Claim Suiter, Eric & Sherri SanwickCLAIM 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: Eric Suiter & Sherri Sanwick
2. Address: 2210 W. 3rd St., Dubuque IA 52001
`
3. Telephone Number: (563) 543 8333
4. Date of Incident: SAT - May 27th, 2006
5. Time of Incident: 5:55 P.M.1
6. Location of Incident (Be specific): 2210 W. Third St.
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.)
A huge limb from a very large basswood tree fell on son's car. The tree belongs to the City of Dubuque.
Have called John Hale 4 times about tree to be taken down. Damage to car front bumper, head lamp,
hood panel and fenders. Limb fell square on it. Someone could have been killed. Weather
was warm, sunny and no wind. We were home at the time and saw it all.
8. What were weather conditions like? Wind was calm, warm and sunny out.
9. Give name and address of any witnesses:
Neightbors: Nancy Reed, 2220 W. Third St., Dubuque; Mike & Sharon Kennedy, 2230 W. 3rd St., Dubuque, Rosemary Lehr, 2267 W. Third St., Dubuque,
10. Did police investigate? (If so, give names of officers.)
Park Ranger came to scene and later officer came to scene. Pictures were taken by the officer at the scene.
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.)
Yes, I have called the City numerous times about this huge tree. (Not weather related). Huge limb decided to fall on son's car. Bumper, hood,
headlite, fender had extensive damage from heaviest part of limb landing square on it. Pictures were taken at the scene
by officers and neighbors and us.
13. What other damages do you claim, if any?
N/A
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?
We have turned in 3 estimates. We are claiming $3000 for vehicle damages and expenses and hassle of not having a vehicle while
in repair shop.
16. Why do you claim the City of Dubuque is responsible?
Tree is between sidewalk and street and is owned by the City.
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?
N/A
Dated at Dubuque, Iowa this 17th day of June, 2006.
Sherri Sanwick
Steve Pregler called from City Leisure Services to let us know the tree will be taken down. The tree is rotting from
the inside out. This incident could have killed someone.
(Signature)
(Print Name)
(Rev. 1/00 & 7/01)
fM
: . ee' tlHf'1
, ~:Ntl
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA luJ/fAA.
This written report constitutes your claim against the City of Dubuque, Iowa. You J.. :.rJ~.v--J
should complete this form in full and attach any additional information that (/'t"""~ . I
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 employeeiof 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_F V~ C- 'Sut -k.v =&- SlA.eV'rl s:"Q.\!\wldc
2. Address: 'd;;)\D W. ?::,vct S+'j DU.'bll5l-t'..\X/AS-cxnl
3. Telephone Number Ce5(Q3) .(;1../,'3,-- ~ ~ ~5
4. Date of Incident ~\f\ \ - vY\ ~ d l '*'^-- d-fD l..o
5. Time of Incident 5 f 5S- P W\
6. Location of Incident (Be specific):
d-d-10 lD. "3,vd S-t} OU.bUf)"P'
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.) "ev'~ l
,
-{c~
s. ~~
\Ull.-QJ.. uJ~Q~~s \.>...XI..VIM., Sou.. \f\,~ o.:.Nt lAD w'w:tl We wey-e- lr-owLa..:\-
8. What were weather conditions Iike?oJJ""'n ~~ CLI.ACl $(l..U)
u)~ol U)()S In Q...~l~'^ot. ::su..V\V\~ Ou.:+-, c.:; .
9. Give name and address of any witnesses:
N't~~ c... R-e-ecl - -Z-?20 vet S'f-
'1,( V"\. S: ::sV Sj.
O~IiV1lLV~ koe. \';'\1" ~ ~(; ,'1W. "3 va 5'1-1 Puj,~u..e..
10. Did police investigate? (If so, give names of officers.) L
~~fJ~(t~XA:'~Ov~~~~~Yp~ ~:1, \ c:--~
-t-o.-\(~ )o~ ~ O~'c-BV o*~SC'8VUL.
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.)
-:r VIa.
'Yi'c lMW e..- ~ ~~ SCJ2AAR... 1Dl:) a-f:C..t'
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.)
\\) 0
15. Wh,1 :moootdo yo" d,;m 'om the ~ity ?f D"b";"e? ~ €,.'
-t~&B ~v~t~h~~l~;;:~~L1~~ ~ ~~~/e 0-('
\^.Of- Iro..u~ Cl U-e' u.:J;iC...e., ~.A~' p,
16. Why do you' claim the City of Dubuque is responsible?
(~~J-e,~<; ~~r~;~~~~~,QAAA ~~~+
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?
11)/ It
, ,
Dated this ~ day of
~~ ~~~W(\QL
(Signature)
S \N2yV'~ SaV\.wfCfe
(Print Name)
. [) l - nfl ^ 0 f'. ~' Jb:,s,UA..Q. ~Cce..c -to let- us. /4rtow
S+eu..e.. \' -e -ev C(Jl.lOU<.OL -tvOVlA , ,
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05/31/2006 at 01:53 PM
30799
Job Number:
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:
Insured: ERIC SUITER
Owner: ERIC SUITER
Address: 2210 W. 3RD ST
DUBUQUE, IA 52001
Cellular: (563) 543-8661
Inspect
Location:
Insurance
Company:
Claim #
policy #
Deductible:
Date of Loss:
Type of Loss:
Point of Impact:
Days to Repair
1993 HOND PRELUDE SI 4-2.3L-FI 2D CPE Int:
VIN: JHMBB2158PC002059 Lic: Prod Date:
Air Conditioning Rear Defogger
Cruise Control Intermittent wipers
Dual Mirrors Electric Glass Sunroof
Power Steering Power Brakes
Power Locks Power Antenna
AM Radio FM Radio
Cassette Search/Seek
Driver Air Bag 4 Wheel Disc Brakes
Bucket Seats Recline/Lounge Seats
Aluminum/Alloy Wheels
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13'
14
15
16
17'
OP.
DESCRIPTION
Odometer:
Til t Wheel
Tinted Glass
Clear Coat Paint
Power Windows
Power Mirrors
Stereo
Anti-Lock Brakes (4)
Cloth Seats
5 Speed Transmission
QTY EXT. PRICE LABOR
PAINT
FRONT LAMPS
Repl RT H' lamp & corner
Aim headlamps
FRONT BUMPER
Refn Bumper cover
Add for Clear Coat
R&I R&I bumper assy
HOOD
Repl Hood
Add for Clear Coat
Add for Underside(Complete)
FENDER
Rpr RT Fender
Overlap Major Adj. Panel
Add for Clear Coat
COOLING
Repl Upper tie bar
Subtotals "''''>
Parts
Body Labor
Paint Labor
Paint Supplies
SUBTOTAL
Sales Tax
GRAND TOTAL
ADJUSTMENTS:
Deductible
CUSTOMER PAY
INSURANCE PAY
1
1
425.30
1.2
0.6
2.4
1.0
1.0
1
376.69
1.2
3.0
1.2
1.5
3.0
2.2
-0.4
0.4
1
90.13
7.1
0.5
s
892 .12
14.1
11.8
892.12
14.1 hrs @ $ 49 .OO/hr 690.90
11.8 hrs @ $ 49 .OO/hr 578.20
11.8 hrs @ $ 30 .OO/hr 354.00
-------- -------
$ 2161.22 @
$ 2515.22
7.0000% 151.29
$ 2666.51
0.00
$ 0.00
$ 2666.51
RICHARDSON MOTORS
1475 J.F.K. ROAD
DUBUQUE, IA 52002
PHONE: (563) 582-5411 FAX: (563) 582-4129
FEDERAL ID: 42-0813744
~.
SHOP:
ADDRESS:
CITY STATE:
ZIP:
CD LOG NO 1836-1
DATE 05/31/06
RICHARDSON MOTORS
1475 JOHN F. KENNEDY RD
DUBUQUE, IA
52002-
INSP DATE:
CONTACT:
PHONE 1:
FAX:
OWNER:
ADDRESS:
CITY STATE:
ZIP:
SUITER, ERIC
2210 WEST 3RD
DUBUQUE, IA
52001
POINT OF IMPACT: 2
LIC#:
BODY COLOR: RED
CONDITION:
*=USER-ENTERED VALUE
EC=REPLACE ECONOMY
UM=REMAN/REBUILT PRT
OE=REPLACE PXN OE SRPLS
TE=PARTL REPL PRICE
I=REPAIR
TT=TWO-TONE
N=ADDITIONAL LABOR
AA=APPEAR ALLOWANCE
HOME PHONE:
STATE:
05/31/06
JASON CHARLEY
(563) 582-5411
(563)582-4129
(563)543-8661
VIN: JHMBB2158PC002059
MILEAGE:
ACCTNG CTL#:
E=REPLACE OEM
UE=REPLACE OE SURPLUS
EU=REPLACE SALVAGE
PC=PXN RECONDITIONED
ET=PARTL REPL LABOR
L=REFINISH
CG=CHIPGUARD
RI=R&I ASSEMBLY
RP=RELATED PRIOR
1993 HONDA PRELUDE SI 2DOOR COUPE
CODE: H1332B/B OPTNS B/24BEGH
NG=REPLACE NAGS
UC=RECONDITIONED PRT
EP=REPLACE PXN
PM=PXN REMAN/REBUILT
IT=PARTIAL REPAIR
BR=BLEND REFINISH
SB=SUBLET
P=CHECK
UP=UNRELATED PRIOR
4CYL GASOLINE 2.3
OPTIONS:
TWO-STAGE - EXTERIOR SURFACES
FRONT SPOILER
ANTI-LOCK BRAKE SYSTEM
OP GDE MC DESCRIPTION
N
I
L
E
N
E
L
E
0006
0006
0006 13
0042
0973
0083
0083
0076 #
L
0076
TWO-STAGE - INTERIOR SURFACES
POWER DOOR LOCKS
AIR CONDITIONING
MFG. PART NO.
ADDNL LABOR OPERA
REPAIR
REFINISH
33100SS0A03
ADDNL LABOR OPERA
60100SS0000ZZ
REFINISH
60431SS0310ZZ
REFINISH
PRICE AJ% B% HOURS R
425.30
1. 2 1
1.0*1
3.6 4
0.3 1
0.4 1
1. 6 1
5.0 4
7.1 1
FRONT BUMPER ASSY R&I
COVER,FRONT BUMPER
COVER,FRONT BUMPER
HEADLAMP ASSY,HALOG RT
HEAD LAMPS AIM
PANEL,HOOD
PANEL,HOOD
CRSMBR,RAD PANEL UPR
# = 01, 07
CRSMBR,RAD PANEL UPR
376.69
90.13
0.6 4
PAGE 1
1993 H,')I':lDA PREL.DDE
CD 'LOG NO 1836-1
SI 2DOOR COUPE
N 0980
I 0104
L 0104
N M17
SB M60
A/C EVAC RECHRG
FENDER, FRONT
FENDER, FRONT
COVER CAR EXTERIOR
HAZARD. WSTE. REM.
& RCVR ADDNL LABOR OPERA
RT REPAIR
RT REFINISH
ADDNL LABOR OPERA
SUBLET REPAIR
6.00*
6.00*
1. 8 2
2.5*1
2.4 4
0.2*4*
1*
14 ITEMS
MC MESSAGE(S)
01 CALL DEALER FOR EXACT PART NUMBER / PRICE
07 STRUCTURAL PART AS IDENTIFIED BY I-CAR
13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
FINAL CALCULATIONS & ENTRIES
GROSS PARTS
OTHER PARTS
PAINT MATERIAL
PARTS & MATERIAL TOTAL
TAX ON PARTS @
LABOR
I-SHEET METAL
2-MECH/ELEC
3-FRAME
4-REFINISH
5-PAINT MATERIAL
LABOR TOTAL
TAX ON LABOR
SUBLET REPAIRS
TAX ON SUBLET
TOWING
STORAGE
RATE
49.00
55.00
55.00
49.00
28.50
892.12
6.00
336.30
1,234.42
7.000% 62.87
REPLACE HRS REPAIR HRS
9.0 5.1 690.90
1.8 99.00
11. 6 0.2 578.20
1,368.10
@ 7.000% 95.77
6.00
@ 7.000% 0.42
GROSS TOTAL
2,767.58
NET TOTAL
2,767.58
ADP SHOPLINK UN189 ES CD LOG 1836-1 DATE 05/31/06 12:54:41AM R6.37 CD 05/06
PXN: Y/OO/OO/OO/OO/OO CUM 00/00/00/00/00 GEOCODE 52002
EDU: 0522 HOST LOG
(C) 1998 - 2006 ADP CLAIMS SOLUTIONS GROUP, INC.
2.4 HRS WERE ADDED TO THIS EST. BASED ON ADP TWO-STAGE REFINISH FORMULA.
--------------------------------------
PAGE 2
.
. -
.
Date: 6/112006 12:56 PM
EstImate 10: 6055
Estimate Version: 0
Preliminary
Profile 10: CUSTOMIZED
MIKE FINNIN FORD
3600 DODGE STREET DUBUQUE, IA 52001
(563) 556-1010
Fex: (563) 690-1086
Tex 10: 14-1862673
Dam_ Assessed By: RICK STUMPF
Deducllble: 0.00
Insured: ERIC SUITER
Address: 2210 WEST THIRD DUBUQUE,IA 52001
Telephone: Home Phone: (563) 643-8861
Mitchell Service: 916129
Description: 1993 Honda Prelude SI
Body Style: 20 Cpe
VIN: JHMBB2156PC002059
Color: RED
Drive Train: 2.3L InJ 4 Cyl 5M
Line Entry Labor Unell8m Part Typal Dollar Labor
Item Number Type Operation DescriptiOn Part Number Amount Units
1 600990 BOY REMOVEIINSTALL FRT BUMPER ASSY INC
2 601090 BOY REPAIR BUMPERlGRILLE COVER existing 2.0"#
3 AUTO REF REFINISH BUMPER/GRILLE COVER C 2.2
4 601450 BOY REMOVElREPLACE R COMBINATION LAMP ASSEMBLY 33100-SS0-A03 425.30 1.111
5 AUTO BOY CHECK/ADJUST HEADLAMPS 0.4
6 602420 BOY REMOVElREPLACE HOOD PANEL 60100.ss0-000zz 376.69 1.0
7 AUTO REF REFINISH HOOD OUTSIDE C 3.2
8 AUTO REF REFINISH HOOD UNDERSIDE C 1.6
9 604220 REF BLEND L FENDER OUTSIDE C 1.0
10 604290 BOY REPAIR R FENDER PANEL existing 2.0"#
11 AUTO REF REFINISH R FENDER OUTSIDE C 2.1
12 604740 BOY REPAIR UPR FRONT BODY TIE BAR -S ExIstIng 3.0*#
13 AUTO REF REFINISH UPPER TIE BAR 0.5
14 AUTO REF ADD'L OPR CLEAR COAT 2.6
15 933005 BOY ADD'L OPR RESTORE CORROSION PROTECTION 6.00" 0.1.
16 933018 REF ADD'L OPR MASK FOR OVERSPRAY 12.00 11 0.2"
17 AUTO ADD'L COST PAINT/MA TERIALS 369.60 ..
18 AUTO ADD'L COST HA2AROOUS WASTE DISPOSAL 6.00"
. - Judgement Item
# - Labor Note Applies
C - Included in Clear Coat Calc
ESTIMATE RECALL NUMBER: 6/11200612:56:19 6055
U_18 a Trademark of Mltchelllntematlonal
Mitchell Date Version: MAY 06 A Copyright (C) 1994.2003 Mltchelllntematlonal
UIlraMate Version: 5.0.214 - All RIghts Reserved
Page 1 of 2
.
. .
I. Labor Su_1s
Body
Refinish
Units
9.6
13.4
Ram
50.00
50.00
Add'I
Labor
Amount
_.-
6.00
12.00
Sublet
Amount
--
0.00
0.00
Taxable Labor
Labor Tax
@ 7.000%
Labor Summary 23.0
III. Additional Cosls
Non-Taxable Cosls
Total Additional Costs
Data: 6/1/200612:56 PM
EstImam 10: 6055
Estimate Version: 0
Preliminary
Profile 10: CUSTOMIZED
Totals II. Part Raplacement Summary Amount
--.-
486.00 T Taxable Perts 801.99
682.00 T Salee Tax @ 7.000% 56.14
1,168.00 Total Replacement Parts Amount 858.13
81.76
1,249.76
Amount IV. Adjuatments Amount
375.60 Insurance Deductible 0.00
375.60 Customer Responsibility 0.00
I. Total Labor: 1,249.76
II. Total Replacement Parts: 858.13
III. Total Additional Costs: 375.60
Gross Total: 2,483.49
IV. Total Adjuatments: 0.00
Net Total: 2,483.49
This Is a preliminary estimate.
Additional changes to the estimate mav be reaulred for the actual rePair.
ESTIMATE RECALL NUMBER: 6/112006 12:58:19 6055
UItraMeta Is a Trademark of Mitchelllnlematlonal
Mitchell Data Version: MAY _06_A Copyright IC) 1994 - 2003 Mltchelllnlematlonal
UItraMeta Version: 5.0.214 All R1ghle Reserved
Page 2 of 2