Claim by George Langas Copyrighted
November4, 2019
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Jerome Ehlers for property damage, John Koenig for
property damage, George Langas for personal injury, Julie
Rupert for vehicle damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Ehlers Claim Supporting Documentation
Koenig Claim Supporting Documentation
Langas Claim Supporting Documentation
Rupert Claim Supporting Documentation
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CLl��lVl AUAIh�S`� TH� G�T`� C�F DU�I�QUE, �€7110P� �'�,��c�,
1'his writ�en repoefi constitutes your �laim agairtst the City af Dt�b�que, low�� You shouid
complete tfiis form i�f�i1 and at�ach an�t addition�l infarmation that supports your cl�ir�. �
T�e Cla�m m�ast!ae filed w�th th� City Clerk�t City Hatfx �f�VIf. 't3th 5�., L�ubuc�ue, [A �20�}�1. f#
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wi14 ther� be r+ef�rred fi�y the City Cou,n+�i6 �o the apprc�pria�e dep�efimer�t far Enuestic�ation. �
t3€tce that in�esti��ti�n is �om�leted, � repoe# and rec�mmenda�ion wil� be su�k�mitt�d to t�e �
City Council. You wilt be pro�ided w�th a �opy of that r�par�and recommendati+�ne �
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THE F�NAL I}ECIS1C3lN 4N A�L CLANM� 1� MAD� BY THE aC#TY GC}UNCI�. NC} E�PL.C?YEE C}� �i
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11. '�dtidas anyane in�ured'? {If so, +�ive names, addresses, �t�c� e�ct�nt of ir�juries}.
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'!2. I�as any da�nag� dane to property? (If so, describe properE�t and the e�cten� c�f ;
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14. t�ave yau been c�rr�pensa#e�l �crr any ��r� ar all c�f your claim by a�;� ins�ran��
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'18. !f the an�mver to C�uestior� 17 is yes, hau� you re�+�%�e� a�y payrr�ent fror� that soc�r�e, ;
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Confidential i
This communication and any attachrnents may contain 'rnformation which is confidential 'I
and privileged by 1aw and is for the use of the designated recipient. If you are not the i
intended recipient, you are hereby notified that you have received this communication in ���
error, and that any revi�w, disclosure, dissemination, distribution or copying of 'rts contents ��
is prohilaited. Ple�se notify City of Dubuque immediately by telephone at (563)-a$;9-4120 of i�
your receipt of these iterns and destrmy the communication and any attachments �'
immediateiy. Further disclosure of this informatio� may violate state and federal �'�
restrictions. ;j
;
Confidentia6 information may ineCude the foflow6ng: ;
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1) Soeial Secur`ity Nurnber(s} '�
2) Medical/Health Bnformation i
3) Pers�nneVDiscipl'ena�r Information �
4} Bank Account Information �
5) Financiallr�forrnation �
6} Credit Card Numbers
If any documentation you desire to submit tc� the City of D�abuque contains any of the it�ms above
this cover sheet must be attached directly to the confidential information and indicate the type of
in#ormation that is included.
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"�,�`�' � �' , �rereby certify that the attached documents �
include the fo110 " g protected i mation: �
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Social Sec�+►`ity N�+mbef(s) �Bar�k Accour�# Inforr�ation
Medical/H�alth fn�ormation Financial Info�'m�tion
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P�rsonnel/Discipfinary fnfarmatior� Cred�t Card N'urnber(s} �
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1 understand that t�ris informa#ion may be distributed within the City organization or to agents of the ;;
f`�4�i f^r �+rO�QS�in�t. arZr"] I hord�.'�,� al..'±�Or��e t�':� C�t�i 4:; �Ct ���OfM�n�l'�/ 4�1�:^y u�� �,^.f�.^.�"..�'t!^!'�� �.^> �
profiect my in#ormation frorn un�ecessary distribution. �
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Copyrighted
November4, 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
forthe IowaCommunitiesAssurance Pool: Jerome Ehlers
for property damage, John Koenig for property damage,
George Langas for personal injury, Julie Rupert for vehicle
damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
Dubuqu�
THE CITY OF �
� .s All•A�ericaCily
, � A�" � � NAIOIWILCMCtIIt'LY:
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Masterpiece on the Mississippi 2oi�*2oi� ��
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TRACEY STECKLEIN f�'[ ,�' �
PARALEGAL
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1111 E M O �
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1'0: Mayor�Roy D. Buol and � ��
Members of the City Council
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DATE: October 22, 2019 �
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RE: Claim Against the City of Dubuque by George P. Langas
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Claimant Date of Claim Date of Loss Nature of Claim �
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George Langas 10/22/19 07//18/19 Personal Injury j
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This is a claim in which claimant alleges that he was injured after being rear-ended by a I!
City of Dubuque Jule bus when he was traveling north on the NW Arterial in a USPS mail �''
truck, attempting to make a right turn onto Pennsylvania Avenue. !
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This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa �
Cor�i�unities Assurance Pool. �
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cc: Michael C. Van Milligen, City Manager �
Russ Stecklein, Transportation Services Field Supervisor
Renes Tyler, Director of Transportation Services �
George P. Langas �
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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/EMaiL tsteckle@cityofdubuque.org