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Claim by Kelsey Meyer 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 N�v N� � tegc�� ��.A�� �tGt�,It�ST T�E �I�`�' Q9� t�'�B�ft,��,.�E, IC�1�1� `��'i�ce - (v���l, �C�ISi��� � �.,��1 �e�v�Zrn� fihis wri�ten re�c�r� consti�utes y��r cl��rn �c��inst t�e �ity c�f ���t�e��e, lowa, �c�� s�o�id J°v����l��`1 cot�npiete this farrn irr futl and attac#� any ac�ditional ir�f�+rma�ir�r� t�at su�ports yrrur c[aim. �`h� Claicr� r��st i�� �ted wit#� t�e �ity �t�r�C a�. City ��t�, 5� �tV. '�3�� 5�., t��buque, �� 5�i�{�1. tt w�ill th�r� �e ref�rr�d E�y the Git�r �t�t�ncil ta t�e apprr�priate de�artment for inv�stig�ti�n. C.�nc� t�at investig��ion i� cv�plet�d, � re}�o�t �nd rec�€�m�nd���c�r� �r�f� #�e s�b�mi�ted to ��e �ity �€�t�r�cii. Yc�u wil� be �rc�vit�ed with a cr��y of th�t report�r�d rec€�mmenclatic�n, �HE �9NA�L D�C�S��� Q�3 AL� C�.Al�� �S ��C�� �3Y�"�E CiTY Ct)�J1�C6�.. NC? E�Y#PLCaY;EE �� T}�� CETY OF t��BE.3C�UE I�AS 'THE �,UTN��ZITY T�'J lUi��CE ANY R�PRESENTATIC3� T� YC.�U �� �`Q it11NE�'F��R YC�ElR C1�A�M �IL����t�L�. t�C)�' BE PA��. �. N��-ne c�� ��a€rr���t: l ;: - !I'i�i� '�Y� .,.,� .. • . 2. At��re�s: �-� � ` � �� �it�: ���-������� �ta�e: JI� �€p: .'�,-�"�C� _�.�..� � �-�' 3, T��e����e ���b�r: ��� �� � �"��- 4, aa�� c��t�ci���t. ` �`'� y .��?�C� 5. T��rt� ���rt�id��t: �= � ` �� 6. �s�catipr€ r��#�rci�ent ��e �p��i�ic�: ���'����t�rt�f� �� �;,���-t�-��/`'� -�� ���� � � , �� , �'���`� �. ��s�R��� �c������ �� ��c������� ���,�r ��u��� ��,���� �� ������. ����� �uli cletaiis �po� �nrhic#� �r�a� base y�t�r cla�r�, d� � �ity employ�e wa� €r�vc�lve€�, c�ive t��: �t�p�ssy�e'� naa��.� ��'����� 1 �-f?��`�t � �'� �17.�i� ��'f� D�� ����` ��'�--f G�.s�.� L�lt-��i.�7 ���f2� ' .G� r� b����. C�,��-� -�U ��.����-' ���' �Gs L� ��i��C�S 1�-' �����.� �t. �`���` �`'��=���it�� ��.�;�. ,�L�r`--��t��-c:r;����z j��.�,� r �!��� ��t,� �.�..:5�;-� ���C ��t 1,�� �� �1��z..f,�S �. It�f�at�ere we�t�er co�d�tiort� 4ike? '�'rt�``t�"�" �t'r't���lT 9. E.��v� t�arne a��3 �d�ire�s of�ny v+rit��s�es: 1C}. ai� po��c� inves�ig�►��? �#f sc�, giv� na��s �� €a��ers.} �'; — t�� :�r'" �IC-�3�j�G�1� ��"j�� -��. i�. �`�� ar�yc,r�� ��j��e�i? (��s�, �i�� r�a�s�s, a�dre��e�, �rsd ext��t trf i�j�trae�j. �'�''` ��. �a� �ny ��r�age c�one t� �resp�r�y? (�f sc�, d��cr�b� prr�perfi,� anc3 t�e exte�t e►f darr�a�es, A#�ac�a estirnates c�f da���e� or c#escribe faasis� for as�er�ainir�c� extent af d�r�a�c��,� �1,�, ,���r�2 L' z�'�u`r�v� �S�l�<.����� �� ����l� .��L t'L� ;� .�2G���,, ,,�c�, ��� ��"��L�2 , � 1�`t�,�.�/�U��-� lv��,� r�f����.� �`t���r�..�� l� j�� �, S �l(�' (�i1.�`�Z• ��,��#�'�Y�. t�i�il�?�j!t.f�=-r� �ti� �-i;�_v��.. ,�, � 13. ��t��c�th�r darr�ages �i€� yr�u �6�i�, i�a�y�? �4. ���� yc�u b�en c�r��e�s�t�c� far �€�y p�� or al� c�f yc�ur c��im �y ��y ir���rar�c� cc�m�an�r'? (�f�c�, �ive n�rr�e anc� �d�ress af in�s�rar�c€� cs�mpar�y an€� ar�€�us�� �a�ic�.} ��?- ��, if�`�at arn��r�� dr� yc�� �I�grr� �rc�� t3�e Gity c����b�t�t�e� . � r .n i� � � � �, ,��--'��-�.. ,�/ ��5�71���t`t� l� (�.�1���. if � '1�. '��y c���e�c� ���irs� t�►e �i�y �sf I��u�r�que is �r�s�onsi�te? �� �t`�' - ,�� } i, �' �yf°nJ ., �� ��: ��. ;;� n;`� �'1 � ��. H��e ycau made ��� c�airr� a��inst ar�yc�n�else far darr��ges �s a resu��of t�is in�"s��nt? {t#�e�, gi�re r�ar�e anc� �dr����s.} t�� �8. 4f �3�� �ns�vver t� �����'s�� �� i� ��s, �a�� �c�u r��ei�€�€� arty �ay��n� frar� t�a� sr���c�, �r�d if sc�, in �naF�a�a�ncas���� C�a�e�3 a� ��b�s�u�, ��wr� tni� �� ��� t��,��G�C���i1��, �tl� w � � � ��� �� '���;" ��..- (�i��ature} / i if �.f�'����"�� �����-'�" (€�rint Na�e� _ ��� �.�...r._._ � �-- :�:.: _ .._. � �y � : ,�--.. —.� cii' tv ,.� � , � .cm� ;=, !�"1 � �,'` -° -=: _ �� �: i� �R,ev. �i1'�8) ��' � � 1.�:,' c; ct� � 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 Dub�que THE CITY OF Ail•America Ci� ��� � ��avicu�scur - ,' ��r I I Masterpzece on the Mississippi 2oi�*2o 9 ; TRACEY STECKLEIN ✓�� �II� PARALEGAL �I� � , MEMO � I To: Mayor Roy D. Buol and ;+ Members of the City Council � DATE: January 29, 2020 II� �� a Re: Claim Against the City of Dubuque by Kelsey Meyer � i Claimant Date of Claim Date of Loss Nature of Claim i Kelsey Meyer � 01/28/20 01/24/20 Vehicle Damage i � This is a claim in which claimant alleges that a City of Dubuque police officer backed a ',i city squad car into daimant's vehicle at the intersection of 16t" � Jackson Streets. '� � �, This claim has been referred to the lowa Communities Assurance PooL ' ji cc: Michael C. Van Milligen, City Manager Mark Dalsing, Chief of Police Kelsey Meyer � � � il � 4 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