Claim by Ethel & Bill SchneiderTHE 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
October 31, 2007
Claim Against the City of Dubuque by Ethel & Bill Schneider
Date of Claim
Ethel & Bill Schneider
10/23/07
Date of Loss
09/01 /07
Nature of Claim
Property Damage
This is a claim in which the claimants allege that the basement of their residence
located at 710 Duggan Drive sustained water damage due to a sewer backing up on
September 1, 2007.
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
Ethel & Bill Schneider
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
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 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: Ethel ~ Bill Schneider
2. Address: 71o Duggan Dr., Dubuque, IA 52003
3. Telephone Number (563) 583-4251
4. Date of Incident: september 1, 2007
5. Time of Incident: 11.3D AM +/-
6. Location of Incident (Be specific):
710 Duggan Dr (and neighboring nronerties)
~v~n
~~~
b~~
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.)
The Cites sanitarv sewer 1 „ggPrl and b, ~tipd u~causi~~gP t^ i °rcnnal
property. Bill Kelly and Jerry (last name unknown) witnessed the dam4ce
after clearing the sewer main
8. What were weather conditions like?
Sunny, clear, 80-degrees
9. Give name and address of any witnesses:
Mark & Sue Schneider, 2580 Knob Hill • Bill Kelly and .TerryT('.; r3r of
Dubuque employees
10. Did police investigate? (If so, give names of officers.)
No
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
No
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.)
Yes - 16 yards of carpet had to be removed and disposed of due to saturation
of the carpet with wastewater. Value $15/vd X 16 yards = $240.
13. What other damages do you claim, if any?
_ Cleaning supplies - $10• Labor -Ethel & Sue Schneider 5 hours each @ $15
Mark Schneider 4 hours @ $15. Total $220
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.)
No
15. What amount do you claim from the City of Dubuque?
$460
16. Why do you claim the City of Dubuque is responsible?
The damage was the direct result of the City sanitary sewer back-up
17. Have you made any claim against anyone else for damages as a result of
this incident? (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?
NA
Dated this 5th day of o~tobe _~ 2g C~! `~,~~~qrl(]
(Signature) 61; ~ I Nd ~Z 1~0 LO
,~~-h e
(Print Name) ~~f~f~J~~