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Claim by Darlene Hughes Copyrig hted J uly 6, 2020 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Darlene Hughes for property damage, Joan Reimer for property damage, Dane Schrobilgen for vehicle damage; Suit by Eunice Meyer v. Dubuque Hotel Partners, LLC, Kinseth Hotel Corporation, and City of Dubuque. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Darlene Hughes Supporting Documentation Claim by Joan Reimer Supporting Documentation Claim by Dane Schrobilgen Supporting Documentation Suit by Eunice Meyer Supporting Documentation �� CLAIM AGAtI�ST THE CiTY (3F DUBIJ�QtlE, IOINI� � '�� -.��r.��.. � � This written report cr�nstitutes your �claim against the C�ty of Dubuque, lowa. You �hould � c�t�mplete this form in fuil and attach any�dditianal infarma#ion thafi supports your claitn. � � ; The Claim must be filed with the Gity C1erk at Ci#y Ha1�, 5U W. 73t" 5t., Dubuque, IA 52001. It '7 �nrill fihen be referr�d by the C�ty Council to the a:ppropriat� department f�r investEgation. � Once that �nvestiga�ion is campleted, a�report and recommendation �nri�i be submitt�d to the � City �ouncil. You r+v�ll be provided with a copy ef that report and recomme�dation. I� T�IE FINAL DECIStO1V �M ALL �LAIMS !S M�DE BY THE CITY CQUNCIL, 1�4 �MPLOYEE OF i THE CITY OE L?U�UQUE HA� THE AUTNt3Rt7Y TO MAKE ANY REPRESENTATION Tt? YOU �; A� TCC�1NHETHER YUt1R CLA1M WILL C?R V1t�LL. NQT BE P�1D. ;; �� i; 1. Narne af Cla�manfi. e� �' �; � _ _. _.__z__ ° _ �-2:��lddress:_-_,---- ___ _ � �,� �� _� � _ �.,i�,� . _-_`_.�___ � _T �.__ _,_ �_ ___ __ � �. ',;i ' City. �Z.�L ��r,r � �, �tate: 7'�,'t�.r�,�,,,. Z�p: �-d0 / ; '-. ,; ' I�, 3. Telephone �iumber. � ` � �,.3 ' � �; 4. Date c�f tncid�n#: ��Cc.h�..��O�d ^„� 5. Tirra� �rf tncident: ��c�' �,.,.,�,� �,� 6. Lacation a�#r�cid+�nt e s � ifi� : c;��` s � s� B c � f p � ; : � ; , I� 7. DESCR(B� ACC�DENT OI� (}CCURF"�ENCE THA,T CAUSED iNJU�.Y OR aAMA�E. {Caive fut'i detaiis upon whi�h you base yoear claim. lf a Gity employee was involved, give fih� � �mptoye�°s name.}> �r� � v� � � �°�, ° ��i �V�� ,d`� �c:�r-�� ' � � �� _ _ _ p -�_.�,., ____ _ s � __.�__.�_ __ �. _ ----� � �. ___ _ - ;-- - -- __ ____ _ _.�_..�_ _w _ _. � �c�� r �_,�. �`"._ �. ��,�. �: 8. 1CUhat were w�ather�onditions lik�e? ` ��` 9. Give name and address of any witnesses; d�d� '�a. IJ�d police investi��te? (If so, give names of officers.) 1'1. W�s an�rone injured� (1f�o, give names, addresses, and extent �f injur�es). 9�c� ' � " � � 1 Z. Was any damag� don� to property? tlf so, c�escribe �roperty and #he �xtent af � damages. �4ttach esfiimat�s of darr►ag�s or. �lescribe basis �or asc�r�aining extent of � damage.} � �I � �a� ��e.�-,`c�..� �� c�"�n.s � ��-t��4`l�es �1�re � �c�s�-=� i ;� �� ' �C�-�r�. ,e�-��a�-c. �L ��.� �', i 13. Wh�t ather damage� dc� you cl�'s�m, if any? .,,�"" r �' ` " � ��' �� I � rc� c� � �� 'i li '(4. Have you been �om�ens,a#ed for any part ar atl o� your claim by any insurance j company� (1f so, g�ve name and �ddress af ins�urar�c� company and am+�unt paid.j r, - - - �� ,s, �; 15. What amount do ou claim frc�rri the+Cit �f Dub� u�? I�li Y Y � ��. �. � � 'IS. Why do yau ci�im the Gi�y of dubuqu� is res�aar�sible? �� }s � � �.� �, 4 �� 1�'` .��-��-�� e.-�.-�v� `f� �`$y u��.�.� ��°fi-z`�.-e fs fa�i-o� ��r��- ��P ; 17. Have you made a�y claim against anyonE else for damages �s � res�att c►f this inc�dent? l (Ifi y+��, give name and ad�r�ss.) ,r 1�C0 '� '�8. If the a�sti�rer tc► Qu�stinn 97 is ye�, hav� yau received �any payment from that source, ; and if s�i, ia� vwhat amount? ; ,� �� ; � � I�a#ed a# [�ubuque, lowa this�,�' day of � �t,�� , 20 � , � � _ � U`-'C�J�"�" . (S�gnature) � �q.ir-��,n�r �� Print Nar�e) � : � � �� Rev. 5118) � =W � � � � cr�' -� ,� � � � � ,� �. :-: � c� � � � � Copyrig hted J uly 6, 2020 City of Dubuque Consent Items # 3. City Council Meeting ITEM TITLE: Disposition of Claims SUMMARY: CityAttorneyadvising thatthe following claims have been referred to Public Entity Risk Services of lowa, the agent forthe lowa Communities Assurance Pool: Darlene Hughes for property damage, Joan Reimer for property damage, Dane Schrobilgen for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type I CAP Referrals Staff Memo Dubuque � THE CITY OF � �-----�r,. --- All•d�erica Gity � � �rr/ � � rvanawi.cmr,irrran: ,� I�� 2007*2012*2013 Mas�terpiece on the Mississippi 2oi7*2oi� � � TRACEY STECKLEIN � PARALEGAL MEMO � �; �� To: Mayor Roy D. Buol and � Members of the City Council � � �i DaTE: June 25, 2020 � � r i RE: Claim Against the City of Dubuque by Darlene Hughes I � � y � Claimant Date of Claim Da#e of Loss Nature of Claim � Darlene Hughes � 06/22/20 06/10/20 Property Damage � j�, I � This is a claim in which claimant alleges that a City tree fell into claimant's yard and across i' four electrical wires, bending the electrical connections and causing roof damage at her ��i residence of 2129 Orchard Drive. '� . ; � This claim has been referred to the lowa Communities Assurance PooL i l cc: Michael C. Van Milligen, City Manager � Yorn K�arner, lJrban Fo�es4er , Darlene Hughes � � � � � � , � � � a 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 � � �