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Claim by Stephen LaunspachMasterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL MEMORANDUM To: Mayor Roy D. Buol and Members of the City Council DATE: October 13, 2014 RE: Claim Against the City of Dubuque by Stephen Launspach Claimant Date of Claim Date of Loss Nature of Claim Stephen Launspach 08/25/14 06/30/14 Property Damage This is a claim in which claimant alleges that claimant's property 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 Stephen Launspach 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 (Page 2 of 5) 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 _,___�1�„``\`� 7„ -------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: Stile() L-aunc 2. Address: 9.2-34 (ya I Gtlaod brn.h" , Pas10, A 3. Telephone Number c(0 3 - g i - +7 0"7 3 4. Date of Incident: 63 - /4. 5. Time of Incident: irovx/rnqle /)1 6. Location of Incident (Be specific): 11 / u)4-ier gin breaK art �?usc4 trnf S-tr-ecr o lae -1-4e I i, ra_-r'rr q 01$0 &n tol : -/ - z4b0Oirr.P a ` 9:36 62.01. 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 ameL) L q L bed 1 I �/ fTex aI aEo' &n7r11 AVCSece b'ibuqu be uJ Q( anc ,null�nba( 4 ;n +1,4' 643.rem•err--�'�rna h 4AP cQoor' - :n -to 4 dep J1 of dna.'' h;s iJQ reSK/1 c (' *h e &q -kr main h+'r?k . locq+d unSer�'lusc4/inr gt. ©,1 R -r(-14- 8. What were weather conditions like? bry r Son i /farm 9. Give name and /address of any witnesses: Wr-trirscrc 4o -I-1e mzd �u)a•>-Cf rn 1)4?CM(' n 1 h4 k' G-r.tEcori o 44s.ey S��-F�c �r(lice (pods-'93afa--a-ooy . ( S -1 -eve Ra -6+-r{ of E4sfi,iowa /necA n,cgJ S�O3 ��13 07.71(10. Did police investigate? (If so, give names of officers.) 0 (Page 3 of 5) 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). 0 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. e5-71/4, Af 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.) ���Y>�, � si,e5 --r,r-r3 sea ?oc'o 344ss-9, 15. What amount do you claim from the City of Dubuque? %a/7'32 16. Why do you claim the City of Dubuque is responsible? ,711 i /Z' lr 7,414, To.., .-- 5e u.-' / 4o .--s 740ic 174, 4€44,61-- 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 6 day of , 20 i (Print Name) 0 0 cCD CD CD D n (D m 0 m October 6, 2014 Dubuque City Clerk 50 West 13th St Dubuque IA 52001 MOM FARM BUREAU FINANCIAL SERVICES RE: Our Occurrence No: 7000345541 Our Policy No: 7277826 Our Insured: Tracy And Stephen Launspach Date of Loss: 08/16/2014 Farm Bureau's Payment: $3,093.87 Insured's Deductible: $1,000.00 Total Payment: $4,093.87 Dear City of Dubuque: This letter is to advise you of our subrogation rights and interests in the above accident. Our investigation indicates legal responsibility on behalf of your insured. VVe have made payment to our insured under our policy coverages and are looking to you for recovery of this amount. Our supporting documentation is enclosed. Please forward a draft to me at the above address in the amount of $4,093.87. If you wish to discuss this matter, I can be reached at (515) 226-6517. Thank you for your prompt attention to this matter. Sincerely, Dan Murphy Subrogation Specialist Enclosure 5400 UNIVERSITY AVRil:r • WEST Drs Mol\rs, lown 50266-5997 • 515.225.5400 • www.fbfs.corn Punt Burcau 1.00 insurance Ccmpanc4 Iain' Bureau Propos asualt ht.uranee Cunipanv4 I Pesters:\priniltural Ituuruur Contpan I .Cwnpam providers oI harm I31.11, 11.1 1' financial Scrcices (Page 1 of 6) September 17, 2014 Rod Warnke - Senior Field Claim Representative Farm Bureau Financial Services 3500 Dodge Street #281 Dubuque, IA 52003-5266 Re: Claim #7000213669 2804 Central Avenue Dubuque, IA 52001 Dear Mr. Warnke: I have enclosed all of the invoices for the expenses I incurred in connection with the above captioned claim. You had asked me to let you know how much of my own time I spent recovering from this loss. In that regard, on August 18, 2014 I worked from 9:00 a.m. until 6:00 p.m. (9 -hours) cleaning the mud, water, and ruined items of personal property out of the basement. Whatever oth time I spent on the project was incidental or would fall under the heading of managing the project. If you have any questions or need additional information, please let me know. Sincerely, Steve Launspach v Launspach Preferred Properties Pc"s. /45 eJ J-