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Home My WebLink About08-436NOVEMBER 25, 2008 08 -436 RESOLUTION (CARRIED 7 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: DISALLOWANCE OF CLAIM BY JOYCE BLOECHEL INITIATED BY: LEGAL DEPARTMENT WHEREAS, the following claim has been referred to the City's insurance carrier which has recommended disallowance. NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the proper City officials are hereby authorized and directed to disallow the following claim against the City of Oshkosh: Joyce Bloechel DATE OF LOSS: 6/12/2008 (for damages to property resulting from backed up sewer) BE IT FURTHER RESOLVED that the City Clerk is hereby directed to inform the claimant by certified mail of the disallowance and the fact that the claimant has six months from the date of service to appeal. BE IT FURTHER RESOLVED that the City Clerk is directed to send a copy of this resolution and notice of disallowance to the appropriate insurance carrier for the City of Oshkosh. CLAIM FORM CITY OF OSHKOSH, WI SCONSIN ATTACH COPIES OF ALL BILLS PLEASE PRINT RETURN TO: City Clerk P.O. Box 1130 Oshkosh, WI 54903 -1130 Date of Report: / I 08 Date of Incident: OJo 1 a / OP Time of Incident: anV pm Name: r c h Address: I aO G Do - 6 l S rfe 0511V0si- W, - 54_q () f Phone Number: Date of Birth: 09 /A I _ U-31L3 Incident Location: go(c) 17 oe- m- Authorities Contacted? Yes' No Name of Person Contacted: / 19 .I V CE. Incident Description: 5 c r C IT Y CLER K'S OFFICE TypeofInjury: Jess o.' 42�'c� fir• use v h0 Vn -e (Access e, tv� �Cjyy)re If Property was Damaged, Describe: tc, a--!s goli7ha6Axd, vry 1 L P ( a $ - CL P,U4 0_. _L Lo Witness Name: I— or CL0cke S Phone Number: 920 2 - -. .Z ?.2 eq Address: I gi�- Doemel 51reee W1 :5 - 901 TOTAL CLAIM: $ (0 "7. 4 ��. �, -3 L 0 . 11 LAIMANT SIGNATURE FOR QUESTIONS CALL: CITY CLERK AT 236-501 OR CITY ATTORNEY AT 236 -5115 OFFICE USE ONLY: Department Copies: City Manager Faxed: l 1 , k. � City A fforney d to time 1 initials" INSURANCE INF MA NTH Date Rep - C% Policy Number: 70266 Policy Term: Continuous Reported By Phone* (920) 236 -5011 Fax #: (920) 236 -5039 CONTACT PERSON: (Avail t )Monday thru Friday 8:00 am — 3:00 pm) KEVIN UHEN JACK REICHENBERGER ROBERT NORTON Superintendent/Street, Superintendent/Water Distribution Sanitation Supervisor Sanitation & Central Garage 111 757 W. 3`' Avenue 508 W. 4 Avenue G39 Witzel Avenue (920) 232 -5332 FAX (920) 232 -5334 (920) 232 -5393 FAX (920 232 -5386 920) 232 -5382 FAX (920) 235 -5386 jreichenberger @ci.oshkosh.wi.us rhorton @ci.oshkosh.wi,us uhen @ci.oshkosh.wi.us (water) (garbage / recycling) treet /sewer December 17, 2007 1 Attachment A - Addendum to Claim Form Filed By Joyce M. Bloechel Date of Catastrophic Loss:. June 12, 2008 Submitted to - City Clerk, Oshkosh, WI Name of Person Contacted (continued): Brian Noe, Jack Reichenberger and other members of his staff, Fire Chief Franz, David Patek, all who work for the City of Oshkosh; City Councilor Dennis McHugh, Linda Kollmann, Winnebago County, Shawn Guden and others at Wisconsin Public Service; FEMA representatives at house site and at FEMA offices. These people have been contacted at least once since June 12, 2008, not necessarily in the order listed. Incident Description (continued): Storm water drainage system on the 1900 block of Doemel Street is seriously flawed with incorrect elevations. The 5 -1/2" to b rise of the elevation to the north of our property is responsible for the flooding and collapse of the street- facing wall, which then flooded the entire basement to the top of the foundation. (I understand from Mr. Patek this elevation was erroneously constructed by a contractor for the City in the 1959 timeframe. } As a result of the collapse, everything in the basement was ruined. The water did not subside from the basement until the early morning hours of Saturday, June 14. Because the water subsided quickly the structural integrity of the three remaining walls was also damaged. Attachments: A Additional information requested on Claim Form B Copy of sign forbidding access to home issued by City of Oshkosh C Summary List of costs incurred for reconstruction and associated expenses D Fifteen (15) pages documenting costs associated with claim E Listing of personal property that has partial replacement costs listed F CD containing pictures of flood damage and loss Attachment A Addendum to Claim Form - Joyce M. Bloechel � � � � A a` a o � � v ,�� ce ��- oecf�,e� Claim: Joyce M. Bloechel Contractor Amount Fluor Brothers Constr. 736.42 Emergency shore and 14031.95 repair of Walls 12464.47 work, replace humidifier 5547.29 Gartman Mechanical Replace furnace, air 7121.1 cleaner, water heat - 736.42 er, primary sump pump; 291.06 plumbing and electrical 137.03 work, replace humidifier 577.5 Solar Electric Tech Replace electrical service 1425 Acquire Contracting Clean basement of flood residue 1990 Klinger Painting Bleach walls to kill mold and mildew, re -caulk door: 589 Roe Nurseries Landscape front of house 2798.25 Hawthorn Inn House was condemned Living accommodations 1329.83 Kossel's Appliances Replace Dryer and Range 1504.6 Per Diem Rate House was condemned $36 /day x 22 days x 2 persons 1584 Personal Property Loss 12707.63 Partial TOTAL 64835.13 Summary list of costs incurred - Attachment C BUR DING THE FUTURE V "mm or coasMUxrrias sos�xass F James & Joyce Bloeche 1906 .DQeme Oshkosh, WI 54901 Project: Emergency Shore and Repair of Wall Job Number: 08043 6/14/08 Richard Paulsen 1 Man Hour @ $85.00/Hour $85.00 1 %2 Man Hours @ $156.44/Ho $234.66- 6/15/08 Richard Paulsen 3 Man Hours @ $85.00/Hour $255.00 3 Man. Hours @ $156.44/Hour $469.32 Mike Boehman 2 Man Hours @ $75.00/Hour $150.00 ✓ Forklift Lull 2 Days @ $259.00/Day $518.00 Pickup $75.00/Day $75.00 Gas Pump $35.00/Day $35.00 2 - 4 "x8 "x10' 2 @ $40.00/Piece $80.00-/, 4 - 20'x20'Tarp 4 @ $16.00/Tarp $64.00 6/16108 - 6/20/08 Nicole Mahn 1 Man Hour @ $45.00 $45.00 Randy Entringer 25 Man Hours @ $70.00/Hour $1,750.00 ✓ Dusty Emerson 33V2 Man Hours @ $45.72/Hour $1,531.62,/ I %2 Man Hours @ $79.71 /Hour $119.57 Mark Hennes 16 Man Hours @ $59.01/Hour $944.16 Tom O'Day 30 Man Hours @ $63.00/Hour $1,890.00 Gary Sullivan 5 %2 Man Hours @ $50.00/Hour $275.00 James Paulsen 4 Man Hours @ $85.00/Hour $340.00 Backhoe 3 Days @ $213.00/Day $639.00 Forklift 3 Days @ $259.00/Day $777.00 V Shoring Scaffold 5 Days @ $40.00/Day $200.00 Dump Truck 3 Days @ $150.00/Day $450,00 ✓ Mud Mixer 4 Days $56.00/Day $224.00 ✓ Quicky Saw 4 Day @ $54.00 Da $162.00 : 1Q Building Permit $148.00 Oconnor Oil PO # 12966 $157.50 County Concrete Block $1,062.99 Carew Mason Shop $31.50 Blue Moose PO # 12959 $43.00 Subtotal $12,756.32 y F/B 10% 1 $1,275.631 Total $14,031.95'' p� GMS INC. P.O. Box 2264 Oshkosh, WI 54903- 2264 Phone: 920- 231 -5530 DATE INVOICE # 6/25/2008 43319 Fax: 920- 231 -0486 P.O. No. TERMS GMS WO DESCRIPTION AMOUNT Install Trane XV95 direct vented 95% efficient furnace including labor, materials, electric, and permit 3,970.00T Install Trane Clean Effects high efficiency air cleaner including labor and materials 1,250.00T Install A.O. Smith power vented 40- gallon water heater including labor and materials 1,290.00T Install Zoeller iron sump pump including labor and materials 272.00T Thank you for your business! Subtotal $6,782.�O Please make check payable to GMS, Inc. and mail to P.O. Box 2264, Oshkosh, WI Sales Tax (S.O %) $339.10 54903- 2264. Please return one copy of the invoice with your payment. All past due accounts will be charged an interest rate of 2 % per month. Total $ 7 � 7 121.10 Thank you. Payments /Credits $4,121.10 Balance Due $0.00 ID < 4 P.O. No. TERMS GMS WO Net 30 42340/Dave Y DESCRIPTION AMOUNT Plumbin services to remove concrete to try to repair leaking water service to the house. The original service was un- repairable. Re -piped as necessary and installed new water meter and controlling valves. Labor 652.50T Piping materials 43.85T Truck charge SOOT Subtotal $701.35 Please make check payable to GMS, Inc. and mail to P.O. Box 2264, Oshkosh, WI Sales Tax (5.0%) $35.07 54903 -2264. Please return one copy of the invoice with your payment. All past due accounts will be charged an interest rate of 2 % per month. Thank you. Total otal + 736.42 Payments /Credits $- 736.42 Balance Due $0.00 C� ID P.O. No. TERMS GMS WO Net 30 42443 J Dave R DESCRIPTION AMOUNT Plumbing services completed to install sump line to front of house and core new hole. Labor 217.50T Pipe, fittings, and plumbing materials 59.70T Subtotal $277.20 Please make check payable to GMS, Inc. and mail to P.O. Box 2264, Oshkosh, WI Sales Tax (5 5 .0 %) $13.86 54903 -2264. Please return one copy of the invoice with your payment. All past due _ accounts will be charged an interest rate of 2 % per month. Thank you. Total otal $291.06 Payments /Credits $0.00 Balance Due $291.06 P.O. No. TERMS GMS WO Net 30 42443 / Dave R DESCRIPTION AMOUNT Plumbing services completed to clean the sump pit after basement cleaning to remove debris and blockages. Labor 130.50T Subtotal $130.50 Please make check payable to GMS, Inc. and mail to P.O. Box 2264, Oshkosh, WI Sales Tax (S.0 %) $6.53 54903 -2264. Please return one copy of the invoice with your payment. All past due accounts will be charged an interest rate of 2 % per month. Thank you. Total $137.03 Payments /Credits $0.00 Balance Due $137.03 Gartman Mechanical Services TA I C: G1r15 11r C. P.O. Box 2264 DATE INVOICE # Oshkosh, WI 54903 -2264 Phone: 920- 231 -5530 8/29/2008 44512 Fax: 920-231-0486 BILL TO Jim and Joyce Bloechel 1906 Doemel Oshkosh, WI 54901 P.O. No. TERMS GMS WO Net 30 43250 / Chad M DESCRIPTION AMOUNT Services completed as per Quote to install an Aprilaire #700 automatic humidification system. 550.00T Subtotal $550.00 Please make check payable to GMS, Inc. and mail to P.O. Box 2264 Oshkosh, WI 54903 -2264. Please return one copy of the invoice with your payment All past due Sales Tax (5.0%) $27.50 accounts will be charged an interest rate of 2 % per month. Thank you. Total $577.50 Payments /Credits $0.00 Balance Due $577.50 Invoice SOLAR ELECTRIC TECH, LLC Invoice Number: 2303 JACKSON ST 1114 SUITE C Invoice bate: OSHKOSH, WI 54901 6/26/08 Page: Voice: (920) 231 =3990 1 Fax: (920) 236 -7725 Sold To: JOYCE M BLOECHEL 1906 Doemel OSHr,OSH, WI 54901. Customer ID: Bloe –J Customer PO Payment Terms Sales Rep ID Due Date Replace electrical service...... — Net 15 Days Additional owner requested electrical work..... 7/11/08 Description Amount June 26th- Replace electrical service...... — 1,425.00 Additional owner requested electrical work..... 755.00 c Subtotal PG� Sales Tax j� Total Invoice Amount Check No: (� ( J Payment Received TOTAL 2,180.00 2,180.00 2,180.00 Aquire Contracting & Restoration, Inc. Invoice P.O. Box 2484 f Oshkosh, Wl 54903 Number: 1635 C—ma n K�tomt,on..c. (920) 688.2000 (877) 267.WATR (9287) Date: June 27, 2008 Bill To: Project Address: Jim & Joyce Bloechel Jim & Joyce Bloechel 1906 Doemel St 1906 Doemel St Oshkosh, WI 54901 Oshkosh, WI 54901 Terms Project Due Upon Receipt 001635 Date Description Amount 6/27/08 Balance due for Cleaning services 2,774.66 Total $ 4.66 Thank you for allowing us to serve you! P qq O Amount Paid: 1,000.00 6 Amount-Due:- -4-#6 o� C?l'� 17 .23- D —10 ELI N GF� M. V. KLINGER PAINTING CO., INC. O ! PAINTING CONTRACTORS A 1910 HARRISON STREET 1T�Nv' OSHKOSH, WISCONSIN 54901 I qI PHONE (920) 231 -5320 FAX (920) 231 -5321 QUOTATION Septemberll, 2008 Joyce & Jim Bloechl 1906 Doemel Street Oshkosh, WI. 54901 (920) 233 -3122 Application of bleach solution.to the existing painted block walls of the Bloechl Home Basement'to kill mold and mildew, if present. We will also caulk the front and back door frames and the brick molding where attached to the siding. BID: $589:00 Work will be complete in a neat, efficient workmanship like manner with all equipment, tools,'labor and insurance furnished by Klinger. Sincerely, Jay H. Klinger M.V. Klinger Painting Co. Inc. Invoice Invoice Number: ' SERIES lete Landscaping 6159 NURSERIES Gal, I '��+ C • and Nursery Service 72 W. wauaau AVE. OSHKOSH, WI s4902 (920 235 - 3630 Invoice Date: 8/14/08 Page: 1 Sold To: Jim Bloechel 1906 Doemel Street Oshkosh, WI 54901 Customer ID.Bloe - J TERMS - Accounts due after 30 days are subject to 11/2% monthly interest charge until account has been paid. GUARANTEE One Year guarantee on stock planted by nursery. No guarantee on lawns whatsoever. Nursery Check No. stock will be replaced one time only. ESTABLISHED 1868 THANK YOU! Subtotal 2,953.50 Sales Tax 147.68 Total Invoice Amount Amount Payment Received Description TOTAL 3,101.18 , !) -)1 07107 L97SF032895M 14 yd. topsoil @$20.00 x` 280.00 20 Garden Wallstone @$2.50 50.00 2 edging @$20.00 40.00 2 1/2 ton Slate Stone @$180.0=., 450.00 1 Burning Bush 32.00 4 Densa. Yew @$65.00 �- 260.00 1 Pee Gee Hydrangea Tree ; 125.00 2 PJM Rhododendron 2 Goldmound Spirea @$21. 42.00 5 Autumn Joy Sedum, 3 Va e d Fo, 3 �yal rd 88.00 1 Dwarf Korean Lilac Tre 85.00 1 Cistena, Purple Leaf P 32.00 16.00 2 Stella D'_Oro Daylilly 00 192.00 8 Cotoneaster @$24.00 � _. typar X 45.00 Hydroseed 7' 120.00 labor': 1,096.50 TERMS - Accounts due after 30 days are subject to 11/2% monthly interest charge until account has been paid. GUARANTEE One Year guarantee on stock planted by nursery. No guarantee on lawns whatsoever. Nursery Check No. stock will be replaced one time only. ESTABLISHED 1868 THANK YOU! Subtotal 2,953.50 Sales Tax 147.68 Total Invoice Amount 3,101.18 Payment Received 0.00 TOTAL 3,101.18 , !) -)1 07107 L97SF032895M - Hawthorn Inn & Suites Jul 04, 2008 HTHORN i r www.hawthom.com 8:46 am 3105 S. Washburn Street Oshkosh, WI 54904 Telephone: (920)303 -1133 Fax: (920)303 -2103 Joyce & Jim Bloechel Account #: 34040 Room Number: 133 Rate: $55.00 1906 DOEMEL STOshkosh, WI 54901 Pay Method: DB1002 Arrival Date: Friday, June 13, 2008 Departure Date: Saturday, July 05, 2008 Date Department% „ Reference Voucher Room Debit Gredit 6/13/2008 Room charge Auto Posted 133 $55.00 6/13/2008 5% State Tax Auto Posted 133 $2.75 6/13/2008 10% City Tax Auto Posted 133 $5.50 6114/2008 Room charge Auto Posted 133 $55.00 6/14/2008 5% State Tax Auto Posted 133 $2.75 6/14/2008 10% City Tax Auto Posted 133 $5.50 6/1512008 Room charge Auto Posted 133 $55.00 6/15/2008 5% State Tax Auto Posted 133 $2.75 6/15/2008 10 % City Tax Auto Posted 133 $5.50 6/16/2008 Room charge Auto Posted 133 $55.00 6116/2008 5% State Tax Auto Posted 133 $2.75 6/16/2008 10% City Tax Auto Posted 133 $5.50 6/17/2008 Room charge Auto Posted 133 $55.00 6/17/2008 5% State Tax Auto Posted 133 $2.75 6/17/2008 10% City Tax Auto Posted 133 $5.50 6/18/2008 Room charge Auto Posted 133 $55.00 6/18/2008 5% State Tax Auto Posted 133 $2.75 6/18/2008 10% City Tax Auto Posted 133 $5.50 6/19/2008 Room charge Auto Posted 133 $55.00 6/19/2008 5% State Tax Auto Posted 133 $2.75 6/19/2008 10 % City Tax Auto Posted 133 $5.50 6/20/2008 Room charge Auto Posted 133 $55.00 6/20/2008 5% State Tax Auto Posted 133 $2.75 612012008 10% City Tax Auto Posted 133 $5.50 6/21/2008 Safew /ltd Warranty WITH LIMITED WARRANTY UnitPost 133 $1.50 6/21/2008 Room charge Auto Posted 133 $55.00 612112008 5% State Tax Auto Posted 133 $2.75 6/21/2008 10% City Tax Auto Posted 133 $5.50 6/22/2008 Room charge Auto Posted 133 $55.00 6/22/2008 5% State Tax Auto Posted 133 $2.75 6/22/2008 10% City Tax Auto Posted 133 $5.50 6/2312008 Safe Sales Tax WITH LIMITED WARRANTY UnitPost 133 $0.08 6/23/2008 Room charge Auto Posted 133 $55.00 6/23/2008 5% State Tax Auto Posted 133 $2.75 6/23/2008 10% City Tax Auto Posted 133 $5.50 6/24/2008 Room charge Auto Posted 133 $55.00 6/24/2008 5% State Tax Auto Posted 133 $2.75 6/24/2008 10% City Tax Auto Posted 133 $5.50 6/25/2008 Room charge Auto Posted 133 $55.00 6125/2008 5% State Tax Auto Posted 133 $2.75 6/25/2008 10% City Tax Auto Posted 133 $5.50 6/26/2008 Room charge Auto Posted 133 $55.00 6/26/2008 5% State Tax Auto Posted 133 $2.75 I 6/26/2008 10% City Tax Auto Posted 133 $5.50 Hawthorn Inn & Suites Jul 04, 2008 } www.hawthom.com ` 8:46 am 3105 S. Washburn Street Oshkosh, WI 54904 Telephone: (920)303 -1133 Fax: (920)303 -2103 Joyce & Jim BloecheI Account #: 34040 Cost center 21230 Room Number: 133 Rate: $55.00 1906 DOEMEL STOshkosh, WI 54901 Pay Method: DB 1002 Arrival Date: Friday, June 13, 2008 Departure Date: Saturday, July 05, 2008 Date Department Reference Voucher Room Debit Credit 6/27/2008 Room charge Auto Posted 133 $55.00 6/27/2008 5 % State Tax Auto Posted 133 $2.75 6/27/2008 10 % City Tax Auto Posted 133 $5.50 6/28/2008 Room charge Auto Posted 133 $55.00 6/28/2008 5 %. State Tax Auto Posted 133 $2.75 6/2812008 10% City Tax Auto Posted 133 $5.50 6/29/2008 Room charge Auto Posted 133 $55.00 6/29/2008 5% State Tax Auto Posted 133 $2.75 6/29/2008 10 % City Tax Auto Posted 133 $5.50 6130/2008 Room charge Auto Posted 133 $55.00 6/3012008 5% State Tax Auto Posted 133 $2.75 6/30/2008 10% City Tax Auto Posted 133 $5.50 7/1/2008 Room charge Auto Posted 133 $55.00 7/1/2008 5% State Tax Auto Posted 133 $2.75 7/112008 10% City Tax Auto Posted . 133 $5.50 7/2/2008 Room charge Auto Posted 133 $55.00 7/2/2008 5% State Tax Auto Posted 133 $2.75 7/2/2008 10% City Tax Auto Posted 133 $5.50 7/3/2008 Room charge Auto Posted 133 $55.00 7/3/2008 5% State Tax Auto Posted 133 $2.75 7/3/2008 10% City Tax Auto Posted 133 $5.50 7/4/2008 Direct Bill THANK YOU 133 $1,329.83 Tax Summary Thank you for choosing the Hawthorn Inn & Suites of Oshkosh. We thank you for your 5% State Ta $57.75 patronage and look forward to serving you again in the future. 10% City Ta $115.50 Safe Sales $0.08 Signature Balance: $0.00 TEfl S: ❑ ASH ❑ CHECK ❑ DIT CARD ❑ WARRANTY - P/D QUAN. N t�� AMUUN I '� ��`y► a �,sr��►��L'�� "DESIRIII MAK .- .. ,. 0 SERVICE Al a , 1� i .ORD COMMENTS .& INSTRUCTIONS. TOTAL PARTS ."l • .a�' AM V PM 0 ESTIMATE cl - TEfl S: ❑ ASH ❑ CHECK ❑ DIT CARD ❑ WARRANTY - P/D QUAN. PART USED AMUUN I "DESIRIII t ARRIVAL TIME: DEPARTURE TIME: TOTAL LABOR . COMMENTS .& INSTRUCTIONS. TOTAL PARTS TRIP CHARGE SUBTOTAL TAX DATE COMPLETED TERMS: NET CASH —* ON COMPLETION OF WORK TOTAL Signaaxe in mb apace consdnA» eaeptanie of ebme servke Pertwmea as Being aatislactory and mat eaaiP meet has bean brt m cardiNorr. CUSTOMER SIGN X GUARANTEE ALL MATERIALS USED ARE OF FIRST QUALITY AND GUARANTEED FOR O 4 /{ C 90 DAYS AFTER DATE OF REPAIR SERVICE. BY OUAUFIED TECHNICIANS ONLY. V OFFICE COPY Item Description Comment Value Accordian, Piano Black/white Becker's Music Store Quote 300.00 Bag, duffle, Bass outdoor Gear Super Large, green, Bass 149.00 Bar 10' long, 20' deep, 4- 1 /2' high Darts and Pool 1,526.00 approx., one shelf mid height on inside, top polished finished Bed side table, 2 drawer Pecan brown wood grain 29.99 Binoculars, green 139.99 Books Corrie Ten Boom; The Chelation Not priced Answer; Gregg's shorthand 1938; Stenographic handbook; Winning Words; I Left My Heart at Wounded Knee hard cover; Strong's Concordance Boots, hunting 10-1h 5 -E Green Camo, Cabellas 99.99 Bowling ball, bag, shoes, towel 145.00 Bay, wooden decorated Ammunition -type Gift from Jenny Irreplaceable Brief Case Hard cover, hinge, Wine color Piel Leather 356.00 C-pap machine, Sleep Easy III, Backup and for travel Apria Medical Supplies in Neenah 997.50 Nasal 920- 729 -4360 Cabinet, wooden 2 -door, 5' x 30'x 40' Fleet Farm 84.99 Cabinet, wardrobe, metal, 84.99 aluminum, gray, two door Fleet Farm Calculator Texas Instruments TI 12.00 Camera, 8 mm. In case Irreplaceable Cameras (2) With camera bags, CJ and MaryJo s - Carpet Remnant Beige matches living room, extra To be used for carpet repairs Unmaixhable Chair, drafting (high seat) foot rung metal Cosco 79.99 Christmas Cards Past years' received Irreplaceable Christmas Ornamentation 8' Frasier Fur tree, lights, 3 part Stains -have receipt 188.99 Tree Keeper Bag 6-8 foot 99.00 212' holly berries streamers and Receipts Hobby Lobby 87.64 Other decorations Hallmark 29.82 Hallmark Singers 26.25 George Strait CD 10.95 Techno Very Merry Trio 25.00 Misc wrap 16.00 ornament Mistletoe Time 12.95 2 boxes of ornaments, large, painted 10 Stockings, hand -knit, old- Collected over years Irreplaceable fashioned; 1 golf bag stocking 12' electric angel Gift 2005 2 angel statuary Hallmark collectors Page 1- Personal Property Loss Listing - Attachment E Page 2- Personal Property Loss Listing - Attachment E 2 boxes of unique ornaments, Irreplaceable ' Desert Storm remembrance, Washington DC ornament, 5or 6 Oshkosh collector series ornaments; crystal angel, 2 crystal birds, 2 Florida humorous ornaments, i sand dollar ornament, children and grandchildren's hand made ornaments Clothes Royal blue insulated winter jacket Engraved Jim 59.95 4x Jacket, beige, 5x, pockets, car coat Fail /spring weight, lined - Dahle's 49.99 Shirt, green wool winter, long 35.00 sleeved, 5x Concertina, German made Family heirloom Becker Music Quote 1,000.00 Containers, plastic Small- clear, blue cover (1) Partial 5 for 56.85 Medium -long dear, blue cover (2) Large blue /grey /red ( X -Large green/blue (2) Crutches 2 - light weight metal, cushioned Walgreen s 39.98 Cushions 4 green match kitchen chairs Purchased as backup in case pattern discontinued - WG&R 160.00 4 blue cloth, middle fold, outside 2" thick swing chairs 40.00 Decor, Home 12" wood oval 'God Bless Our Wedding gift Home " - detail painted ' State plates, all west of Mississippi except Washington and Oregon; ' Wisconsin, Michigan UP, Illinois, Kentucky, Georgia, Alabama, Florida, Missouri, Tennessee, Iowa, Indiana, Deer head mounted 8 point buck 225.00 Deer Hides, 7 Dehumidifier Large capacity Sears-Receipt 208.95 Drafting table Formica bop - 35.00 Duster, hand held, 48" extender Blue spiked round brush on 1 end 15.00 Erector Set, metal, in case 1964 gift 99.99 Fans (2) Table stand approx 16" high; 8" or Aires 16" 15.00 9" high with expandable sides for window Ale cabinet, 4 drawer, metal, Drawer #1 -house siding ends and Contents - 81.00 Conti - 35.00 storage comers; Drawer #2- bowing cord, C- pap machine gear and hose, 1960 class reunion checks; Drawer #3- 2 sabre saws, radial arm Craftsman saw blades, brushes; Drawer #4-2 drills and drill bits Cabinet - 109.99 Ale, two- drawer, metal 59.99 Ales, 3 banks of filing folders Jim's Klein- Didkert historical and 29 Joyce's cancer files, Joyce's Staples 9.99 each warranty files and receipts. Page 2- Personal Property Loss Listing - Attachment E File, long corrugated Joyce's historical files Staples 189.99 Fish, wall mounted Jim's 85.00 Gun, pistol Benjamin Aire, 6 gauge 2 -9/16" shells 42.99 Gun cabinet, etched glass door (5-6 gun slots) Lock ammunition drawer on bottom No longer made. WG&R quoted $829 for a 15-gun cabinet 600.00 Hat, hard White, construction 15.00 Hunting supplies Reloading supplies 200.00 Hunting clothes Hoods, gloves Orange 125.00 Jacket and pants, Johnson Gannent insulated deer hunting Orange, 5X 175.00 Jacket, heavy, insulated, hunting Orange, 5X 115.00 Sweatshirt, pullover, zipped, Columbia Orange 5X 35.00 Duck hunting Columbia jacket/hood Brown/tan/black camouflage 5X 259.95 Vest, blue denim, insulated Oshkosh B'Gosh, 3x or 4X 45.00 Lamp, touch, glass floral shade 15 gold base, stem 15.00 Unens 1 -36" & 1-48° tables cloths with matching cloth napkins One red flowers on white background; 1 bright yellow with embroidery done by Mom Irreplaceable Linens 1 set flat sheets - regular -" flowered; 1 oval table cloth - Luggage One black; one royal blue Soft 30.00 Mirror 45"x36" blond wood framed Circa 1940's, hand crafted, Carl August Bahr Irreplaceable Mirror 30'x48° bedroom bureau mounted, matches the two bedroom side tables 65.00 Paneling, 4x8 sheets Basement partitions around stairs, separating 1/ of basement, two pocket doors No labor included 135.00 Pressure Washer Craftsman 1800 psi, 1.6 GPM, electric 219.99 Radio, console, table top Antique Irreplaceable Radio, clock 35.00 Refrigerator, apartment sized 5' white FASCO 459.00 Saws, wooden handle, 5 One needle -nose, four hand saws Sears pricing 3 @ 12.99 = 38.97 17.99 15.99 Saw, mitre Could not get pricing - Saw, Radial Arm, 10", table mounted Craftsman Model 100 1970, 699.99 plus tax Scope, gun Stanley 99.99 Shelf 3 -high, 18x48x72 , metal heavy duty Gift 2004 153.00 Shelf 5 -high; 12(36x60 °, metal, heavy duty 59.97 Shelves Durable plastic, 4-high - interlocking 5 units 250.00 Page 3- Personal Property Loss Listing - Attachment E Shirts 2 Black/white , black, wool lined Hunting heavy long sieved - 60.00 Sink, laundry utility, white Lower 47.98 Stenograph dictation machine, case Stentura 200 399.00 Sump Pump Backup, not installed Gartman - tax included 194.25 Table, ammo loading, dual pedestal Formica top 150.00 Table, wooden, cherry walnut Bloechel family table Nearest Vintage available 349.00 finish, slide/hide extenders on each side; two chairs with heart cutout Table, metal legs, 5 -sided glass Kitchen - indoor patio type Comparable table from Crate & 79.95 removable insert Barrel Tadde Box Red Kevlar 22.95 Tapes, hunting 6 various content Irreplaceable Toilet riser 1 piece round MMC - knee replacement (Morbon's) 30.00 Tools Hand drill (non electric) - Traverse rods 10-12, various lengths JC Penny 39.99 15.00 50.00 Train set Metal, engine, 4 cars, electric Gift to C3 from godparents 1979 Irreplaceable Tupperware 2 qt & 1 gal. Pitcher, 1 servolier set Juice containers and 3 sized bowls - Typewriter, Brother Electric Staples 125.99 PERSONAL: Carly's diploma, military papers; Camera Casino - saved pictures on 102.00 Bahr black family bible; Bahr & CD Dobish family picture albums Jim's framed pictures /office Irreplaceable pictures; family funeral books, Miller family pictures; 4 family picture albums; Pictures: 5x7' Andy @ 3 months; irreplaceable Mary 3o 5x7' graduation; Jennie, Julie and Jim 8x10', CJs USMC graduation 8x10 "; Jenny & Aaron engagement 8x10 ", Jenny, Aaron, Brittany 8x10 "; Oval 8x10" Mei's . graduation; Joyce's graduation book, class Irreplaceable Kohian book, scrap book, Mom's photo scrqp book, Grandma Daldos' photo album; Aunt Jos family album, many photos circa 1958- 1995. Personal Property Total: $12,707.63 Page 4- Personal Property Loss Listing - Attachment E November 5, 2008 City of Oshkosh Attn: Pam Ubrig PO Box 1130 Oshkosh, WI 54903 MIDWEST Re: Program: League of Wisconsin Municipalities Insurance Plan CLAIMS SERVICE Our Insured: City of Oshkosh Date of loss: 06/12/2008 1700 opdyke Court Claimant(s): James & Joyce Bloechel Auburn Hills, Michigan 48326 1906 Doemel . (248) 371 -3100 Oshkosh, WI 54901 (800) 225 -6561 Our Claim #: WI8 135695 (248) 371 -3091 fax www.midwestclaims.com Dear Ms. Ubrig: We handle the claims for the League of Wisconsin Municipalities Insurance Plan through which the City of Oshkosh is insured. We have received notice of the above - stated claim in which a sewer backup occurred at the above location on June 12, 2008. We have completed our investigation of this claim and recommend that the City of Oshkosh deny these claim pursuant to the Wisconsin statute for disallowance of claim 893.80(1 g). The disallowance of the claim in this manner will allow us to shorten the statute of limitations period to 6 months. The basis of the denial should be that our investigation has concluded that there is no negligence on behalf of the City of Oshkosh. Our investigation has concluded that this backup was caused by excessive rain and not due to any blockages or equipment failure on behalf of the City. The City has no control over this type of occurrence and would have no prior notice of any potential problems. Please send your denial letter to the claimant. These denials should be sent certified mail and registered mail (restricted delivery) and must be received by the Claimant within 120 days after you received the claim. Please send copy of denial to our address as stated above. If you have any further questions, please feel free to call me at 1- 800 - 225 -6561 (ext. 3096). Thank you. Sincerely, Barbara Hooks Claims Adjuster Cc: HRH Insurance Services A SUBSIDIARY OF HCC INSURANCE HOLDINGS, INC.'" ®' P November 5, 2008 James & Joyce Bloechel 1906 Doemel MIDWEST Oshkosh, WI 54901 CLAIMS SERVICE Re: Program: League of Wisconsin Municipalities Mutual Insurance 1700 Opdyke court Our Insured: City of Oshkosh Auburn Hills, Michigan 48326 Date of Loss: 06/12/2008 (248) 371 -3100 Our Claim No: W18 135695 (800) 225 -6561 Claimant: James & Joyce Bloechel (248) 371 -3091 fax Location`. 1906 Doemel www.midwestclaims.com Dear Mr. & Mrs. Bloechel: Midwest Claims Service administers the claims for the League of Wisconsin Municipalities Mutual Insurance through which the City of Oshkosh is an insured. We are in receipt of the above- stated claim in which you have stated that there was a sewer backup /flooding into the above - stated location due to excessive rains on June 12, 2008. Please be advised that we have completed our investigation of this claim and will be recommending that the City of Oshkosh deny this claim. The basis of the denial is that our investigation found no negligence on behalf of the City of Oshkosh. Our investigation has concluded that this sewer backup /flooding was caused by excessive rains which inundated the area. This would be considered an act of nature. The City has no control over this type of occurrence and would have no prior notice of any potential problems. MIDWEST October 15, 2008 CLAIMS SERVICE 1700 Opdyke Court Auburn Hills, Michigan Joyce Bloechel 48326 1906 Doemel Street (248) 375 -3 (800) 225-65561 61 Oshkosh, WI 54901 (248) 371 -3091 fax www.midwestclaims.com Re: Program: League of Wisconsin Municipalities Mutual Insurance Our Insured: City of Oshkosh Date of Loss: 06/12/2008 Our Claim #: W18 135695 Claimant: Joyce Bloechel Location: 1906 Doemel Street Dear Ms. Bloechel: Midwest Claims Service administers the claims for the League of Wisconsin Municipalities Mutual Insurance through which the City of Oshkosh is an insured. We are in receipt of the above - stated claim, in which you sustained damages to your property due to a sewer backup /flooding which occurred on June 12, 2008. Please be advised that we are currently in the process of investigating this matter with the City of Oshkosh. Once we have made our liability determination we will notify you by mail Please mitigate and document any and all damages you are claiming. If you have any questions in the interim, please contact Midwest Claims Service, Inc. Sincerely, l 1 Barbara Hooks Claims Adjuster: OCT 0 w^2008, ?asl Cc: City of Oshkosh: Pam Ubrig HRH Insurance Services - ppp e �:F ' a �Cr Em Z-7 A SUBSIDIARY OF HCC INSURANCE HOLDINGS, INC.-