Claim by James ShippyTHE CITY OF
DUB
Masterpiece on the Mississippi
TRACEY STECKLEIN
PARALEGAL
MEMORANDUM
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To: Mayor Roy D. Buol and
Members of the City Council
DATE: September 16, 2014
RE: Claim Against the City of Dubuque by James Shippy
Claimant Date of Claim Date of Loss Nature of Claim
James Shippy 09/15/14 08/15/14 Property Damage
This is a claim in which claimant alleges that claimant's home and yard sustained water
damage due to a water main break on Muscatine Street.
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
Bob Green, Water Department Manager
James Shippy
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: -Sc-kme S Sv'PP y
2. Address: 6O MkscC+i Ke Sf.
3. Telephone Number
4. Date of Incident:
5. Time of Incident:
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6. Location of Incident (Be specific):
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.) '^ II
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8. What were weather conditions like?
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9. Give name and address of any witnesses:
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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.) 1
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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?
16. Why do you claim the City of Dubuque is responsible? II
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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.)
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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 -4-. t5-) day of `X? (3-fP Mb e r , 20 It.k.
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(Print Name)
City Clerk's Office
50 W. 13th. St.
Dubuque, IA 52001
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09-15-2014
To the City of Dubuque:
James and Bonnie Shippy
2810 Muscatine St.
Dubuque, IA 52001
We are filing this claim because of the damage we encountered when a water main broke on Friday
8/15/2014. We received a call from Marilyn Hillard @ 2826 Muscatine St @ 6:30 PM, since we were
out of town. The pipe had broke above their house and water was running down into our property.
We came home to find it still running and in our basement and property. It continued to run a total of
4 hours... as far as we could see it was only our property that was damaged. We would like you to take
a look at our pictures and see just what was happening. We would like to be compensated for our time,
for clean up, our furnace and air -conditioner check, and grass seed bill to reseed the lawn where the clay
is sitting. We talked to a city worker after it was running for a few hours and said that someone should
sand bag and divert the water from coming into our lot. After another 45 minutes of the water running
sand bags were put out and the water stopped coming into our property.
Thanks for your consideration.
Sincerely,
James D. Shippy
James & Bonnie Shippy
2810 Muscatine St.
Dubuque, IA 52001
To: City of Dubuque
Claim of 09/15/2014
Damage to property @ 2810 Muscatine St. due to water main break:
Check Furnace & AC unit ( All Seasons Htg & A/C) $66.34
Clean mud from basement, Labor 10 hrs, @ $25.00/hr. $250.00
Re -seed lawn $50.00
Total: $366.34