Claim by Thomas Coyle Copyrighted
August 20, 2018
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Thomas Coyle for vehicle damage; Robert Duster for
property damage; Channing Ellison for vehicle damage;
Robert Johnsen/Nationwide for vehicle damage; TFM, Co.
for property damage; Daniel and Christina True for property
damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City
Attorney
ATTACHMENTS:
Description Type
Coyle Claim Supporting Documentation
Duster Claim Supporting Documentation
Ellison Claim Supporting Documentation
Johnsen Claim (additional submission) Supporting Documentation
TFM, Co. Claim Supporting Documentation
True Claim Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA �� K�as
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 W. 13t" 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 repor# and recommendation will be submitted to the
City Council. You witl be provided with a copy of that report and recammendation.
THE FINAL DECIS{ON ON ALL CLAIMS iS MADE BY THE CITY COUNCIL. NC} EMPLOYEE �F
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: Thomas Coyle
2. Address: 13947 Mueller Parkway
City: Sherrill State: �owa Zip; 52073
3. Telephone Number: 563-845-8589
4. Date of Incident: July 20 2018
5. Time of Incident:
7:00 PM
6. Location of Incident (Be specific): 2400 Block of Roosevelt St. Dubuque, lowa 52001
7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY QR DAMAGE. (Give
full details upon which you base your claim. If a City employee was involved, give the
employee's name.)
Asphalt on Roosevelt street is broken up and loose. A vehicle divinq south in the opposite
direction as me kicked up a large piece of this asphalt which struck my truck and caused dam-
a e to m vehicle's aluminum bod anels and runnin board.
8. What were weather con�litions like? Dry conditions. During Daylight Hours
9. Give name and address of any witnesses: Maggie Coyle 13947 Mueller PRKY Sherrill, IA 52073
10. Did police investigate? (If so, give names of officers.)
No
11. Was anyone injured? (If so, give names, addresses, and extent ofi injuries).
No
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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.'
Yes, qouqinq of paint and aluminum bodv panels. Gouqes to Runninq board. The Vehicle is a
2015 Ford F150 Quadcab pickup truck
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?
$ 1072.81 The body shop repair estimate is included with this form
16. Why do you claim the City of Dubuque is responsible?
Sections of the Street are in disreaair and large chunks of asqhalt are present and a hazard to
Motorists and their property.
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 arnount?
Dated at Dubuque, lov�a this 3 day of August � 20�,
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(Signature)
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Copyrighted
August 20, 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: Thomas Coyle
for vehicle damage, Channing Ellison for vehicle damage;
TFM Co. for property damage, Daniel and Christina True
for property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
i
THE CTTY pF
I..��.T� E MEMORANI� UM
Master�rzece on the Mississippi
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TRACEY STECKLEIN I��
PARALEGAL ��
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� � To: Mayor Roy D. Buol and � � �
Members of the City Council tj
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DATE: August 7,�2018 � ��
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RE: Claim Against the City of Dubuque by Thomas Coyle !
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Clairnant Date of Claim Date of Loss Nature of Clairn ,;I
Thornas Coyle 08/03/18 07/20/18 Vehicle Damage i�
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This is a claim in which claimant alleges that loose asphalt on Roosevelt Street was kicked 'I
up by a passing vehicle which struck and damaged claimant's vehicle. ;
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This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa '�
Communities Assurance PooL h�
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cc: IVlichael C. Van Milligen, City Manager
John Klostermann, Public Works Director
Thomas Coyle
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
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