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HomeMy WebLinkAbout24-9461 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF14021oc� RA COLLISION REPORT 1591971 CASE# 24-9461 2 INTERSTATE CITY STREET FIRE I RESULTEDSTATE ROUTE OTHER STOLEN vEwcLE LOCALANG 3 HIT&RUN C©DIN6 COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3n M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 09 - 09 - 2024 0920 17 =.[� S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BRONSON WAY N BLOCK NO. ❑ MILE POST e 4a ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e HOUSER WAY 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062713633 0 1 30 5❑ LAST NAME BROWN FIRST NAME VERNON MIDDLE O 1 2 31 INITIAL STREET ] 17043128THAVESE CITY; RENTON ST WA ZIP; 98058 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKVEs NO YES NO[ $ CEN E# STATE SEX I M MMD4YY' 02 - 28 - 1958 1 2 32 9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES 2 USE CLASS KNEE PAIN/N THE RIGHT KNEE 10 LI ENSE AMK5143 STATE WA V # 3GNGK26J8XG113065 3 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# 11ROM To TRLR zRLR 5 1 33 12 0 Q VIN#' VIN# FROM TO 13 1 VER YEAR 1999 MAKE CHEV MODEL SUBUR STYLE UT VEHICLE TOWED 2 TO jyS46LIN ajWgYMEYERS GOS❑ENO 3 7 34 DAMAGE IIII._IIII REGISTERED OWNER INFO VERNON BROWN 17043128TH A VE SE RENTON WA 98058 D:2062713633 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 4 14 SAFECO H2302131 IN EFFECT &POLICY# 4TOP VEn" CHARGE 5 36 Lec Ly YES❑NO❑ CITATION# 70 80TTOM 15❑ STANDING 7 e MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2062713633 16� LAST NAME HART FIRST NAME JENNIFER MIDDLE A INITIAL 17 STREET ❑ ❑ 21660 SE 266TH ST CITY MAPLE VALLEY ST, WA ZIP 98038 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNI'I`iON PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYES ND IN7ERLOCKYES NO vEs NO 19[ LICENS # STATE SEX U MMDDYY 08 01 1971 39 HELMET INJURY: URE OF INJURIES 40 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 NAT ❑ 21 LICENSLATE E BFU0452 TATE WA VIN# 1C4RJFCGOHC714771 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2017 MAKE JEEP MODEL GRAND STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO JENNIFER HART 21660 SE 266TH ST MAPLE VALLEY WA 98038 D:2062713633 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCECO GARRISON PROP USAA 01355 77 81R IN EFFECT &POLICY# t STOP ­1— ❑ ,J—I CITATION11 CHARGE to BOTTOM ,—LY YES N 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 ISABELLA DANILYUK 13001 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF14021 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9461 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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. ISABELLA DANILYUK 09-09-24 12:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE S.WOODWARD 11528 911112024 11:35:32 AM BADGE OR ID# j 13001 ORI# WA0171300 TIME POLICE DISPATCHED 9:20 AM TIME POLICE ARRIVED i 9:20 AM PAST B a Do-lmx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF14021 CASE# 24-9461 OF DATE AND r�N + 09/09/24 09:20 O�COLLISION NARRATIVE 24-9461 On 09/09/2024 at approximately 0920 hours, 1, Officer Danilyuk responded to an injury accident blocking in progress in the intersection of Bronson Way N and Houser Way N in the City of Renton, County of King, and the State of Washington. Upon arriving on scene, the parties moved off the roadway. Two tows were called to the location and fire was on their way to check both drivers for potential injuries. Unit 1 was BROWN, VERNON OTIS (DOB 02-28-1958) verified via WA DOL. Brown explained he was driving (license plate AMK5143) silver 1999 Chevy Suburban in the far-left lane traveling northbound on Houser Way. He was then distracted by a driver that was swerving into his lane taking the far-right turn heading eastbound on Bronson Way towards the intersection. Brown explained he saw the green arrows and went forward but did not remember now that he was recalling his statement if all lights were green. Under the impression it was his right of way he swerved out of the cars way and continued forward going forward in the intersection and subsequently T boning the vehicle directly Infront of him. Unit 2 was HART, JENNIFER ANN (DOB 08-01-1971) verified via WA DOL. Hart explained she was driving (license plate BFU0452) red 2017 Jeep Grand Cherokee going westbound on Bronson Way N. She stated she was certain she had a green light and saw the Chevy Suburban heading straight in the forward only lane but was under the impression that he would turn however ended up t-boning her vehicle. Unit 1 driver Brown admitted to being the at fault party stating he was unsure if his light showing going forward was green and that he was at fault. I gave an informational exchange for both parties, both parties accepted all their documents back and stated they understood the paperwork they received. Both vehicles were towed at both parties' request. The red jeep Cherokee was towed by Gene Meyers and the silver Suburban was towed by Bankers. Both parties spoke to the respective tow companies and signed the appropriate paperwork. Due to Brown T-boning Harts vehicle and heading northbound on a turn only green light and later admitting he does not recall if he ever had a green straight light indicating the ability to travel forward 1 found the BROWN, VERNON OTIS (DOB 02-28-1958) who was operating (license plate AMK5143) silver 1999 Chevy Suburban to be the at fault party in this collision. My involvement in this case was captured on my department-issued Axon body camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. At the time of this call, I was in a full police uniform equipped with a Renton Police badge and police patches. This concludes my involvement with this case. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Ofc. 1. Danilyuk#13001, 09/09/2024 at 1145 hours in Renton, Washington. PAGE 3 OF 4 IREPORTNO. EF14021 CASE# 24-9461 DATE AND TIME 09/09/2409:20 OF COLLISION zx Stokv �Fst .a= t wf 7 v WV nas r # k ,., PAGE 4 OF 4