Claim by Mark SnyderTHE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
BARRY LINDAHL
CITY ATTORNEY
To: Mayor Roy D. Buol and
Members of the City Council
DATE:
RE:
Claimant
Mark Snyder
August 14, 2007
Claim against the City of Dubuque by Mark Snyder
Date of Claim
Date of Loss
Nature of Claim
08/13/07
July 2007
Property Damage
This is a claim in which the claimant alleges damage to his 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: ,,Kllichael C. Van Milligen, City Manager
Jeanne Schneider, City Clerk
Gil Spence, Leisure Services Manager
Mark Snyder
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 30O MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 583-4113 / FAx (563) 583-1040 / EMAIL balesq@cityofdubuque.org
Claim Form
~~
~~~~~
~~
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
Page 1 of 2
f~E~'F11/F_~
07 AUG 13 AM 9~ 39
This written report constitutes your daim against the City of Dubuque, Iowa. You should complete {~~cti'a rJ~1CB
full and attach any additional infom~ation that supports your claim. Y `-' " ~A
The daim must be filed with the City Clerk at City Hall, 50 West 13~' 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 Coundl. You will be
provided with a copy of that report and recommendation.
The final dedsion on all daims 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 daim will or will not be paid.
1. Name of Claimant: ~ 0.r K S -'~~ ~ 2 r
2. Address: a~ ~ ~ P e.C~r ~ s-~` L~u~i.~c+nU~C., I.ou~--
3. Telephone Number. JtD~j- 5$((5~ l~ g $
4. Date of Incident: 4 '. ~~~~~, j ~~ , i t a f St ~,J t' e,K o~ ~ t.~l ./
5. Time of Inddent: LInKYti~ i /
6. Location of Inddent (Be specific): ~IOrC~ par }C PGOI 1 ~'1C7r~~Shpe,. C~ec~
~~ b i r''1 O oU ` J
7. Describe the acddent or occurrence that caused injury or damage. (Give full details upon which you base
your daim. If a City employee was involved, give the employee's name.)
1'~l ar K S a~ i~Cl o ai ~,~ e~ ~ ~ ~ r, in ~r t c h oe ~ r P
a~ pcx~l. Pay,-~~ r~~.~~e~ruP~~ °~v ~t;.;~m -1-r~a~Ks c~~~i~ J
-C'hem fi~ b~ r't,~i r\P
8. What were weather conditions like? ~~Q.C1fY1 , Sttr~n~l
9. Give name and address of any witnesses: N I ~
10. Did police investigate? (If so, give names of officers.)
fJu
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.)
~,Jh_ --k_ T ~i sr~-~- c';r' fii ~ K ~5 (11 ~ t:~JLJr' bc~C~ l?~ ~ )i m
13. What other damages do you daim, if any? ~ ~
http://www.cityofdubuque.org/printer_friendly.cfin?PageID=155 8/3/2007
Claim Form Page 2 of 2
14. Have you been compensated for any part or aN of your daim by any insurance company? (If so, give
name and address of insurancewc1ompany and amount paid.)
IV ~
15. What amount do you daim from the City of Dubuque? U.P ,~ _ ~ ~~~ UT w.J~m ~u~S _
t,~c~'2. able. ~> use lea.-Y1,e~ r leco.r,e~ r~r~ sea~-
16. Why do you daim the City of Dubuque is responsible? ~Yl(~,t)DeXI P(7 (~~fl~,C~(~~
-r Yid f'"I~- ~erL WU~e.. 1'lC~ ~; jG`~~(~~' Q,fi lJ-~-~~~
17. Have you made any daim against anyone else for damages as a result of this inddent? (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?
~~,~nI~
Dated this q_ day of NuAU.~~ , 20~.
~~~~
(Signature)
G.Y ~ ~~n.(~ 2~
(Print Name)
print this page
http://www.cityofdubuque.org/printer_friendly.cfin?PageID=155 8/3/2007