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Home My WebLink About25-5390 ("7- STATE.w,-" .:.. TcN 5 27cRaFFi O EG03014 COLLISION REP F 1591971 CASE# 25-5390 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$ RESERVATION 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# COAT sloN 06 - 20 7- 2025 1647 17 �. S 8 W 8 IN 8 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NONINTERSECTION ❑✓ 108THAVESE BLOCK NO. 8 17600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 50 00 MILES N eFEET ✓ S e E 8 SE PETROVITSKYRD 0 1 29 M070R PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YES NO �/ D:2069094764 0 8 30 5 LAST NAME BROADBENT FIRST NAME GALEN MIDDLE'' H 1 1 2 31 INITIAL STREET E:1' 18810 135TH AVE SE CITY RENTON WA NEW ADDRESS S7 ZIP 98058 z 7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES LINOZINTERLOCKYES No vEs Na,/ 8❑ LDICENS STATE WA SEX'M MM flYY 01 — 10 — 1957 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 2 CLASS 1 NATURE OF INJURIES 2 LICENSE BWN6003 STATE WA WIN# JTJHA3iU340036366 10 1❑ 3 11 3 5 PLATE# STATE PATRAITE# STATE ROMRA To TRLR TRLR.. 5 1 33 12 3 5 VIN#' VIN# FROM TO VEK YEAR 2004 MAKE LEXS MODEL RX 300 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOVT,VEHICLE g 9 34 13 DAMAGE YES NO ✓ YES❑ NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 P/l SHADE 1N DAMAGED AREA ❑ 35 3 LIABILITY INSURANCE INSURANCE CO T 4 14 USAA 002068065C IN EFFECT &POLICY# STOP VtwCLt CHARGE 5 ❑ 36 FGAL, YES[:]❑No CITATION# 5A0232066 FOLLOW VEHICLE TOO CLOSELY a BOTTOM 15❑ --Nyc 6 MOTOi2 PEDAL .PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE OWNER ves,/ No D:2065037062 16� LAST NAME LYNCH FIRST NAME + KAYLA MIDDLE J INITIAL 17 STREET El 2019 SE 22ND PL CITY RENTON ST', WA ZIP 98055 4 NEW ADDRESS 37 ❑ 18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTED 38 W7ERLOCKvEs NO INTERLOCkCvEs no ves No,� 19 DRIVER'# —NATURE OF INJURIES 20 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HUSEE7 2 CLASY' 6 NECKANDHEADPAIN 40 ❑LICENSE I 21❑ P ATE# CPD0529 TATf'WA vIN# JF2SHADC2BH758231 41 1 42 22 PLATE#TRAILER STATE PLATE TRAILER STATE 23 43 TRLR RLR VIN#. '[N#, VEH.YEAR 2011 MAKE S(/BA MODEL FORESTS STYLE UT DAMIAGE TOWED YES NOO✓ BL TOWED BY GO HI 44 IN YES NO 24 REGISTERED OWNER INFO CHRISTOPHER LYNCH 2O19 SE 22ND PL RENTON WA 98055 VEHICLE NO.2 SHAD DAMAGE&AREA LIABILITY INSURANCE INSURANCE CO PEMCO CA0784384 3 IN EFFECT &POLICY# 4TOP Vecc YES� N 1— CITATION# CHARGE 25 L . J tO eOTTQM OFFICER'S NAME(PRINT) 26 OFFICER PHONE BADGE OR ID# AGENCY GREGORY BILLS 12495 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG03014 COLLISION REPORT III III III III III 111 1591972 CASE# 25-5390 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEXi D.O.B. - MMDDYYYY PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES POS. ' USE GLASS 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 CIASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' NATURE OF INJURIES ❑ ❑ POS. I USE GLASS 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. GREGORY BILLS 06-20-25 06:17 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE JAKE GALL 12617 1 6/22/2025 6:21:19 PM BADGE OR ID# 12495 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:56 PM TIME POLICE ARRIVED i 5:01 PM PART B 3000-345.160(R1Vt8) PAGE F2 --]OF 57 REPORT NO. EG03014 CASE# 25-5390 OF COLLI ION 06/20/25 16:47 OF COLLISION NARRATIVE On 06/20/2025 at 1656 hours I was dispatched to 108th Ave SE / SE Petrovitsky Rd, in the City of Renton, King County, Washington. I was responding to a report of blocking collision. While en route, dispatch advised the following: three vehicles blocking the northbound lane of 108th Ave SE. At approximately 1701 hours, I arrived on scene and observed three vehicles stopped in the right lane of northbound 108th Ave SE, just south of SE Petrovitsky Rd. I checked on the three occupants and none said they were injured. All of the vehicles appeared drivable, so I had each driver move their vehicle into the lot of a nearby US Bank. In this report, Unit 1 refers to a gold 2004 Lexus RX (WA/BWN6003) driven by Calen H. Broadbent (DOB 01/10/1957, WA DL). Unit 2 refers to a gray 2011 Subaru Forester (WA/CPD0529) driven by Kayla J. Lynch (DOB 01/11/2007, WA DL). Unit 3 refers to a white 2010 Volkswagen GTI (WA/AZX6548) driven by Juan L. Calderon Lara (DOB 10/23/1975, WA DL). When I first arrived on scene, I observed all three cars were touching bumper-to-bumper in a straight line. Unit 1 was at the back of the line, unit 2 in the middle, and unit 3 at the front. I interviewed all three drivers, and they all gave the same account, which was corroborated by the above-described vehicle positions. Unit 3 and Unit 2 were stopped for traffic at the red light controlling northbound traffic at 108th Ave SE. Unit 1 was driving northbound and did not observe the cars stopped for traffic ahead of him. When he did, he meant to apply the brake but mistakenly applied the gas instead. Unit 1 collided with the back of unit 2, which in turn was forced forward into the back of unit 3. When I first arrived, all parties denied injuries. However, while I was completing the exchange form, Lynch reported pain in her head and neck from the collision. I requested Renton Fire to evaluate her. She was not transported to a hospital. Unit 2 had damage on both bumpers, Unit 1 the front bumper, and unit 3 the rear bumper. All were drivable. I told Broadbent I was citing him for following too closely (cite 5A0232066) and he would receive it in the mail. He said he understood. Broadbent and Lynch had insurance cards. Lynch's was current. Broadbent's was expired, but he said it was a current policy. Calderon Lara did not have car insurance. This concludes my involvement in 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. Gregory Bills #12495, 06/20/2025 at 1756 hours in Renton, Washington. PAGE 3 OF 5 4( � SUPPLEMENTAL REPORT NO. EG03014POLICE TRAFFIC 1 1 s 2� }_ COLLISION REPORT CASE#+ 25-5390 1 COMMERCIAL MOTOR CARRIERT '.. INTERSTATE INTRASTATE L UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER 7 ADDRESS CITY ST ZIP 4 NAME # PLACARD GWVR ❑ NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ U N IT 3 VEHICLE CYCLE LJ PEDESTRIAN OWNER YES✓ NO D:2064583062 81 29 LAST NAME CALDERON LARA FIRST NAME : JUAN MIDDLE 0L INITIAL STREET NEwAnnBFs 11100 SE PETROVITSKY RD,APT C-201 CITYr�� 30 RENTON ST WA ZIP 98055 6 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES No✓ ;INTERLOCK YES N-✓ yEs N,I✓ DRIVER'S D.O.B LICENSE STATE yyq SEX M MMDDYYY 10 - 23 - 1975 7 ON DUTY❑ USE STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 NJURY 1 NATUREOFINJURIES ':CLASS 8 ❑ 1 32 LICENSE AZX6548 TA WA VIN WVWED7AJ4AW075342 PLATE# 9 TRAILER TRAILER L PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.# 11 3 5 VEH.YEAR2010 MAKE VOLK MODELG�-/ STYLE I"lB VEHICLE TOWS E T ABLIN TOWED BY arn/r.VEHIC!F FROM TO DAMAGE YES NO `/ YES NO ✓ REGISTERED OWNER INFOOWNED BYDRIVER 9 9 33 12 SHADE DAMAGED AREA LIABILITY INSURANCE❑ FROM TO INSURANCE CO IN EFFECT &POLICY# m 34 3 1080TTC)M 13 vewcLe YES NOCII CITATION# CHARGE GALI Y sTn"olNc ✓ 14 ❑ UNIT# MOTOR PEDAL_ PEDESTRIAN El PROPERTY ❑ DAMAGE THRESHOLD MET PHONE ❑ 35 VEHICLE CYCLE OWNER YES NO 30 15 LAST NAME FIRST NAME NlIT AL ❑ ❑ STREET 15 NEW annREs.11 CITY ST ZIP'. CDL IGNITION Rl=•.OUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YES N INTERLOCK YES NO YES NO 17 4 37 DRIVER'S STATE I SEX D.O.B 18 ❑ LICENSE HELMET '. MMDDYY ON DUTY STATUS AIRBAG RESTR. EJECT HELMET USE CLASS NJURY NATURE OF INJURIES ❑ 38 19 LICENSE. TAT VIN# 39 PLATE# 20 TRAILER' TRAILER Ll 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR ❑ 41 TRLR UIN# U[N 42 22 VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT � &POLICY# 1 _4 T()F'_ _ 5. 44 24 LEcn vewcLeuy YES[:] NO❑ CITATION# CHARGE 70 k3CITT061 srnNOlNc S L 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT, GREGORY BILLS 06-20-25 06:17 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED [—� BADGE I APPROVED BY 122025 F2 O26 OR1D# 12495 WA0171300 GALL PAGE 1 3000-345-013(R 11/181 REPORT NO. EG03014 CASE# 25-5390 DATE AND TIME 06/20/25 16:47 OF COLLISION � t 4� \r t tt t� Y V r. iti rv'�avvw :,'11 S i 3 z� tY ¢� lv �z F Yr PAGE 5 OF 5