Claim by Enterprise Car RentalMasterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
DATE: May 28, 2010
MEMORANDUM
To: Mayor Roy D. Buol and
Members of the City Council
RE: Claim Against the City of Dubuque by Enterprise
Claimant
Enterprise
Date of Claim Date of Loss Nature of Claim
05/2710 01/13/10 Vehicle Damage
This is a claim in which claimant alleges that a City of Dubuque refuse truck struck
claimant's vehicle which was parked in the 1500 block of Montrose Terrace.
This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Paul Schultz, Resource Management Coordinator
Tracey Westbrooks, Enterprise
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001 -6944
TELEPHONE (563) 583 -4113 / FAx (563) 583 -1040 / EMAIL tsteckle @cityofdubuque.org
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
This written report constitutes your claim against the City of Dubuque, Iowa. 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. 13 St., Dubuque, IA 52001. It
will then be referred by the City Council to the appropriate department for investigation.
Once that investigation is completed, a report and recommendation will be submitted to the
City Council. You will be provided with a copy of that report and recommendation.
THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF
THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU
AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID.
1. Name of Claimant: .‘rY
2. Address: F AX 1 - 1 JG c
3. Telephone Number: "11C 8 ris
4. Date of Incident:
5. Time of Incident:
6. Location of Incident (Be specific): 1 SCE'.'' ICC. -K Pi `10 3E. \ P a- 4 (E
7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give
full details upon which you base your claim. If a City employee was involved, give the
employee's name.)
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8. What were weather conditions like? uy\V-v1x 111
9. Give name and address of any witnesses: 14 \ F'
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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12. Was any damage done to property? (If so, describe property and the extent of damages.
Attach estimates of damages or describe basis for ascertaining extent of damage.)
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13. What other damages do you claim, if any? -_ _- a.4r L ,, ,- ( Imo s
14. Have you been compensated for any 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 City of Dubuque?
16 Why do you c aim the City of Dubuque is res onsible?
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17. Have you made any claim against anyone else for damages as a result of this incident?
(If ye, name and address.)
18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
Dated at Dubuque, Iowa this 1 day of
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12. Was any damage done to property? (If so, describe property and the extent of damages.
Attach estimates of damages or describe basis for ascertaining extent of damage.)
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13. What other damages do you claim, if any? 5- G o c) tC S
14. Have you been compensated for any 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 City of Dubuque?
16 Why do you claim the City of Dubuque is res onsible?
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17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes,3ive name and address.)
18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
Dated at Dubuque, Iowa this I day of \ , 20 10.
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(Rev. 1/00 & 7/01)
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nterprise
PO B()X 842442
Dallas, TX 75284 -2442
A1TN: DAMAGE RECOVERY UNIT
Carrier:
Attention:
Re: Enterprise Claim Number: DX6246E54
Your Insured: DAVID CASTRO
Your Claim Number:
Date of Loss: 01 /13/10
Amount Due: $1242.62
Dear Sir /Madam:
CITY CLERK OFFC
50 W 13TH STREET
DUBUQUE, IA 52001
JEANNE SCHNEIDER,CITY CLERK
May 14, 2010
Our investigation indicates that your insured is responsible for the damages to our vehicle. Please
find the enclosed documentation to support our damages as a result of the above captioned loss.
Please be aware that any parts and /or labor discounts afforded to Enterprise Rent -A -Car have been
passed on to you.
If you are in agreement with our position, please remit payment in full to the address above
referencing our claim number on your draft. If you would like to discuss this matter further, please
contact us at the number below.
Respectfully,
Tracey Westbrooks
Recovery Specialist
TRACEY.C.WESTBROOKS(a_ )EHI.COM
Damage Recovery Unit
DIRECT: 970 - 226 -8378
TOLL FREE: 866 - 300 -3238
FAX: 888 - 874 -8937
Image Motorsportz
(Admin Data
Owner Insured
* JJ7T27 Address
Address
Home Phone
Home Phone 111- 111 -1111 Work Phone
Work Phone
Insurance Company Adjuster
Enterprise Adjuster
Address Phone
Email
Phone Inspection Location
Fax
Address
Phone
Fax
Repair Facility Estimator Information
Repair Facility Name Image Motorsportz Estimator TOM PORTZ
Address 3250 Portz Drive Office
Bettendorf, IA 52722 Address
Phone
Fax Email
Federal Tax ID Phone
State Fax
BAR
Estimate Information Claim Information
File ID 1623 Sup No. 0 Claim # DX6246E54 Policy Number
Platform M UM7.0 Transmit Date 1/22/2010 Deductible $0.00 Deductible Paid Unknown
Loss Assignment Date 1/22/2010 Inspection Date Loss Type
(Vehicle Data I
Year 08 Make Chevrolet Model Aveo 5
BodyStyle 4D HB Color VIN KL1TD66628B094633
Engine Type Car Odometer 36564
Production Date Primary Point Of Impactl4
License Secondary Point Of Impactl4
License State
'Line Items
Line Operation Description Price QTY Labor Paint Lbr TTL Other
1 Repair L Quarter Outer Panel 4* B $100.00
2 Refinish L Quarter Panel Outside 2 R $50.00
3 Remove /Install L Rear Combination Lamp 0.3 B $7.50
4 Remove /Replace L Rear Marker Lamp Assembly $64.30 1
5 Blank Line Discount %25.00
6 Overhaul Rear Bumper Cover Assy 1.8 B $45.00
7 Remove /Replace Rear Bumper Cover Assy $497.59 1
8 Refinish Rear Bumper Cover 2.5 R $62.50
9 Blank Line Discount %25.00
10 Additional Operations Clear Coat 1.3 R $32.50
11 Additional Operations Restore Corrosion Protection $3.00* 1 0.2* B $5.00
12 Additional Operations Finish Sand And Buff 1* R $25.00
DisplayEstimate
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13 Additional Operations Mask For Overspray
14 Additional Costs Paint/Materials
15 Additional Costs Shop Materials
16 Additional Costs Hazardous Waste Disposal
$116.00` 1
$4.00* 1
$5.00* 1
1*
R $25.00
Totals
'Parts
'Part IISub Total
11Adj %
IIAdj $
II
Total'
1New Parts 118561.89
11 -25.00
%
11(8140.48)
11
$421.411
1Parts Total
II
$421.411
'Labor
I
'Type 11AdditionalLabor
liRate
I Hours
I
R•H
II
Sub Total'
'Body 1180.00
1825.00
16.3
1
$157.50
11
$157.501
1Paint 1180.00
1825.00
1 7.8
18195.00
11
$195.001
'Labor Total
II
$352.501
I
I
'Materials
'Paint Materials
1
$116.00
'Shop Materials
1
$4.00
'Hazardous Wastes
1
$5.00
'Materials Total
11
$125.00
I
'Miscellaneous
'Other
11
$3.00
'Miscellaneous Total
II
$3.00
I
'Adjustments
'Deductible
11
$0.00
'Sales Tax
11
$55.02
1Orig Total
11
$956.93
'Final Total
II
$956.93
• DisplayEstimate
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Print EMS Estimate and Images
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