Steering
Power Brakes Power Windows Power Locks
Power Mirrors AM Radio FM Radio
Stereo Search/Seek CD Player
Driver Air Bag Passenger Air Bag 4 Wheel Disc Brakes
Cloth Seats Bucket Seats Automatic Transmission
Overdrive
--
- Styled Steel Wheels
--
--------
N0. OP.
------------- - ----------------------------
DESCRIPTION -----------------------------
QTY EXT. PRICE LABOR PAINT
1 ---------------------------
QUARTER PANEL -------------------------------
2* Repl LT Quarter glass NAGS w/o 1 990.28 1.8
Onstar
3 ROOF
4 Repl LT Side rail 1 199.46 0.4
5# BUFF LT SIDE UPPER DOORS & 1 1.0
------- GATE
------- ----------- -----------------
Subtotals =_> - -------------------------
1189.74 3.2 0.0
Parts 1189.74
Body Labor
------ 3.2 hrs @ $ 55.00/hr 176.00
--------- ----
SUBTOTAL --------------- -------------
$ 1365.74
Sales Tax $ 1365.74 Q 7.0000 ~ 95.60
GRAND TOTAL $ 1461.34
ADJUSTMENTS:
Deductible 0.00
------------------- --------------------
CUSTOMER PAY $ 0.00
INSURANCE PAY $ 1461.34
1
RICHARDSON MOTORS
.~• 1475 J.F.K. ROAD
` DUBUQUE, IA 52002
PHONE: (563) 582-5411 FAX: (563) 582-4129
FEDERAL ID: 42-0813744
CD LOG NO 6270-1 DATE 08/21/09
SHOP: RICHARDSON MOTORS
ADDRESS: 1475 JOHN F. KENNEDY RD
CITY STATE: DUBUQUE, IA
ZIP: 52002-
OWNER:
ADDRESS:
CITY STATE:
ZIP:
POINT OF IM
LIC#:
BODY COLOR:
CONDITION:
SCHMITT, PAM
101 1ST S SE APT 1
FARLEY, IA
52046
PACT: 0
STATE:
TWO TONE
*=USER-ENTERED VALUE
EC=REPLACE ECONOMY
UM=REMAN/REBUILT PRT
OE=REPLACE PXN OE SRPLS
TE=PARTL REPL PRICE
I=REPAIR
TT=TWO-TONE
N=ADDITIONAL LABOR
AA=APPEAR ALLOWANCE
INSP DATE: 08/21/09
PHONE 1: (563)582-5411
FAX: (563}582-4129
WORK PHONE: (563)585-6904
CELL PHONE: (563)599-3387
VIN: 3G5DA03E75S508267
MILEAGE:
ACCTNG CTL#:
E=REPLACE OEM
UE=REPLACE OE SURPLUS
EU=REPLACE SALVAGE
PC=PXN RECONDITIONED
ET=PARTL REPL LABOR
L=REFINISH
CG=CHIPGUARD
RI=R&I ASSEMBLY
RP=RELATED PRIOR
2005 BUICK RENDEZVOUS CX 4DOOR WAGON
CODE: 57103A/D OPTNS E/24FNR
OPTIONS:
TWO-STAGE - EXTERIOR SURFACES
LUGGAGE RACK
OVERHEAD CONSOLE
NG=REPLACE NAGS
UC=RECONDITIONED PRT
EP=REPLACE PXN
PM=PXN REMAN/REBUILT
IT=PARTIAL REPAIR
BR=BLEND REFINISH
SB=SUBLET
P=CHECK
UP=UNRELATED PRIOR
6CYL GASOLINE 3.4
TWO-STAGE - INTERIOR SURFACES
ALARM SYSTEM
OP GDE MC DESCRIPTION MFG.PART N0.
E 1116 RAIL, LUGGAGE RACK LT 10313546 GM PART
E 0358 GLASS,BODYSIDE TINT RT 10320750 GM PART
N sand and buff ADDNL LABOR OPERA
left side upper doors and liftgate
3 ITEMS
PRICE AJ% B~ HOURS R
----- --- -- ----- -
201.24 0.4 1
990.28 1.9 1
INC* 1.0*1*
FINAL CALCULATIONS & ENTRIES
2005 BUICK RENDEZVOUS CX 4DOOR WAGON
CD LOQ~ NO 6270-1
GROSS PARTS 1,191.52
PARTS & MATERIAL TOTAL 1,191.52
TAX ON PARTS @ 7.000 83.41
LABOR RATE REPLACE HRS REPAIR HRS
1-SHEET METAL 55.00 2.3 1.0 181.50
2-MECH/ELEC 64.00
3-FRAME 59.00
4-REFINISH 55.00
5-PAINT MATERIAL 35.00
LABOR TOTAL 181.50
TAX ON LABOR @ 7.000 12.71
SUBLET REPAIRS
TOWING
STORAGE
GROSS TOTAL 1,469.14
NET TOTAL 1,469.14
SHOPLINK UN189 ES CD LOG 6270-1 DATE 08/21/09 11:52:48AM R6.37 CD 07/09
PXN: Y/00/00/00/00/00 CUM 00/00/00/00/00 GEOCODE 52002
EDU: 0808 HOST LOG
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