Claim by Michael PhillipsTHE CITY OF
DUB JE MEMORANDUM
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
To: Mayor Roy D. Buol and
Members of the City Council
DATE: March 28, 2011
RE: Claim Against the City of Dubuque by Michael Phillips
Claimant Date of Claim Date of Loss Nature of Claim
Michael Phillips 03/21/11 02/02/11 Property Damage
This is a claim in which the claimant alleges while City Public Works employees were
performing snow removal on Dunham Drive, snow was deposited and compacted
against claimant's mailbox which resulted in the mailbox post being damaged.
According to the report of John Klostermann, Street & Sewer Maintenance Supervisor,
based on his inspection of the mailbox post and Public Works records indicating 15 inches
of snow falling on February 1 and 2", it is Mr. Klostermann's belief that the damage as
claimed could have occurred and therefore recommends to approve this claim in the
amount of $49.97 as filed. The City Attorney's Office concurs with this recommendation.
cc: Michael C. Van Milligen, City Manager
John Klostermann, Street & Sewer Maintenance Supervisor
Michael Phillips
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
V
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 Attorneys 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: /`+ 7,C,4 l'/ P 4 / /l / )S
2. Address: `e) , y ,�� ,7 & 7
3. Teiephone Number: 5 3 ,S R """" 39 7
4. Date of Incident: P'S Q k 7 ( 1
.
5. Time of Incident: /14:7 l e r la/'h
6. Location of Incident (Be specific): /�2 9 ,O'(/7/Z7 v L tiJ/e
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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? r, ,-J c ' f 17 ' // S 7 uJt` '" c -_ 1.16+ , y
9. Give name and address of any witnesses: �e' //to_ ✓ 0 �`
10. Did police investigate? (If so, give names of officers.)
/ 0
11. Was anyone injured? (If so, give names, addresses, and extent of injuries.)
A/ O
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 dama e.)
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13. What other damages do you claim, if any? / it°.
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? 4 t f 0 ` y
16. Why do you claim the City of Dubuque is responsible? Neye° " a ///eV /II/✓' C} f `' 7 Q J-e
(1),003/ /, t14 6 an 1 /d/4 1 /;�,/,/ eo /n
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6` /OGti / e? l/cc / J r°SC/7TCI /1-7 OciY"/l / a,-» O,r .b P%t74s ( /'7/v ,ato- /e'�a.
17. Have you made any claim against anyone else for damages as a result of this incider►t? (IT 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 this
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