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Claim by Steven SchumacherDUB UE M I;MORAN DUM Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL To: Mayor Roy D. Buol and Members of the City Council DATE: March 27, 2014 RE: Claim Against the City of Dubuque by Steven Schumacher, filed by Attorney Luke Guthrie Claimant Date of Claim Date of Loss Nature of Claim Steven Schumacher 03/27/14 Unknown Property Damage This is a claim in which claimant alleges that his residence sustained property damage by a contractor who was hired by the City of Dubuque to perform drywall work. 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 Alvin Nash, Housing & Community Development Director Attorney Luke Guthrie, on behalf of Steven Schumacher 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: 5ek, 11 a t, (AC 2. Address: j ti W,.% , Z S in 51- 3. 1'3. Telephone Number 5 b 3 - 3 . 3 `1 �1 O 4. Date of Incident: 5. Time of Incident: 6. Location of Incident (Be specific) L 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.) 8. What were weather conditions like? 9. Give name and address of any witnesses: 10. Did police investigate? (If so, give names of officers.) 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.) c u14o. %e L+1vUtR zJ. 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? 16. Why do you claim the City of Dubuque is responsible? 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? Dated this 2-1- day of (Ie( , 20 /' . n !L— LcL (Signature) .k6' P. 6-m-tl,;e D0 (Print Name) LAW OFFICES ROBERTS, STEVENS, PRENDERGAST & GUTHRIE, P.L.L.C. JAY P. ROBERTS (1942-2011) CARTER J. STEVENS HEATHER A. PRENDERGAST* LUKE D. GUTHRIE Ms. Crenna Brumwell Assistant City Attorney Harbor View Place, Ste. 330 300 Main Street Dubuque, IA 52001-6944 321 EAST FOURTH STREET P.O. Box 956 WATERLOO, IOWA 50704-0956 E-MAIL: lawfirm@rsplaw.biz Website: (3lackhawklaw.com March 24, 2014 RE: Claim Against City of Dubuque Our Client: Steve Schumacher Address: 15 W. 28th Street Dubuque, IA 52001 TELEPHONE (31 9) 234-4600 FAX (319) 234-7878 `also licensed in Illinois Kansas Missouri Dear Ms. Bramwell: Our client, Mr. Schumacher, desires to file a claim against the City of Dubuque, Iowa for the damage that was caused at his home by Matt Kufman who was hired to do the drywall work. Mr. Kufman pulled the stove out from the wall in Mr. Schumacher's home and broke the leg off the stove and damaged the vinyl flooring. Mr. Schumacher cannot use the stove and there is damage to his vinyl floor. Enclosed please find an estimate to repair the vinyl flooring in his home as well as the receipt for the purchase of a new stove. If the City is denying any liability with regard to this claim, please let me know as soon as possible. I would like to get Matt Kufman's information as well so that I may send a copy of this claim to him. If you could forward that information on to me, I would greatly appreciate it. Very Truly Yours, Roberts, Stevens, Prendergast & Guthrie, P.L.L.C. Luke D. Guthrie Luke@rsplaw.biz LDG/ses Enc. Receipts/Estiniate Claim Cc: Dan McClean Client