Claim by the Sisters of the Presentation Copyrighted
September 17, 2018
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Kelly Casperson for vehicle damage, Jerald Kinsella for
property damage, Gerald Klein for property damage, Abby
McGrane-Ralston for vehicle damage, David Prince for
vehicle damage, Steve Ruden for property damage, Daniel
Scott for property damage, Sisters of the Presentation for
property damage, Brock Tyner for vehicle damage, Morgan
Weaver for vehicle damage, Doug Winner for vehicle
damage, Suit by Michael and Jacqueline Wood for vehicle
damage/personal injury.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City
Attorney
ATTACHMENTS:
Description Type
Casperson Claim Supporting Documentation
Kinsella Claim Supporting Documentation
Klein Claim Supporting Documentation
McGrane-Ralston Claim Supporting Documentation
Prince Claim Supporting Documentation
Ruden Claim Supporting Documentation
ScottClaim Supporting Documentation
Sisters of the Presentation Claim Supporting Documentation
Tyner Claim Supporting Documentation
Weaver Claim Supporting Documentation
Winner Claim Supporting Documentation
Wood Lawsuit Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, 14WA
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This written report constitutes your claim against:the City of Dubuque, lowa. . You should
camptete this form in#ull and attach any additional"informatian`that supports yaur claim.
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The Glaim must b�filed vuith the City Clerk a�CEty Hall, 50 W. 13t�' St., DubuqWe, tA 52C301. It �!
wil� then be refecred by the:Cety Council to the appropriate,department for investigation. li
Once that investigation is oompleted, a report and recommendation witl be submitted to the
Gity CounciL You will be provided with a copy of that report and recommendation.
THE FfNAL DEGISION QN ALL CLAIMS IS MADE BY THE CITY C011NCIL. Nt3 EMPLOYEE t1F ,�'
THE CITY 4F DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATIQN TO YC1U '
AS TO WHETHER YOUR CLA1M WI�L QR WILL NOT BE PAID.
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1. Name of Cl�irr�ant: �-aS�rS �� �'lC� ��Q_� '��..'�o t�"✓1 �
2. Address: � ��� ��+.a�� �C�• �
�ity: �t,�,l�c,c� � state: .�ow�- zi�: 5ac�o J
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3. Telephone Number; �f� 3- J��S c�o�� '
�. D�����a�Cf��n�. �5� l - f� �. �- � - � c��-���
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5. Time af Incident: C�l,��'1 C�'N�1�
6. Locatian of tncident(Be specifFc): t r 1
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7. DESGRIBE ACCIDENT OR ClCCURRENCE THAT CA.USED INJURY C}R DAM�GE. (Give �
fw�t deta�ls upon which you base yaur cfaim. tf a City employee was inva�lved, give the
employee's name.)
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�o�� ���-��h (r,�P�a.►�c� a �, , uti5 �.o(� da.���n. -t� �,e ��p'�
8. What were wea#her conditions like? �Li-Y"kr'��
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J. Give name and address af any witnesses: � .�1 Y k�I� '��`Y` � �S �
10. Did police investigate? (1#so, give names of officers.)
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�1. 1lVas arryorte injur�d? (If so, give n�mes, addresses, and extent of injuriesj.
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'!2, Was any darnage done �c� prc��e�ty? {If se►, ,des+eri�ae property and ,�.h� extent ofi
damage�, Attach est`rrnat�s crfi c��m�ges ,rar;des�ribe; lbas�s for ;ascertaining=exter�t of
d��rt��e,�
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�3, What�ther damages do y�u+claim, if�ny� �„"�;V�-'
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14. M�ue �ou b�en c��pensa#ed #c�r any par� or al[ of your claim by �n� in�urar�ce
cc�mp�a�y'� �'If sct,�i�re �anme,and�ddre�s�f inse�ra�+�e c�tnpa�y ai�d a�cs�ant�aa�d.}
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'15o What art�octnt c�o youi +c1�ir�t frc�m the City c�f E?ubuqu�'? .
'1�,�tVhy dc►you c��im�he City tt#1���uqw� is:respons�#�le'�. � " �. ; �.'. '.
1�. Hav���u mad� any c��im �ga�insfi any�ne else f+�r darrr�ages as a re�ult of�hi� i��id�nt?
(lf ye , give narne and address.� _ `
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1#�. 1f the at��wer #o Question 77 i� y�; have y�u r�eceived any paymer�t �rorr� �ha# se�urce;
and if;�0,ir� wt����rnount? _
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�a�ed��k C��buque.�lor�ra this r,r�� d�y c�f���,..,.�,....�..a 2{?��. ,
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Con�identia�l
This cc�mmctr�ica#ion and arty �►�kachments may cor�tain in�'�rm�tion which is confic�er�tiaf
ar�d privil�e��cl by la�r and i� fic�r the u�e of the de�ignated r�e�ipie�rt. Ef yc�u are ncst the
ir��erad�d �°ec�p�ient, yo�o �r� hem�eby rz�tif�ed that y�cau hae�� ��ceived �hi� c�rnr�t��i�ati€�n in
error, ��d fiha#any review, d�s�lc�s�ar�, dissemir+a#ian, distr�batNc�n or copying of its contents
is �ro#�+b�ted. Pl�a�e t�ot�fy Ci#�+�f Dc��uque imr��:d�at�ly by #elep�ho�� a# (563}-��9-4�20 c+#
���� ��e9pt c�f ��� �tsm� ��d d+�s#roy #� �e�r�r�r����cati+a� ar�d �y ��a�c�r��r�ts
immedi�tel�; Further dis�larsur� d€ this inform�tion 'may vic�late state �nd fed�ral
r�strietitsns.
Gor��t�entaa�i�fc�rmatian may i�cluci�#he�ollowirrg: :
1} �c��ial ��curity Number(s) � •
2} M�di�al/H�alth Informafiipn �
3� Per�c+nnellDis�iplinary#nforma#ic�n � � . ; , � .. .
�} 8�nk l�ccc�ur�t Ir�ft�rmatian r
5� F��an���llr��c�r��#�an
�) �redit C�rd Numbers a.._.
�f�ny docum�:rtt�tion yau desire tc� �ubmifi tc�the �ity t�f Dulau�que cernt�in� �r�p e�f t�se item� �b�ve
t�is �cc�v�r sf��e#'rnust be �t���h�c#^dir�ctl�t fio°the'ctanficl+�nfiial inforrr�at�on ared indicate'the ty�ae of
informati�n �hat is included.
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I, , F�er�by certify tha� the at�ach�c! d�icurr��r�ts
inc�t�de the fc�llc�wir�g protected in�ocrr��tian: . , `;� � . , .
Sc�c�al Security 1��mber(s) B�n�A�co�nfi Infc�rr�nati�an
��e���al/#���a3#���#�r��t�c�� F���ncia��t�#t�o-�a#�c��
�'ersonr�elll�isc�plinary Enfarrriafion_ Cc�dit Card Number(s)
I unci�r�fi�nd that t�t�� infc�rmation m�y b� distributed witF�in tlhe Gity�ir�a'riizatia��i�r te�`��er�ts iaf`�he
�ity for processinc� and � hereb�r aufihr�rize the City #c� �ct accordi�gly #aking all precautir�ns to
protcct�ray�nform�tian frc�m unnece��ary`distribufi€�ns
Signatu�-e D�t�
Copyrighted
September 17, 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: William Baum
for vehicle damage, Jerald Kinsella for property damage,
Gerald Klein for property damage, Lynn
McCormick/Partners Mutual Insurance for vehicle damage,
Abby McGrane-Ralston for vehicle damage, David Prince
for vehicle damage, Steve Ruden for property damage,
Daniel Scott for personal injury/property damage, Sisters of
the Presentation for property damage, Morgan Weaver for
vehicle damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
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THE CTTY OF ,, �
T��.JB E MEMORANDUM
Masterpiece on the Mississz�i �
TRACEY STECKLEIN '�' II
PARALEGAL �
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To: Mayor Roy D. Buol and C
Members of the Cifiy Council �
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DATE: September 6, 2018 y
RE: Claim Against the City of Dubuque by Sisters of the Presentation {
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Claimant Date of Claim Date of Loss Nature of Claim ��,
Sisters of the 09/05/18 08/16/18 Property Damage �
Presentation '
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This is a claim in which claimant alleges that the canopy covering the front entrance to �!i
the Sisters of the Presentation building was damaged when a City Jule bus pulled under ',�;
it and struck it..
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This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa 'i�
Communities Assurance Pool. ,7
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cc: Michael C. Van Milligen, City Manager �
Russ Stecklein, Transportation Services Field Supervisor �i
Jean Lange, Sisters of the Presentation '�
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OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
Su�rE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944
TE�EPHONE (563)583-4113/F,vc (563)583-1040/EMai� tsteckle@cityofdubuque.org