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Claim by Linda Stark THE CITY OF bE MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL To: Mayor Roy D. Buol and Members of the City Council DATE: October 20, 2016 RE: Claim Against the City of Dubuque by Linda Stark Claimant Date of Claim Date of Loss Nature of Claim I u Linda Stark 10/17/16 Winter 2015-16 Property Damage This is a claim in which claimant alleges that during 2015-2016 City snow removal operations, salt-filled snow piles were plowed onto claimant's land next to a gate and as a result, the end post on the gate has rotted. Claimant would like the City to replace the end post on her gate and "cut down all of the bushes and weeds that grow at that juncture." a This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager John Klostermann, Public Works Director Linda Stark 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 tsteckle@cityofdubuque.org HVM P1�) CLAIM AGAINST THE CITY OF DUBUQUE, IOWA I IC-1 UJ nt6 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. 13 1h 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: 2. Address: II 3. Telephone Number: 4. Date of Incident: 5. Time of Incident: 6. Location of Incident (Be specific): 7. DESCRIBE ACCIDENT OR OCCURRENCE THA CAUSED INJURY OR DAMAGE. (Give full details upon which you base your claim. If 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 o icers.) 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. Attach estimates of damages or describe basis for ascertaining extent of damage.) i 13. What other damages do you claim, if any? 14. Have you been compensated for any part or all of yo r claim by any insurance company? (if so, give name and address of insurance company nd amount paid.) 15. What amount do you claim from the City of Dubuque? 16. Why do you claim the City of Dubuque is responsible? 3 17. Have you made any claim against anyone else for damage as a result of this incident? (If yes, give name and address.) C 18. If the answer to Question 17 is yes, have you received any pa ent from that source and if so, in what amount? AO Dated at Dubuque, Iowa this day of , 204-11. . r (Signature) (Print Name) cG3 70M (Rev. 7/12) }" ( ; F, i C) City of Dubuque, 4 I own property at the junction of June Drive & Mela Drive. The city uses the street, which goes into my pasture, for the storage of salty snow that is pushed off of June & Mela. Depending on the winter, that can amount to a large pile of snow that then melts into my pasture. I'm not complaining about the salt on my pasture killing the grass, the wash out from the street from snow & rain that cuts grooves into my pasture &the deep ruts it makes entering my property from that gate. My problem is that the end post on my gate has now rotted & has broken. I I would like the city to replace a new end post on my gate &cut down all of the bushes & weeds that grow at that juncture. It would be nice to have this taken care of before the snow flies. I do have a different gate that I would like to replace the one that has been there, as it has had some damage from what, I'm not sure. j Thank you for your prompt attention to this issue. Linda Stark I i i ff 4 I 4 lil r I yIy it 9 k ii Confidential This communication and any attachments may contain information which is confidential and privileged by law and is for the use of the designated recipient. If you are not the intended recipient, you are hereby notified that you have received this communication in error, and that any review, disclosure, dissemination, distribution or copying of its contents is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of your receipt of these items and destroy the communication and any attachments immediately. Further disclosure of this information may violate state and federal restrictions. Confidential information may include the following: 1) Social Security Number(s) 2) Medical/Health Information 3) Personnel/Disciplinary Information ,4) Bank Account Information 5) Financial Information 6) Credit Card Numbers If any documentation you desire to submit to the City of Dubuque contains any of the items above, this cover sheet must be attached directly to the confidential information. Please indicate below the type of information that is included. hereby certify that the attached documents include the following protected information: Social Security Number(s) Bank Account Information Medical/Health Information Financial Information Personnel/Disciplinary Information Credit Card Number(s) I understand that this information may be distributed within the City organization or to agents of the City for processing and I hereby authorize the City to act accordingly taking all precautions to protect my information from unnecessary distribution. Signature Date I have read the information above and do not have any confidential documentation to submit to the City of Dubuque as part of this Claim Against the City. L - Signa re Date