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Claim by Allison LottCopyrighted July 19, 2021 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUMMARY: Allison Lott for property damage; Janet Smith for property damage; SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: Description Type Claim by Janet Smith Supporting Documentation Claim by Allison Lott Supporting Documentation Legal MVM CLAIM AGAINST THE CITY OF DUBUQUE, IOWA G. Psihoyos 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. 13t" 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: Allison Lott 2. Address: 2272 Prince St City: Dubuque State: IA Zip: 3. Telephone Number: 5635427936 4. Date of Incident: Bee Branch Restroation Project 2005 to 2020 5. Time of Incident: during Bee branch construction 6. Location of Incident (Be specific): 2272 Prince St 52001 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.) structural change and damage caused by Bee Branch construction project . We would like for an engineer to come and access. 8. What were weather conditions like? normal 9. Give name and address of any witnesses: n/a 10. Did police investigate? (If so, give names of officers.) n/a 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). N/A 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.) ceiling cracks wall cracks floor cracks potential foundtation issues and potential plumbimg issues Slipping of exterior bricks , movement of exterior porch 13. What other damages do you claim, if any? kitchen cabnitry disconnected from wall 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.) No 15. What amount do you claim from the City of Dubuque? Unknown at this time- would like for engineering to access damage 16. Why do you claim the City of Dubuque is responsible? removal of houses and dirt from across the street comprimised the foundation and interior- constant banging for months 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) No 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? N/A Dated at Dubuque, Iowa this 6th day of July 7 20 21 AUigrHv Laff (Signature) Allison Lott (Print Name) RECEIVED (Rev. 5/18) 21 Jul - 6 PM 2:01 City Clerk's Office Dubuque, IA Confidential This communication and any attachments may contain information which is confidential and privileged by law and is for the use of the designated recipient. If you are not the intended recipient, you are hereby notified that you have received this communication in error, and that any review, disclosure, dissemination, distribution or copying of its contents is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of your receipt of these items and destroy the communication and any attachments immediately. Further disclosure of this information may violate state and federal restrictions. Confidential information may include the following: 1) Social Security Number(s) 2) Medical/Health Information 3) Personnel/Disciplinary Information 4) Bank Account Information 5) Financial Information 6) Credit Card Numbers If any documentation you desire to submit to the City of Dubuque contains any of the items above this cover sheet must be attached directly to the confidential information and indicate the type of information that is included. I Allison Lott include the following protected information: Social Security Number(s) Medical/Health Information Personnel/Disciplinary Information , hereby certify that the attached documents Bank Account Information Financial Information Credit Card Number(s) I understand that this information may be distributed within the City organization or to agents of the City for processing and I hereby authorize the City to act accordingly taking all precautions to protect my information from unnecessary distribution. Signature A6U'S rttti Lv-it 07/06/2021 Date City of Dubuque City Council Meeting Consent Items # 3. Copyrighted July 19, 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: Allison Lott for property damage; Janet Smith for property damage; Michael and Jane Thorne 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: 7/7/2021 RE: Claim Against the City of Dubuque by Allison Lott Claimant Date of Claim Date of Incident Nature of Claim Allison Lott 7/6/2021 2005-2020 Property Damage This is a claim in which claimant alleges claimant's property was damaged and structurally changed by a City construction project. 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 Gus Psihoyos, City Engineer Allison Lott 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