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Claim by Sharon Stratton 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 L.�c�1 � 'n�� I CLAIM AGAINST THE CITY G1F DUBUQUE, tOWA M•��5,^�' I�. S+ �-- This written repart constitutes your claim against the City of Dubuque, lowa. You shaui�� complete this form in full and attach any additional in#ormation that supports your claim. f The Claim must be filed with the City Cl�rk at City Hall, 50 W. 13t" St., Dubuque, IA 520Q1. It ' will then be referred by the City Council to th� appropriate department for investigation. Once that investigation is completed, a report and recommendation wilt be submitted to the City Council. You will be rovided with a co of that re ort and recommendation. � pY p i �� THE �INAL DECISION 4N ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU I'II AS T4 WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID. " � �I 1. NameofClaimant: � p ��°�t6�� (��r � '� � ,; 2. Address: � I ��' � �� (`�� City. ' � C� Gl Sta�e: (� Zip: �c��G I I' 3. Telephone Number: �� 4. Date of Incidenfi: � ��-- �� 5. Time of Incident: �� I �� 6. Location af Ir�cid�n#(�� ifi��= �(�'(":1�� C��`��,?t,� . � �.�' � � ' � � :� _ �,5, � � �� ' 7, DESGRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give � fufl details upon which you base your claim. If a City employee was involv�d, give the I% employee's name.) a t� ih��-�t.,�..��,� '� u� q � �..,/7 > � �. ifiina"t were weather concii$i�ns iike? � i 9. Give name and address o#any witnesses: r��. ��,� � . � 10. Did police investigate? (If so, give names of officers.) � 1�� ..�*�.� - � � ` ti i �: ; 1'I. Was anyone injured? (If so, give narrues, addresses, and extent of injuries). � � � �.�, � � ` - � � � u C� � � �� !i 12. Was any damage done to aroperty? (If so, describe property and the extent of I'I damages, Attach estimates of damages or describe basis for ascertaining extent of � damage.) �,- �� ,, �, `�� , �II �� ; 13. What other damages do you claim, if any? �,�Q�y� . c �l,n� c��.�� , �� ! � ��; 14. Have yo�a been compensated for any part or a11 of your claim by any insurance ii company? (If so, give name and address of insurance company and amount paid.) ; � �� il 15. Wa mont i � h t a u do ou cla m from the it f D Y o ubu ue. Y q , /lS� �� ';j ;� 16. Why do y„ u claim the City of D�que is responsible? • , 17. Have you made any claim against anyone else far damages as a r�sult of this incident? '''� (If�es, give r�arne and address.� , �� ii �, 18. If the answer to Question 17 is yes, have you received any payment from that source, �i and if so, in what amount? 'i � � �I ,; � hi Dated at Dubuque, lowa this �day Qf , 20 � � � II .� !i �. � , �� _ ��igna�urej ,� ,� ��-, � �1�� c��C�.-��J (Print Name) � � � � � � ,� �° �? ! � 'i � � � '� � �` w r� � � � � � � (Rev. 5/18� "� �; �„ � � � u ! � � � u ; � � Confidential This communicati�n and any attachments may contain information which is confidential and privileged by law and is far the use of the designated recipient, If you are not the intend�d recipient, you are hereby notified that you have received this communication in error, and that any review, disclosure, dissemination, distribution or copying of its contents is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of your receipt of these items and destroy the communication and any attachments immediately. Further disclosure of thi� information may violate state and f�deral restrictions. Confidential informatian may include the following: 9) Social Seca�rity Number(s) 2) M�dical/Health Information 3) Personnel/Disciplinary Inforrnation 4) Bank Account Information 5) Financial fnformation 6) Credit Card Numbers If any documentation you desire to submit to the City of Cubuque contains any of the items above this cover sheet rraust be attach�d directly to the confidential information and indicate the type of informatian that is included. I, ��C��'�t'� <��-r- ...�(.�� , hereby certify that the attached documents include the folloverir�g protecfied informatian: � ��'� '', �� Social Security Number(s) Bank Account Information � � Medical/Health lnformation �Financial Information � i PersonneVCDisciplinary Information Cr�dit Card Number(s) ' I I understand that this information may be distributed within the City organizatian �r to agents of the I City for processing and I hereby authorize the City to act accordingly taking all precautions to ; protect my information from unnecessary distribution. ,�--�.�-�,,,� � ._ � �- ��s a c� � Signature Date �� k �� w � ,,, , � wII E � ii i � 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 i Dubuque THE CITY OF � All•A�erica City DUB E '�T �� ; I � � I MGZste iece on the Mississi i zoo�•zoiz•zois �' pp 2ol��zoi9 TRACEY STECKLEIN � PARALEGAL '� MEMO To: Mayor Roy D. Buol and Members of the City Council DATE: September 1, 2020 RE: Claim Against the City of Dubuque by Sharon Stratton Claimant Date of Claim Date of Loss Nature of Claim Sharon Stratton 09/01/20 08/23/20 Property Damage This is a claim in which claimant alleges that she was assaulted near Washington Park, at which her eye glasses were damaged. This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Mark Dalsing, Chief of Police Sharon Stratton OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, �-IARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563)583-4113/F,vc (563)583-1040/EMa,i� tsteckle@cityofdubuque.org