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HomeMy WebLinkAbout24-9065 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF10562 170
27
COLLISION REP FIT 1591971
CASE 24-9065 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 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#
COLLISION'. 08 - 1-- 2024 1541 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 44TH ST BLOCK NO. e✓ 1600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ VV a I405 SB RAMP
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2533895917 0 11
30
6� LAST NAME OBRIEN FIRSTNAME MOLLY MIDDLE A F 2 31
INITIAL
STREET ❑✓ 2309 44TH AVE SW#B CITY SEATTLE ST WA 2jp, 98116 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/INTERLOCK YES[:]NO INTERLOCKYEs Z/NO YES �No /
LRIIVER # STATE WA SEX'F MM D Y' 03 - 17 -
8❑ 1995 1 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2❑
USE CLASS INJURY FROM SEA TBELT
3
10 9❑ PI ATE 14 BFM9451 STATE WA u N#' JTHCK262185019407
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. TRLR. 3 5 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[AWk GOVT.VEHICLE 34
13 4 2008 LEXS IS-F SD DAMAG 7 3 E YES NO YES[:] No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO TRAVELERS 615050417 203 1 3 4
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ NO D:2062958960
16 a
LAST NAME CONWAY FIRST NAME GREGORY MIDDLE J
INITIAL
17 STREET❑ NEW ADDRESS❑' 1012 N 42ND PL CITY RENTON ST WA ZIP 98056 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LICENSE# STATE WA SEX IJ MMDDYY 01 03 _ 1948 39
20❑ ON DUTY STATUS I
AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# LEM983A TATE 41
WA VIN1t 5YMUJ0009L9817144 1
42
22❑ PLATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2020 MAKE BMW MODEL X4 STYLE U7 VEHICLE TOWED TO BLIN
TOWED eY Gov HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO SAFECO 227 3254-D12-47LIN I STOP 5
VETILe ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
OF CUM ING 11488 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF10562
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9065
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.
TIM CUMMING 08-28-24 08:03 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 91112024 8:30:39 AM
BADGE OR ID# 11488 ORI#' WA0171300 TIME POLICE DISPATCHED; 3:42 PM TIME POLICE ARRIVED',3:42 PM
PART Ei PAGE IT]OF 4�
REPORT NO. EF10562 CASE# 24-9065 OF COLLISION
08/28/24 15:41
OF CbLLI510N
NARRATIVE
24-9065
On 08/28/2024 at approximately 1542 hours, I was working as a Police Officer for the city of Renton.
While I was working, I was doing routine patrol in the 1600 block of NE 44th St, in the City of Renton,
the County of King, State of Washington.
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized. My involvement in this incident was captured
on my department issued Axon body camera. For exact statements made during my investigation
please see my Axon camera footage.
As I drove east along NE 44th St, I saw that two vehicles had collided near the entrance to the on
ramp of 1405 S.
The first vehicle was a gray 2008 Lexus IS sedan (WA LIC# BFM9451). The driver was identified as
Molly Anne O'Brien (DOB 03/17/1995). Her identity was later confirmed by WADOL photo. There
was damage to the front driver's side corner of the vehicle. For the duration of this case, this vehicle
will be identified as Unit 1.
The second vehicle was a gray 2020 BMW X4 SUV (WA LIC# LEM983A). The driver was identified
as Gregory James Conway (DOB 01/03/1948). His identity was later confirmed by WADOL photo.
There was damage along the driver's side of the vehicle. For the duration of this case, this vehicle will
be identified as Unit 2.
Airbags had been deployed in both vehicles. Renton Fire was called to the scene as were two
Bankers tow trucks as both vehicles needed to be towed.
Both drivers were given the opportunity for medical attention. With the exception of the driver of Unit
1 having a scratch on her left shoulder from her seatbelt, neither party complained of injury.
I met with the driver of Unit 1. The following is her statement regarding what happened;
Unit 1 was traveling west along NE 44th St. Unit 1 turned to take the on ramp of 1405 S. When Unit 1
turned, Unit 1 collided with the driver's side of Unit 2, which had been traveling east along NE 44th St.
I met with the driver of Unit 2. The following is his statement regarding what happened;
Unit 2 was traveling east along NE 44th St. As he passed the on ramp to 1405 S, an uncontrolled
intersection, Unit 1 collided with the driver's side Unit 2.
All parties provided me with their required information. Photos were taken of the scene and uploaded
to evidence.com.
Bankers towing arrived on scene and towed the vehicles out of the roadway.
Based on all of the information gathered, I determined that Unit 1 was the at fault driver as Unit 2 had
the right of way.
Both parties were provided with an exchange of information and encouraged to call their insurance
companies.
There is no further information available at this time.
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 T. Cumming #11488 on 08/28/2024 @ 1649 hours in Renton WA.
PAGE 3 OF 4
REPORT NO.! EF10562 CASE# ' 24-9065 DATE AND TIME 08/28/24 15:41
OF COLLISION
NE 44th St
DrawnSB 405 on ramp
Not
Scale
PAGE 4 OF 4