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Claim by Michael Dressler Copyrighted December 21, 2020 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Michael Dressler for property damage; Optum on behalf of its Client, Auto Owners Ins. Co./Jo Witterholt Weigel, for property damage; Amy Ressler for property damage. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Michael Dressler Supporting Documentation Claim by Amy Ressler Supporting Documentation Claim by Optum Supporting Documentation ��,� � �� LAIM AGAINST THE C1TY OF DUBUQUE, IDWA ��,Kele�- B�r`,�� I� This written report constitutes your claim against the �ity of Dubuque, lowa. You shoutd j complete #his form in full and attach any additional information that supports your claim. ; � a The Claim must be filed with the City Clerk at City Hall, 50 W. 13t" 5t., Dubuque, IA 52001. It ' wi11 then be referred by the City Councel to th� appropriate department for investigation. ; Once that investigation is completed, a report and recommendation will be submitted to the ;i � Gity Council. Ycau will be provided with a copy of that report and recommendation. ,j THE FINAL DECISION 4N ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF ' THE CITY OF �UBUQUE HAS THE AUTHORITY TO MAKE ANY f�EPRESENTATION TO YOU " AS TO WHETHER YOUR CLAIM WILL OR WILL N�T BE PAID. '' li 1. Name of Claimant: !��.t� ' �f� '� ��c�� c��s51� � '�� 2. Address: �°`�� _ . , � 4 ,�lt �� _ .. I . . __ i City: �i�� State: �,��:�. Zip: ,�� 3. Telephone Number: �� -��-�'1 � �. Date of Incident: � e � i 5. Time of Incident: �� i 6. Location of Incident (Be specifie):� � ;�I � �� :� _� '�� ,. ��,� � �°'' � �II fi �, ,? 7. DESCRIBE ACCIDENT �R QCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give !� full details upon which you base your claim. If a City employee was involved, give the ,; employee's r�ame.) ,! �':�T�� f��P�Y � ��t��_, �� .�t l.�"��` ��er �,� � ; i��, /� � li � �. � � �� ,� � �� .�. �_ �� : �.,�� 'i 8. What vvere weather conditions like? °'"" � � � 9. Give name and address of any witnesses: .--- � , '10. Did police investigate? (If so, give names of officers.) � ..._- � 11. Was anyone injured? (I#so, give narr�es, addresses, and extent of injuries). .,.-- � i �d � , 1 f�1 P il �2. llVa� any damage done to pro ert ? If so describe � p y. ( , property and the extent of damages. Attach estimates of damages or describe basis for ascertaining extent of damage.) ; - �— '',I ,i � � 13. Whafi other dama es do ou claim, if an � � J Y Y• � ,r�l�- � 'I ;i i � 14. Have you been compensated for any part or all of your claim by any insurance " �ampany? (If so, give name and address of insurance company and amount paid.) 'I II � � ,; 15. What amount do you claim from the City of Dubuque? 1 C. Why do you claim the City of Dubuque is responsible? � 17. Have y��u r�nade any claim against anyone eise fior dama�es as a result of this incident? (If yes, give name and address.) '; _ � � � i� �18. 1f the answer to Question 17 is yes, have you received any payment from that source, � and if so, in what amount? !� u i I � Dated at Dubuque, lowa this ��.� day of ��.�' , 20 � , ��, i � , -_ � � 4 gSignature) � � , �, _ �`�,►��►�� 1.��_��tzs� (Print Name� � � � �.� � � � � � �� s � �� . � tT� � . �,' � � � (Rev. 5/18) �. � c� � � �' � � � y � ,� � � � � . � � Copyrighted December 21, 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: Michael Dressler for property damage; Optum on behalf of its Client,Auto Owners I ns Company/Jo Witterholt Weigel, for property damage;Amy Ressler for property damage. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type ICAP Referral Supporting Documentation Dubuque THE CITY OF � uFA�eri�a city Du B E ,.,h.��.� ; � � , II 2007•2012•2013 Masterpiece on the Mississippi zoi�*2oig TRACEY STECKLEIN � PARALEGAL MEMO To: Mayor Roy D. Buol and Members of the City Council DATE: December 14, 2020 RE: Claim Against the City of Dubuque by Michael Dressler Claimant Date of Claim Date of Loss Nature of Claim Michael Dressler 12/11/20 Unknown Property Damage This is a claim in which claimant, who is the owner of the house at 2215 Rosaline, alleges that he should not be financially responsible for the missing meter interface unit for 2215 Rosaline. This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Denise Ihrig, Water Department Manager Rose Hoerner, Utility Billing Supervisor Michael Dressler OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHotvE (563)583-4113/FAx (563)583-1040/EMa,i� tsteckle@cityofdubuque.org