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Claim by Opalus SalonTHE CTTY 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 Opalus Salon October 8, 2009 Claim Against the City of Dubuque by Linda Wolff, owner of the Opalus Salon Date of Claim Date of Loss Nature of Claim 10/05/09 09/29/09 Loss of Revenue This is a claim in which the claimant alleges that the Opalus Salon was not notified of a scheduled water service shut down to the system which occurred on September 29, 2009 from 10:30 a.m. to 1:45 p.m. and as a result, the Opalus Salon suffered $375.00 in lost revenue. According to the report of Bob Green, Water Department Manager, although Water Department staff notified all others affected by the scheduled water service shut down, staff failed to notify the Opalus Salon. It is therefore the recommendation of Bob Green to approve the claim for $357.00 as filed. The City Attorney's Office concurs with this recommendation. cc: Michael C. Van Milligen, City Manager Bob Green, Water Department Manager Opalus Salon 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 ~,~ ,., ~~ ,. ~~ ~~~ ~ ~ ~~ J 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 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: 11C+ I~ .S ~~a ~O h ~~~ ~ ~~ ~ ~ ~~ ~ L-1.~~~(~~ 2. Address: s ~ ~~ ~ ~ ~ ~ C f (; ~-~' 3. Telephone Number ~f ~ ~3 ~ ~ ~ (, 4. Date of Incident: ~ ~ ~ q ~C~ ~0 u 4' ~ P a J' ~-UL '~- C~ 5. Time of Incident: ~~ , •3(~ ~' U 1 ~ ~r~ 6. Location of Incident (Be specific): ~1 fv hey ha ~ r ~`~i i~ ~ c.ou i~ h~ 8. What were weather conditions like? O 9. Give nam ~'~ {1d '~ofl~1f~ n ~~Gbu~F -~- U I~+~~ c~r~~~ off' ~~-~ c~fi~ ~~~ ~~uf~ ho u ,'n~ ~.~..~~ ~ c ~. ~~~~,IGy~~s rJ ~ w~ e ~r C' 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.) , ~ ~ 10. Did police investigate? (If so, give names of officers.) ~ O 11. Was anyone injured? (If so, give names, adlIdresses, and extent of injuries). / l~tJ ~ P C .a ~ ,` 0 -~ h ~ <-, ~ r ~, n ~ •~- Y1 d '~ _ ~ (P P. tl (~ t i ~1 ct cY Cu l v r~ G n h ~ (' ~1 cy i '" tA~ ~1 e n f ~~1 ~' wn f C /' w ~Y ~~ ~~A ~' Y1 (' of C~ ~ l~~ ~, n f "~- ~ CI n o ~ ~l Cr' S a ~U /1 f r~ C e• 7 C ~1 (1 ~'i ) QL, 12. Was any damage done to property? (If so, describe property and the ent of damages. Attach estimates of damages or describe basis for ascertains extent of damage.) - /~Cy 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 amqunt paid.) ~f L~ 15. What amount do you claim from the City o Dubuque? // / T p add 'y', ~~ s1' o -f-~e ~r IC,eS fhC+~- acl e cc+~c,e ~ n - ~~ ~ ~ ,~ was s h u-~- a w ~+- h + l~ o i L. C. 16. Wh do~.you claim the City of Dubuque is responsible? ~ ~ ~'U ~~ e ~~ r S~ n i~ 4 S Sir I ~ 17. Have you made any claim against anyone else for damages as a result of. this ir7cident? (If yes, give name and address.) v 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? 0 D to this 3 Q day of .S _F ~ in ~ Cr' , 20~ ~`~ C t-= fSt (Signature) ,. - ~`' ~° ~' ~. i n ~I N ~~ C~L~ ~ ~ ~~ (Print Name) ~~ ~ r ~-. _ ~~ ~v~ c ~ s ~{=L~.~,-f l~ mac( ~ ~~ e~ c ~~ e ~~ l ~ ~ o~ ~ 1 ~~ .• ~ ~ C~lo~, ~a~~~, ~~~ ~ of ~/do2 , 0v ~lo~ ~~ ~ ~~ l-~a~ r ~~ h~~ fv ~~. m ~f ti ~ ~'1~~~-s -- s" y 3 - s~a s~ y~ ~t=f CX-oss - S-S-~ ~- ~ ~d s-~-y~c~ ~ ~~~v ~ 3 ~~ ~d