Claim by Michael Lenstra Copyrighted
December 2, 2019
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Michael Lenstraforvehicle damage and Ethel Schneider
for property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
ClaimAgainstthe City - Michael Lenstra Supporting Documentation
ClaimAgainstthe City - Ethel Schneider Supporting Documentation
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�I�G '�fV C37�'�KS ;
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Thi� written repc�r� constitutes your claim again�t fh� City of Dubuque, 9owa. You should
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c4mpl�t� thi� fe�rm in full �rad atfia�h any �ddi�imnal i�f�rrraat6�r� tha�k suppmrts �our claim,
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�h� �laim must b� fii�d wt�th the �i�y �I�rk a� City H�II, �01fV. 13 �t., �u�uque, I� �2�01. i� ,i
uvill t�en b� r�ferred by the �ity C�uncel to the �pprc�priate d�partm�nt f�r r�vestigativn. !
Once fihat ��v�.sfiig�t9�n i� corr�plet�d, a rep�rt �nd re�c�mm�ndat6or� witl b� s�kamitfied t� the li
�ify �ot�ncil. You will be provid�d wifih � �c�p� of that report ar�d recomm��d�tic�n. j
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T�E FINAL �E�ISIOt� C)N ALl� CLAIIV�� I� MAt3� �lf TH� GITY GOUIVCIL.. NO EIlIIPLOYE� t�F !I
TH� ��T'1( QF �U�IJQtJ� MA� TH� AUT'Fi�F��T� °TC� �AAK� aANl° R�Rf��S��1��4`T��N T4 YQU i
�� �'� ���T��R�S�rJFt �L�IIVH !s!� taFt�!�L.� [��1' �� p41�o �j
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1. fVarne of�lairr�ar��:
Mi�h��[ J. Lenstra 'I
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2. �ddr���e �E�'1 Amv �t.
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Ci�y; G��a�uqu� �t�t�: !A Zipp 52002 ��'I
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°�, `�°r�����nn� ��!s����': �t������-9932 j
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4, C��t� �f in�ident: N�vemb�r 11, 2�19 ��
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S� °�o�,� �f I�c�s��n�: ��rly morning ho�rs '�
6. Lo��tic�r� of Ira�iden�k (B� �pe�i#ic�: 1�1� Amy Ct., G�Q
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7. Q��CRI�E o4GGIC2ENT iJFt �GG�IRRENG� T�#AT' �AU��D INJURI( (�R DA.M�iCE. 4��v� '�
f�l8 ci�t�i�s �por� �sh�ch ��� b��� yo�at claar�. �f � Gity �r�pl+�y�� wr�� inv�alvedq g�v� �h�
pr����a�p'� n��'!��)
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There w�s a late r�ightfearly morning snawf�ll. We n�ted �n the rrRc�rning �f 1�I/�i 1/��th�fi fh��treet had be�n piow�d �
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C}ra�of aur vehi�les was arked alon side the curb�nd w� noted �n �Icai� ated dentin and scra in c�n tt�e drivers ?
side dae�r consi�tant with that caf a snc�w pl�w ade -- ,1
$. h�t�er� w�ath�r cc�nditions fike? sr7avv and ice-�nd anoth�r v�hicie was arked directl acro�s the �I
street ram c�urs ma ing i a narrcaw passage, u
�. �'sjrsp ��!'!'Z� �!�d ��d�'�5� f►'���1►,� !N9'�Ct�����s I'�
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10. Did poli�e inve��igat�? (Ifi so, g�ve n�rnes c�f afficers.� �
No �
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��. 16V�s �nyar�e inj�red? (I��c�, give n�rr���, addr�����, and ��ten� �f ir�juri�s)o �
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No �
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°�2. UVas any damage d�n� ta propert,y? (If �c�, des�rib� pr�perty and th� �xter�t of ;
dam�ges. Attach esfisrna�es of damag�s �r describe ba��s far a�c�rtaining ��tent of
d�m�g�.� �
�amag� cor�tain�d tcr the vehicle qu�rt�r p�nel, re�r and front drivers �ide d��r. I,
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�13, Wh�t other darnages do �o� cBaim, if any? n�ne ''I
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, �A�. Fi�ve y+a� b��n cc�rr�p�n���ed �F�r �ny part �r �II af your cl�ir� by �r�y ir�s�ar�r��e
c�rnp�ny'? (�f so, give n��e and �tidr�s� of insur�nce ��rrop�ray �nd arr�o�r�t p�Bd.�
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15. h�fi amoun� do you �lair� fr�rn the �i#y afi Q�b�que? ';
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'i6tl VNt�g� do you ciairn the City of D�buque i� r�sp�r�s6b1�°? '•';
Because�f the weather conditions the fi�ct#h�t the street inras lawed anc�the Ic��ation and char�teristics of the damag� '°;
e� ��pecr�late th�t the am���was c��s� y�he uppc�r rpg t carnpr�f t .��n�e±�p.�o„� ';i
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'17. H�v� y�u m�de any clairn against �nyo�e �Is� f�r d�r�ages z�� a result of thi� ir�cid�n�'� ';
41f y��, giv� r��me aa�d add�°�s�.� ;
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1�. If �he a��w�r #o t�ues�ion 17 i.� y��, hav� y�La r�ceiv�d any p�y�me�t frcarr� that �ourc�, '';
and i���, i� wh�t�rnount?
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Dat�d at Dub�aqt��, It�w� �h6� 1�th day af Nc�vemb�r , 20 �9 ,
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This cammunicatior� a�d any att�chments may contain informatian which is confidential �i
�r�d priviieged by law and i� for the us� af th� desBg�at�d recipient. If you ar� �r�t fih� �
rr�t�nded r�c�pient, you are h�reby notified fih�t you h�v� receiv�d t�his ��mmuni��tion in I
�rror, and that any revi�w, disclosure, dissemination, distributi�r� or copying �f its contents i
6� proh�ta�t�d. �l���� r���6�y �i��' �f �u��q�� �r�rr��ds�t�ly b� t�l��h�r�� �t ��63)�S�9a4�1�g of �!I
yc�ur r�c�ipt �f �h��e i�,enn� �r�d d�stroy th� �omrnunica�i�n and any afit�cl�rr����� i
irr�mediat�ly. F�rth�r discla�ur� of this ir�farmation rnay �riolate state �nd federal ;
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resfiri�tio��. It
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C�nfid�ntial infarmatir�n m�y include the fallowing:
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1) S��ial ���.urity Psu����(s} ��'
2} Medical/�iealth �nfarm�tion li
3) f'�rsann�U[7isciplinary Inf�rmation �'p
4) ��nk Accourrt Informatian ';
�) �wnanciallnfarmation ';
�} �r�dit Card Numb�rs �!
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!f �ny d�curr�entafiion you d�sire �n submit tc� ti�e �ity af D�buque �ontains� �ny afi th� items ab�v� �
thi� �aver sh��t mtast b� att��h�d dir��tl� tc� the �anfid�ntial inf�rm�tion �nd ':ndicat� th� type af �
inforrr�atior� th�t is included� �
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0, Micha�l J. l.�nstra , her�by �ertify that �he ��fiached d�eumenfis ;I
ar��lude the f�llowir�g protected inforrn�tian� '�
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,�Sr�ciaf 5�curi�y Nr�mka�r(s) �______���k A�cour�t fnf�rma�ion i
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��M�dic�ll:��al�h Inform�fio�i �_____�Fir�anci�l Informafii�n �
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- Persor�nell�?isciplinary Inf�rmat��n _�__�_Cr�dit C�rd Nur�b�r(s) 'J
1 understand fihat this inf�rmatiarr may b� distributed within fihe �ifiy organization �r to ager�ts a�the �
�ity far pr�c�ssing �nd I h�reby �uthoriz� the Cifi� to a�t ��cordingly t�king all precauti�n� ta a
prcat�ct my i arrr��tir�n from unnecess�ry di�tribufiinn. �
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�,°': � � Nov�:mber 13, 2019
�ign t Date
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Copyrighted
December 2, 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: Nancy Fett for
vehicle damage; Michael Lenstra for vehicle damage; Ethel
Schneider for property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
Dubuque �
THE CITY OF ►�..�,�,� �
�" All•Am�
� �.�/ � � w»�u.awcirxxxi: ��
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2007■2012�2013
Masterpiece on the Mississippi 2oi�*zoi9 '
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TRACEY STECKLEIN �
PARALEGAL �
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MEMO j�
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To: Mayor Roy D. Buol and '
Members of the City Council
DATE: November 22, 2019
RE: Glaim Against the City of Dubuque by Michael Lenstra ;j
Claimant Date of Claim Date of Loss Nature of Clairn
Michael Lenstra 11/15/19 11/11/19 Vehicle Damage j
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This is a claim in which claimant alleges that his vehicle which was parked near 1611 {
Amy Court was struck by a City of Dubuque snow plow truck. ;j
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This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa J
Communities Assurance Pool. �
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cc: Michael C. Van Milligen, City Manager
John Klostermann, Public Works Director
Michael Lenstra �
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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/Ffvc (563)583-1040/EMai� tsteckle@cityofdubuque.org