Claim by Grace KeithTHE CITY OF
DUB E
Masterpiece on the Mississippi
BARRY LINDAHL
CITY ATTORNEY
MEMORANDUM
To: Mayor R'oy D. Buol and
Members of the City Council
DATE: July 31, 2007
RE: Claim against the City of Dubuque by Grace Keith
Claimant Date of Claim Date of Loss Nature of Claim
Grace Keith 07/25/07 07/06/07 Property Damage
This is a claim in which the claimant alleges damage to her swimsuit resulting from
uncured paint at Flora Pool.
According to Gil Spence, Leisure Services Manager for the City of Dubuque, this claim
pertains to the City of Dubuque Flora Pool Painting Project. Fred Jackson Tuckpointing
was retained by the City of Dubuque Leisure Services Department to provide painting
services for the Flora Pool Painting Project. The contract required the standard form of
contracts and bonds to be filed with the City, which requires Fred Jackson Tuckpointing
to hold the City harmless from any claims of damage resulting from the work.
It is therefore the recommendation of Gil Spence to forward this claim to Tricor
Insurance and Financial Services, insurer for Fred Jackson Tuckpointing, for its
consideration. The City Attorney's Office concurs with this recommendation.
BAL:tIs
cc: Michael C. Van Milligen, City Manager
Jeanne Schneider, City Clerk
Gil Spence, Leisure Services Manager
Grace Keith
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
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City Clerk
cv ~ First floor of City Hall, 50 W. 13th Street
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.~- 0- US ~ Email: jschneid(c~cityofdubuque.org
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This written report constitutes your claim against the City of Dubuque, Iowa. You should comple
full and attach any additional information that supports your claim.
The claim must be filed with the City Clerk at City Hall, 50 West 13~' St., Dubuque, IA 52001. It
referred to the appropriate department for investigation and to the City Attorney's Office. Once t
is completed, a report and recommendation will be submitted to the City Council. You will be prc
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
authority to make any representation to you as to whether your claim will or will not be paid.
1. Name of Clai `manta ((~ L~~Tjj( ~~ l,,/~p ~ 1 1 Y \ 1 }
2. Address: 1 ~ ~`Q /~1 ~~ V ~G ~' ~~A~~;~~~1 ~~
3. Telephone Number (~ W ,'~ ~ ~ ~~ -
4. Date of Incident: _ _____~' l(/ ~Vn~1
5. Time of Incident: ~ ' ~D ~1 - I
6. Location of Incident (Be spECific):
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7. Describe the accident or occurrence that caused injury or damage. (Give full details upon whi
your claim. If a City employee was involved, give the employee's name.)
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8. What were weather conditions like?
9. Gi a name and address of any witnesses:
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10. Did police investigate? (If so, give names of officers.)
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http://www.c ityofdubuque.arg/index. c1m?pageid=155 7/6/2007
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. Att
damages or describe basis for ascertaining extent of damage.)
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? (li
and address of insurance company and amount paid.)
15. What amount do you claim from the City of Dubuque? C~ ~ ~ + ~ t% l U r
16. Why do you claim the City of Dubuque is responsible?
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17. Have you made any claim against anyone else for damages as a result of this incident? (If
and address.) ~1,
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18. If the answer to Question 17 is yes, have you received any payment from that source, and if
amount?
Dated this ~ ~~~ay of l a ~ ~ ~~ , 20 L~
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(Print Name)
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http://www.cityofdubuque.org/index.cfm?pageid=155 7/6/2007