Claim Horsfall, Leanne Reconsider
"May, 31. ,2006 '3:44PM CITY OF DBQ LEGAL DEPT
J"No, 7851 sP. 3so.. 2/2
.
Mayor Roy D. BouI
Members of the City Council
May 31, 2006
Claim by Leanne M. Horsfall
Dear Mayor Buol and Members of the City Council.
I had a claim denied previously by Mr. Van Milligen and I am
writing to have you please reconsider my request. I have attached
a copy of the original request but since that time the city has spent
an extreme amount of time and money in front of my residence
trying to correct a problem that was there for quite a long time as
evidenced by the damage it caused. My original request was not
over stated and I feel that this was not due to anything I caused.
'This is a cbeap price to pay when considering what other damages
to the other neighbors was avoided.
Please reconsider this claim.
Sincerely,
Leanne M. Horsfall
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 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. Name of Claimant: Leanne Horsfall
2. Address: 2161 Lincoln Ave.
`
3. Telephone Number: 588 9675
4. Date of Incident: 3-31-06
5. Time of Incident: 4:00 P.M. - 8:30 P.M.
6. Location of Incident (Be specific): 4 City Sewer Lines in front of house were full, backing up into basement of 2161 Lincoln Ave.
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.)
Waterin basement - tried to clean line but couldn't becuase the city was full as
stated on Roto-Rooter's bill.
8. What were weather conditions like? overcast
9. Give name and address of any witnesses: Ryan & Paul from Roto-Rooter
10. Did police investigate? (If so, give names of officers.) No
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
No
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.)
Some wet items in basement - thrown out
13. What other damages do you claim, if any?
None
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? $202.23
16. Why do you claim the City of Dubuque is responsible? My line was not able to drain because the City sewer lines were full.
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 3rd day of April, 2006. , 20 .
/s/ Leanne M. Horsfall
(Signature)
(Print Name)
(Rev. 1/00 & 7/01)
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CLAIM 'AGAINST THE CITY OF DUBUQUE, IciwA c/
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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. Name of Claimant: Lf///lJ.ve -d #.. 9'F 11/ "--
2. Address: c2/1o / III..! ('(') i-AJ !lV{!
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3. Telephone Number: .-')RR- 9/" 1-'6-
4. Date of Incident: ...-1 - . q I - 0 &
5. Time of Incident: .'/ IfO ,tJ U - /1:.30 f;J 1-1 '
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6. Location of Incident (Be specific): 7 r!lo/ $euJf'~ /'(/t"!5 /A) Ifo)/l c;f'
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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
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8. What were weather conditions like? () {J P ~ (J /l S <P
9. Give name and address of any witnesses: ~AA) ~ '!?/.t /--k/f U
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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 claim, if any?
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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.)
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15. What amount do you claim from the City of Dubuque? ct r/ J) ,::}, ~:1
16. Why do you claim the City of Dubuque is responsible?
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17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.) ;1/ ()
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 ~ day of
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CITY OF DBQ LEGAL DEPT
JolNo. 7851 .P. 2,.... ./2
Tracey here is the letter asking to be reconsidered for
payment.
Tracey would you please attach a copy of my original
request, and the original bill to present to the city council
on my behalf?
Thank you,
Leanne M. Horsfall
Fax: (563)583-1040