Claim by Linda Lucy Copyrighted
February 17, 2020
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUM MARY: Linda Lucy for property damage, Emily Treanor for property
replacement, United States Postal Service for property
damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Claim by Linda Lucy Supporting Documentation
Claim by Eleanor Treanor Supporting Documentation
Claim by USPS Supporting Documentation
CLAIM AGAINST THE CITY OF QUBU{�UE, IOWA
1`his 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 fited with the City Clerk at City Hall, 50 W. 13th St., Dubuque, IA 5200'!. It
wiU the:: b� r�ferre�i 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 DECIStON ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF
THE C1TY OF DUBUQUE HAS THE AUTHORtTY TO MAKE ANY REPRESENTATION TO YOU
AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID.
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'i. Name of Claimant: � � '
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2. Address: f'`�� �,., ,� , � � �%;�� r .
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City• q,;� � �� , , ,{ _ State: ��� � ' �.
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3. Telephone Number: jf> u� � :f �i f� _ `'�- � `�` �+ �� � '� � '�� `�- �-� ' �
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4. Date of Incident: __ - ;'� - � e ;
, 5. Time of Incident: � F `� � �� ;�;-.
6. Location of Incident (�e specific): ; ;G.�� -s-� ;�%��5-- "
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7. DESCRtBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give
full details upon which you base your claim. If a City emptoyee was invotved, give the
employee's name.) - , -
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8. What were weather conditions like? ,`�ec r��;!�s
9. Give name and address of any witnesses: _ ��_� ; ����� , �''r�� ,� �<1"<; -��,;-:� �. � ,-
7�. Did police investigate? (if so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and ext�nt of injuries}.
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72. 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 ciaim, if any? Iv �, i�j �.:
14. Have you been compensated for any part or all of your claim by any insurance
company? (!f so, give name and address of insurance company and amount paid.)
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'15. What amount do you ctaim from the City of Dubuque?
16. Why do you cl�im the City of Dubuque is responsible?
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'i 7. Have you macie 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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�ated at �ubuque, lowa this � �~ � `
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Confidential
This communication and any attachments may contain information which is confidential
and privileged by law and is for the use of the designated recipient. If you are not the
intended recipient, you are hereby notified that you have received this communication in
error, and thafi any review, disclosure, dissemination, distribution or copying of its contents
is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of
your receipt of these items anci destroy the communication and any attachments
immediately. Further disclosure of this information may violate state and federal
restrictions.
Confidential information may include the following:
1 j Social �ecurity Number(s)
2) Medical/Health Information
3) Personnel/Disciplinary Information
4) Bank Account information
5) Financiallnformation
6) Credit Card Numbers
I� any documentation you desire to submit to the City of Dubuque contains any of the items above
this cover sheet must be attached directly to the confidential information and indicate the type of
information that is included.
I, , hereby certify that the attached documents
include the following protected information:
Social Security Number(s) Bank Account Information
(Vledical/Health Information �inanciaf Information
Personnel/Disciplinary Information Cr�dit Card Number(s)
i understand that this information may be distributed within the �ity organization or to agents of the
City for processing and I hereby authorize the City to act accordingly taking all precautions to
protect my information from unnecessary distribution.
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Sign ture Date
Copyrighted
February 17, 2020
City of Dubuque Consent Items # 3.
ITEM TITLE: Disposition of Claims
SUMMARY: CityAttorneyadvising thatthe following claims have been
referred to Public Entity Risk Services of lowa, the agent
for the I owa Communities Assurance Pool: United State
Postal Service for property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
I CAP Referral Staff Memo
Dubuque
THE CITY OF �
Ail•Ameriea Ci�
D�J B E �������
,'I I '�r
Masterpiece on the.Mississippi 2oi�*2oi9
TRACEY STECKLEIN ry
PARALEGAL
MEMO
To: Mayor Roy D. Buol and
Members of the City Council �
�
DAT�: February 7, 2020 �
�
RE: Claim Against the City of Dubuque by Linda Lucy '
Clairr�ant � Date of Claim Date of Loss Natur of� I ' �
e C aem
Linda Lucy 02/07/20 02/06/20 Vehicle Damage �
�
This is a claim in which claimant alleges that her vehicle was damaged when a tool box '�
door on a City of Dubuque Leisure Services vehicle came loose and struck claimant's
vehicle.
This claim has been referred to the lowa Communities Assurance Pool. �
�
cc: Michael C. Van Milligen, City Manager 9
Marie Ware, Leisure Services Manager
Linda Lucy
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