Claim by Robert Apel Copyrighted
February 5, 2018
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Robert Apel for vehicle damage, Carol Bandy for personal
injury/vehicle damage, Jenny Cook for vehicle damage,
Dubuque County Sheriff's Office for vehicle damage,
Felderman Business Associates for property damage,
Michael Gukeisen for vehicle damage, Joseph Ray for
vehicle damage, Victoria Ruefer for personal injury,
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City
Attorney
ATTACHMENTS:
Description Type
Apel Claim Supporting Documentation
Bandy Claim Supporting Documentation
Cook Claim Supporting Documentation
Dubuque Co. Sheriff's OFfice Claim Supporting Documentation
Felderman Business Associates Claim Supporting Documentation
Gukeisen Claim Supporting Documentation
Ray Claim Supporting Documentation
Ruefer Claim Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA P�,��,��
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This written report constitutes your claim against the City of Dubuque, lowa. 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. 13'" 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: �o ro�-r�- C-�P I
2. Address: � � ���J�.'YV t e `e � ` 1 L ) O ^
3. Telephone Number: �(�3- �cS I" ���y
4. Date of Incident: I Z�Z� l�� � a " �� i���
5. Time of Incident:
6. Location of Incident (Be specific): � � ' �k U�x.l uc' �-��
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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. Vllhat were weather conditions like? � G° .1'
9. Give name and address of any witnesses: ��1(� f��-�1,9 G
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).
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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 of
damage.)
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13. What other damages do you claim, if any? (1('>1(�P
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?
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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.)
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18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
Dated at Dubuque, lowa this � day of �i.v�-I.�GU' , 20�.
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(Rev. 7/12) � �
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Copyrighted
February 5, 2018
City of Dubuque Consent Items # 3.
ITEM TITLE: Disposition of Claims
SUMMARY: City Attorney advising that the following claims have been
referred to Public Entity Risk Services of lowa, the agent
for the lowa Communities Assurance Pool: Robert Apel for
vehicle damage, Carol Bandy for personal injury/vehicle
damage, Jenny Cook for vehicle damage, Dubuque County
Sheriff's Office for vehicle damage, Felderman Business
Associates for property damage, Michael Gukeisen for
vehicle damage, Joseph Ray for vehicle damage, Victoria
Ruefer for personal injury.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
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THE CTTY OF
I�"L.TB�� LIE MEMORANDUM
Masterpiece on the Mississ�ppi
TRACEY STECKLEIN '
PARALEGAL b
To: Mayor Roy D. Buol and
Members of the City Council
DATE: January 16, 2018 �
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RE: Claim Against the City of Dubuque by Robert Apel
Claimant Date of Claim Date of Loss Nature of Glaim '
�
Robert Apel 01/12/18 12/20/17 Vehicle Damage �
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This is a claim in which claimant alleges that the lever at the 9�" Street Parking Ramp '
rnalfunctioned and came down and damaged the roof of claimant's vehicle. �
This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager �
Jodi Johnson, Transit Operations Supervisor
Robert Apel
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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/EMai� tsteckle@cityofdubuque.org
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