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Claim by Kelly Keenan O'Rourke Copyrighted February 4, 2019 City of Dubuque Consent Items # 3. ITEM TITLE: Notice of Claims and Suits SUMMARY: Paula Beecher for vehicle damage, Robert Decker for vehicle damage, Eagle Window& Door, Inc. for property damage, Patricia and Lyle Galliart for property damage, John Kirk for vehicle damage, Kelly Keenan O'Rourke for vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City Attorney ATTACHMENTS: Description Type Beecher Claim Supporting Documentation Decker Claim Supporting Documentation Eagle Window& Door Claim Supporting Documentation Galliart Claim Supporting Documentation Kirk Claim Supporting Documentation O'Rourke Claim Supporting Documentation t � �� � r�.�� � CLA1M AGAINST THE CITY OF DUBUQUE, IOWA �. �,15;�.� This written report constitutes your claim.against the City of Dubuque, lowa. You should complete this form in full and attach any additional information that supports your claim. The Claim must be filed with the City Cierk a# City Hall, 50 W. 13t" St., Dubuque, IA 52001. It 1 will then be referred by the City Council to the appropriate department for investigation. � Once that investigation is completed, a report and recommendation w,ill be submitted to the � City Council. You will be provided with a copy of that report and recommendation. - I THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE HAS THE AIJTHORITY TO MAKE ANY REPRESENTATION TO YOU ' AS TO WHETHER YOUR CLAIM WILL O WiLL NOT BE PAID. ; � 1. Name of Claimant: �: �,, �, P� �.,> ) � � 2. Address: l�d� � ! �S e��� I� � City: State: �_�-- Zip: ��� � � !I � 3. Telephone Number: _,.�'� ��- ����"- � �°�� i 1 4. Date of Incident: � ��' /� �.:� / � I ',i � 5. Time of Incident: i � ,F��C� � . �°',?``�1 ��;i � �� 6. Location o# Incident (Be specific): ��-,,�-���,/" �r��,,��, I� j �' 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give � full d�tails upon which you base your claim. If a City employee was involved, give the '�' employee's name.) C�t i �� bl '1.�+T � C" J ` ' C� _ ., � J t.�' I G'. . � �� �J � � � :� �. ,��,���C;._ , ... c. . ) I � �.`i � '�� � Rf�-a�'`�'v°°°"! 8,.y�' z � �' 3 �"1""f� '� � � c�� 1 �„�}—Ih�p"E� _' �r€��et' n� ���"re.s�I�a n r r� ��.,n�,. �:� �:, � -�-�� �'�'� sa+r��..S I�e � �. ��P� ►m-�._ .� � � . 8. What were weather conditions li�Ce? �� � �,�� � � � � .9 9. Give name and address of any witnesses: � c;- � 10. Did police investigate? (If so, give names of officers.) � � �- rs-��.����'"' !!�°:c- ��� �� 1�,�2�,!"' �.�.���� ` c:a/� C�C'� .�"� � .a '11. Was anyone injured? (If so, giv� names, addresse�, an� extent o# injuries). � � c� � � 12. Was any damage done to property? (if so, describe property and the e�ctent of damages. Attach estimates of damages or describe basis for ascertairring extent of - damage.) _ � ' �; � �..-�--..�.�-:- : �e: � � rs � � � _ - - `- - � ���I �C.�:�G �' � " - I � �"� II �.. — � � 13. W t e hat o h r damages do you claim, if any. ����,�� � . ��� � 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.) i; � , I� �re c� � � �;� 15. What amount do you claim�,�rom the City of Dubuque? , -�r � '� , t^ ; i '�6. Why do you claim the City of Dubuque is responsible? ; �.��rr+e�s e?..� �+��,r�,� --�� t't°�,dd �,.,€�' ' I 1 � � 17. Have you made any claim agains# anyone else for damages as a resuit of this incident? I� (If yes, give narne and address.) ' �� F �I 18. If the answer to Question 17 is yes, have you received any paymen't from that source, jl and if so, in what amount? : �'i 4 e � � � Ga�ed ai t7ui�uque, iowa this I"'7 da� 07_ ���,�„��,,,�„r , 2� I `� . � _ e � Si nature � � � � ) � 1 � �� � � m.�, �� ` l (Prinfi �lame) �� � �' � � ��� `� c�`� � �� � ..., , vR;_ ,-�-� c� �,,,' .� �� ; �'�� �..�� ; � � �.� s c-; �..a c� ��.,, � (�ev. 5/18) i . � r � ; � ; , I ; Copyrighted February 4, 2019 City of Dubuque Consent Items # 2. 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: Paula Beecher for vehicle damage, Robert Decker for vehicle damage, Eagle Window& Door, Inc. for property damage, Patricia and Lyle Galliart for property damage, John Kirk for vehicle damage, Kelly Keenan O'Rourke for vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Staff Memo � I> THE CITY OF �� � � MEMORANDUM � MasterpTPce on the Mississippi Y�f� 1 RACEY STECKLEIN �'�J''' PARALE A G L I To: Mayor Roy D. Buol and �� Members of the City Council �I �i DaTe: January 23, 2019 IIf � � � Re: Claim Against the City of Dubuque by Kelly Keenan O'Rourke '" ',I Claimant Date of Claim Date of Loss Nature of Claim I� Kelly Keenan O'Rourke 01/17/19 01/15/19 Vehicle Damage !, ��I This is a claim in which claimant alleges that as she was driving south in the 2200 block ', of Carter Road, a City of Dubuque police officer while running radar attempted to make a ! U-turn in a squad car from a parked position, causing clairnant to strike the squad car. This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa i Communities Assurance Pool. I cc: Michael C. Van Milligen, City Manager � Mark Dalsing, Chief of Police a Kelly Keenan O'Rourke 4 ,� � 1 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