Claim by Horsfield Materials, Inc. 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
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CLAIM AtaA1�+1�T T�-IE CITY t?F DUBUQUE, IQ1NA ���b� �`����-� °
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This wr'rtfi�n report constitufes yQur claim agair��t th� City of Dub�q�ae, Ic�wa. You should
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cample�e this form in futl and attach any additivnal infc�rmation th�t suppc�rts your claim.
The �laim must be fii�ed wifh the Ci�y Cl�rk �t City Hall, 50 W. '13t� �t., Dubuque, IA 52Qt}�. It
will then be referred by the City Council ta the appropriate department fior inve�tigation. i
�D�c� #h�# 6��r���cg��6a�r: �� ^��ple��ds � r�przr� �nd r�ct����r�d��or�� ��6E '�� �o�bam6t�t�d t� #h� �
Gity Council. You wil! be provided with a copy of that repc�r� and recommendatian. �
THE FINA� D�CI�It�N ON ALL CL.AIM� !S M,�DE BY THE GITY COUNCII.. Nt� EMPLC?YEE UF �
THE CITY QF E�UBU(�UE HAS THE AUTHf)RITY TO MAKE ANY REPRESENTATt(}N TO YOU �
AS TO WNETHER YOUR CL.AIM WILL C3R W[LL. NC}T BE PAID. ;;
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1. Name c�f Claimanfi: �°���,������ ,����°,�� ��, �� c. - ',
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�. Address; ��� � r ����� � ¢ � � � ��� ��� '
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3. Telephc�n� Nu€m�er: ��':� � ���� �--���� �
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4. Date af Inc�dent: `����. B � �° �
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5, Tim� vf Incident: �� ��� �� p �-�,�P�.���� �'��f�t� � . ,..�
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6. Lecati�n of Incident (Be specific}: ��A�t � ���i ��� � ��' � �� �� ��.. �
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7. DESCRIBE /���IDENT t}R C3CCURRENCE THAT CAUSED INJURY aR C}AMACE. (Give g
full detai{s upon which you base ycaur claim. If a City employee was involved, give the �
employee's name.)
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8. What were wea�h�r conditions like? � �
9. Give name and address of an� witnesses. m� � ��� ��r��`�%���� �� ��.
'[Q. Did police investigate? {If sQ, �ive names ofi o�icers.}
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�1. Was anyone in�ured? (If sa, give nam�s, addresses, and e��ent of i�juries}.
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12, Was any damage dane to prc�perty? {If sv, descr"rfae prvperty ar�c� fihe extenfi of
damages. Attach e�timates of damag�s or describe basis for �scer~taining extent af
damage.) �
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13. What other damages do yvu claim, if any? �`'.��.
'14. Have you been comp�nsated for any part c�r a[1 of your claim by any insurance
company? 41f so, give name and address of insurance compar�y and amount paid.} �
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15. Wha# amot�nt dc� you claim from the City of Dubuque? ;;
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1fi. W�y do yau cla�im the ity +�f Dubuque is respvnsible?
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�17. Ha�re yau made any claim against anyane else fc�r damage� as a re�ult of this inci+den�t? u
(If yes, give name and addres�.} ;
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'18. If fihe answ�r tc� t�u�stian 17 is yes, hav� you received any paymenfi from t�at source, ;
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and if so, in what amc�unt? i
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Da�ed at Dubuque, lowa th�s � day 4f , 2��� . �
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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
THE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN �
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE: May 30, 2018
RE: Claim Against the City of Dubuque by Horsfield Materials, Inc.
Claimant Date of Claim Date of Loss Nature of Claim
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Horsfield Materials, Inc. 05/29/18 05/22/18 Vehicle Damage
This is a claim in which claimant alleges that while claimant's truck was parked at 3371
Kimberly Drive, a City of Dubuque Public Works truck passed by and scraped the mirror
on claimant's truck.
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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
John Klostermann, Public Works Director
Steve Stoffel, Horsfield Materials, Inc.
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944
TE�EPHONE (563)583-4113/FAx (563)583-1040/EMAi� tsteckle@cityofdubuque.org