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Claim by Janaan RedmondTHE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi BARRY LINDAHL ~~\!~" 1 CITY ATTORNEY To: Mayor Roy D. Buol and Members of the City Council DATE: September 26, 2007 RE: Claim Against the City of Dubuque by Janaan Redmond Claimant Date of Claim Date of Loss Nature of Claim Janaan Redmond 09/24/07 09/01/07 Property Damage This is a claim in which the claimant alleges that a sewer backed up near claimant's residence of 708 Duggan Drive, causing water damage in claimant's basement. This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. BAL:tIs cc: Michael C. Van Milligen, City Manager Jeanne Schneider, City Clerk John Klostermann, Street & Sewer Maintenance Supervisor Janaan Redmond 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 ~~~ -C/'l~ CLAIM AGAINST THE CITY OF DUBUQUE, IOWA ~ This written report constitutes your claim. against the City of Dubuque, Iowa. should complete this form in full and attach any additional information that supports your claim. O~~~l ~~ You ~~~~ 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: u ~ ~ ~~ ce ~ ~ _ _ _1 ~~~i ~- a /~c~ c~ ~~ c-~-i , 2. Address: ~ ~ ~' ~~ 3. Telephone Number `~ ~ ~S' - / ,~ 7 9 4. Date of Incident: 5. Time of Incident: ~V ~ C~l ~,S r U ~~ z°ir-~~~f r -~ cc~ ~ /D,~ OG~ ~ ~ ~°'t 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.) 8. What were weather conditions like? r) ~s~ -~ ci -F 1 __7'_ 9. Give name and address of any witnesses: ~~ ~ LS ~` ~r~ ~~ - ~ ~ ~ 7 ~t ~-a l e e cr~~ 10. Did p~ice investigate? (If so, give names of officers.) 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). U 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? ~ ~- c / / A Y~ i J ! 'V1 -Y/ !/~! rL E~iY- ~-- LL v1Ct CL ~ f~{~,r C~'(P 4G/ n ~ ,~,~ 14. Have you been compensatedyfor any part ~r~all of your~claim ~ any insurance company? (If so, give name and address of insurance company and amount paid.) 15. What amount do you claim from the City of Dubuque? ~-- 17. Have you made any claim against anyone Ise for damages as a result of this incident? (If yes,' give name and address.) G 18. If the answer to Question 17 is yes, have you received any payment fror>~hat° source, and if so, in what amount? ~c ~+ C7 ~ ~~ N C C!1 .~' ~ Cn ~ t~ ,~ Dated this day of ~ 20~~. ~ C7 y =~ `•° l~ uNa ignature) J~ (Print Name) -- ~C~ ~/ ~ ~~~ / 16. Why do you claim the City of Dubuque is responsible? X50 ?vlain Strut Dubuque, IA 2001 September 14, 2007 Mary Redmond 708 Duggan Drive Dubuque IA 52003 588-1979 Estimate: Sewage Damage l Emergency Call • Extracted carpet • Remove all affected carpet and pad • Extract cement floor • Deodorize cement floor, corner area and laundry room • Bag up carpet and pad • Block up fiuniture and contents • Haul rubbish to landfill and landfill fee Rental Equipment • 1 air mover $30 per day/3 days Reconstruction • Relay pad, materials and labor • Re-stretch carpet • Steam clean carpet • Clean linoleum floor • Deodorize carpet and linoleum • Acid etch cement floor, rinse and paint floor with a 2 part epoxy Total: Note: Total cost of estimate could change at the completion of the project due to any work completed that was not listed or due to any unforeseen complication that might arise. $482.50 $ 90.00 $ 27.95 $ 57.85 $ 97.92 $ 5.00 $ 64.96 $570.00 $1,396.18 563-556-6168 800-556-6168 FaY: 563-556-4680 Thank you for calling KANNDO Professional Services! ii ~ ~ ~ ~ L G;~--~ ~ ~, ,i C.E.~~ c~ ct.,~ ~( ~. c~--y-r~ ~~--~ ~-~ U J J Li Cox ,C~ X7'2 S ~ (~oLY ~ ~ ~~ ~ ~~i?~C~l-L.`'' / ~~~ ~~ ~ © ,~~~~