HomeMy WebLinkAbout23-1747 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-1747 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 02 - 11 - 2023 1457 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
SUNSET BLVD NE M900 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET OF ABERDEEN AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066369926 0 7 30
LAST NAME DUARTE-ANTUNEZ FIRST NAME VERONICA MIDDLE N
6 INITIAL 1 2 31
STREET ❑1 3911 S MEAD ST APT A CITY SEATTLE ST WA ZIP 981182638 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/iNTERLOCKYEs NO INTERLOCKYEs Z/NO YES �No /
8 LRIIVER # STATE WA SEX 04'F MM ovY' 1 2 32
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U EET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 aT�S� BXH6690 sTArI WAvIN# 2T2HK31 U37C032520
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM To
TRLR. TRLR. $ 1 33
vIN#
12 3 0 ' YIN#
FROM TO
VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE $ 9 34
13 4 LEXS RX 300 DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO VERONICA DUARTE-ANTUNEZ325 FACTORYAVE N APT 7 RENTON WA 98057 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
vErIICLE CHARGE 5 36
EGHALLY YES❑NO CITATION# 3AO030372 OP MOT VEH W/OUT INSURANCE o BorroM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIANPROPERTY DAMH TR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:6025770233
16 a
LAST NAME CONGDON 77771 FIRST NAME JESSE MIDDLE D
INITIAL
17 STREET I5❑' 17220 117TH AVE SE CITY RENTON ST WA ZIP 980586086 4❑ 37
NEW ADORE5
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK vEs I I NOF YEs t l NOF,/
19[—] DRIVER # STATE WA SEX M M .C... 08 _ 20 _ 1982 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# BMT6870 TArE WA vIN# 2C3CDXJG6FH845241 41
1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2015 MAKE DODG MODEL CHARGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JESSE CONGDON 17220117TH AVE SE RENTON WA 98058 D:6025770233 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO COUNTRY FINANCIAL P46A5007296 IGD
IN EFFECT
VEHICLE CITATION# CHARGE
LEGA YES[Z NC[:]25❑ LLY s a
7p-,
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TAGNE 12575 WA0171300
PAGE 01 OF
PART A
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED34216
COLLISION REPORT III III III III III 111
1591972 CASE# 23-1747
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
P.LANTAGNE 02-12-23 07:55 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 2/15/2023 11:36:12 AM
BADGE OR ID# 12575 OR]4f WA0171300 TIME POLICE DISPATCHED 3:00 PM TIME POLICE ARRIVED',3:07 PM
PART I PAGE IT]OF
TIME
REPORT NO. ED34216 CASE# 23-1747 OF COLLISIONO2/11/23 14:57
NARRATIVE
23-1747
On 02/11/2023 at approximately 1457 hours, I, Officer Lantagne, responded to a blocking, non-injury
collision near the intersection of NE Sunset BLVD and Aberdeen AVE NE, which is located in the City
of Renton, County of King, and the State of Washington. 1 responded in my fully marked police
vehicle, wearing my patrol uniform.
I arrived on scene and observed Unit#1, a 2007 Lexus RX with license plates BXH6690 issued out of
Washington State, Unit#2, a 2015 Dodge Charger with license plates BMT6870 issued out of
Washington State, and Unit#3, a 2021 BMW X7 with license plates CCH7629 issued out of
Washington State, blocking the northbound lane of NE Sunset BLVD. I was advised there were no
injuries.
I contacted the driver of Unit#1, Veronica Duerte-Antunez (DOB 04/02/1984), who told me the
following using a friend to interpret: Duerte-Antunez was driving northbound on NE Sunset BLVD. As
Duerte-Antunez's vehicle approached traffic stopped in the road, she attempted to stop and her foot
slipped off of the brake pedal. The front of Duerte-Antunez's vehicle collided with Unit#2. Duerte-
Antunez did not have insurance for her vehicle.
I contacted the driver of Unit#2, Jesse D. Congdon (DOB 08/20/1982), who told me the following:
Congdon was driving northbound on NE Sunset BLVD and had stopped for traffic at the intersection
of Aberdeen AVE NE. Congdon was stopped for approximately 5 to 7 seconds. While waiting for the
traffic to move, the rear end of Congdon's vehicle was struck by Unit#1, which caused his vehicle to
collide with Unit#3.
1 contacted the driver of Unit#3, Susan N. Lunsford (DOB 01/29/1961), who told me the following:
Lunsford was driving her vehicle northbound on NE Sunset BLVD and had stopped for a vehicle that
was making a left turn onto Aberdeen AVE NE. While waiting for the vehicle to turn, Unit#2 collided
with the rear bumper of her vehicle. Lunsford only felt one collision.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by Congdon and Lunsford. Unit#1 had significant damage to the front end of the
vehicle which was crumpled in through the engine bay. The front airbag of Unit#1 deployed. Unit#2
had significant damage including a crumpled trunk. Unit#3 had minor damage to the rear bumper
consisting of dents and scrapes. The damage to the vehicles was not consistent to the statements
made by Duerte-Antunez. 1 evaluated the brake pedal of her vehicle which was dry and did not have
any substances on it that would cause her foot to slip off. I did not observe any braking marks on the
roadway leading up to the collision.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to all parties. I later issued Duerte-Antunez a traffic citation for
operating a motor vehicle without insurance.
I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 1641 hours on 02/11/2023 at Renton, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. ED3421 6
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-1747
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:2063907578
0 7 29
LAST NAME LUNSFORD FIRST NAME SUSAN MIDDLE IN INITIAL
STREET 30
NEW AnDRFrtP 1716 JONES AVE NE CITY RENTON ST WA ZIP 980562664
6 [2 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YES N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 01 - 29 - 1961
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE I CCH7629 [TAT WA VIN# 5UXCX6C01M9E26502
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 0 VEH.YEAR2021 MAKE BMW MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' E FROM TO
DAMAGE YES NO YES NO
33
REGISTERED OWNER INFO.PRODUCT CONCEPTS INC 1716 JONES AVE NE RENTONWA98056 D:2063907578 $ 9
SHADE IN DAMAGED AREA
12 z 3 4
FROM TO
((ABILITY INSURANCE INSURANCE CO STATEFARM 1973326-D17.47A GQO
IN EFFECT &POLICY#VEHICLE 34
13Lecnuv YES NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
STRE
16 NEW ETETnnR"� CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YES NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAT VIN# 39
PLATE#
20 ❑ TRAILER TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43
z
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LECALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R LANTAGNE 02-12-23 07:55 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 12575 O#II,WA0171300 APPROVED BY
21115/2023 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. ED34216 CASE# ' 23-1747 DATE AND TIME 02/11/23 14:57
OF COLLISION
Case 3-1747
a..
Not to kale
P. Lanta "ne #12575
r
Aberdeen ,AVE N
Unit #3
--Unit #2
NE Sunset BLVD-.......
Unit#1
PAGE 5 OF 5