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Claim by Anna EichackerTHE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL 0 To: Mayor Roy D. Buol and Members of the City Council DATE: August 21, 2010 RE: Claim Against the City of Dubuque by Anna Eichacker Claimant Date of Claim Date of Loss Nature of Claim Anna Eichacker 08/18/10 07/06/10 — 07/19/10 Property Damage This is a claim in which claimant alleges that a lead pipe entering the foundation of her property of 910 Rhomberg Avenue was bent and broke during the water meter replacement which caused water damage to her basement. 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 Ken TeKippe, Finance Director Bob Green, Water Department Manager Anna Eichacker 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 C'c : M i�1 CLAIM AGAINST THE CITY OF DUBUQUE, IOWA 5c)5. !. 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: A h CVE' r 2. Address: `q ` 'C�� ecTIO V\ 3. Telephone Number `j((, 3 - t k - ) 1 Co 8. What were weather conditions like? �v_rr.r 10. Did police investigate? (If so, give names of officers.) 4. Date of Incident: 1( I (-) - I - \ 0 5. Time of Incident: 1 Q'( ',00 pr 6. Location of Incident (Be specific): a I © " R1 - ornlne q r;� f \ u e.r rr €-k r �f p pe - ,« V - t e1 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.) - h-e kik s_ 1 00 l 'ME €d 1t q '\o YYY_k rear", rne4e r 1�E ben+ and Kt rn,16e4 t - to b of ax °Lock. 1.cco( r.Axt- er l e rnFM1-E _ 12 er An. } rn;is 9. Give name and address of any witnesses: may cx eco.t-, \r\oc rs ( mule ,Tfa, 5 &.3 - S.13 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). 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.) ulct-Qe - C∎ 1I pr\ env hales coot hroV_en '- .-fie r • . • . -. l - • • • • 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.) 15. What amount do you claim from the City of Dubuque? R99 .SZ0 16. Why do you claim the City of Dubuque is responsible? • - OCZ• ce• t0.C' mrionnwwwirmtirm rk vYYk5 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) h00),s t \ c $,Alt flr . ( c)( or,, 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? n o Dated this __-_-__/_1511-- (i day of f c- , 2 6 z w C7 A A t 117 1-\ iv ��1 a----- _ O mr < (Signature) (Print Name) (. • b b u 11...1( al I ) JQj A-SD .13 a W a vo k-i ID 04_ pc)■-\.), i u) a ku s-5 ■..) I sc;(2) h 6 cm \ 4:l.) vki asx.Dci a..1 I-) ,Ap 3 u 1- •cr‘0 Q (7) ip \DA yN; \ 0 oVD Wch 4- i vo. s d LLA 'Cld ' PUMP 25'CRD 7s ALE :NARDS — DUBL.lt. c t00 Dodge Street 'bu+:ue , IA 52003 KEEP YOUR RECEIPT JRN POLICY VARIES BY PRODUCT TYPE s noted below allowable returns for on this receipt will be in the form an in store credit voucher if the return is done after 10/17/10 111111111111111111111111111111111111111 Sale Transaction IUMBER OF ITEMS = 1 !n you provide a check as payment, you authorize us either to use irmation from your check to make a time electronic fund transfer from account or to process the payment a check transaction. For check specific inquiries please call .237 -7650. For all other questions contact the store directly. +OU, YOUR CASHIER, Rebecca 9731 07/19/10 08:13PM 3057 74.99 74.99 5.25 80,24 80.24 01191:1110® vuMVs OWNER'S MANUAL INSTALLATION AND OPERATION INSTRUCTIONS FOR SUBMERSIBLE UTILITY PUMP Model: 91575 c LISTED US 004900005011 F CF DT DEPOSIT OK E 0049233445 F CF DT COKE IA F 70003581 CHEER LIQUID 00370001327 FISH OIL 068113131261 TB 00 713280 Byy} UU1111W4u r 8 B SPRD 001111153440O003A F COUPON 37000 053700012382 COUPON 37000 053700025282 SUBTOTAL TAX 1 7.0000%AL ECA (H TEND 1.48 X 0.05 0 3.00 X 0.30 0 3.97 X 5.00 X 11.44 X 2 x .00 0 2.00 0 73.02 2.00 -0 2.00-0 69.02 4.57 73.59 73.59 0.00 When you pay by check, you authorize us to use its information (Eo� an Electronic Funds accou or to a draft drawn on your process the payment as accheck. If payment is returned unpaid, authorize collection of your payment and the Return Fee below by EFT(s) Call drafts? drawn on your 88g_g05 -3388 with anY questions RETURN FEE AMOUNT 30. # ITEMS SOLD 15 TC# 95 9444 7600IIU�I7I8I17! 458 I` � �� NINN�I��H���I��� uVQI HI II�� I��I�Illgl �IINI�# Shop at Wal mart & Get Your e08/16/10�117 : Less. 47:23 BUTLER COUNTY MUTUAL INSURANCE ASSOCIATION 101 Cherry Street Allison, IA 50602 Phone: 319 - 267 -2035 01V 798 Cedar Cross Road DUBUQUE , IOWA 52003 (563) 582-8884 BILL TO ANN EICHACKER RENTAL 1915 ROSEMONT DUBUQUE, IOWA 52002 NAME ANN EICHACKER RENTAL STREET 910 RHOMBERG CITY DUBUQUE, IOWA PHONE 556 -0316 MATERIALS DATE 7/22/2010 PROMISED 1CALL BEFORE UNIT TOTAL MATERIALS • Tenn: A finance charge of 15% per month (i8% per year} will be charged on post due accounts of over 30 days. Customen will pay all colledkm charges or fees, 1 have authorized to order the work outlined above which has been satisfactorily completed.1 agree that Seller retains title to equipment/materials furnished until final payment is mode. If payment Is not made as agreed Seller can remove saki equipment at Sellers expense. Any damage resuRIng from said removal shall not be the responsibility of the Seller. AMOUNT HOURS LABOR RATE AMOUNT 51.00 74.50 TOTAL LABOR 74.50 ** PLEASE INCLUDE INVOICE NUMBER ON CHECK MEMO** HVAC SERVICE ORDER, INVOICE 85079 This work Is to be o C.O.D. ❑ CHARGE ❑ NO CHARGE MAKE MODEL SERIAL BARD IHfl5D486 K940866571 -1 TECHNICIAN BB AUTHORIZED BY WORK PERFORMED FURNACE REPAIR ESTIMATE DESCRIPTION OF WORK PERFORMED INSPECTED FURNACE FOR WATER DAMAGE. FOUND NO WATER DAMAGE. TOTAL MATERIALS TOTAL LABOR TRAVEL CHARGE TAX TOTAL RECOMMENDATIONS TOTAL SUMMARY LIMH!D WARRANTY. All materials, parts and equipment are warranted by the manufacturers or suppliers' written waranty only. All labor per- formed by the above named company Is warranted for 30 days or as otherwise Indicated in writing. The above named company makes no other warranties, expressed or implied, and Its agens or technicians are not authorized to make any such warranties on behalf of above named company. ❑ REGULAR ❑ WARRANTV u SERVICE CONTRACT 79.50 $.58 85.08 Soirri 7g/t/ CUSTOMER'S ORDER NO. NAME ADDRESS CITY, STATE, ZIP SOLD BY aptAi -did/ft ) 7o QUANTITY DESCRIPTION (44 Pr 5 6 7 8 9 10 11 12 131 141 15 16 17 181 191 201 RECEIVED BY i adema 5805 / ) ,1,6 : 7-. , _ CJ CASH CxV ,f �l`t ( DEPARTMENT C.O.D. DATE 7� /O CHARGE /1 ON ACCT. W ,,= nn //// rte. KEEP THIS SLIP FOR REFERENCE 273017 MDSE RETD PRICE AMOUNT PAID OUT Precision Plumbing Co., Inc. 1836 Phyllrich Dr. Dubuque, IA 52002 Name / Address Roy Goodman 910 Rhomberg Ave. Dubuque, IA 52001 10011. 3/4" K- Copper Pipe Six Foot Stop Box 3/4" x 1/2" Meter Valve Watt #7 Backflow Expansion Tank Material, labor, tax and labor Description This bid is to replace water service from curb to meter, making needed changes inside. one year warranty. This bid includes listed fixtures, material, labor, permit and tax. Deposit down is $900.00 Remainder due upon completion of plumbing is $725.00 Sales Tax Thank you for your business. Qty Customer Signature Total Cost Date 7/20/2010 1,625.00 7.00% Estimate Estimate # Total 559 Project 0.00 0.00 0.00 0.00 1,625.00 0.00 $1,625.00 JOB I NVOICE Precision Plumbing, Co., Inc. 1836 Phyllrich Dr. Dubuque, IA 52002 563 -557 -1139 TO RCN ADDRESS q ld 6h ATTENTION WORK ORDERED BY DATE ORDERED DATE COMPLETED - USTOMER APPROVAL SIGNATURF kUTHORIZED SIGNATURE AMOUNT DESCRIPTION OF WORK • DATE ORDERED PHONE NO. JOB LOCATION JOB PHONE TERMS ORDER TAKEN BY CUSTOMER STARTING DATE MISCELLANEOUS CHARGES TOTAL LABOR TOTAL MATERIALS TOTAL MISCELLANEOUS SUBTOTAL TAX GRAND TOTAL Mark Fondell Excavating, Inc. 2270 Crown Point Rd. Dubuque, IA 52002 Bill To Ann Eichacker 1915 Rosemont Dubuque, IA 52002 Project P.O. No. Terms 910 Rhomberg Quantity Description Rate Amount thank you for your business. 7/21/2010- Machine Time & Labor to Replace Water Line per Bid Dubuque Co. Sales Tax Total Date 7/27/2010 2,800.00 7.00% Invoice Invoice # 1561 2,800.00T 196.00 $2,996.00 FONDELL EXCAVATING INC. 2270 Crown Point Road — Dubuque, IA 52002 Mark Fondell 563 -584 -0505 563 -557 -1877 To: Ray .r 6 )/1'1, w ✓ ill 1 c /f 4/1--6P ieh ESTIMATE /VC) Ce /V e P F O'y Jim Kemp 563 -0406 563 -582 -0284 Date: % i07 Job Name: ) 7i, /i Location: '/4 v o`ri /%iF r` Od f� A 41 ALLIANT To report an outaUe call: 1 - 877 - 740 - 5050 NAME KRISTA GOODMAN 1 SERVICE 910 RHOMBERG AVE ADDRESS NUMBER FROM READING PERIOD TO I DAYS I CURRENT METER READINGS REVIOUS MULT METER IPLIER I THERM UNITS I BILLED 06/29 07/30 31 6729 4070 2,659 00203654 DEPOSIT YOUR NEXT SCHEDULED READ: 08/27/2010 ELECTRIC RESIDENTIAL SERVICE RATE CODE 150 METER 00203654 2,659 KWH / 31 DAYS = 85.774 KWH PER DAY SUMMER 1ST STEP 16.438 KWH X 31 DAYS X $.11834 SUMMER 2ND STEP 23.014 KWH X 31 DAYS X $.11834 SUMMER 3RD STEP 46.322 KWH X 31 DAYS X $.11834 ENERGY COST 2,659 KWH X $.02960 BASIC SERVICE CHARGE $.34520 X 31 DAYS CITY FRANCHISE FEE $416.19 X TAX STATE % CURRENT CHARGES THIS METER BILLING PERIOD THIS MONTH LAST MONTH LAST YEAR 80.00 RETURN THE STUB WITH YOUR PAYMENT Interstate Power and Light, an Alliant Energy Company AVG TEMPERATURE ELECTRIC USE PER DAY 73 F 85.774 KWH 69 F 63.878 KWH 66 F 53.937 KWH * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ■ * * * * * PAYING BY CHECK? SET UP A FREE ONE-TIME AUTOMATIC BANK WITHDRAWAL BY CALLING ALLIANT ENERGY'S AUTOMATED VOICE SYSTEM AT 1- 800-255-4268 OR GO TO WWW.ALLIANTENERGY.COM. PAYING BY CREDIT CARD? USE SPEEDPAY. WE ACCEPT VISA, MASTERCARD AND DISCOVER CREDIT CARDS. RESIDENTIAL CUSTOMERS - THERE IS A $4.50 CONVENIENCE FEE FOR EACH $600 PAYMENT TRANSACTION TO USE SPEEDPAY. CALL 1- 877-429 -4126 OR GO TO WWW.ALLIANTENERGY.COM /SPEEDPAY TO MAKE A PAYMENT. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * WE'RE HERE TO ANSWER YOUR QUESTIONS ANYTIME BY PHONE OR BY MAIL. CALL US AT 1-800- ALLIANT (1-800- 255 - 4268), OR TO CORRESPOND BY MAIL, WRITE US AT PO BOX 351, CEDAR RAPIDS, IOWA 52406 -0351. PLEASE DO NOT SEND CORRESPONDENCE IN WITH YOUR PAYMENT AS IT IS PROCESSED BY AN AUTOMATED SYSTEM. IF ALLIANT ENERGY -IP &L I9 UNABLE TO RESOLVE YOUR COMPLAINT, YOU MAY REQUEST ASSISTANCE FROM THE IOWA UTILITIES BOARD BY CALLING (515)281 -3839 OR TOLL-FREE 1-877 -565 -4450, OR BY WRITING TO 350 MAPLE STREET, DES MOINES, IOWA 50319, OR BY E-MAIL TO IUBCUSTOMEROIUB.STATE.IA.US PAGE 1 OF 1 AVERAGE DAILY COST f EXCI UDING SAI FS TAXI ELEC $13.43 AMOUNT OF PREVIOUS BILL PAYMENT RECEIVED 07/08, THANK YOU BALANCE BEFORE THIS BILL PLEASE ALLOW FIVE BUSINESS DAYS FOR MAILING AND PROCESSING AVERAGE UNIT COST (FXCLIIDING SALES TAXI ELEC $.157 05942 Questions? Call 1- 800 - 255 -4268 ACCOUNT NUMBER 30 -06- 336 - 1330 -03 BILL DATE 08/03/2010 07 CURRENT ACCOUNT BALANCE $416.19 AMOUNT DUE NOW 8416.19 ADD 1.5% AFTER AUGUST 23, 2010 $422.43 LATE PAYMENT AMOUNT 60.30 84.43 169.93 78.71 10.70 12.12 00 $416.19 ACTUAL $263.66 264 66- $.00 16 16 cH (2 JuLyv‘p ©CSA. Inr. PdntoA is n rInn 44 3 rier`S uoo r 1< 1 -- rn�� 5v be ■ l C._r 1 can oo \ie_r 1► cl. - aan I V QC. 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File drawer on ball- bearing slides with letter/legal filin lock secures both drawers. • Hutch with two doors and open spaces to put binders. Measures 59-13/16'W x 59 "D x 66- 7/16 "H overall. Desk surfaces are 19- 1/2 "0. Shpg. wt. 23i unassembled. PRICE INCLUDES FREIGHT! (Truck shipment - See Terms & Conditions). PIE for delivery. MORE SIZES & ACCESSORIES BELOW U- Shaped Computer Workstation Shipping Information Privacy Policy Terms & Conditions Cus New Con Page 1 of 3 Purchase Orders accepted. - Fax FREE NATIONWIDE SHIPPI No. Y8922 Measures 59-13/16'W x 84- 15 -16 "13 x 66- 7/16 "H overall. Shpg. wt. 323 lbs. Ships unassembled PRICF Item #: No. Y8921 Price $529.00 Laminate Tuscany Brown /B Finish: Reviews: Rate this item Quantity: 0 � s ENC a A RUC Innova - offered in Tuscany Brown top contrasting black skies and Cappuccir more classic and timeless look. Durab laminate surfaces. "1" ADD SEEFCE Pro Heat 2X® BI SSEII IIw�! 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Privacy Policy htto://www.bissell.comInmheat-7Y-rleen_plenn Clean is Our Family Tradition Since 1876 D In rn n 1n ST sTf�TT t 2010 -07 -21 -1515 Total: 2010 -07 -21 -1515 Dubuque Area Steamatic Line Item Totals: 2010 - 07 - 21 - 1515 Grand Total Areas: 0.00 SF Walls 0.00 SF Floor 0.00 SF Long Wall 2010 -07 -21 -1515 0.00 Floor Area 0.00 Exterior Wall Area 2010 -07 -21 -1515 QNTY REMOVE 3.00 EA 0.00 12.00 EA 0.00 0.00 SF Ceiling 0.00 SY Flooring 0.00 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Surface Area 0.00 Total Ridge Length 0.00 Total Hip Length REPLACE DESCRIPTION 1. Dehumidifier (per 24 hour period) - Large - No monitoring 1 dehumidifier for three days. 2. Air mover (per 24 hour period) - No monitoring 4 blowers for three days. 7. Equipment setup, take down, and 4.00 HR 0.00 41.12 monitoring (hourly charge) 3. Apply anti - microbial agent 1.00 EA 0.00 25.00 5. Water Extraction & Remediation 48.00 HR 0.00 41.12 Technician - per hour 2 water remediation technicians for 3 days to clean structure of affected area. 8. Equipment decontamination charge - 5.00 EA 0.00 40.54 HVY, per piece of equip 6. Content Manipulation charge - per hour 6.00 HR 0.00 29.71 labor to move contents around in basement. This cost does not include cleaning contents or throwing away contents. 73.17 26.23 0.00 SF Walls and Ceiling 0.00 LF Floor Perimeter 0.00 LF Ceil. Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length TOTAL 219.51 314.76 164.48 25.00 1,973.76 202.70 178.26 3,078.47 3,078.47 7/21/2010 Page: 2 ST rrr>r�` NNW Client: Eichacker, Ann Property: 910 Rhomberg Dubuque, IA 52001 Billing: 1915 Rosemont Dubuque, IA 52002 Operator Info: Operator: CHAD Dubuque Area Steamatic Estimator: Chad Lukes Business: (563) 556 -5821 Business: 500 Huff Street Dubuque, IA 52003 Reference: Business: (563) 556 -5821 Company: Dubuque Area Steamatic Business: 500 Huff Street Dubuque, IA 52003 Type of Estimate: Water Damage Date Entered: 7/21/2010 Date Assigned: Price List: IADU5B_JUL10 Restoration/Service /Remodel Estimate: 2010 -07 -21 -1515 Please note that this is just a "ballpark" estimate until an insurance adjustor has arrived and determined a scope of work. A complete, actual estimate will be written once we know what our scope of work is to be and have been hired to perform water mitigation services. STE l w Line Item Total Replacement Cost Value Net Claim 2010 -07 -21 -1515 Dubuque Area Steamatic Chad Lukes Summary 3,078.47 $3,078.47 $3,078.47 7/21/2010 Page: 3 surds Waterprooting Inc 831 Heather Dr Peosta, IA 52068 563 - 543 -2500 Roy Goodman 910 Rhomberg Ave Dubuque IA 52001 Inside Drainage t... Removal of 4" section of concrete. Removal of 8" of sub base. Installation of clean stone and 3" drainage tile. Re- cement Drainage board - Sump pump syst... Sump pit, sump pump, and plumbing installed Concrerte walls excavate stair well and pour one sided wall Sales Tax Price is good for 14 days. Please sign and return to schedule the beginning of work. Signature 65 Total 8/8/2010 2362 52.00 3,380.00 65 12.00 780.00 1 1,100.00 1,100.00 12 105.00 1,260.00 7.00% 0.00 $6,520.00 BASEMENT WATERPROOFING "The Affordable Choice For Expert Basement Waterproofing" 1 Free Written Estimates 1 Transferable Lifetime Warranty 1 Bowed / Cracked Walls Repaired 1 Call The Experts Today 5 63 - 386 -0986 • 8 00- 981 -0986 Serving BOTH Iowa & Illinois Quad Cities and Surrounding Areas - CI ifP1 ------- , 1. Cement Block Wall 2. ❑ Concrete Wall 3. `t, Stone Wall 4. ❑ Finished Wall 5. 'N Concrete Floor Customer responsibility to remove the following before crew arrives to begin and to replace when completed: ❑ Toilet ❑ Water Heater ❑ Drywall 1' up from floor ❑ Paneling ❑ Sink ❑ Cabinets ❑ Shelving ❑ Floor Tile ❑ Baseboard ❑ Washer /Dryer ❑ Shower ❑ Studs 6" up from floor ❑ Refrigerator - items inside ❑ Freezer - items inside ❑ Carpet ❑ Water Softener Salesman Home owner Date Deposit $ Check # Pay Foreman $ (Upon Completion) S4eur Sauct City 111,:fil* uua►6S /Nd=1:4aelel7l► ❑ P.O. Box 1435 • Bettendorf, IA 52722 Phone (800) 981 -0986 or (563) 386 -0986 Address '<c Rian6e /7 )e D m.tfs y w t State Zip Sub Floor Interior Drainage System with 4" Pipe & Aggregate Home Ph ' a I " Cell Ph CONDITION CODE k Water in Wall Water over footing Water under footing ❑ Water through windows SPECIAL WORK `S, 1-1/2" 25 ft. Flex Tube ❑ Install Sump -Pump ONLY N, Install Sump- Pumpand BasinX ❑ Install Battery Backup Pump ❑ 4" Underground Discharge _ft PVC Pipe Sheets of Brite Wall OWNER AGREES S To provide electrical outlet for pump. tk To clear materials 4' from inside perimeter. To pay for extra carpentry work. To cover or remove any items from basement they have concerns about. System does not cover backing up or plugging of sewers, floods, condensation caused by high humidity; damp spot discoloration of wall or floor, watf over the top of the foundation, through windows, from wall areas not protected by this installation, pumping capacity of sump pump, pump discharge c consequential damages. Ground water containing rust algae will require the owner of the structure to perform a routine maintenance program. Absolutely Dry cannot be responsible for damage to any pipes under customer's floor that show pre- existing deterioration or that run in an unusual manner underneath the floor. SPECIAL INSTRUCTIONS - fait ises'' Of dse 1.4n "F®a06`7 aS na feet &`f ire 1»t - " (.a) AP. iA/ kJ? .c,,edit► r j of i Ao ss 4 a's at,/ Val t u e s• ( r� it i e f 1wrGtEv k el.R~t i) , t' d tek 4r',r Zoeller battery back UD option $650 Absolutely Dry guarantees deposit refund if notice of cancellation is given within 3 days of signed contract date.