Claim by Suan Beckman Copyrighted
August 19, 2019
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Susan Beckman for property damage, Mike and Jeanne
Duggan for property damage, Brian Feldman for property
damage, Bill and Kathy Miller for property damage; Tiffany
Anderson vs. City of Dubuque et al.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Claim by Susan Beckman Supporting Documentation
Claim by Mike and Jeanne Duggan Supporting Documentation
Claim by Brian Feldman Supporting Documentation
Claim by Bill and Kathy Miller Supporting Documentation
Suit by Tffany Anderson vs. City of Dubuque, et al. Supporting Documentation
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CLAIM ACAINST THE CITY tJF DllBUQUE, I�WA
This written report constitutes yaur claim against the City of Dubuque, lowa. You shauld
complete this farm 'rn fu11 and attach any additional infarmation that supparts your claim.
The Claim must be filed vtrith the City Clerk at City H�II, 50 W. '13t�' St., Dubuque, IA 5200'1. It
�nri!( t�er� b� r�ferred �y th� C�4y C��s��;l ta the ���r�priate c�ep�r�rr�er�� �ror inves�igatian.
�nce that irtvestigation is completed, a repc�rt and recammendation will be submitted to the
City Council. You will be provided with a copy of that repc�rt and recommendation.
THE F1NAL DECISIC7N C}N ALL Cl.AIIVIS IS MADE BY THE CITY CC}UNCIL. N{� EMPLOYEE C}F
THE CITY OF DUBUQUE HAS THE AUTH�RITY TO MAKE ANY REPRESENTATlON TC} YC}U
AS TO WHETHER Yt�UR CLAIiV� W1E.L t�R WILL NOT BE PA1D. �
"1. Name of Claimant: C���G � �3"�7��''l ����i`�
2. Address: �� ��? ��'1�2.. ��
City: �:�'�l,4 U-� �� State•�� ��p; �).�C1 Q,f
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3. Telephone Number: �,��r��'�� "�'����� '
4�. aate o� tncic�ent: _ C�'���1 �'
5. Time af(ncident: _ �
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6. Location of Inciden# (Be specific}; ,��� � � !
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7. DESCRIBE ACC@ENT tJR t7CCURRENCE THAT GAUSED INJURY UR �AMAGE. (�ive
full details upon which you taase your claim. If a City empEoyee was invotved, give tne
emplayee's name,a � e,
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8. hat w�re weather condition�s like? � ""����2
9. Give name and address of any witnesses: -
10, Did police investigate? (If so, give names of officers.}
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'11. Was anyone injured? (ff so, give names, addresses, and extent of injuries}p
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12. Was any damage done to property? (If sc�, describe property �nd the extent of �
damages. Afi�ach esfiimates of damages or clescribe basis for ascertaining extent af �
damage.) "
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13. What other dama�es dc� you claim, if any? �t��—�'t r �� �
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14. Have yau been compensated far any part ar al� of your claim by any insurance �
company? {If sa, give name and address of insurance company ar�d amaunt paid.} u
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1 S. What amount do you claim from the Gity of Dubuque. � �
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'16. Why do y�ou ctarm the �ity of Dubu ue Is sponsibf �' '
`���� ���.f '�' .�y�, �"��.�Y�.-�� ?
: � ��r� � : ��`r �e cy�`�. ' ;`: �
1 T. Ha�e ��de any claim again�# anyone else for d�mages as a �°est�lt o�this in�ident'? �
(If yes, give name and address.} �
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• 18. If the answer to Question 17 is yes, have you received �ny payment from that sc�urce, �
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and if so, in what amaunt? ��� �
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Dat�d �t t�ubuq�e, lowa thas � � day of * -`' �` , 20�� ;
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{Rev. �118} � � � �
Copyrighted
August 19, 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: Susan
Beckman for property damage, Mike and Jeanne Duggan
for property damage, Brian Feldman for property damage,
Bill and Kathy Miller for property damage
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
THE CTTY OF
I�LTB T..TE MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN �'�
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE: August 12, 2019
RE: Claim Against the City of Dubuque by Susan Beckman
Clairr�ant Date �f Cla�m �ate o# L�s� IVa#ure of Claim
Susan Beckman 08/09/19 08/06/19 Property Damage
This is a claim in which claimant alleges that Public Works refuse collection staff disposed
of a 15'/2" rubber tile during refuse collection that claimant had placed on top of recycle
bin lid.
This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa
Communities Assurance PooL
cc: Michaei C. Van Milligen, City Manager
John Kiostermann, Public Works Director
Susan Beckman
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