Claim by Bruce MurphyCopyrighted
May 17, 2021
City of Dubuque Consent Items # 2.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Bruce Murphy for property damage.
SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by Bruce Murphy Supporting Documentation
1 I V/q
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA C,
This written report constitutes your claim against the City of Dubuque, Iowa. You snould
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. 13th 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:
2. Address: J0
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City: 4 T� State: Zip: ,
3. Telephone Number: V�-
4. Date of Incident: `
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5. Time of Incident: -pw\
6. Location of Incident (Be specific):
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? ®9
9. Give name and address of any witnesses: 1 1
10. Did police investigate? (If so, give names of officers.)
11. Was anyone injured? (if so, give names, addresses, and extent of injuries).
iv
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.)
N
13. What other damages do you claim, if any? (_
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. Wh do youATDDI�qd
im the City of Dubuque is res onsibiQ.
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17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give 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? N0
Dated at Dubuque, Iowa this day of 20 ,
(Signature) rr�.
F,
(Print Name)
N\P-, A,�\mj s,
(Rev.5118) c2 OL') j �JL
Du�,j 'u6
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INVOICE
Bill To: Bruce Murphy
1600 butterfield
apt 109
Dubuque IA 52001
Return With Payment
38890
05/10/2021 11:54a`
11990
BSCHMITT
-
Amt Due
0.00
1 LG K22 k22 89.99 89.99
Thank you for shopping at In Touch Cellular & Satellite, your Sprint Authorized Retailer.
We hope you are very satisfied with your purchase and the help you received from us in your
decision making process.
We want to make you aware of your choices should you not be satisfied with your purchase. The
details are available at http://www.sprint.com/landings/returns/ or see the Sprint Return
Policy eFlyer.
You must have the device in its original condition with all contents from the box as well as
the box as sold.
You can exchange your device within the first 72 hours of activation (carrier dependent) if it
is in its original condition with all contents from the box as well as the box as sold. In
most exchange situations, a $35 restocking fee will be charged. Mail in rebate concerns should
be directed to the party offering the rebate:
https://www.sprintrebates.com/track/sprintpcs/track.html or the manufacturer. Refunds for cash
and check payments will be repaid in the form of a check sent to your address. Please allow 14`
business days for processing and delivery. Consumables such as air time replenishment are non
refundable.
Cash 96.29
SUBTOTAL
89.99
Tax
6 30"
TOTAL
96.29
AMOUNT RECEIVED
96.29
BALANCE
0.00
Pan(- 1 38890
City of Dubuque
City Council Meeting
Consent Items # 3.
Copyrighted
May 17, 2021
ITEM TITLE: Disposition of Claims
SUMMARY: City Attorney advising that the following claims have been referred to
Public Entity Risk Services of Iowa, the agent for the Iowa Communities
Assurance Pool: Bruce Murphy for property damage.
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
Description
I CAP Referral
Type
Supporting Documentation
THE CITY OF
DUB E N N D H a
Masterpiece on the Mississippi
JONI MEDINGER
LEGAL ADMINISTRATIVE ASSISTANT
To: Mayor Roy D. Buol and
Members of the City Council
DATE: 5/12/2021
RE: Claim Against the City of Dubuque by Bruce Murphy
Claimant Date of Claim Date of Incident Nature of Claim
Bruce Murphy 5/12/2021 3/19/2021 Property Damage
This is a claim in which claimant alleges claimant's phone was damaged by emergency
personnel during transport of emergency medical services.
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
Rick Steines, Fire Chief
Bruce Murphy
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 589-4113 / FAX (563) 583-1040 / EMAIL jmedinge@cityofdubuque.org