HomeMy WebLinkAbout25-5363 )STATE
TFcN 0 5 27i t
Oc� RA EG05771
COLLISION REPRT 1591971
CASE# 25-5363 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y. 4250 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
COLLISION' 06 - 19 - 2025 2015 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO. e 500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e STEVENS AVE SW
0 4 29
MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064510530 0 1 30
6❑ LAST NAME OMAR FIRST NAME NAJMA MIDDLE M 1 2 31
INITIAL
STREET ❑ 11465 SE 195TH PL CITY KENT ST WA ZIP 98031 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES ✓NO INTERLOCKYEs NO✓ YES No✓
8 DRIVERCENS # STATE WA SEX F MMoo :lr YY' 01 — 01 — 1973 1 2 32
—NATURE OF I
URY
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USE ET ASS 6 ARM PA/NINJURIES 2
10 LICENSE ti� BSG4160 STATE WA VN# 1G1125S30EU130310 3
TRAILER ,STATE
0 TRAILER STATE
11 0 0 PLATE# PLATE# ROM TO
rRLR TRLR 5 7 33
1 0
( FROM TO
2 0 VIN# VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 2 2014 CHEV IMPALA 4D DAMAGE YES�No ✓� Yes❑ No✓ 1 5 34
REGISTERED OWNER INFO HAMZA ALI 11465 SE 195TH PL KENT WA 98031 D:2064510530 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 3 4
14 GEICO 4600564605
IN EFFECT &POLICY# 4TOP
vEnic�E 5 36
LEGALLY YES[:]NO[:] CITATION# CHARGE 7 o BOTTOM
15❑ STANDING 7 e
III MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES,/ NO D:2062266822
16�
LAST NAME ROSS FIRST NAME JANIS MIDDLE' A
INITIAL
STREET ❑
17 ❑ 5610 E K ST CITY TACOMA ST, WA ZIP 98404 4 37
NEW ADORE
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES No✓ INTERLOCK YES Nio✓ YEs No;✓
19 DRIVER'S STATE WA SEX F I D.O.B. 05 27 1958 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H EL SE CLA 1 Y NATURE OF INJURIES 40
21 LICENSLATE E CCH9031 TATE WA VIN# 1HGCM56363A108025 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2003 MAKE HOND MODEL ACCORD STYLE qp VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24= DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO DARRALITA TAYLOR 5610 EKST TACOMA WA 98404 D:2062266822 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT 8.POLICY# 9TOP
VEHICLE ❑ NCO,.I—I CITATION# CHARGE
25 a tO BOTTOM
ALLY
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TYLER EDIGER 12807 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EGO5771
COLLISION REPORT III III III III III 111
1591972 CASE# 25-5363
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME ROBINSON LENNOX
(LAST,FIRST,MIDDLE INITIAL}
ADDRESS&PHONE#
TACOMA SEX M MMooYYvv 06 — 29 — 2023
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Ej 2 POS 8 2 4 1 USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD —F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M -T L----------�
MDDYYYY
PASSENGER WITNESS UNIT# PO
SEAT AIRBAG RESTR. EJECT HELMET INJURYSS rNATURE OF INJURIES
❑ QPOS. USE GLA — ----�
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.
TYLER EDIGER 06-20-25 02:07 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 71112025 9:56:42 PM
BADGE OR ID# 12807 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:15 PM TIME POLICE ARRIVED 8:Y5 PM
PART B 3 Do-lmx-,aR(Rtrras) PAGE 27 OF 47
REPORT NO.` EG05771 CASE# 25-5363 O COLLI COLLISION TIME
OF 06/19/25 20:15
COLLI
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe #237which was equipped with
overhead emergency lights and sirens. I was also wearing my department issued Renton Police
uniform clearly identifies me as a Police Officer.
Case Number 25-5363
On 06/19/2025 at approximately 2027 hours I was dispatched to a collision that occurred in the
intersection of SW Sunset Blvd and Stevens Ave SW, within the City of Renton, King County,
Washington.
I identified Unit 1 in this collision as a 2014 Chevy Impala (WA/LIC: BSG4160 VIN#
1G1125S30EU130310). The driver of sole occupant of unit 1 was identified as Najma M Omar (DOB
01/01/1973). Unit 1 sustained significant damage to the front end and a combination of airbag
deployment. Unit 1 complained of wrist pain but was evaluated and cleared by fire. Unit 1 advised
that she did not have much recollection of how the collision occurred but knew she was on Stevens
Ave SW turning left to go westbound on SW Sunset Blvd. Unit 1 was unable to leave under its own
power and required a tow.
I identified Unit 2 in this collision as a 2003 Honda Accord (WA/LIC: CCH9031 VIN#
1 HGCM56363A108025). The driver of unit 1 was identified as Janis A Ross (DOB 05/27/1958) and
the rear middle passenger was identified as Lennox Robinson (DOB 06/29/2023. Unit 2 sustained
front end damage but was able to leave under its own power after the bumper was taped. No injuries
were reported in unit 2. Unit 2 advised me that she had a green light to continue southbound on
Stevens Ave SW across SW Sunset Blvd. She stated that unit 1 had a phone to her ear and failed to
grant the right of way which caused the two vehicles to collide in the intersection.
Unit 1 denied being on her phone but based on the stories from both parties I am led to believe the
proximate cause of this collision was unit 1 failing to grant the right of way to unit 2.
1 uploaded images of the damaged vehicles through Axon.
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 T. Ediger#12807 06/20/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG05771 CASE# 25-5363 DATE AND TIME i 06/19/25 20:15
OF COLLISION
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