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Claim by Lawrence Hutton, Jr. Copyrighted December 16, 2019 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUMMARY: Nancy Fettforvehicle damage; Lawrence Hutton, Jr. for vehicle damage; Jonathan Kueter for vehicle damage; Michael Nagelmaker for vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City Attorney ATTACHMENTS: Description Type Claim by Nancy Fett Supporting Documentation Claim by Lawrence Hutton, Jr. Supporting Documentation Claim by John Kueter Supporting Documentation Claim by Michael Nagelmaker Supporting Documentation V �� v� �c� CLAlIV1 AGAINST TME G[TY OF DL3BUQUE, lt7WA � � , This writt�n report constitutes yaur claim against the City of �ubuque, lowa. You should � complete this farm in full and attach any additional information that supports yc�ur claim. ;j The Claim must be filed with th� City Clerk at City Hall, 5f�W. °13t� St., Dubuque, lA 52009. It � will then be referred by the City Council to the apprapriate departr�ent for investigatian. j CJnce th�t investigat�on �s cQmplet�d, a report �nd recommendatic�n will be submitted to the � City Council. 1`4u will be provided with a copy of that report and recommendatior�. � . a THE FINAL DECISIC}N ON ALL CLAI�411S 1S MADE BY THE C1TY CQUNCI�.. NO EIlIIPL()YEE �F � � THE CITY 4F DUBUQUE HAS THE ,4UTHQRITY Tfl MAKE ANY REPRESE6�TAT1�}N TO Y{�U � A5 Ta WHETHER YCaUR CLAtl6� W1LL C}R W1[.L NQT BE PAID, _ ,i ` (� � 1. Name o# ��a€mant� � �.�,�� ' N �}�. ' ; � ; 2. Atldress: �. ��- �� i ,,� � F ..r� c� city: �"" �° � states `,�'�t�' z�p: ��,�� --�.._-�"' , �n T�I��ahcar�� i�a�b�ra �� .� � "`" �� i i ,i 4. Date of Incident: �� `" �(:� �� ;; 5. Tirne of Incident: f�t� _ �� r�-. , � 1 6. L.ocation of Incident (Be specific}; " t��` �"' ��k.. �� `�''' � ; � � 7. DESCRIBE ACCIDENT C}R {�CCURRENCE THAT CAUSED 1NJURY C7R DAMAGE. (Give � full details upon which you base your claim. If a City employee was involved, give the � etnplcayee's r�ame.� '� �� `� � �� Y`�� .� � � e � � � , '{� ` p � w ' i' .�, ,,�+� �.�t 4 �i _ `^^ � k '�� . �, �� .��-� �' � , �i 8. What w re �ather conditians lik�? �3�,-�z�� t?�-�t,� � -a— �. 've na�e and addres� af any.witnesses: 6�'C`��.,.� � � t , � " ��f��.�� ' �. � � � � �� 0. Did poli�e investigate? (If so, give names af c�ffieer�.) �� r �� `�` � c�� G °11. Was anyone injured? {If so, give names, addresses, �nd extent of injuries}, � �i�,�' ' � ��;�.. 1�.��. �, �� e � � 1 ; � � � � � , � � 0 G '1�. Was any damage done tc� property? {If so, descriE�e property ar�d the extent of � damages. Attach �stimates of damages or describe basis for ascert�ining e�ctent of � damage.} � � � � � �� a , �� j � � � � 13. What other datriages do you claim, if any'? � �� r i � � t ` �� '� � h � � � 14, Have yau beer� compernsat�d for any part or all c�f your claim by any insurance � company? {If so, give name and address of insurar�ce company and amaunt paid.) � '� � ; 95. Vldhat amount dQ you claim frQm the �ity of Dubuque? , ;; �� . a �`_" ;: 16. Why t� you claim the Cit of C�ubuque is responsi le? � �f�.�' � �� `�` ��''�.' t��... '��'�t ' � ��i �� .� a '�7. Have y�u made a�y claim against any e else for damages a result of this incaden . � � (If yes, give name and address.� � � �18. If the ans}nrer ta Ques#ior� 17 is yes, have you received any �aymen# from that source, �� and if so, in what amQunt? � � � � � � C�ated at C�ubu�c u� lowa this day_af� �� ,`�, �0 1�. � — � � � {�igr�ature) r � � �'� � � {Prir�t �lame} ::=' . � N�� ; _ C�= � �. � � � � 1 � � �� ':� � � ¢"�i�° �� '� � �, � �fZeV. 5�7�) J�'' � �� ` i CL7 � $ � � � � � � � � � , � � � a � CC�I1f1C��ntlal � � This communication and any attachments may contain information which is cvnfidential � and privileged by law and is for the use of the d�signated r�cipient. lf you are nat the � intended recipient, you are hereby notified that you have received this communication Rn � errc�r, and that any review, dis�losure, dissemination, distribution or copying of its contents ' is prc�h�bited. Please natify City of C}ubuque imm�diately by telephcane at (�63)-�89-4"�20 o'F � yaur receipt of these items and destroy the communicatic�n and any attachments ; immediat�ly. F'urther disclosure of this infarmation rnay violate state and federal { r�stric�ions. � $ Confidential informatiot� may include the fallowing: � � � � 1)� S�eial Security Number(s} � � � � 2) MedicallHealth Inf�rmation � 3) PersonnellDisciplinary lnformation ;; 4} Bank Accaurrt Informatian a 5) Financiallnformation � �} Credit Card �lumb�rs � � � �' � �� I If any docum�n#ation you desire tc� submit to the City af C�ubuque contains any c�f the ifierras above � this cover sheet must be attached directly to the confidential information and indicate the kype of '' information that is inclt�ded. i � � � I, , hereby certify that the attached documents " include the fo�lowing pratected information: �j i� �ocia! Security Number{s) �ank Account Inf�rmation � ;; MedicallNealth lnformation Financial Infvrmati4n " �: Personnel/Disciplinary Infarmatian Credit Card Number{s� �^ , ti I und�rstand that this information may be distributed within th� City organizatian or#o agents �f the i; City for processing and I hereby authorize the City t� acf accordingly taking all precautions to � protect my informati�n from unnecessaty distribution. ; I y I _� { � � i Signature Date � I � Copyrighted December 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: Lawrence Hutton, Jr. for vehicle damage/personal injury; Jonathan Kueter for vehicle damage; Michael Nagelmaker for vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Supporting Documentation Dubuque THE CITY OF Ali•A�eriea 6ity L�U� E ��,, �'��a' Masterpiece on the Mississippi 2oi�*2ois TRACEY STECKLEIN PARALEGAL MEMO � i� � To: Mayor Roy D. Buol and � Mem�bers of the City Gouncil �� ; DATE: December 4, 2019 ij �II RE: Claim Against the City of Dubuque by Lawrence Hutton, Jr. !, � Clairr�ant Date of Claim Date of Loss Nature of Claim , Lawrence Hutton, Jr. 12/09/19 11/30/19 Vehicle Damage/ I�; � And Personal Injury h This is a claim in which claimant alleges that his vehicle was damaged and a passenger � in his vehicle was injured when a City police squad car activated is emergency lights and � proceeded through the red light at the intersection of West 9th and Bluff Streets. This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa I; Communities Assurance Pool. � � cc: Michael C. Van Milligen, City Manager Mark Dalsing, Chief of Police Lawrence Hutton, Jr. OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)583-4113/F� (563)583-1040/EMAi� tsteckle@cityofdubuque.org