Claim by Stacy TreanorTHE CITY OF
DUB
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
E MEMORANDUM
To: Mayor Roy D. Buol and
Members of the City Council
DATE: August 18, 2010
RE: Claim Against the City of Dubuque by Stacy Treanor
Claimant Date of Claim Date of Loss Nature of Claim
Stacy Treanor 08/12/10 07/23/10 Vehicle Damage
This is a claim in which claimant alleges that as she drove over a manhole on West
Locust Street, the manhole cover flew off and struck and damaged the driver's side door
of the vehicle.
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
John Klostermann, Street & Sewer Maintenance Supervisor
Stacy Treanor
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 13th 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: `Ttn C j I i MAO
2. Address: d1 1 �) � /2 iVeVaAcc.
3. Telephone Number: 5i6 - t) ( "1 1 C
4. Date of Incident:
5. Time of Incident: J cuYl
6. Location of Incident (Be specific): riCAA1(\ t ' e h ■ l Pre o , -)Q. llc` (
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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.)
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8. What were weather conditions like? fail 0,1 CAC
9. Give name and address of any witnesses: f�'
10. Did police investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries.)
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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 daim, if any?
14. Have you been compensated for any part or all of your daim 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 ?$ 4)S% , bt
16. Why do you claim the City of Dubuque is responsible? If \AJO ci
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17. Have you made any daim 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?
Dated this a day of
(Signature)
StCIC 1/4.) 1 r'e_c4
(Print Name)
08/12/2010 at 12:18 PM
30799
Insured: STACY TREANOR
Owner: STACY TREANOR
Address: 975 1/2 NEVADA
DUBUQUE, IA 52001 -1244
Day: (563)690 -1484
Cellular: (563)451 -7107
Inspect
Location:
Insurance -
Company:
2002 OLDS ALERO GLS 6 -3
VIN: 1G3NF52E72C220893
Air Conditioning
Cruise Control
Dual Mirrors
Fog Lamps
Power Brakes
Power Driver Seat
AM Radio
Cassette
Premium Radio
Passenger Air Bag
Bucket Seats
Aluminum /Alloy Wheels
NO. OP.
BRIMEYER AUTO BODY
License #:30799 Federal ID #:421438480
10709 COLLISION DR.
DUBUQUE, IA 52001
(563)583 -4456 Fax: (563)583 -1838
PRELIMINARY ESTIMATE
Written By: BOB COOK
Adjuster:
.4L -FI 4D SED GREEN Int:
Lic: G750703 Prod
Rear Defogger
Intermittent Wipers
Console /Storage
Clear Coat Paint
Power Windows
Power Mirrors
FM Radio
Search /Seek
Anti -Lock Brakes (4)
4 Wheel Disc Brakes
Automatic Transmission
DESCRIPTION
1 QUARTER PANEL
2* Rpr LT Quarter panel SOPT
REINISH DOG LEG
3 Add for Clear Coat
4 REAR DOOR
5# REFINISH BELOW MLDG
6* Rpr LT Door shell from 1/2/01
7 Overlap Major Adj. Panel
8 Add for Clear Coat
9 FRONT DOOR
10* Rpr LT Door shell
11 Overlap Major Adj. Panel
12 Add for Clear Coat
13# REFINISH BELOW MLDG
14# CAR COVER
15# Repl CORRISION PROTECTION
16 OTHER CHARGES
17# E.P.C.
Subtotals =_>
Parts
Body Labor
Paint Labor
Paint Supplies
Other Charges
SUBTOTAL
Sales Tax
1
Claim #
Policy #
Deductible:
Date of Loss:
Type of Loss:
Point of Impact:
Date: Odometer:
Tilt Wheel
Keyless Entry
Traction Control
Power Steering
Power Locks
Power Trunk /Gate Release
Stereo
CD Player
Driver Air Bag
Leather Seats
Overdrive
QTY EXT. PRICE LABOR PAINT
1
1
1
1
1
Job Number:
Days to Repair
5.00
5.00 0.2
5.00
15.00
3.7 hrs @ $ 56.00/hr
4 . 7 hrs @ $ 56.00/hr
4.7 hrs @ $ 36.00 /hr
0.5 1.5
2.5
0.5
0.6
1.5
-0.4
0.2
1.5
-0.4
0.2
3.7 4.7
10.00
207.20
263.20
169.20
5.00
$ 654.60
$ 485.40 @ 7.0000% 33.98
08/12/2010 at 12:18 PM Job Number:
30799
2 PRELIMINARY ESTIMATE
2002 OLDS ALERO GLS 6- 3.4L -FI 4D SED GREEN Int:
GRAND TOTAL $ 688.58
ADJUSTMENTS:
Deductible
CCC Pathways - A product of CCC Information Services Inc.
2
0.00
CUSTOMER PAY $ 0.00
INSURANCE PAY $ 688.58
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from
the Guide DR1DG99, CCC Data Date 07/01/2010, and the parts selected are OEM -parts manufactured by
the vehicles Original Equipment Manufacturer. OEM parts are available at OE /Vehicle dealerships.
OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or
through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may
reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may
include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk ( *) or
Double Asterisk ( * *) indicates that the parts and /or labor information provided by MOTOR may have
been modified or may have come from an alternate data source. Tilde sign ( -) items indicate MOTOR
Not - Included Labor operations. Non - Original Equipment Manufacturer aftermarket parts are described
as AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used
parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as
Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are
provided by National Auto Glass Specifications. Labor operation times listed on the line with the
NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not
included. Pound sign ( #) items indicate manual entries. Some 2010 vehicles contain minor changes
from the previous year. For those vehicles, prior to receiving updated data from the vehicle
manufacturer, labor and parts data from the previous year may be used. The Pathways estimator has
a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the
local dealership.