The URL can be used to link to this page

Home My WebLink About23-9525 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED91180 170 27 COLLISION REP FIT 1591971 CASE 23-9525 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 08 - 1-- 2023 1908 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE CARR ROAD BLOCK NO. e✓ p ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV e 106TH PLACE SE 2 0 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES No ,/ D:2539299730 0 11 30 6� LAST NAME NERISSA FIRSTNAME ROSALEE MIDDLE S 1 1 2 31 INITIAL STREET ❑✓ 10400 SE 174TH ST APT C308 CITY RENTON ST WA ZIP 98055 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO,/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 INJURY CLASS 1 NATURE OF INJURIES z❑ 3 10[1Pi ATNES# CSD1101 sTAr AZ uN# 2FMPK3G91HBC36998 5 TRAILER STATE TRAILER STATE 11 1 5 PLATE# PLATE# FROM TO TRLR. TRLR. 3 1 33 12 1 5 VIN#' VIN# >; FROM TO VEH.YEAR 2017 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 7 TOWED BY GOVT.VEHICLE 34 13 4 FORD EDGE UT DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO ROSALEENERISSA 10400SE 174THSTAPTC308 RENTON WA 98055 D:2539299730 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 966941923 3 IN EFFECT &POLICY# 9TOP 15❑ LE vECALLv HICLe 1 5 36 YES❑NO❑ CITATION# CHARGE 10 BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2062278960 16 a LAST NAME CARDENAS FIRST NAME OSCAR MIDDLE M INITIAL 17❑ STREETNEW ADOREss❑' 3233 CELEBRATION AVE E CITY' FIFE ST WA ZIP 984243882 37 18❑ CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NO � 19[ DRIVER'S STATE WA SEX M D.C.B. 10 1_ 17 1972 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑ILICENSE 21❑ PLATE# A1119C TArE 41 WA VIN1 1VHHH3V29C6708261 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2012 MAKE ONTR MODEL BUS STYLE BU VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 L4❑ DAMAGE YESfj NO,/ YES NO REGISTERED OWNER INFO KING COUNTY KING COUNTY DOT TRANSIT 5004TH AVE#653 SEATTLEWA98014 D:2062278960 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POLICY#E CO KING COUNTYIN C�Q --E ❑ ,J� CITATION# CHARGE25 LEGALLY YES N`L J s � a 7MICAELA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 CASTAIN 7 12573 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED91180 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9525 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ZEBELL CHASEA (IAST FIRST, ADDRESS&PHONE# D O.B. 14464 SE 204TH PL KENT WA 98042 2533400081 SEX M MMDOYyry 08 - 28 - 1995 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE 2 CLASS !6 COMPL _,_HEAD/NECK PAIN NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# Id I DOB E MMDDYVYV PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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. MICAELA CASTAIN 08-19-23 12:23 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 812012023 11:23:30 PM BADGE OR ID# 12573 OR]# WA0171300 TIME POLICE DISPATCHED 7:08 PM TIME POLICE ARRIVED',7:08 Pm PART I PAGE IT]OF REPORT NO. ED91180 CASE# 23-9525 OF COLLISION 08/18/23 19:08 OF CbLLI510N NARRATIVE Unit 1: Rosalee Nerissa (DOB 12/14/1994); 2017 Ford Edge (AZ/CSD1101) Unit 2: Oscar Cardenas (DOB 10/17/1972); King County Bus (WA/A1119C) On 08-18-2023 at approximately 1908 hours I heard sounds of a collision at the intersection of SE Carr Rd and 106th Place SE, in the City of Renton, King County, WA. Upon checking the area, I located a King County transit bus (WA/A1119C), stopped in the middle of the intersection at the location listed above. I contacted the driver of the bus, Oscar Cardenas (DOB 10/17/1972). Cardenas advised he was just involved in a collision and declined medical aid. A passenger on the bus, Chase Zebell (DOB 08/28/1995), complained of head and chest pain. Zebell declined medical aid and did not want to be transported to the hospital. Cardenas advised that he was traveling westbound on SE Carr Rd in lane 1, while a white Ford escape with Arizona license plates was traveling in the same direction in lane 2. The white Ford escape merged unexpectedly in front of the bus into lane 1, causing Cardenas to slam on the brakes, and rear end the white Ford escape. The white Ford escape made a late merge in front of the bus and continued to make a right turn (north) onto 106th Place SE and left the area. A white Ford Edge (AZ/CSD1101) arrived on scene, and the driver, Rosalee Nerissa (DOB 12/14/1994), advised that she was involved in the collision with the bus. Nerissa advised that she was circling back around because she didn't want to stop in the intersection. Nerissa declined medical aid. Nerissa advised that she was traveling westbound behind the bus in lane 1. Nerissa merged into lane 2 and attempted to merge back into lane 1, in front of the bus, in time to make the right-hand turn (north) onto 106th Place SE. Cardenas rear ended Nerissa during this incident, causing damage to the bike racks on the front of the bus and damage on the rear passenger side bumper of the Ford Edge. Both vehicles were drivable. Both parties were given the exchange of information sheet. Based off the statements made by both parties, there is proximate cause for Nerissa (Unit 1) in the collision. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Castain #12573 8/19/2023 Renton, King County, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 2 Seat Position (Passenger CHASE ZEBELL): NEAR THE BACK OF THE BUS **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED91 1 SO r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-9525 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT'# 2 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1 ;TYPE 2 ❑ 1 28 CARRIER KING COUNTY DOT TRANSIT NAME 3 CARRIER ADDRESS 500 4TH AVE#653 CITY SEATTLE ST WA ZIP'', 98104 4 ❑ NAME # PLACARD: :❑ SOURCE 3 AXLES 06 GwvR 4000 + NAME IF NO NUMBER 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnnRFs.� CITY'. ST SIP CDL IGNITION REDUIREE7 IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. MICAELA CASTAIN 08-19-23 12:23 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BADGE O#I'WA0171300 ILD E PAGE OF 3000-345-013(R 11118) REPORT NO. ED91180 CASE# ' 23-9525 DATE AND TIME 08/18/23 19:08 OF COLLISION o, SE CARR RD r' D m m PAGE 5 OF 5