Claim by Thomas Duccini Copyrighted
September 8, 2020
City of Dubuque Consent Items # 2.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Thomas Duccini for property damage, Joseph Michael Ironside for
property damage, Sharon Stratton for property damage.
SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by Thomas Duccini Supporting Documentation
Claim by Joseph Michael Ironside Supporting Documentation
Claim by Sharon Stratton Supporting Documentation
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CLAlM AGAINST THE CITY OF DUBUQUE, IOWA ��� �
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This written report consti#utes your claim agains# the City of Dubuque, lowa. You shduld �
complete this form in #ull and attach any additional information that supports your claim.
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The Glaim must be filed with the City Clerk at City Nall, 5fl W. 13 St., Dubuque, IA 52001. �t
will t�en be referred by the City Council to the appropriate depar�men# for investigatic�n. i
4nce t�at investigation is completed, a report and r�commendation wiil be submit#ed to the !i
City Council. You will be provided with a copy of that report and recommer�dation. 'I,
THE FINA� DECISION ON J�L.L CLAIMS IS MA�E BY THE CITY COUNCIL. NO EMPLOY�E OF Ij
THE CITY �F DUBUQ�E HAS THE AUTHflRITY TO MAKE ANY REPRESENTATION TO YIJJU li
AS TO WHETHER YOUR CLA1M W1LL OR WILL NflT BE P�11D.
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'1. I�ame of �laimant: �110.��,s ,� Dv c c a.+ � II�
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Gity: �tJ�v�v� Stat�: �`o w,� Zip; S'��o Z, I,
3. i'�l�ph�r�� N�rrmber: _- �5"��� S�o - �'i4� � I'!;'',
4. �ate of Incident: _���c // �`` � o��� /2 �`•
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5. Time of Ir�ciden#: // II
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7v DESCRlBE �#CCIDENT t�R flCCURREN�E TFiAT CAUSED INJURY OR DAMAGE. {Give
fu11 details upon whici� �a� base your claim. If a C�ty empioyee wa� invoived, give the
empioyee's name.)
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8. V1lhat were r�veather condi#ions like? Su.aa�„v �
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9. Give name and address of any witnesses: �d��` �
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10. �id police investigate? (If so, give names of officers.) "
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11. V1/as anyone injured? {1f so, give names, addresses, and �xtent of injuries).
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12. Vi/as �ny damage done to property? (If so, describe property and the extent of !I
damages. A#tach es#imates of damages or describe basis for ascer#ainir�g extent of i
damage.) I
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'13. INha# other damages do you claim, if any? /'I�o�o,�'
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1�. Have you been cornp�nsated for any part or all of your claim by any insurarace �
compar�y'? {If so, giv� name and addrs�ss of insurance company ar�d amount paid.) i
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°15. V1lhat am�ur�t do you claim from the City of Du3�uque? ;
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'16. Why do �au cl�im #he City of Dubuque is respor�sible?
f'°J l�. ry7 e T�'3/G ,� C i J� ,E /c c G m �*.t'.Sar.in lic. „S'C wcr G„inc
w��4 S �vd 7' �cfi/'�c . .Old �7- �o�C. �D/�f�ctc v� � �t tev.
°l7, Have you m�de any �laim against anyone �Ise fior dama��s as a result c�f t�is inc�dent?
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'18. If #�� �nsrrver to Questior� 17 is yes, have yo� r�ceived �ny payment from that source, �
�nd if so, in eruhat amount? ''i
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Dated at �ubuque, I�wa this /��'" day of e�l�. ����' , 2�D Z o .
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Confidential '�
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T�is cornmunication ar�d ar�y a#tachments may cc�ntain information which is confidential ;
and privileged by law and is for the use of the designated recip�ent. If you are not the ;
�nt�nded recipient, you are hereby notified that you have received this communication in li
error, and that any review, disclosure, dissemina#ior�, distribution or copying of its contents �
is prohibited. Please notify City of Dubuque immediately by telephone at (5S3)-589-4120 of ;!
�our receip# of these items and destroy the communication and any attachments i�
immediately. Further disclosure of this information may violate state and federal i;
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restrictior�s, ;
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Confider�tial information may include the following: i,
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1) Social S�c�rity N�rr�ber(s) ;
2j Medical/Heal#h Infc�rmatior� ,h
3� P�rs�nnellDisciplin�r_y I�forrr�atic�n !;
4) Bank Acco�nt Information �f
5) Fin�r�cial in�Format�on
6j �redit Card Rlumbers
Ifi any �oc�mentation you dssire to st�bmit t� tl�e �ity of Dubuque contain� ar�y c�f the items above
this cs�ver �heet must be attached drr�ctly to th� �or�fNdential information and ind�cate the typ� �f
infc�rm�#ion that is included.
1, f�c�•�a s /� �vcc.i-. ; , hereby certify that �he attacl��d �ocumen�s ��
i�clud� the follt�wir�g protected infic�rm�tic�n: ��
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�Social Sec�rity Number{s) Bank Account Inform�#i�n I,
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MedicaUHe�lth lnf+�rmation �Financial lr�form��ion �''
Persor�r�el/Disciplin,�ry l�formatiflr� Credit Card Number�sj �
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! ur�derst��d that #his in�ormation may be distribu#ed wit�in the City r�rganization or to agents of the R
Ci#y f�r pro�essing �nd I h�reby author�ze the Cifiy to act accordingly taking ali precautions to !�
prot�ct my informatian fro� ur�necessary distribution. �
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Signature Date
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Copyrighted
September 8, 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 for the lowa Communities
Assurance Pool: Thomas Duccini for property damage, Joseph Michael
I ronside for property damage, Michelle Scott for vehicle damage, Sharon
Stratton for property damage, Donald Weig for vehicle damage.
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
Description Type
ICAP Referrals Supporting Documentation
Dubuque
THE CITY OF �
All•Aetrica Cit)
DuB E ,,xn���r,:.
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2007•2012•2013
Masterpiece on the Mississippi zoi�*Zoi9
TRACEY STECKLEIN '�"
PARALEGAL
MEMO
To: Mayor Roy D. Buol and
Members of the City Council
DATE: August 20, 2020
RE: Claim Against the City of Dubuque by Thomas F. Duccini
Claimant Date of Claim Date of Loss Nature of Claim
Thomas F. Duccini 08/20/20 08/11 & 08/12/20 Property Damage
This is a claim in which claimant alleges that the City mistakenly abandoned a sewer line,
causing a sewer backup onto claimant's property at 2705 Rhomberg Avenue.
This claim has been referred to the lowa Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
John Klostermann, Public Works Director
Thomas F. Duccini
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OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 33�, HARBOR VIEW PLACE, 3O0 MAIN STREET DUBUQUE, IA 52001-6944
TE�EPHotvE (563)583-4113/F,vc (563)583-1040/EM,4i� tsteckle@cityofdubuque.org