Claim by Shane and April Hanson Copyrighted
January 19, 2021
City of Dubuque Consent Items # 2.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUM MARY: Jayne David for personal injury; Shane and April Hanson for property
damage; Jordan Koehler for vehicle damage; Nathan and Amanda
Salzmann for property damage; Becky Wolf and Chuck Minnick for
property damage.
SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by Jayne David Supporting Documentation
Claim by Shane and April Hanson Supporting Documentation
Claim by Jordan Koehler Supporting Documentation
Claim by Nathan and Amanda Salzmann Supporting Documentation
Claim by Becky Wolf and Chuck Minnick Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOW,A � �����err����
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This eeerri#ten report con�titu#es your claim against the City of Dubuq�e, �owa. You should
complete this form in full and attach any additional information that supports your claim.
The Claim must be filed with the City Clerk at City Hall, 50 W. 13t" St., Dubuque, IA 52001. It �
will then be referred by the City Council to the appropriate department for investigatio�n. ,�
Once that investigation is corr�pleted, a r�port and recommendation will be submitted to the �I
City Council. You will be provided with a copy of that report and recommendation. hl
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THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY CC�UNCIL. NO EMPLOYEE OF !I
THE CITY OF DUBUC�UE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOl1 °
AS TO WHETFIER YOUR CLAIlVI WILL OR WILL NOT BE PAID.
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1. Name of Claimant: c>�1�3►7�: � ��`�r l-�-�11�',(`��^i �
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2. Address: 1��..�G ��"1,t111C��Y' �
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3. Telephane Number: ���`�,��..1�- `�`�L�`°� �S� '���-��`(1 � �=-��s' °� ���� i,;
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4. Date of lnciderat: ��a �� _ �C` �,�kP�� .0 ��i �
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5. Time of Incident: Q'�'� �,�,, p'r(� �~�, C7a1'� . ry
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6. Location of Incident (Be specific): �9,�r `��^� I�!
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7. DESCRIBE ACCIDENT QR OCCURRENCE THAT CAUSED INJURY CYR DA�I�IA►GE. (Give "
full details upon which yau base your ctaim. If a City employee wa� involved, give the i
employee's name.)
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8. What were weather conditeons like? �'0�� � �'�'[�`-�(Yl.,�
9. Give name and address of any witnesses: ��
10. Did police investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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. Was any darinage done to prop�rty. (If so, describe proper#y ared the extent of '
darr�ages. Attach estimates of damages or describe basis for asc�ertaining extent of j
damage.) �
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13. What other damages do you claim, if any? �'f�}�.,�, �� Q�F- Q�r i������j-y- ,
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14. Have ou been com ensa�ed for� an ��
Y p y part or all of your claim by any insurance
company? (If so, give name and address of insurance company and amount paid.) �
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15. What amount do you claim from the Cit of Dubuc�ue? ``�' � � ` , j ;
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16. Why do you clairn the City of Dubuque i� responsible?_. ���-- � � � ��• ��j�
C�P,��1�k: �1��►� � G�I. �¢.� �.�I� ����� > �_y�� t���' �����- �
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17. Have you made any claim against anyone else for damages as a result of this incident? ��
(If yes, give narr�e and address.) N
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1�. If the answer to Questior� 17 is y�s, have you received any paymen� from that source,
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and if so, in what amount? j
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C2atec! at Dubuque, 9ov�ra #hi� �,�cla of 20 �. . �
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(Rev. 5/18)
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Jenni(er M.Messerich
Paralegal % �u6uque
Suitc 33Q Harbor View Place THE CTTY OF �
300 Main Street '�1is°n
Dubuque,lo���a 52001-6944 ��� � ��I I��
(�63)SR9-4381 office �
(563)�83-1OR0 fax smn�zm�
jemesser(n�cityofdubuque.org MC15t2Y'�71EC2 Ott fjiC'MISS(SSIFI�Ii z„s-zoi--
January 8, 2021
Shane and April Hanson
6159 Thunder Road
Holy Cross, IA 52053
RE: Claim Against the City of Dubuque, lowa
Dear Mr. and Mrs. Hanson:
The City of Dubuque is in receipt of the claim filed by you on January 4, 2021.
Please be advised that the City only handles claims involving incidents within the City of
Dubuque. Your claim references a snow plow incident occurring in Dubuque County and
caused by Dubuque County snow plow. If you wish to pursue your claim, it must be filed
with Dubuque County.
If you have any further questions, please call me at (563) 589-4381.
Sincerely,
Jennif�serich
Paralegal