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Claim by Loras Boge
BARRY A. LINDAHL, ESQ. ~I~' I~ CITY ATTORNEY MEMO To: DATE: RE: Claimant Mayor Roy D. Buol and Members of the City Council April 9, 2007 Claim against the City of Dubuque by Loras G. Boge Date of Claim Loras G. Boge 04/06/07 Date of Loss 03/18/07 C7 0 -.,1 ~~ ~ ~ ~ ~ f'I') s ~- I~'1 ~' p' ~ tV Nature of Claim Property Damage This is a claim in which the claimant alleges that City of Dubuque police officers damaged the door to his rental property after using forced entry to gain entrance into 1961 Rockdale Road, where an alleged domestic assault was in progress. This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. BAL:tIs cc: Michael C. Van Milligen, City Manager Jeanne Schneider, City Clerk Kim Wadding, Chief of Police Loras G. Boge 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 balesq@cityofdubuque.org PPR-02-2007 MON 11~~6 AM DBQ, CITY CLERK FAX N0. 563 589 0890 CLAIM AGAINST 7'IiL CITY OF DUBUQUE, YOWA 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 fled with the City Clerk at City Hall, 50 West 13~h 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 wild or will not be paid. P, 01v ~/' ~~ ~~~ ~~~ ~~~ 1. Name of Claimant: ~c o r A s G ~8d~c~ ~! ~ ~ GLe ~', ~,~ e C~ u ~ ~ - ~eD s~7~1- 1~ .~ ao ~ s' 2. Address: % D 7i 3. Telephone Number ~.~ _ J`_~`/ 7f 3s 4. Date of Incident: 3"' ~~ ' D ~ 5. Time of Incident: ~ ~•3'~ 6. Location of Incident (Be specific): l4~/ ~~ c k d~.e ~a ~s ~ 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 tha Rmn{nvee"s name.l 9. Give name and address of any witnesses: ,rt~_ Od G~'~ 10. Did police investigate? (1f so, give names of off ers.) ~R.~ Ua r ~~ n r eGD s~J~9-n/ ~0 ~ ~ a 8. What were weather conditions like? D~ •APR-O2-2007 MON I1~~6 AM DBQ, CITY CLERK FAX N0. 563 589 0890 P. 0~ 17. Was anyone injured? (If so, give names, addresses, and extent of injuries}. r~ ti'fs~o u~i~/ 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 extenfi of damage,) e/~'pufz-L Y i yr D ~c~ /,~i~~ +®o E~r- 13. What other damages do you claim, if any? N'o W`~. 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.) it/D ~, 15. What amount da you claim from the City of Dubuque? a~,~i 16. Why do you claim the City of Dubuque is responsible? ~ e y /~,~,~~ ,Ov.-v ,~ ~ ~av.-- -~ 6~`.,1 L-'~ry -~ /gyp L i ~ -~ 17. Nave you made any claim against anyone else for damages as a result of this incident? (!f 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 his 7~h day of ___ 1~~/~~ , 2t7 0 ~' . ~, C7 -~ (Signature) a~ ~ C=~ ~ ~' ~~~''~9s G, ~Og~ ,~ ~ ~ _ ~ ! (Print Name) ~ ~ - x"71 ~ N Renaissance Construction Corp. 2909 Kaufman Avenue Dubuque, Iowa 52001-1656 o ~i~ ~~~ ~ ~~~ pad s~. 1~ Sa o~~ 12 Ala 1P fi ~' /P-e~o Lac e 3/~~a 7 i~ ~ ~~ . 3 0~ sv°~'~~ ~ i _ ~.-~, ~~,-t-,~~,~ ~ ,gym, ?'~c-, jar , ,C~~:,~s.~~ ~ S- 6~ ,t7 i~ fI a s +~-~- ~ ~ ~~ r ~ ~~~~~ ff~ ~ 3S a ..s ~/fit ~ 36.0 ° ~ f sue- T~ ~~- ~- fop. vv ~s. ~ ~ 3 S, ~ l~• ° ~ %'~~{ J ~ ~~~ a ~ ~_ ~~~' ~ J ~~, i ~ 1~~9. ~~ Phone (563) 588-1689 a-mail: Rencorpl l@hotmail.com Fax: (563) 589-0022 04/06/2007 FR~I 09:20 FAX 569587849 DtBtigtTE SOPD RECORDS C~0Q1 ' DU8UGIUE PO~.1CE DEPARTMENT ~pp~~ Pale 1 ~~ DPD ~Ot-et ' #rbpanea No. ewRS p Ad.~lt OMettae C,1 Attempt tads IxA Coa. TMns ~~~ y ~ ~ ooteks a Adds oeense ' ~ . a A1lwnpt ~ code i ooa. 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