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Claim by Amy Ressler 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 �� '�� CL.AIM AGAINST THE �ITY tJF DUBUQIUE, IOWA � � ; This written report constitufies your claim againsfi fihe City af Dubuque, Iowa. You should � complete this form in full and attach any additional informafiwon that supports your claim. 'i The Claim must be filed with the City Clerk at Cifiy Hall, 50 W. 13t'' St., Dubuque, IA 52001. It �1 w611 then be referred by the City Cauncil to the appropri�te department for investigation. '' Once that investigation is completed, a report and recommendation will be subm�#ted to the ,� Ci#y Council. Yau will be provided with a copy of that report and recommendation. ;i THE FINAL DECISI�N tJN ALL CLAIMS IS MAQE �Y THE CITY COUNCIL. NC7 EMPLOYEE OF ��: � THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATI�N T4 YOU � '' AS TQ WHETHER Y4UR CLAIM VNILL OR WILL NOT BE PAID. . ;I ��c�' �'�b-- !I 1. Name of Ciaimant: ° u � � �,i 2. Addr�ss: �� t �o � �( . � ,� Cit �� Zi ��.�C� '' y: ��l�� State: p: !I 3. Telephone Number: (��P�) ..�� -�J�� '�.�'� 4. Date af Incident: � � � � r �� 5. Time of Incident: cD � � 6. Location of Incident (B� specific): �� c.b�°r�.�'" � 'I� i� � ` � 7. DESCRIBE ACGIDENT OR 4GCURRENGE THAT CAUSEQ INJURY t)R DAMAGE. (Give � ;� full details upon which you bas� your claim. If a City employee was involved, give tMe ""' employee"s r�ame.) ��;, ` ii � �.o � . !, i� c , � �, � f' 8. What were weafiher condifiions like? � r 9. Give name and addre�s of any witness��: ��, �L�SSI�� l�GZS �C�'d'�__ ��: �5�r" � i lr'v a�,U � d • '� 1 Q. Did polic+� investigate? (If so, give nam�s of officers.) ' � . � C�e. '' -� -i,v�4 � �' b �� , p `I1. Was anyone injured? (If so, give names, addresses, and extent af injuries). ,� - i � � � � � � � � '12. Wa�s any damage done ficr property'? (If so, describe propert� and the extent of � damages. Attach estimates of damages or describe basis fior ascertaining extent of '� damage.) L � � _ �� 0 � 1 I'�� ii '13. What other damages do you ciaim, if any? '�1 0 7�� , I'I' I� � �m� . 'i4. Have you b�en compensat�d for any part or all c�f your clairn by any insurance ;; � company? {If so, give name and address of insurance company and amount paid.) �; 4 � � `�� Y' 6 t.t) YY��. �� ;� � - �i 15. What amount do you claim from the City of�ubuque? � � -- �3, � � �� 16. Why do ou claim the Cit of Dubuque is s�esponsible? ';'�, � � ,',� 17. Have you made any claim against anyone else for damages as a result of this incid+�nt? li (If yes, give name and addres�.) �� , �; ��'� 18. If the answer to Question �17 i� yes, have you received any payment from that sourc�, I� and if so, in what amount� ,a �� , �� jl I' = Dated at Dubuque, lowa thi� � day of , 20 � ` �' � n - N a ��S�gnature) � �'� � � ; !'�.� S� � (Print Name) �`� � ;� I cc� , � �� N � � � `� f� } � �' � � � ;� � r;� � � � � (Rev. S/18) � �. � � � ¢ � � � ,�:_.,,= � �.:�: , 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 � AIFA�eeica Ciiy D v a../ � \YTTLLUtT IInJi , I '•r I I Maste iece on the Mississi 1 zoo�•zoiz•zois �' pp 2017*2019 TRACEY STECKLEIN '� J PARALEGAL MEMO To: Mayor Roy D. Buol and Members of the City Council DATE: December 10, 2020 RE: Claim Against the City of Dubuque by Amy Ressler Claimant Date of Claim Date of Loss Nature of Claim Amy Ressler 12/09/20 09/28/20 Property Damage This is a claim in which claimant alleges that the picture window at her residence of 1505 Fairview Place was destroyed as a result of a September 28, 2020 gas explosion on Loras Boulevard. This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Alexis Steger, Housing & Community Development Director Amy Ressler OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, I�ARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563)583-4113/Fax (563)583-1040/EMai� tsteckle@cityofdubuque.org