Claim by Greg Howell Copyrighted
February 4, 2020
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Jessi Brokus for vehicle damage; Ronald Catheyfor
vehicle damage, Greg Howell for vehicle damage; Kaitlin
Kellogg for vehicle damage; Kelsey Meyer for vehicle
damage; W illiam Leibfried for vehicle damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Claim by W illiam Brokus Supporting Documentation
Claim by Ronald Cathey Supporting Documentation
Claim by Greg Howell Supporting Documentation
Claim by Kaitlin Kellogg Supporting Documentation
Claim by Kelsey Meyer Supporting Documentation
Claim by W illiam Leibfried Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA � �15,�
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 EMPLOYE� 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: �7 �c� ���iP ( I
2. Addres : � �C� �� /�} �� �t tl�'��i'� �iJP
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City: Lti��� , State: ��- Zip: ��C�%
3. Telephone Number: � Cd 3 x �/'" �(��i
4. Date of Incident: J ' � Cn ���
5. Time of Incident: o� ° � i �1 �l�l
6. Location of Incident (Be specific): ��'�d�C'�� �� - (�'�'� `��� S�� ��j�'
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.)
1N��C f�.0� vU�� ��l�n�,� �n ��►��� l,�-�� l������ �" �vi���-
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8. What were weather conditions like? I��/ �� Vl-�`1/
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9. Give name and address of any witnesses:
10. Did police investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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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.)
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13. What other damages do you claim, if any? ��-�
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.)
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15. What amount do you claim from the City of Dubuque?
16. Why do you claim the City of Dubuque is responsible?
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
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18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
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Dated at Dubuque, lowa this ��� day of ,� �'��''����`L��°�� , 20�
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(Signature)
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(Rev. 5/18)
Copyrighted
February 4, 2020
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: Jessie Brokus
for vehicle damage; Greg Howell for vehicle
damage; Kaitlin Kellogg for vehicle damage; and William
Leibfried for vehicle damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
�ubuque
THE CITY OF
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TRACEY S�' ECKLEIN ii
PARALEGAL
MEnno
To: Mayor Roy D. Buol and
Members of the City Council
DATE: January 27, 2020
RE: Claim Against the City of Dubuque by Greg Howell ;I
Claimant Date of Claim Date of Loss Nature of Claim j
�
Greg Howell 01/24/20 01/16/20 Vehicle Damage �
This is a claim in which claimant alleges that a City of Dubuque police officer backed a I
,
city squad car into claimant's vehicle which was parked on Forest Lane.
This claim has been referred to the lowa Communities Assurance PooL
cc: Michael C. Van Milligen, City Manager �
Mark Dalsing, Chief of Police ;'
Greg Howell �
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/EMai� tsteckle@cityofdubuque.org