Claim by Marc Zugenbuehler Copyrighted
July 1, 2019
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Lilly Michele Reed for property damage; Marc
Zugenbuehler for vehicle damage; Frantz Family
Properties, LLC / CHS Forwards, LLC vs. City of
Dubuque, et al. for conveyance of real property.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Reed Claim Supporting Documentation
Zugenbuehler Claim Supporting Documentation
Fran�/ CHS Forwards vs. City of Dubuque, et al. Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA I�
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This written report constitutes your claim against the City of Dubuque, lowa. You should ,I
complete this form in full and attach any additional information that supports your claim. ;,
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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 compie�zc�, a r��ort and r�cts��n��ed�#�o� ���s �� S��mitted to the �;
City Council. You will be provided with a capy af that report and recommendation.
THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF �
BU UE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU I
THE CITY OF DU Q
AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID.
1. N
ame of Claimant: �lr G �v� n � °�'� ���.
2. Address: 5 � �
City:
�/ � State: �u�'�'t. Zip: ,��� �
3. Telephone Number: ��P�� �� (��
4. Date of Incident: !�"�'���
5. Time of Incident: �g �f �
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6. Location of Incident (Be specific): ��� ��� ��
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7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give
full details upon which you base yaur claim. If a City employee was involved, give the
employee's name.) �r�� .
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8. What were weather conditions like? '�
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9. Give name and address of any witness .
10. Did police investigate? (If so, give names of officers.)
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? If so, describe property and the extent of '�i
12. Was any damage done to property. (
damages. Attach estimates of damages or describe basis for ascertaining extent of �I
damage.) `�
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�3, What other damages do you claim, if any? �i
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14. Have you been compensated for any part or all of yaur claim by any insurance
company? (If so, give name and address of insurance company and amounfi paid.)
15. What amount d yo claim f o�the City of�Muq e? �
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16. Why do you claim the City of�ubuque is res onsible? Y G�c r� � ���
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17e Have you made any claim against anyane else for damages as a result of this incident?
(If yes, giv�r� e and address.)
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18. If the answer to Question 17 is yes, have you received any payment fram that source,
and if so, in what amount?
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Dated at Dubuque, lowa this day of � �
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Copyrighted
July 1, 2019
City of Dubuque Consent Items # 3.
ITEM TITLE: Disposition of Claims
SUMMARY: CityAttorney advising that the following claims have been
referred to Public Entity Risk Services of lowa, the agent
for the lowa Communities Assurance Pool: Lily Michele
Reed for property damage, Marc Zugenbuehler for vehicle
damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
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THE CITY OF
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I�� E MEMORANDUM �
Maste iece an tJ�e Mississi i '+i
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TRACEY STECKLEIN � �I
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PARALEGAL �I
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To: Mayor Roy Q. Buol and p
Members of the City Council �
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DATE: June 24, 2019
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RE: Claim Against the City of Dubuque by Marc Zugenbuehler �i
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Claimant Date of Claim Date of Loss Nature of Claim �
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Marc Zugenbuehler 06/24/19 04/25/19 Vehicle Damage i';
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This is a claim in which claimant alleges that his vehicle which was parked near the.
intersection of Marshall Street and Rhomberg Avenue was struck and damaged by a City
of Dubuque fire truck. � � ��
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This claim has been referred to Public Entity Risk Services ofi lowa, the agent for the 9owa d
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Communities Assurance Pool. ;
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cc: Michael C. Van Milligen, City Manager �i
Rick Steines, Fire Chief '
Marc Zugenbuehler �
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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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