Loading...
Claim by Sarah Cassella Copyrighted June 4, 2018 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUMMARY: Sarah Cassella for property damage; and Horsfield Materials, Inc., for vehicle damage; City of Dubuque vs. Gary Bernhard et al.; City of Dubuque vs. Frederick J. Kammiller I I I, et al. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City Attorney ATTACHMENTS: Description Type Cassela Claim Supporting Documentation Horsfield Materials, Inc. Claim Supporting Documentation City vs. Bernhard Suit Supporting Documentation City vs. Kammiller Suit Supporting Documentation ���� � � �� � � � ����� �.������r �r�� ��-� c�� ������a�, ��v�� ��� w � � '��is writtet� r�pc�rt cQ��fiifutes yr�ur �lairn agair��� t�� Cifiy �f L7��uc�ue, lea�r�. Yr�u shc�uld � �ompl�te this fc�rm in full ar�c� attach an�r additic�na� infarmati�n tha��uppc�rts yr�ur claim, � i TP�� �laim must be filec� �rith ��� City �1e�k at Ci�y H�l1, 5Q W. 13th St., I�ub�ac�ue, IA 52�(�'E, !t 3 �nrill t�en �re referred by th� City Gca�ncil tc� the �pprrapria�e r�epar�m�nt for inv�s�i�ati�r�. l �3�ce cin�� inve��ig��ican i� cQ�p����d, � repor� �nd recc�mm�n�atic�n wi�l t�e submitt�d tc� the � Cifiy Cc�unci�. Yau wilfi be pravic�e+d v�rith a cc��ay caf th�t report and recc�mmendatic�n. ; c � E TM� FIN�L �}FC�S[t�� C�N �L[. CLAI�dIS tS �U1ADE BY THE �[TY �t3t��iC[1�. Nt� EM�C.�}YE� t?F � TN� �1T1( C1F 1�UBU�UE MA� THE AUTH{�RITl� Tt� MA�CE �NY �2EPF��SENT/�TI(�N Tt� Yt?IJ � A� TC� VkfHETHER 1({�EJ�t C�.A�M WILL. t�R ItIl1E�L �iC�T �� PA�C?. � ���� �� �I. �1arr�e c�f C1�imant: �,������v k �� �, Ad�fr���. ���� �,,�� '� a � ' Ci�y• ��� � Statr�: �� Zi� �G��� ' �, Telephan� �lumb�r: �� � � � '� �. Dafie of In��dent: �t�� �v�to�,a f��i I �.2 � �.�r.�� �u�Y-��'e��a ��I� ���� I��` �i S`r�- �� � } �-�s�.�r- �,�� er'i��`� P'4� �' ���a:s�.�.c--�. �� �� � � ��-r�k- Caavc,�1.�, ` �, Ti�n� af I�cident: �� t�' �. �.c���tion c�f 1nc�d�n# (�� specifi�}: �� � �� � �� � ; _.._ _7�_ DE��F�1�E_ACCI�?�NT..t�F�.tJC�lJ��2E�C.E.T��`T_.�.�U.SEC}_1NJt1F�Y..C.��.._D�A�AGE. .._(�i�re_ .. _._.._ . ; fu11 e#etail� upor� wF�ic� yc�t� k�a�� y�aur clairn, If a Ci�y empls�y�e was in�rc�lvec�, giue th� ' �mp�c�yee'� name.� , � .,��`r�`� ���5�' � �,��".�.. � � � � �"'b� ����.r�� � � � � �, �Vha�were w�ather cc�nditir�n� �i��? 9. Civ� �ame and �cfdr�s� of aray vrrifinesses:���1,�� �� �..�°�- � 1U. Did pcaiice inve�tigate'? (If�o, give r��me� o�offi��rs.) � � � � 1�. 1d11�s anyone injure�? (1�`�o, �ive n�mes, �d�res�es, �rnd e�rt�;nt a� inj�ries). � � � � i i �i 7 t � R 1 g i P � � S 1�. Vll�s �ny �ar�age �t�ne to }�rc�pee�y? {�f sc�, d�scr��e prt��a�rty a�nd th� exten� of � d�m���s. Att�ch e�timafi�� of dam���s or descri�i� k�asi� fc�r as�e���nin� ex�ent c��f � d�mage.} ; � ��'i�..t�GGC � �, � ,� c- -� ��` ;�-- � � � ���� ���� � * � � ` �!�r o � �'� ���7�t�., f�# t'� � � 13. V�l�a�� €��h�r darnages c10 y�u claim, i�ar�y? �'�r�. �"`��"1'�" ��"�G �i �� t.�.s�. ; � 'f 4. Have yc�u� been cc�rnper�sated fc�r a�y ��r# �� �PI o� �o�sr �I�im �y a�y ir���ra�r�c� i cvmpany? (1f��, gi�e narr�e a�►d �cidres� caF irsurance cc�mpar�y ar�d am��nt �aid.} �� �1� ��� ���, � ���. '�5. VI/hat �mo��t� d�yau �1�im �rc�m th� Ci�y c�f Duia� ue2 � ��'�"t �� � �`�t��l; �.h� �� 1�1 �}`�` � �� � �� ���, �� ��� � �� ���� ���� '16. �1lh�r do yc�� clair� �l�e �i�y e�f��€��q�� i� cesp�ns��t�'� � ' � ` � �. � � � � ; 'i?. F�a�e yc��ri�ad� a�y �laim ag�in�����c�n� �1�e fc��dam��es �� a r��c�lt eaf�his i�cic�ent? 'i � �if y�s, c�iv� �am� and address.} �� s, t ; 1�. If th� an�wer tc► Qu�s�ican �? �� y��, hav� yvu r��eived a�y paymen� fr€�m that �c�urce, ' ar�� Nf s�, �� what a�our��? ; . '3 � Dat�d at �}ub�q�e, I�wa thi� �`� day of ���� , ��1 c� � .�'�" � � � {5iz�nat�r��) � � ����� ��5� �� {Print �lame� .� � �;`� c� � . � r''h m�,'"',m� t1 .�.W4 ��A il . ; �- �-�'`' ��y 1 � � �`��� �� •—..� � � j `� 'v'� ,.. — i t,e � Cr: "�':rp �„`�, � �R�v. 5l1$} r - :y `�= � s �� ; �� � � � , � � . � ; ; � � Copyrighted June 4, 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: Sarah Cassella for property damage; SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Staff Memo � t � f I THE CITY OF '; .DI�� � E MEMORANDUM ' �, Mcasterpi�ece on the Mississippi � TRACEY STECKLEIN � PARALEGAL � To: Mayor Roy D. Buol and Members of the City Council , DATE: May 25, 2018 ,� RE: Claim Against the City of Dubuque by Sarah Cassella �. Claimant Date of Claim Date of Loss Nature of Claim Sarah Cassella 05/24/18 04/22/18 & Property Damage 05/05/18 � This is a claim in which claimant alleges that during a 2016 Project when the sewer main located near claimant's residence was lined, claimant's sewer lateral was not re- established, causing a sewer backup in claimant's home. i; ��, This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa � � Communities Assurance Pool. '� p cc: Michael C. Van Milligen, City Manager I� Jon Dienst, Civil Engineer II Sarah Cassella ;, � � 4 OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 � TELEPHONE (563)583-4113/FEvc (563)583-1040/EMA�� tsteckle@cityofdubuque.org � 6 s