Claim by Robin LeibTHE CITY OF
DUB E
Masterpiece on the Missis~ppi
BARRY LINDAH
CITY ATTORNE
To:
DATE:
RE:
Claimant
Robin Leib
MEMORANDUM
Mayor Roy D. Buol and
Members of the City Council
October 23, 2007
Claim Against the City of Dubuque by Robin Leib
Date of Claim
10/15/07
Date of Loss
August 2007
Nature of Claim
Vehicle Damage
This is a claim in which the claimant alleges that tar was splattered onto her vehicle
while she was driving near the corner of Foye and Almond Streets. Claimant states
there were no blockades to prevent people from driving over the fresh tar.
According to Gus Psihoyos, City Engineer, River City Paving was retained by the City to
perform the 2007 Asphalt Paving Project. The contract called for the standard form of
contracts and bonds which require the contractor to hold the City harmless from any
claims of damage resulting from the work.
It is therefore the recommendation of Gus Psihoyos to refer this claim to River City
Paving 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
Gus Psihoyos, City Engineer
Robin Leib
River City Paving
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
Enter Key
DUBUQUE, IOWA ~'~ ~
MASTERPlECF ON TYiF 1;! 1~ 51 ~ `+ I i'F' t~L[C~h}`tftPRt^I7EM
Home Pace : Deaartments :City Clerk :Claims against the City :Claim Form
City Clerk
First floor of City Hall, 50 W. 13th Street
Phone: (563) 589-4120
Fax: (563) 589-0890
Hours: 8 a.m. to 5 p.m. Monday through Friday
Email: 'sl chneid~cityofdubugue org
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
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 daim 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 1
is completed, a report and recommendation will be submitted to the City Coundl. 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 daim will or will not be paid.
1. Name of Claimant:
2. Address: I ~ U JT X~ ( .
3. Telephone Number: ~~% ~ E
4. Date of Inddent: ~ '~`~ ~-~
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5. Time of Inddent:
6. Location of Incident (Be specific): ~~,l,~ f r1~~ (~~ ~'U~~ ~ ~ ~ ~ ~nl
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7. Describe the acddent or occurrence that caused injury or damage. {Give full details upon whi
your d 'm. If a City employee was involved, give the employee's name.)
8. What were weather conditions like?
9. Give name and address of any witnesses:
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.}
12. Was any damage done to property? (If so, describe property and the extent of damages. Att
damages or describe basi for ascertaining extent of damage.)
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13. What other damages do you claim, if any?
14. Have you been compensated for any part or all of your daim by any insurance company? (li
and address of insurance company and amount paid.) ~~`
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15. What amount do you daim from the City of Dubuque? '~ ~ L~~
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18. If the answer to Question 17 is yes, have you received any payment from that source, and if
amount?
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http://www.cityofdubuque.org/index.cfm?pageid=155 10/11/2007
17. Have you made any daim against anyone else for damages as a result of this inddent? (If y
and address.) \
?~ ~ miracle Car ~INash
255 Locust Street
Dubuque, Iowa 52001
563 588-0185
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Date: 9 ~ ~ -~ 7
Customer Name: ~DB / ./ ~ ~ ~ ,!4
Address:?/4,~ayE~ s'T. DyB vavE,Tj
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Signature