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Home My WebLink About23-14705 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-14705 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 7 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# ❑ cawsloN 12 - 1-- 2023 0025 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RENTON AVE S BLOCK NO. e✓ 435 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1 ❑ FMILES EET e S B W e BEACON WAYS 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES ✓NO D:3607749499 2 2 30 6� LAST NAME MOXCA FIRSTNAME AMANDA MIDDLE 1 2 31 INITIAL STREET ❑ 22620 28TH AVE S,APT 302 CITY DES MOINES ST WA 2jp, 98198 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 ✓ I iNTERLOCKYEs No NTERLOCKYEs NO✓ YES R No 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 H U EET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 LICENSE C137372 STATE WA uN# 3GTU2PECXGG175692 10❑ Pr ATE� TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# IR.. ro TRLR. TRLR. 5 1 33 12 0 0 VIN#' VIN# Rom 34 13� VEH.YEAR 2O16 MAKE GMC MODEL SIERRA STYLE TR IV AMAGE TOWED TO pLSABLIN TSIYYEp9vMEYERS VEHICLE✓ DAMAGE IILLJJII (5�IV6 REGISTERED OWNER INFO AMANDA MOJICA 2262028TH AVE S,APT 302 DES MOINES WA 98198 D:3607749499 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE INSURANCE CO STATE FARM 5150543-E16.47A IN EFFECT &POLICY# �1'OP CHA ve'CLE RGE ❑ 36 LECALLv res❑NO❑ CITATION# BOTTOM 15❑ NDING UNIT U2 VEHICCLE CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY ❑ DYES✓ OLD ME MOTR NO T PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY DES MOINES ST ZIP 5 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NOF,/ 19 LLIICENS# STATE SEX U MMDDYY -�_ 39 WELMET 1NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑ LICENSE ❑21❑ PLA E# C86733H TATe 41 WA VIN# 1GC4KOE87GF273857 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2016 MAKE CHEV MODEL SILVERA STYLE TR VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO NICHOLAS JOVANOVICH 920 SW3RD PL RENTONWA98057 D:2067135074 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU8 PORGY#E CO STATE FARM 4052142-E03-47DIN IU�'E""LE TOP ❑ ,J� CITATION# CHARGE TTOMLEGALLYYES N`L J25 ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J RAYGOZA 12503 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE36265 COLLISION REPORT III III III III III 111 1591972 CASE# 23-14705 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 PM 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. J RAYGOZA 12-23-23 04:08 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 11112024 7:55:42 PM BADGE OR ID# 12503 OR]# WA0171300 TIME POLICE DISPATCHED 12:28 AM TIME POLICE ARRIVED',12:30 AM PART I PAGE IT]OF REPORT NO. EE36265 CASE# 23-14705 OF COLLISION 12/23/23 00:25 OF CbLLI510N NARRATIVE RPD CASE#: 23-14705 On 12/23/2023 at approximately 0028 hours, I responded to 435 Renton Ave S, in the City of Renton, King County, Washington, for a report of a non-injury traffic accident. Upon arrival I noticed three vehicles at the location facing north. Two vehicles appeared to have been legally parked while another vehicle was in the middle of the road with major damage to the front. I identified that vehicle as unit 1, a blue 2016 GMC Sierra, bearing WA/LIC C13737Z VIN#3GTU2PECXGG175692. Unit 1 sustained major damage to the front of the vehicle and the driver of unit 1 was identified by her WADOL as Mojica Amanda DOB (10/29/1993). Amanda was heavily intoxicated and was outside of her vehicle when I arrived speaking to officers on scene. Amanda agreed to perform voluntary field sobriety tests and failed during the test. I was informed by other officers that Amanda failed the field sobriety tests and that she was at fault. Fire arrived and examined Amanda due to airbag deployment inside her vehicle and she was cleared medically. A tow was called for Amanda's vehicle. I identified unit 2 as a black 2016 Chevy Silverado, bearing WA/LIC C86733H VIN#1 GC4KOE87GF273857. Unit 2 sustained heavy damage to the rear of the vehicle and was unoccupied during the time of the accident. I identified the owner of unit 2 via his WADOL as Jovanovich, Nicholas Anthony DOB (04/05/1987). Nicholas informed me that he was inside his house asleep when he heard a loud crash outside of his home. When Nicholas went outside, he saw that unit 1 crashed into the rear of his truck that was legally parked on the road. I identified unit 3 as a black 2012 Chevy Equinox, bearing WA/LIC AIA7814 VIN#2GNFLNE54C6257605. Unit 3 sustained damage to the rear of the vehicle and was unoccupied during the time of the accident. Due to unit 1 rear ending unit 2 the impact of the collision caused unit 2 to move foreword causing it to collide with unit 3. 1 identified the owner of unit 3 via her WADOL as Jovanovich, Vesna Danilov DOB (06/26/1980). Vesna is Nicholas's wife and she stated that she was also inside her home sleeping when she heard a loud crash outside. Vesna then followed Nicholas outside and saw unit 1 in the middle of the road after crashing with unit 2. All three drivers were given my business card with the case number and Unit 1 was towed from the location. Amanda was advised that she was the at fault driver due to his inattention. I advised Amanda that she would receive a citation in the mail for inattention and Negligent Driving 2nd Degree. Once all parties left the area, I cleared the scene. Due to a separate accident that occurred in Renton during the time of the collision, I decided not to charge Amanda with Driving Under the Influence due to not having enough officers to cover the city. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Raygoza on 12/23/2023 at 0400 hours in the City of Renton. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE36265 r`) POLICE TRAFFIC 1 1 7 27 COLLISION REPORT CASE# 23-14705 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� IN 2 2 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFS�� CITY DES MOMES ST ZIP 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES NO zERLOCK YES❑N0� YES N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE A1A7894 TAr WA VIN# 2GNFLNE54C6257605 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1C P FROM TO 2012 CHEV EQUINOX SD DAMAGE YES NO YES NO REGISTERED OWNER INFO.VESNA JOVANOVICH 920 SW 3RD PL RENTON WA 98057 D:2066613529 m 33 12 � SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# t 9 1"01? EHILLE o BarroM 34 13 LEGALLY YES NO01 CITATION# CHARGE STANDING �} 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 36 15 LAST NAME FIRST NAME : INITIAL MIDDLE ❑ STREET 16 NEW AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiREE7 IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 5 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 ❑ ❑ 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 ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEwcLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l 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. J RAYGOZA 12-23-23 04:08 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED 1126 � BADGE O#IIWA0171300 EAN 12 PAGE FOFOI 3000-345-013(R 11118) REPORT NO. EE36265 CASE# 23-14705 DATE AND TIME 12/23/23 00:25 OF COLLISION U it Un 3 i 9R arvx iaa S PAGE 5 OF 5