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Claim by Donna Pilgrim Copyrighted November 19, 2018 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUMMARY: Kevin Lutgen for vehicle damage, Donna Pilgrim for vehicle damage, TFM, Co., for property damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City Attorney ATTACHMENTS: Description Type Lutgen Claim Supporting Documentation Pilgrim Claim Supporting Documentation TFM, Co. Claim Supporting Documentation � i . � : • � � � � �r ` .f i �.. � �� ": i ..f . � ! � .� t !�� � !�-. �. • � �t � ...!��` ' - ' t� . + 4 . �. � � . .� , ! 7 �-� ,�� . r !.-. ,. � �t r�. � � �♦ ,:i -, .: f ' " � .� � . .1�.. # . �.�,. � '. ". 4. f.. i � i ..�. f�#�. ��! � R " l:.� ,��Y :� . • .. �� . ..^ �. Y . . ..��.�..�.i�.. # . .. i. - .•: 1 . .• � �,�. �. �.� �• � i . . . . � r . , �... I� • ...;.,: :. �.� � .. � : ... Ik. � # � . . �. '� !. �..• . �.�-�� , E't��. i, . . .'. t�M. .. ; .. l -., i �.• � f �.� .•. . y � i ! i A i � � � « " :� ' • � �.,. , �M.. � . .�. x �: .� .A. . � .• � �. � �.. t - . ' w. w. � . a... .' �. ,r * �� . y � � �. .' � A �. � . .� .* �. � j i � � r r .� .,...� ��.� � � • i �r • ,� ,,. . ^ � � . _ t r , ; , � +r � , * � . � ,4 , i � , , , � ... w...a... �.� ..�..� +� • ':. �.i� .�' ; :� C^ � ' :� .« .�..�. . :,..: ' � .; ... , � , ,. � .. ~ � a. �� � � ��> 1I � , Iw.� 4 ' S � �.� � �r w�.�. . 1. Y .. .:�.�. 'r �' �.f , 1 . . �x • i - . � � r e:, - t . , - � • • • , N - E � . . r '�r : � + ; ; � � � R � Y/ ► ' � r � ..� .y .� : .. . ^ . . � ...� � } � t �..., y,� - � E • - _ � . r . • . . . - �. .1 �. i i • c w • . • • r • i • - +r r r . r � � # � 12. 1Ptt�s �ny c���nage done �c� properly'� �1fi sc�, d+escribe prop��ty and the +��ctent of damag�. A�t�+�h ��timates of �dar�a�g�s ar describ� ba��s f�r ascertair�in� �xte�� gf � dam�g�.} �.L3 I�... �t C�,.. ...��C�f�`.�.n-�s �-l.5��" �.h��e -� �t`z-E. �rt�.m � � �c: �t �.t ft'�.. a�Cx�'P'�St���.. �-���-e'" �uc,�rt �iL>[�C 1,�.�a�l_.�.... ��� �?f��"[a�r �1�, What otl��r c�amages dc�yc�u cM��m, i#ar�y? , ��r� �4. H�ve �rc�u been �c�mpensa��d fc�r any part or �1� of yc��r ctaim by any insu�an�e ccrmp�n�? �If��►, �ive ��me �r�d �ddr�ss of in��ran�� eamp�r�� �nd �mot�nt p��d.} i ' i 1 S. 1Ndhat arnou�t dc�you claim firom th� Ci#�r af��bu�+que'? , � 9 N-. T ���,�r����'- c�!_�r�z� � ' rrn�:�- n�.L�.z,��. � , �6, V1d1��O d+�r�au +cl�im the City of D!ub�aqu� is resp�n�ibl�'? � °.�.._ __......_= a �e_ r�e..�'° l �-� �� �`►e� � C,c..a,�,-� � � �l' .e�o�-s..� a-�-h�� Ir��.f�P�g�-� , f�� . � 17. Hav��y�uc� mad��ny claim agair�st ar��o�e else fc�r d�ma��es a� a result of t�i� incident? � �1f y�ss, �ive r�arr��and addres�.} � � � �.L. t,a.� ` �. r"a �a�.. e �.l�.r rr,� �G� .s:.�,. ] 98. Ifi th�e an�vwr�r t� Questian �7 is yes, have }�aa r�c+�ived �ny p�ymenfi �rcam that �c�ur�e, � �nd if�ea, in wh���r�t�t�nt? � �i Clated at CJt�buque, lov�ra th�s!�day c�f Ov t��- .�,� , 20 �� . 4 _.�---.a..� 4 �a�gnafiure� ���f'2�''kL�... �= t`'/�...�t�' � {P`�int Nam�) J :�� �� � � ���''� �-w; �.� � �, � ��� ' ��µ�5 �� � L. ., .is..ui �,.,h ��f tlf�eV. 5/18� '`� c,�� �. _� � �' � p � { ` ,� .�` �N{ �� � � § Copyrighted November 19, 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: Kevin Lutgen for vehicle damage; Donna Pilgrim for vehicle damage; and TFM, Co. for property damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Staff Memo � � � � THS CITY OF r,,,, � 4-�/ � � � L � 0 1\ � 1 `I � t.J � I i Maste�piece on the Mississip�ai � TRACEY STECKLEIN �p PARALEGAL � ��� � 9 To: Mayor Roy D. Buol and Members of the City Council , �i D�r�: November '14, 2018 � RE: Claim A ainst the Cit of Dubu ue b Donna Pil rim � J Y q Y g � Claimant Date of Claim Date of Loss Nature of Claim � .i i Donna Pilgrim 11/13/18 10/28/18 Vehicle Damage % � This is a claim in which claimant alleges that as she was eastbound on US Hwy 20 near ''' the NW Arterial, a temporary signage device blew over onto and damaged the side of j; � claimant's vehicle. '� This claim has been referred to Public Entity Risk Services of low�, the agent for the lowa �� Communities Assurance Pool. '� a � cc: Michael C. Van Milligen, City Manager � Bob Schiesl, Assistant City Engineer � Donna Pilgrim �I i , � , � � �� � � 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 ��