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Claim by GRTD Investments LLCCopyrighted October 4, 2021 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUMMARY: GRTD Investments, LLC for vehicle damage; Joshua -James Richards for personal injury. SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: Description Type Claim by GRTD Investments, LLC Supporting Documentation Claim by Joshua -James Richards Supporting Documentation L cl �� CLAIM AGAINST THE CITY OF DUBUQUE, IOWA cr_Gk� aj�d 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. 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. Dame of Claimant: GRTD INVESTi\4ENTS, LLC 2. Address: 3250 KENNEDY CIRCLE SUITE 7 City: DUBUQUE 3. Telephone Number: (563) 556-3645 State: IOWA Zi p: 52002 4. Date of Incident: SEPTEMBER 22, 2021 5. Time of Incident: 11:05 AM 6. Location of Incident (Be specific): IN FRONT OF 1370 W 5TH STREET IN DUBUQUE, IOWA 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.) * POLICE REPORT IS INCLUDED AS WELL GRTD TRUCK WAS PARKED LEGALLY IN FRONT OF 1370 W. 5TH AS THE JULE BUS THAT WAS DRIVEN BY TRUCK, THE PASSENGER SIDE MIRROR OF THE JULE BUS STRUCK THE DRIVERS SIDE MIRROR OF THE GRTD INVESTMENTS TRUCK, BREAKING THE MIRROR AND HOUSING ON THE GRTD INVESTMENTS TRUCK. 8. What were weather conditions like? CLEAR AND SUNNY 9. Give name and address of any witnesses: ZACH AMLING - 3250 KENNEDY CIRCLE STE 7 10. Did police investigate? (If so, give names of officers.) OFFICE BRADLEY HESSELBACHER 11, Was anyone injured? (If so, give names, addresses, and extent of injuries). NIA 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.) DRIVER SIDE MIRROR WAS STRUCK BY A JULE BUS. ESTIMATE TO FIX THE MIRROR IS $799.23. PLEASE VIEW THE QUOTE THAT IS INCLUDED 13. What other damages do you claim, if any? NO 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 laim from the City of Dubuque? %799.23 16. Why do you claim the City of Dubuque is responsible? A CITY JULE BUS STRUCK A LEGALLY PARKED COMPANY TRUCK OWNED BY GRTD INVESTMENTS, LLC 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? Dated at Dubuque, Iowa this 23 day of SEPTEMBER , 20 21 DENNIS BUCHHEIT (Rev. 5118) (Signature) (Print Name) ti City of Dubuque City Council Meeting Consent Items # 3. Copyrighted October 4, 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: GRTD Investments, L L C for vehicle damage; Joshua - James Richards for personal injury. 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: 9/28/2021 RE: Claim Against the City of Dubuque by GRTD Investments, LLC Claimant Date of Claim Date of Incident Nature of Claim GRTD 9/23/2021 9/22/2021 Vehicle Damage Investments, LLC This is a claim in which claimant alleges claimant's vehicle was damaged due to being struck by a City bus. 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 Russ Stecklein, Interim Director of Dubuque Transportation Services GRTD Investments, LLC 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