Claim by Mike FeldermanCopyrighted
June 15, 2020
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Mike Felderman for property damage, and Gail Miller for
property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City
Attorney
ATTACHMENTS:
Description Type
Claim by Mike Felderman Supporting Documentation
Claim by Gail Miller Supporting Documentation
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 W. 13th 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 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: rnA ✓U
2. Address: 3 e, . yv, a, ,,, ..4,1 , ' j
City: .)y State:
Zip: S' z a Q
3. Telephone Number: ,c 3 - 2 9 9 /
4. Date of Incident: P c) vZ d t 9
5. Time of Incident:
6. Location of Incident (Be specific): 2 41 _`3 t' . + it.. 54
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.)
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8. What were weather conditions like? V cr ,.,
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9. Give name and address of any witnesses:
10. Did investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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?
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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?
6. Why do you claim the City of Dubuque is responsible?
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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 at Dubuque, Iowa this ? day of 111Cr Ci 20211..
"fQL 1J2J, 06,1 (Signature)
fY1 I Ck.- IL-7-1- 0 4F 32 tvi (Print Name)
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(Rev. 5/18)
Copyrighted
June 15, 2020
City of Dubuque Consent Items # 3.
ITEM TITLE: Disposition of Claims
SUMMARY: City Attorney advising that the following claims have been
referred to Public Entity Risk Services of Iowa, the agent
for the Iowa Communities Assurance Pool: Mike
Felderman for property damage, and Gail Miller for
property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
I CAP Referals Staff Memo
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
MEMO
To: Mayor Roy D. Buol and
Members of the City Council
Dubuque
bikd
AII•Am riza City
2007*2012.2013
2017*2019
DATE: June 1, 2020
RE: Claim Against the City of Dubuque by Mike Felderman
Claimant Date of Claim Date of Loss Nature of Claim
Mike Felderman 06/01/20 May 2019 Property Damage
This is a claim in which claimant alleges rainfall now causes water damage to the
basement of his property at 2413 White Street as a result of the City's. reconstruction of
the adjacent alley.
This claim has been referred to the Iowa Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Jon Dienst, Civil Engineer II
Mike Felderman
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