Claim by Teri NoelTHE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
BARRY LINDAHL ~~ I~
11
CITY ATTORNEY
To: Mayor Roy D. Buol and
Members of the City Council
DATE:
RE:
Claimant
Teri Noel
August 29, 2007
Claim against the City of Dubuque by Teri Noel
Date of Claim
Date of Loss
Nature of Claim
08/27/07 07/08/07 Property Damage
This is a claim in which the claimant alleges damage to her and her daughter's
swimsuits 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
Teri Noel
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 3OO MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 583-4113 /FAX (563) 583-1040 / EMAIL balesq@cityofdubuque.org
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C,
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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 W. 13th St., .Dubuque, IA 52001.
It will then be referred by the City Council to the appropriate department for investigation.
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: ~Q-- ~ ~ ~ ~~
2. Address: ~ I ~ ~" ~ I -~ JQ- , ~t /` mac. ~~J~. ~ ~ ~ ~ ~~-~ ~J-~
3. Telephone Number: ~~
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4. Date of Incident:_~
~y ~
5. Time of Incident: ' • ~~ ~ 3 ~ 3U 0 ~"`
6. Location of Incident (Be specific): ~~ ~~~ ~U~ I
7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give
full details upon which you -base your claim. If a City employee was involveJd, give the
employee's n l ~ 1 ~~ ~ ~ ~ ~ ~ ~ ~ G~ ~ Sw 1'''"`~"~' ~I ~
0 ~~
8. What were weather conditions like? _~
9. Give Warne and address of any witnesses:
10. Did police investigate? (If so, give names of officers.) ~O
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
U~~ ~6 ~
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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.)
13. What other damages do you claim, if any? 1~~'n ~
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? ~ i ~ ~ ~~~~
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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.)
J
18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
Dated at Dubuque, Iowa this ~_ day of ~~ t 20 ~~
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(Rev. 1 /00 & 7/01)
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StoreName
DUBUQUE, IA 52002
(563) 585-4757
05--25-07 5:39P 0985!0003/5727/G 1425XXX
IDtt 999-9474--9282-6052-9014-9642-7273
GIRL 4-6X APPAR 4008$6953474 ~ 6.00 T1
GIRI_S4-6X TOPS 400885147331~:~ 6.40 T1
GIRI_S4-6X iOPS 400885147133 ~ 6.40 T1
GIRL-SITNGERIE 045299067457 * 5.60 T1
SUBTOTAL 44.40
T1= 44.40 @ 7.0%o TAX 3.11
TOTAL /~ 47.51
VISA DEBIT XXXXXXXXX'i~MX63v~5 .51
PAYMENT FROM PRIMARY ACCOUNT
APPROVED
StoreName
DUBUQUE, IA 52002
(563) 585-4757
06-07-07 9:03P 0985/0003/0129/0 1480XXX
ID# 999-9392-9278--9694-9014-9698-7014
SONOMR BO 400885805583 * 16.99 T1
* ~
SONOMA BOTTOMS 400885632226 ~ 16 ?l~'71
SONOMA BOTTOMS 614015530003 * 16.99 T1
SUBTOTAL 64,97
T1= 64.97 @ 7.Oi TAX 4.55
TOT 69.5 _
VISA DEBIT XXXXXXXXXXXX6336 69.52
PAYMENT FROM PRIMARY ACCOUNT
APPROVED
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