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Claim by Rebecca KruseTHE CITY OF DUB UE MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL To: Mayor Roy D. Buol and Members of the City Council DATE: March 5, 2010 RE: Claim Against the City of Dubuque by Rebecca Kruse Claimant Date of Claim Date of Loss Nature of Claim Rebecca Kruse 03/01/10 02/04/10 Vehicle Damage This is a claim in which claimant alleges that as she was stopped for a stop sign on University Avenue near the O'Hagen Street intersection, a City of Dubuque police squad car struck the rear of claimant's vehicle. This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Mark Dalsing, Chief of Police Rebecca Kruse OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001 -6944 TELEPHONE (563) 583 -4113 / FAx (563) 583 -1040 / EMAIL tsteckle @cityofdubuque.org CLAIM AGAINST THE CITY OF DUBUQUE, IOWA � �J This written report constitutes your claim against the City of Dubuque, Iowa. 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. 13 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 CLAIM WILL OR WILL NOT BE PAID. 1. Name of Claimant: Qchcec -- 2. Address: II21'S Go 3. Telephone Number: ( 5I`.7) X - 414 2 ) 4. Date of Incident: 2 tb d I O 5. Time of Incident: 1 (D = Z� 6. Location of Incident (Be specific): lx fl r J- er .lrr� - � ✓St[��"1 �� ,� nkcsn 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.) T 03ct . reDir - 3- 'c V U ndccl(v k k - 8. What were weather conditions like? l.r -✓ Oka 9. Give name and address of any witnesses: Lad X524 2Z U 0b 10. Did police investigate? (If so, give names of officers.) L �rcw 53:51 - o32Li eat 0l - 1 LC- 0 n e 7-1- hut Cam+ o ► - ►o - 4821 11. Was anyone injured? (If so, give na es, addresses, and extent of incr—ries. 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.) ODOR � Y\-I-c 6 . 4- hury.49): (Etc_ i-c Jl Phi motO 13. What other damages do you claim, if any? (\ors.. 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? u o)N h; �- .i� C■ h L*h; s no 17. Have yo made any claim against (If yes, give name and address.) no 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? (Rev. 1/00 & 7/01) Dated at Dubuque, Iowa this 24 day of Rtbccer&_ Kitt , I , 201© . (Signature) (Print Name) dl 'enbngnp eoujo s iie!0'I!O 11:11 WV I- iVW OL ne for damages as a res bf this incident? 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Nam MIEA04k SELECT AUTO411 MP No i Year I Mold Harm 2004 Toyota -TOY7 MINNA I so VN mod Travel vow. j speed rot& MostDamaged Fat.rltef pkaenen 7 Aden 11 Limn 25 I OVUM Ippect 00 Ana 05 Damage 2 T.4.1 Talent Voriole Carpe grow V.MaI• Oacreaenb 3 metals 04 Cane. 03 T . a 01 Pant 01 Dilvor Condlion 1 sole IMPALA POLICE Aeon Dern.g.d foment or 4 l.J 1 Damage I Dow 01 f common 1 I 0 Third Ewan Fourfl EVerrt City Mamma 0 Creation Charge 2 Citation Ctoug. 3 Cldgan Merge 1 Tow e NO Funata7 • 61,000.40 Cantribugng Clramnotanoes. 01 Culver (up so Iwo) OS Moot Narmtel Event (by vehicle) 21 :fad Yoar emsrgensy F.rmegenry I Yeldele Type 2 st••• 2 SLOE Zip Suet IL 1111936 Glom Chiral 1 Airbag Switch Mmes 0 poetical 1 archon page T TionepQMd Owner pempeny N..I. Apprssimo. Cvx Repair or Hoplage Hazardous MctatJM Rebored? du 8 828 Llama PJata! MP Veer C0014su 1. 2010 Tow! !1O Perrot ammo lIde1 Frivof.7 6100.00 el u rea 01 °Haw nip toa.J 20 Inky Mahn 5 Addlss 11 DR Alamo D.peym.rre 4EGtvd4Ce Cr EVENTS Rest Event 21 Cemelerow Troller Wanes P14le ! Canter Nara. P A r u3130T* err MC! Somme cant &tale Year A44reso This front A lachod to Trager unit NUmher Sr Oros Vanish Aides tinlelghtgoring Fourth Event try Picard P Slab MaatNalmh4 Wont gay 'Plow 21 Vino inergentry Bratliwrey VN7Mb Type 1 Nam 3 Shed Pip Hazardous Milotkii3 Re1.aa.e ate e1Accp L 0210412010 O 0 emldaM ee311034 etpMe d ally *nib NNW gal IMI Ac aMy: C On Rntd 5be.t, or Highway; A UNIVERSITY T O Dolwto. N "1414" u N T 001 N T Mee: W Ww.eekWK emitted at an Ylereadlon which r c.ulpasnag duetted above. use ale apace halms to gin pus nom loaa0on fun a mlapsst or wmebie 110erave ten, yr.dpe, of mflr.N mows using lee dl.Mhaa aid dlwcpam R nacsRwL Difoo02n Mango MECUM "NIA" end "NIA" "NIA" milepost Numbat DMl.hl. Iremmoctlwr. W oge, or reiroea Noosing 'WA" a "" U 04nd.7 data IA I CW.s ISM A Atonal Twr GOMM 1- N014 sating PoNban N1 (Mary status 6 I Occupant r ,at.c0on2 ;on' M: 0.n.•. Noma - Lax Adam, 770 IOWA Nome - Lehi Tkno Az.. sway 11:20 Nn. Dulbutu. - 31 TestRssrrRe; prat DAYD I EildorelopoTOol Reuet•n.ns L 1 0 Drug Teat a Mon? Teat Rolodex 1 -None Printed At Dubuque Pollee Deperbuso t nom= a 000!1 PM FAX NO. Iowa Departsitent of Transportation INVESTIGATING ()FACERS REPORT OF MOTOR VkHICLE ACCIDENT 'N1A" of morose o[y 'N1A' At isiumectIorr Mph; ONAGER C • CharyeC - t 321.201 Citation Charge Cade 2 Cit.hOn CNow ods Clia4.n Charge Cede 4 Aabea Depblm.M 6 111441• Au)drnt xaurled agorae" Nile of 04) Dubuque -2100 Midis THOMA 01,1E AIM amen suns 1 e•• FAILURE rid KAYE CONTROL CltsOon Chugs 2 Creation Charge 3 Clpran Charge 4 game Yt eleolnin Ore»r Gal CXT7 OP Law !MObcaieant Numb= 01 - 10 - 4124 tillIVERS7fYAVE X.C.c *e.br 00/61368 Y- Caardlaata: 13470T821 M DMded I1b11waY. Puavlde Route (Cmdn0) TmvM Moon SD srnn( hleM.ACa P 0A 1 Realm lath 1 Trapped Hawn F nn 01110•41124 1 P. 03 i=c) ACOIOMITENVIRONMENT Loatlrn of first Hernial INint 1 Weather MOW' Mannar of CtaaNCnIabn 3 ( II' fwa) DS II O � ne 1 SimmsCwrJHarw 1 ROADWAY ONARACTOI i T01 Ma* Do i nbuOna 9roraaalmcas: EnvMmwnt 1 Roadm9 01 Typo of Roadway .hrnclondrujr.01 WORIRMaeiELAyera No Location Ttp. Woos PanoN7 S1000MCEOPwow Fat Nalattal port of Crash Ham acdas 11 ii l) 21 12 - 4 0 IK 4 2 I Aabeq R nicer*, E L i elm emar it fst+. .w ... NARRATIVO Desalbe what hammed (Marto e.ldcl.s by number) UNIT 1 WAS MOSTLY S.B. ON UNIVERSITY APPROACHING OHAGEN DR. UNIT 2 WAS ALSO 5.8. ON UNIVERSITY STOPPED IN TRAFFIC FOR THE UNIVERSITY ASBURY INTERSECTION. UNIT 1 WASNT ABLE TO STOP IN TIME, AND REAR -ENDED UNIT2. NO INJURIES REPORTED. MINOR DAMAGE OCCURED TO BOTH VEHICLES. LT. PRINE RESPONDED TO SCENE AS WELL UNIT 1 WAS CITED FOR FAILURE TO HAVE CONTROL OF HIS VEHICLE. Ofterf DOLPHIN NEIL naopr Ha. 21 T 1 Ofaeat *Mod Dr Accident { lc= km Tfrr. 0ffl,arAfflvraAt 9e.aa , 16:91 Mrs. Hams of Agency . Oalbuguer PaNce D.prnffbR.nt WO of Repent 02/04120/0 Iekaeapa6rn fascia at 'canal Y61 T.L a Rrpe,ne Rwlaw.4 P2/' PROM. SOS Dale nivlaw.d 02/0/12010 AOaney loom Other T otanal Iaawpaorlari Aj.ncy FEB -08 -2010 M 1 01 :11 PM -.. Printed At Dubuque Ponce Department 02f0412010 MAW PM FAX NO. Page 2 Funn it al- 1444424 P. 04 02/18/21030 at 02:32 PM 24443 Insured: REBECCA KRUSE Owner: REBECCA KRUSE Address: 11275 GOLFVIEW DR GALENA, IL 61036 Car: (815)777 -4103 Business: (563)543 -7011 Inspect ABRA - DUBUQUE Location: 3400 CENTER GROVE DR DUBUQUE, IA 52003 Insurance - Company: NO. OP. 1 2 3 ABRA - DUBUQUE Federal ID #:420782245 DBA: ANDERSON -WEBER INC 3400 CENTER GROVE DR DUBUQUE, IA 52003 (563)556 -0696 Fax: (563)556 -1899 LIFT GATE R &I Lift gate trim stone REAR BUMPER PRELIMINARY ESTIMATE Written By: JOSH KIELER Adjuster: 1 Job Number: Claim # Policy # Deductible: Date of Loss: Type of Loss: Point of Impact: 6. Rear Business: (563)556 -0696 Days to Repair 2004 TOYO SIENNA 4X2 LIMITED 6- 3.3L -FI 4D VAN BROWN Int:TAN VIN: 5TDZA22C64S075232 Lic: C591438 IL Prod Date: 10/2003 Odometer: 107380 Condition: Excellent Air Conditioning Rear Defogger Tilt Wheel Cruise Control Telescopic Wheel Intermittent Wipers Climate Control Keyless Entry Alarm Dual Air Condition Dual Power Sliding Doors Rear Window Wiper Steering Wheel Controls Parking Sensors Message Center Body Side Moldings Dual Mirrors Privacy Glass Console /Storage Overhead Console Woodgrain Luggage /Roof Rack Electric Glass Sunroof Fog Lamps Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Driver Seat Power Mirrors Heated Mirrors AM Radio FM Radio Stereo Cassette Search /Seek CD Player CD Changer /Stacker Premium Radio Anti -Lock Brakes 04) Driver Air Bag Passenger Air Bag Head /Curtain Air Bags Front Side Impact Air Bag 4 Wheel Disc Brakes Traction Control Leather Seats Heated Seats Captain Chairs (4) Retractable Seats Automatic Transmission Overdrive Aluminum /Alloy Wheels DESCRIPTION QTY EXT. PRICE LABOR PAINT 0 0.00 0.3 0.0 02/18/2010 at 02:32 PM Job Number: 24443 PRELIMINARY ESTIMATE 2004 TOYO SIENNA 4X2 LIMITED 6- 3.3L -FI 4D VAN BROWN Int:TAN NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT 4# Subl Additional Materials Nec To 1 8.00 T 0.0 0.0 Refinish Flexible Parts N 5 Repl Bumper cover w /reverse sensor 1 277.70 1.1 2.6 6 Add for Clear Coat 0 0.00 0.0 1.0 7 Add for reverse sens 0 0.00 0.4 0.0 8 Repl LT Bumper bracket 1 63.30 0.0 0.0 9# Subl HAZARDOUS WASTE DISPOSAL 1 4.00 T 0.0 0.0 10# Subl PDR DENT ON TAIL GATE 1 250.00 T 0.0 0.0 SUBTOTAL Sales Tax Subtotals ==> 603.00 1.8 3.6 Line 5 : BUMPER COVER WILL NOT REPAIR WHERE IT IS DAMAGED Parts 341.00 Body Labor 1.8 hrs @ $ 57.00 /hr 102.60 Paint Labor 3.6 hrs @ $ 57.00 /hr 205.20 Paint Supplies 3.6 hrs @ $ 35.00 /hr 126.00 Sublet /Misc. 262.00 $ 1036.80 $ 910.80 @ 7.0000% 63.76 GRAND TOTAL $ 1100.56 ADJUSTMENTS: Deductible 0.00 CUSTOMER PAY INSURANCE PAY WARRANTY VALID ONLY WITH ORIGIONAL COPY OF YOUR RECEIPT PARTS SUBJECT TO INVOICE NO GUARANTEE ON RUST ALL PARTS NEW, UNLESS OTHERWISE NOTED 2 $ 0.00 $ 1100.56 02/18/2010 at 02:32 PM Job Number: 24443 PRELIMINARY ESTIMATE 2004 TOYO SIENNA 4X2 LIMITED 6- 3.3L -FI 4D VAN BROWN Int:TAN Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide ARM8530, CCC Data Date 02/01/2010, and the parts selected are OEM -parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE /Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk ( *) or Double Asterisk ( * *) indicates that the parts and /or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Tilde sign (--) items indicate MOTOR Not - Included Labor operations. Non - Original Equipment Manufacturer aftermarket parts are described as AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign ( #) items indicate manual entries. Some 2010 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The Pathways estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. 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