Claim by Troy RabbettTHE CITY OF
DUB UE MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
orN
To: Mayor Roy D. Buol and
Members of the City Council
DATE: July 14, 2010
RE: Claim Against the City of Dubuque by Troy Rabbett
Claimant Date of Claim Date of Loss
Troy Rabbett 07/08/10 Approx. 07/08/10
This is a claim in which claimant alleges that his chain link fence
the Keymeer Storm Sewer Expansion Project.
This claim has been referred to Public Entity Risk Services of Iowa,
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Gus Psihoyos, City Engineer
Troy Rabbett
Nature of Claim
Property Damage
was damaged during
the agent for the Iowa
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 West 13 St., Dubuque, IA 52001. It will then be referred to
the appropriate department for investigation and to the City Attorney's Office. 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: ! ro 3 C • { I � c ,bbe
2. Address: 3529; J 'f\rvuzi . C I
- qq - 450IS
3. Telephone Number:
4. Date of Incident: Ctippr^ ()X • "A) t° e k. S C
5. Time of Incident: &P_ --t L-n '' AIY I — 530 Aty)
6. Location of Incident (Be specific): g /Ck VA 1) of 352G
,(Lr v€ J t-o/v6- TNF I3/1C4 F NCe C `
7. Describe the 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.)
Can ctrv1 rtrerri e rP <,<J5 p %a h tr r 01,6 1
Star yvl .i t.e'/) pcin- c gar) (oJ'r t- ( *r risli &r ( t?) SoWt t t h ) n9
ram in +a Cvvyi nW.rn19 %td my (.haL/Y) I ih /7. - Fs v) <i .
8. What were weather conditions like? C lPCf/L Stunt) j
9. Give name and address of any witnesses: MUCKY) e
10. Did police investigate? (If so, give names of officers.)
NO
11. Was anyone injured? (If so, give names, addresses, and extent of injuries.)
/v 0
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? NC)1 — f - frAirt S
iatiat 1 (mod bu - occu4ed 61/(4 - 7 nu.
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?
Dated this /6 day of U Line
(Signature)
%rates kahbe /-/ .
(Print Name)
20 .
16. Why do you claim the City of Dubuque is responsible?
( ?r y L ('sponsi,ble - rcTwVa -bi
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?
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