Claim by Neil KelleyTHE 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
Neil E. Kelley
October 7, 2007
Claim Against the City of Dubuque by Neil E. Kelley
Date of Claim
Date of Loss
Nature of Claim
10/04/07
September 2007
Property Damage
This is a claim in which the claimant alleges that the retaining wall located on Maiden
Lane is deteriorating, and a rock came loose from the wall and fell against the siding of
his house located at 526 West 5t" Street.
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
Gus Psihoyos, City Engineer
Neil E. Kelley
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 / EnnAIL balesq@cityofdubuque.org
Claim Form
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
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This written report constitutes your daim against the City of Dubuque, Iowa. You should complete this form in
full and attach any additional information that supports your claim.
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:
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2. Address: _j ~~ iG" tiL ~ ~ -- ~~ J 7
3. Telephone Number: J ~ 3 ~ J ~' -3 " ~ ~ :3~ J
4. Date of Incident: ~ i;7 ~, ti~ ~ ,r ~~ ~' ~~ : , j ~" ~-y ~ "r k G~ ~ .~ ~ M~ < ~~ i ,~j t r-
5. Time of Incident: ~<~ 11 I~ t~ ('. ~,L% i'1
6. Location of Incident (Be specific): ~d~,r~l I ~ f1~~1 ~! ~~ /~~ t/1 h I~ J'(7 ~~
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.)
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9. Give name and address of any witnesses: ~ t! N ~- C7 ~
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10. Did police investigate? (If so, give names of officers.) ~}' ~
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries.) Z' ~ ~ +~
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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.)
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13. What other damages do you claim, if any? ~Q_~ ~' P ~ F'S e ~ ~ ~ i'1 C r P ~' Q
r~ ~ al reeks ~ e / I ~ r l; w< <~' h .e ~ ~ // A ~ ~ ~- r -e ~~~ ~,~ ; 7
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8. What were weather conditions like? ~/C' ~' i`1 t ,y
Claim Form
14. Have you been compensated for any part or all of your Gaim 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? ~ o~ 3 (? ~ t7 j'"-Z~ f ~ f
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Page 2 of 2
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16. Why do you Gaim the City of Dubuque is responsible? ~ 17 h ('~ r-~ ;~ f' (~/'1 r~ ~"' G~ (~ ~C~
17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name
and address.)
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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 , ~~ day of ~ '1~()n n r , 20~
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(Print Name)
print this page
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To: Neil Kelley
Job Address: 526 W. 5th
Dubuque, IA 52001
Estimate for vinyl sidingpair
1) Remove damaged vinyl siding and dispose of.
2) Install new double 4" vinyl siding to match existing siding.
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Total price for vinyl siding repair-$230.00
If this estimate price is acceptable, contact Chris at 563-543-7740
All work done by Above All Exteriors is backed by a 7-yeaz workmanship wazranty. We also back all
material warranties.
Supervisor (
Chris J. Blakeman ~ :X~ Date ~ ~ `J
Thank you
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HAMEL PARKING LOT SERVICE, INC.
P.O. BOX 1198
DUBUQUE, IA 52004-1199
563-583-0854.563-590-0423
FAX 563-583-5965
PROPOSALS ED TO: PHONE DATE_
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STREET'
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We propose hereby to furnish material and labor -complete in accordance with the above specifications for the sum of:
with payments to be made as follows:
Au material is guerarKeed to be as epecdkxl. Au work compbted in vwrkrmnlike manrxsr ~3''
a ~ ~•raard p• ~+ny ~ « din tnxn above s ~~ Authorized
extra w&s wiN be exeaRed ony upon v.iten order, and w+71 become an extra charge Doer and
above the eatimata. AB agreemerre caN:gerd upon . aocideMS, ar delays beyond our Signature
cardrol. Owner to carry fre, tornado and other rrerxassary insuarwe. Ora vwrkers are tiny
covered by 1Rbrkrrren's Companaetion Irrarxarrce. Nae -lhis ProP~ be withdrawn try t1.4 it not accepted within days.
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The above prices. specifications and cortcFtions are satisfactory and are hereby
accepted. You are authorized to do the work as sperafred.
Payrrtants wig be made as outfirted above_
Signature
Date of Atxeptance Signature
1Me hereby submit specifications and estimates for..---.-.----.-.--.-.-.-------.---------..-------.--._._..----..-.----------..._--.-..---..--.-.--.._______....