Claim by Arbor Glen ApartmentsMasterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE: March 26, 2010
MEMORANDUM
RE: Claim Against the City of Dubuque by Ellen Craff, Property Manager of
Arbor Glen Apartments
Claimant Date of Claim Date of Loss Nature of Claim
Arbor Glen Apartments 03/23/10 12/20/09 Property Damage
This is a claim in which claimant alleges that police damaged a door to claimant's rental
unit when police used forced entry to gain entrance.
This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Mark Da!sing, Chief of Police
Ellen Craff, Property Manager of Arbor Glen Apartments
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001 -6944
TELEPHONE (563) 583 -4113 / FAx (563) 583 -1040 / EMAIL tsteckle @cityofdubuque.org
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
This written report constitutes your claim against the City of Dubuque, Iowa. 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 West 13 St.,
Dubuque, IA 52001. It will then be referred to the appropriate department for
investigation and to the City Attorney's Office. 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 employee 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: Ft of-
2. Address: O r .
3. Telephone Number S(o3 S .- -a7 S
4. Date of Incident: /)- /.)-oho
5. Time of Incident: /fie- I ,Jct•, /0 :ov f //: oD 14- w.
6. Location of Incident (Be specific):
- 14 y • \ r��
7. Describe the 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.)
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A.•rk T� �ck rllc�c�� '
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+CC�S Y Ci t([ti /k •ef A?9 1. ce 6Rn- 'e �f e-e ) 1
8. What were weather conditions like?
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9. Give name and address of any witnesses:
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10. Did police investigate? (If so, give names of officers.)
V-e-c, L P I C;a.
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
rz)
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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D 60 `r V- k Q d t (Loo T � v�_ d c c4
rrae-k -Ea p( L e do d
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15. What amount do you claim from the City of Dubuque?
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16. Why do you claim the City of Dubuque is responsible?
.Y ems: �r� c�o<<. �.� scz cA
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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?
Dated this ,.Z day of
(Signature).
(Print Name)
a
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DUBUQUE POLICE DEPARTMENT OFFENSE -
001-01-91 REPORT Page I of i- 1
DPD
Case FM.
09 - 58i"?.30
No.
I
Counts
/
13 Abe
l b Juvenile
C 0 Attempt
P v is • 0/ e'. ,...,.yrc 4 c (-- 5 i mrva"
011eneejode / % I./CR Code
I 2-,r. 1 / 41 1 5`) 364
Date Reported ;
i 21V-ei
Coxes
/
Fi kWh
0 Juvenile
Odense ci Anempt
6 7-0.-0 eltd - ; 7 - 1/uC Ot.-)/ /- —
Wenn Code 7 pc Cocie
2-1. 9. 16) 1 0
lime Repo
5 tiO t
/
ig Adult
0 Juvenile
atense D Anernig
igle4 c:. ; V,IfirietA/
1135.°°d
Fmm Date
,
1 24 Zc I oci
Fcn Hour
e:, 7 (..i
To Deb
i z izcie i
To Hour
Evidence 10.4- # 357o cc:e 4002a /Li ce
>e 1/4/ ''7
cketion
5 44 C4 )g. (21( 1
Stolen Property
Amount
C.:.
Seen Vehicle I Demigod Property
Amount
CS !Amount
en
NUMBER OF:
3 Menses In y..6,..
1 .--- 1 Vehicles
/ M CM enders I Seen
_.., Vehicles
(--? Recovered 0
Premises
Entered
r ,..., !Weapon
I '1 7 I Type
v
7
T 1
Ty i
1 Assault/Honacide
I Clicurnstances
,
Forved Envy?
(2Y jos tib
INI
En st
147od
9 '
Occupancy
illE
Location
d Type
,i
r
Crimi. vity nal
A cti
,
C..
W alther
1
UPI
Alcohol Waled?
0 Vie*
k rug Fleeted?
0 0
Unborn Vas
Crime? ri Type al
L_1 Bias
0
No Unknorem
involves: 0 ISdnepping 0 Compiler Theit I Dottletruse?
0 Gambling 0 Einbery 0 Counterfeiting 0 Yea , hb
1 children Roomed By: Rights Forms
Rekerals L___ Present 0 Victim 0 Other 0 Suppled
Bias
o
j
Target of
Bras
LEOKA
0 Yes Otto
1
I.
Ire d . r—i BA'
I Pan* 1—.-J Raw
f
Type d
Assignment
i
/
Number ol Aron
Arrests Near Soeneci ii,
WV* .
Jeannine
' P
,i■
c°
Nene gest.Fest Middle)
C‘cak•r‘ - u
52
__ Beth
--
littuenoeZ
ADBU6/
.
- 7 - 2o .=1:.. A S
Home Phone
--
Work Phone
365 V
'LAJNANI
ittlmormr
El
Wider
TIVe
IMIVAI
in
Reel= to
Cfeender
Warne (Last.First Midd)e)
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thnic
Oigin
Address
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WO Fonn?
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'
lid
Resident
Resident
Type
Medial Statue
Hoene Phone
ig Mpy Employer, Occupabon.
Extent arse 11 C
Work Phone
Mead Menden?
0 Yell*
Medio.I Release?
0 Yee
Tremparted
By. To. Tmalsd By
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I
I N.„b..
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r
Bix
Poperly Type . .
Ism
. .
1
1 1
Social Number
Omer ID
0 Vaue
CI Repair Cost
Lmn
I 1 I Type
Lk! InVe
PIC
SIN
Con Omer ID? I
0 yes 0 k,b
Abilene Descriplion _
Risoovered
Recovered Value
I
Location
1 I Type
,...,,,,,p.
.
..„,
[
, 1
Si
Serial Number
Own ee ID
0 Wee
0 Repel Cost
r
i I trostion
Type
Code
Victim
Number
PIC Nu mber
SIN
Can Owlet ID?
D yes D se)
Additional Descepeon
.1-2.'N-tri T g0 7 V "'td ,-,
a Recovered
Recovered Value
I
I I 1 r calit' ype n
Narrative
C0/1//7 r
, c' - ries
Reporting 011icer(s)
Beige(i)
Date Roan Filed i
/ 21 201Ct 9
tiluprvisor
I Badge
cria
v.
. t
DPD OO1.Ojg
Property /Vehicle Report Red
my-
Speech Detect or Accent
Decals, Identilying Maks, Pats Taken
! (24,1s fi 5 2.4 .. 04.... /•),$*
Weight !Build ! Hair FEW, Heir Type' Ftwial Hair Speech Glasses Handedness
0 ; // — __i_ 7 ! 43 Z e ki i 1 . A:t i C / 4 / 1.1 4 -
—
Complexion 1 Tattoos ... tame
_ I T i n j ured? : bad 01 Words Mender - Comments - Additional Descriptton
'Marks nYes OW 5 - , .- ez,
71w>' sa ' 5
Address
c5 L Cr:clawed on SR I /1 A
—I Code :Current Status
,c .2.z7`12v
: Address
EEO Weapon ra Tool or
TYPa 1 Clothing El Clothing me A rmithr
Lji Erey Method I I Type 1_1 Type I I Type
FX ri Stilibtedt MIN Flelationship Present? Name (tail.Fast Middle)
Welber =MN krirrebill El Yea 0 kb
Date of Birth(Age Range) Social Security Number
11 clearance Fled by:
Victim
Numbers
H eight
.
I Weil ' I Build Hair
1 EY" I Heir Typo! Facia Hairl Speech
" ultras
El Defneanor thi 1 Exar Wads of Offender • Comments - Additional Description
L--I Marks OYesONDI
Weapon 1 Tool Of Clothing i 1 1 i Clo thing Arrested?
Type L..) Enby Method Type Type Type L j .
Tap Bottom Year Make L--1 TM* 0 Yes 0 Ab j 1 I I 1 a in ly vis
Boly
Okras
Indicator
Influence?
ADBUN
Phew
Irate:Nor
User= Pilo. & Stele
Use Your -.-
BIG CARD
M ENA R
tdENARDS - C'UBLIgt,
Unless note° be1c allowable returns fc•
items on this receipt wi11 be in the form
an in store credit voucher if the
return is one after 03/30 ; 10
1111111111111111111111111111111111111111131
Cust - ame: glen, arbor
ORDER "015730:
36 "x30" E -i H
4141703
Add 6 9/16" ext.:
4129796
MUEk SUBTjTAL
40 OF OROF;
SAL HEN PAIL
2910 ? X2.34
AL
AT 7'
AL S-,LE
ttrd Card 3570
,# OR NAME: arbor g len
113
AL NUMBER C ITEMS = 4
Sale 1r_. section
6 -pane, steel .:oor - ra.k
132.00
itt r. rimed frame - PICK
SN
27.00
159.00
GUEST :OPY
The Cardh)Ider ac„now edges reta;pt ,.•:
of is /services in the total amt.., it szrhn
ereo and dere?s ' :o pay ` ne a ,, 4 _-s- e..
to its C_ :Trent
THIS iS YOUR CREDIT CARD SALES SLIP
PLEA',E RETAIN FOR .`OUR RECORDS.
SN = Non - custom me special order
merchandise may be ratunded at Merer;s
sole discresti ^n with a 154 reselI
charge.
NK YOU, YOUR CASHIER, TIMOTHY
5:03PN 3057
2%
REBATE
4.1- 3
3.6E
11.41;
.75.
F,CIAL ORDER CONTRACT
***GUEST COPY * **
3057 Phone: 563-556-5222
JE Fax: 563 -556 -2743
DGE STREET
JE , IA 52003 -2602
THANK YOU!
SOLD BY
JAYNA
VERY DATE NOT BINDING ON MENARDS 0 /1 3/ 2 010
.D ON PROMISES BY OTHERS
. door
rame
rame
inside
outside
,iS CONTRACT CONSTITUTES YOUR
IONS LISTED iN THE CONTRACT.
ORDER DATE
12/30/2009
t and style may vary
: f eaginig4W 4e Ready to Finish
d h hVi li it'e0erdff
:ks mo` 4511MERGY
.l STAR qualified.
ecomes an order_onI' - uponrpayment.&nd a valid Menards recei r t for this order is attached.
.dons set forth in this document are a complete and
al order contract must be brought within one year
al order merchandise purchased from Menards is
urements, sizes, and colors a; stated above. The
als to conform to the terms of the contract is
s must be reported to Menards within 3 days upon
from the manufacturer the purchaser understands /
,cturer s warranty shall govern my rights.
[PLIED AS TO THE NIERCHANTABILITY OR
CHANDISE.-If.the exclusive rem fails its
e price of the merchandise. NIENARDS SHALL
CONSEQUENTIAL DAMAGES. In the event
lice within 30 days after receiving notification of its
e entitled to 2S% of the purchase price as liquidated
at satisfaction for its damages. if the vendor, which
archaser agrees that Menards shall not be liable.
.s that the materials listed herein meet your code
.im arising out of or relating to this contract, or the
ered by the American Arbitration Association under its
,gment on an award rendered by the arbitrator(s) may be
SKU
4.141703
VENDOR: MM Prehung
B- TOTAL:
S IPPING CHARGES:
P -TAX TOTAL:
'PRE -TAX GRAND TOTAL:
DUB 301573U
I�WI�IY�III�p��1�1
GUEST NAME - ADDRESS - PHO�
glen, arbor
2660 Raven Oak
Dubuque, IA 52 : -1
Phone: 563 -56
Alt .
UNIT
PRICE
$139. ==
4129796 $27.00
UII 11
PAGE 1 01
E t
PILE
=L .
(Door is viewed from the outside looking
Jcjl
For the most accurate and up -to -date status of your
please visit:
www.menards.com
If this is a partial pickup, please verify a I quantities /item:
being signed for. Menards is not respons'ble for shortage:
after leaving the yard.
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STATEMENT
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TERMS /,.y/
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ADDRESS
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