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Claim by Christy Reed Copyrighted September 16, 2019 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUM MARY: Ronald Bahr for vehicle damage, Alec Lee Benson for vehicle damage, Michael Dorr for vehicle damage, Keaton Kephartforvehicle damage, Michael and Jill Pankowfor property damage, Christy Reed for property damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City Attorney ATTACHMENTS: Description Type Bahr Claim Supporting Documentation Benson Claim Supporting Documentation Dorr Claim Supporting Documentation Kephart Claim Supporting Documentation PankowClaim Supporting Documentation Reed Claim Supporting Documentation �- �,� � � �. �� tx�c7S J• t�1oS�-c..,r-rnc�iv�. CLAIM AGAINST THE CITY OF DUBUQUE, IOWA 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 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 completed, a report and recommendation will be submitted to the City Council. You will be provided with a copy of that report and recommendation. THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU AS TO WHETHER YOUR CLAI WILL OR WILL NOT B PAID. • , e� / 1. Name of Claimant: ��,��.� � ,../L`�s �:��„ 2. Address: ��lD_�- ��-�`i.�'i��L�r:L:�i�:..� ..�Jf: City: ��L�.� �.��_ State: �� Zip: t��-��/ '/�1 '7 3. Telephone Number: `j�,_��: ��'�f �1. ��x/�; �. ('.� �� ,�� C' � �'�.e,,Q,., C�YY1 4. Date of fncident: � �� / �j 5. Ti m e of I n ci de nt: �=-�- :�.-�t��'�, � ; �� -- �3;�� g�� 6. Location of Incident (Be specific): /�,�)�,��a� �� .� �' � ��,, �,,� � � � �; � < . �1�.. ``��°�,�C � `��.�.�,��° �'.� �> ��,,� �� 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give full details upon which you base your claim. If a City employee was involved, give the employee's name.) �'� ° �; ��ir�'�'�:.��'` � ��-�i /C"�.�s�''� l�%S i.uS��` C� ��i-" �1°'1 _�ir`i' �_Lr.� !� � �Q,�" 'e'iy.�. ��1�'Q��..�t� CL�� ''c�l�.e��r.,�'. /'� �e.�e,� Lr,r� <t � 8. What were weather conditions like? ��.� - d �'`� G ,� � , �° ''��;' � � " �°� � � ��a1 �.. 9. G,iqve name and address of any witnesses: ��,��~��S�y-��,�.��, � )�'�"�p��/�-- ��j�,��,�� g,� PA_fr�'4! `"9 �flL�_�l h'�� I/��f f�l.�'�!� -��YA,.� CJ :�l��L.'�� :Fi�� ,�i�,��-1`i"6� L.)i�.�'.f f`I� �A.!'.s ." ��E ( �. � �� DU�✓�� ati�Si�e 10. Did police investigate? (If so, give names o�'officers.) r�, � �� ,, .e�e"li� �;s�ri�i _�_ :�l'��"7s�— ��._T_� 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). � �, i., �'1i'c�� .�k.-�- �-. �'n��' �'�- . 12. Was any damage done to property? (If so, describe property and the extent of damages. Attach estimates of damages or describe basis for ascertaining extent of damage.) �� .�� 1��;��-- L�� ;��-�'�� a�' � . .��...�C�,�� w P , � �� . 13. What other damages do you claim, if any? � � �'�_��°,�,� �j�rg-�o; ��-� �� ` �� a�-'�� %�" =' � . ��z�� /�L��s l�f q- �s��- ��za�S ��f� �.��,e� f� . , 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.) ��-. 15. What amount do you claim from the City of Dubuque? /� � �� `.�� ? 16. Why do you claim the City of Dubuque is responsible? i �' V��!� '`t��1 �.�� : �� 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) l�ia, 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? � da�, Dated a# Dubuque, I�wa #his �� of � ��ip` , 20 0 �. �'�� ° �1�...�"� Si nature � 9 ) �. ,� C7 cn �'��LS� :� Y !�1 /� �:�.;.d� (Print Name) `=��`` c-`f'� �' � N, � � �} �:,- �� u'. zJ � � r � ;�1 �', _'' N C� (Rev. 5/18) � � Confidential This communication and any attachments may contain information which is confidential and privileged by law and is for the use of the designated recipient. If you are not the intended recipient, you are hereby notified that you have received this communication in error, and that any review, disclosure, dissemination, distribution or copying of its contents is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of your receipt of these items and destroy the communication and any attachments immediately. Further disclosure of this information may violate state and federal restrictions. Confidential information may include the following: 1) Social Security Number(s) 2) Medical/Health Information 3) Personnel/Disciplinary Information 4) Bank Account Information 5) Financiallnformation 6) Credit Card Numbers If any documentation you desire to submit to the City of Dubuque contains any of the items above this cover sheet must be attached directly to the confidential information and indicate the type of information that is included. �� , hereby certify that the attached documents include the following protected information: Social Security Number(s) Bank Account Information Medical/Health Information Financial Information Personnel/Discipiinary Information Credit Card Number(s) I understand that this information may be distributed within the City organization or to agents of the City for processing and I hereby authorize the City to act accordingly taking all precautions to protect my information from unnecessary distribution. ��:�.- . �� - � �-i Signature Date Russell & Chris Reed 3105 Brunswick St Dubuque IA 52001 (563)599-8610 At approximately 2:45pm on Thursday July 2, 2019, I went downstairs to tend to what I thought was a clogged toilet. However, my assumption was totally wrong. Tschiggfrie excavating was replacing a pipe down the street from my home and broke a sewage pipe which in turn forced human waste (feces and urine) as well as 4-6 inches of sewage water throughout the lower level of our home. This sewage waste entered through every floor drain in our lower level. It came through our toilet, shower and our furnace. I walked desperately walked down to find out what was going on and to request that our water be turned of£ I was informed by Tschiggfrie that they had to wait for soineone from the "City Street Division" to come shut it off as Tschiggfrie did not have the authority to do so. At 4:OOpm Service Master arrived in our neighborhood to start the cleanup process, but they started with smaller jobs in the neighborhood due to the number of employees they would need to start the cleanup process at our house. At 5:30pm Service Master had to stop working due to Tschiggfrie hitting a gas line in our neighborhood. A few of our neighbors had to evacuate their homes. Black Hills Energy worked on the gas leak until well into the morning hours of July 3, 2019. I have attached photos of the mess that this created in our house along with the list of personal items that were a total loss. Some of these items were extremely sentimental and can never be replaced due to Tschiggfrie's incompetence in them doing their jobs. I have also requested quotes and bids from a contractor, Rick Schmitt, to see what it will take to get our home back to a safe and clean environment that we can live in. If you have questions or need further clarification regarding our concerns in order to process this claim, please feel free to contact me. Thank You, Russ & Chris Reed *Please note: On July 9, 2019 there was another gas leak due to Tschiggfrie working in our neighborhood. Copyrighted September 16, 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: Ronald Bahr for vehicle damage, Alec Lee Benson for vehicle damage, Michael Door for vehicle damage, Keaton Kephart for vehicle damage, Michael and Jill Pankowfor property damage, Christy Reed for property damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Staff Memo � � i THE CITY OF ( i...d � Lt � � � 0 1� � 1 \ � iJ � � i Mc�sterpiece on the Mississi�pi i i I TRACEY STECKLEIN �'�� , PARALEGAL ; I To: Mayor Roy D. Buol and I Members of the City Councel ' I ; DATE: September 4, 2019 ; � . , R�: Claim Against the City of Dubuque by Christy Reed ; Claamar�t Date of Claim Date of Loss Nature of Clairra � � i Christy Reed 09/02/19 07/02/19 Property Damage , ,� This is a claim in which claimant alleges that a City sewer line backed up into claimant's � lower level of her home at 3105 Brunswick Street. ! i This claim has been referred to Public Entity Risk Services of lowa, the agent for t1�e lowa � Communities Assurance Pool. ; I � cc: NEichael C. Van Milligen, City Manager ' Denise Ihrig, Water Department Manager ; Arielle Swift, Assistant Public Works Director ! Christy Reed ; 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)553-1040/EMai� tsteckle@cityofdubuque.org ;