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Claim by JoAnn Witterhold-Weigel
City of Dubuque ITEM TITLE: SUMMARY: SUGGESTED DISPOSITION: ATTACHMENTS: Description Claim by Heather Flohr Claim by Nancy Gourley Claim by Jo Ann Witterholt-Weigel Copyrighted May 18, 2020 Consent Items # 2. Notice of Claims and Suits Heather Flohr for vehicle damage, Nancy Gourley for property damage, JoAnn Witterholt-Weigel for property damage. Suggested Disposition: Receive and File; Refer to City Attorney Type Supporting Documentation Supporting Documentation 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. 1 Name of Claimant: v MN N 2. Address: L- ` ire k . A ( J 6 w , City: Et h , t) State: 3. Telephone Numbers ' 4:3 5/2 - 0 /6-2, 4. Date of Incident: R✓y QZ©-go 5. Time of Incident: /1: -,5-d �:rr► Zip: 12 D) .� 6. Location of Incident (Be specific): B, sE r fa- - .2 v S't rdf1ckup 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�l.Ename.) i \IL\,k. ‘v.-kc, \J;35Gvn i - � Q�2. lv� IJZi:e.GL — Latieb M. eccf (Lf ) WG4c �.�tie d Lta W'\no 5a',`A 8. What were weather conditions like? u)� Lk' ..V N P �.e ry ` 9. Give name and address of any witnesses: / ie eceitref? , Q%ly G.)r;ak�R , � �r:�. MAs;..4(Ni:k4Do Vs, eci 10. Did police investigate? (If so, give names of officers.) 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.) koir 5 e-3 , I rk?30-4r? e-Pai- ha See -Jeff- kah. Li) c ,7„,,L,Doct kc, A P-4:20141 13. What other damages do you claim, if any? Clan op cpt- , I.J00;:lu)cRk, V-rat,) C(0 TIntirter Cie it ,kwprU-VC.,lotke5 tA5,(1e... Mc 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.) Ato 15. What amount do you claim from the City of Dubuque? e.av\ sAN.,10 kroRps - 3 L; II se, a b;tt 16. Why do you claim the City of Dubuque is responsible? C..(0%se-J 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) AsiV No 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 & -L1 day of Pt) ai , 20 .2-0 . Cifn,?) A N A) V)i-fti-6No if (Rev. 5/18) (Signature) (Print Name) Copyrighted May 18, 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: Heather Flohr for vehicle damage, Nancy Gourley for property damage, and Jo Ann Witterholt-Weigel for property damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type I CAP Referrals Staff Memo Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL MEMO To: Mayor Roy D. Buol and Members of the City Council Dubuque All•America City 11111.1 2007.2012*2013 2017*2019 DATE: May 14, 2020 RE: Claim Against the City of Dubuque by JoAnn Witterholt-Weigel Claimant Date of Claim Date of Loss Nature of Claim JoAnn Witterholt-Weigel 05/11/20 05/02/20 Property Damage This is a claim in which claimant alleges that a City sewer backed up into claimant's basement at 2035 Admiral Street. This claim has been referred to the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager John Klostermann, Public Works Director JoAnn Witterholt-Weigel 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