Claim by David and Connie Cole Copyrighted
August 5, 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: David and
Connie Cole for property damage, Dave Hubanks for
vehicle damage, Mason Kobliska for vehicle damage,
Robert Monthey for vehicle damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
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CLAIM A�AINST THE CITY t�F L}UBUQUE, �{�WA ������,� �t�'�5
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This written repflrt constitutes your claim,ac�ainst fihe City of Dubuqtae, Ic�wa. Yo�- ho�ld �- �
camplete #his form in fu11 and afitach any additional information that suppor�s your c�aim. �
The Claim must be filed wi#h the Gity Clerk at Ci#y Ha1t, 50 Vil. 13t�' �t., Dubug�e, IA 5200't. It ,
will then be referred by the City Council ta the appropriate department fc�r investigatic�n. �
C}nce thaf investigation is completed, a reparfi and recommendation will be s�bm�ffed to t�� �
�ity Council, Yau will be prc�vided with a ct�py af that report and reccsmmendatic�n.
TH� FlNAL DECISItJ� U�1 ALC. GLAIMS IS MADE BY THE CITY CQUNCIC�. i�0 EMPLOY�E tJF
THE CITY OF DU�llQUE HA5 THE AUTHC�RITY TC} MAKE ANY REPRESENTATIC}N T(3 YOU
AS TCJ WHETHER YC}Ut� GLAIM 1NILL OR W1�L NC}T BE PAID. �
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"�. Name of Claimant: _:, �_r�. a�� i � � �e� �. �;� 4.�� �.�;� '
2. Address: � �: �t r�� ���'". �
City: ���.�. � State: ��.,� Zip: ��...�t�� i
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3. T�I�phone Numbei-. ������" �:��� � /�,,� �
4. Date of lncident: '� � � �'�/
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�. Time ofi Incident: � �,� � � '��~ � � ' �� � �.. ���� ;,
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�. �ocati�n of Incident (Be �pecific). ��e,��-�,����_ t���G�-�- ���`�a�r^ �� ��„��.���:��,.�" �'� `
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7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY C�R DAMAGE. {Give �
fu11 details upon wh�ch you base your claim. If a City employee was invalved, �ive tl�e ;
employee's name.)
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8. V11hat were wea�her condi#ions like? �-.�� �� '�S � e���d.���. ��`e��i ��em��s�=�. ;
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9. Give name and address. o�any witnesses: ` ��- ,� '
'�0. Did police investigate? {If so, give names of officers,) I�,
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11. Was anyone injured? (If so, give names, addresses, and extent crf ir�juries).
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12. Was any damage done �o property? ([f sQ, describe prc�perty and the extent of �
- damages. Attach estimates af damages ar describe �basis for ascertaining exter�t of �
� � damage.} � �
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'!3. What other damagas do you claim, if any? ` d $� �� _ � �"�-- t � ���' ;
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14. Have you been compensated for any par� or all of your claim by any insurance �
company? (If sa, give nam� and address of insurance company and amount paid.) �
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16A iiVhy do yoe� clairn the City of Dul�uque is respon ��Ee? �a"� r
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'17. Have you made any claim against anyone e�se for damages as a resu[t of this incid�nt'? �
(If yes, give name �►nd address.} �
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18. If the answer to C�uestion 17 is yes, have you received any payment from that source, �
and if so, in what amount? � �
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L�ate� �t D�b�q�a�, I��a ths d�;� s�f ��... , 2�
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Copyrighted
August 5, 2019
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: David and Connie Coleforpropertydamage; Dave
Hubanks for vehicle damage; Mason Kobliska for vehicle
damage; Robert Montheyforvehicle damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Cole Claim Supporting Documentation
Hubanks Claim Supporting Documentation
Kobliska Claim Supporting Documentation
Monthey Claim Supporting Documentation
THE CITY QF J,.
��T� � MEMORANDUM
1Vlc�sterpiece on the Mississippi
TRACEY STECKLEIN �
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council !;
DATE: July 29, 2019
RE: Claim Against the City of Dubuque by David & Connie Cole
Claimant Da#e of Claim Date of Loss Nature of Claim p!
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David & Connie Cole 07/29/19 07/02/19 Property Damage �
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This is a claim in which claimant alleges that a City sewer line backed up into claimant's i
basement at 350 Edith Street.
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This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Denise Ihrig, Water Department Manager
Arielle Swift, Assistant Public Works Director
David & Connie Cole � �
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 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