The URL can be used to link to this page

Home My WebLink About25-6099 T �Fi II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG10527POLICER� COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-6099 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑ INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 03 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDLLISION' 07 - 15 - 2025 1310 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a NE 4Ty ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES�.� FEET e S 8 W e UNIONAVENE 0 4 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2434525722 0 1 30 6 LAST NAME ANKIT FIRST NAME NONE MIDDLE N 1 1 2 31 INITIAL STREET ] 10833 SE KENT KANGLEY RD APT CITY; KENT ST WA ZIP; 980307706 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYES NC YEs NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 02 - 24 - 2002 1 2 32 9� ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2= 10 1� ai CENSTF E' A8486933 STATE WA V 1HGCY2F54PA041063 3� TRAI STATE TRAILER LE STATE 11 3 5 PLATE# PLATE# FROM To TRLR zRLR. 3 1 5 33 12 3 5 VIN# vIN# FROM TO 13 2 VEH.YEAR 2023 MAKE yOND MODEL ACCOR STYLE SD VEHICLE TOWED TO fjl4 IN TgAWIJ�RS TOWING GOES❑VEHICLE Ho� 7 3 34 DAMAGE IIII._IIII REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE RED 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 14 NATIONAL GENERAL 2029453164 IN EFFECT &POLICY# cn:)o VEHICLE CHARGE 36 LEcr,LL.� YES❑NO❑ CITATION# 15❑ sTnNowc B 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ cvGLE ❑ ❑ PROPSnwNr vEs�/ No D:2538538605 16� LAST NAME KELLERMAN FIRST NAME LILY MIDDLE M INITIAL 17F1 STREET [I37 ❑ 231 QUINCY AVE NE CITY' RENTON ST, WA ZIP 980598559 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 CDL INTERLOCKYEs NO INTERLOCK YES No YEs NO 19 DRIVERS STATE WA SEX F D.o.a. 12 14 2007 � 39 LICENSE# MMDDYY - 20❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40 USE CLASS PAIN TO FOREARM 21 LICEN� AIT1139 rarE WA vIN# 5TDDK3DC1CSO45645 41 PLATE22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2012 MAKE TOYT MODEL SIENNA STYLE VN VEHICLE TOWED✓ No BLIN BANKERS TOWING 24 REGISTERED OWNER INFO SNARON KISS 2310UINCY AVE NE RENTON WA 98059 VEHICLE N0.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE[Z INSURANCE CO ALL STATE 820 524 928 IN EFFECT &POLICY# 9TOP VEHICLE ❑ ,J—I CITATION# CHARGE OUR, LEGnLLY YES N`[ 25 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG10527 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6099 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. C.CATALAN 07-15-25 02:51 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 711712025 11:26:09 AM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:11 pM TIME POLICE ARRIVED i 1:94 pry PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF REPORT NO. EG10527 CASE# 25-6099 O OF COLL1COLLI r�510NN + 07/15/25 13:10 NARRATIVE On 07/15/2025 at approximately 1310 hours, I was dispatched to a vehicle collision with reports of injury at the intersection of NE 4th St and Union Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I observed heavy mechanism to two involved vehicles with airbag deployment as well as both of the involved parties complaining of pain. The Renton Regional Fire Authority (RRFA) responded to the scene for evaluation. While on scene, 1 collected each of the involved party's driving information and their independent recollection of the events leading up to the collision. The driver of Unit#1, identified by his WADL as Ankit, stated that he was the sole occupant of his vehicle and that prior to the collision he was traveling westbound in about the 4100 block of NE 4th St approaching the controlled intersection of Union Ave NE in lane 2 of 2. Ankit stated he was following his GPS which had told him to make a left turn on Union Ave NE. While slowing, traffic allowed him to enter the left turn lane, so he could proceed to make his left turn and travel southbound on Union Ave NE. Ankit said he failed to notice Unit 2 traveling eastbound on NE 4th St. When attempted to complete his left turn, was struck by Unit 2 on his right passenger doors causing airbag deployment. Ankit said he sustained pain to his back. I then spoke with the driver of Unit 2 who was identified by their WADL as Lily Kellerman. Lily said she was the sole occupant of her vehicle and was traveling eastbound in about the 4100 block of NE 4th St and was approaching the controlled intersection of Union Ave NE in lane 1 of 2. She intended to continue east through the intersection. Lily stated as she entered the intersection, she saw Unit 1 turn in front of her. She was unable to avoid the collision and both vehicles collided causing significant damage to the front of Unit 2. She said her left forearm was in pain but was treated and released at the scene. I then spoke with the driver of Unit 3. The driver was identified as George Smith. George was sitting at the intersection facing north on the southside of NE 4th St and Union Ave NE. George said he only saw the two vehicles collide. After the two vehicles collided, Unit 1 deflected and traveled backwards until it struck his driver's side doors. Unit 3 sustained moderate damage. Based on the above statements, 1 determined that the Driver of Unit #1 Ankit is the proximate cause for the collision due to not granting the right of way during a left turn causing a collision. He violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the left within an intersection and not yielding the right-of-way to any vehicle approaching from the opposite direction which is within the intersection or so close thereto as to constitute an immediate hazard. Both involved vehicles had to be towed due to extensive damage cause. An exchange of information was provided to all involved parties. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 07/15/2025 Renton PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG10527 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-6099 013197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 ❑ NAME If PLACARa GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT 3 VEHICLE CYCLE ❑ PEDESTRIAN :.. OWNER YES NO 0 8 29 LAST NAME SMITH/y FIRST NAME GEORGE MIDDLE A INITIAL STREET 30 NFW AnnRFs'0: 7245 S RYAN ST CITY SEATTLE ST WA ZiP gg1782619 6 PRESENT MEDICALTANSPORTED: 1 1 2 31 CDL IGNITION REQUIRE IGNITION INTERLOCK YES. NO .:INTERLOCK YES Nd I YES N.: DRIVER'S D.O.B � 7 LICENSE STATE WA SEX M MMDDUYY 07 - 22 - 1993 ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CDX1697 rAT WA VIN 1FMPU18L2WLB97876 PLATE# 9 TRAILER I I TRAILER L PLATE# STATE PLATE# STATE 0 10 TRLR TRLR VIN.# VIN#. 11 0 0 VEIL YEAR1998 I MAKE FORD MODELEXPEDITI STYLE VEHICLE TOWE E T ABLIN TOWED BY GovT vEHICI F FROM To DAMAGE YES NO ✓ YES NO GEORGE SMITH 7245 S RYAN ST SEATTLE WA 98178 D:2062916985 g g 33 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 12 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO TOP IN EFFECT &POLICY# _` 5 m 34 13 ❑ V"'�e YES NO CITATION CHARGE 1080TTOM .. ALLY O srnNL 3 MOTOR PEDAL_ ' 1:1PROPERTY : DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME NIT AL 16 ❑ STREET CITY ST ZIP NFW ADDRESS" CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN SPORTED INTERLOCK YES[]NO INTERLOCK YES NO 'YES NO ❑ 17 37 LICENSE#RIVERS — STATE SEX M D.00.6 - l 18 ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER' TRAILER 40 PLATE#, STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN# VIN#Y 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# ).c;Q 3. 44 vece ❑ ❑ CITATION# CHARGE 24 I..TF_ YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 07-15-25 02:51 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE 1 APPROVED /1 �ORIWA0171300 A 7 PAGE 12007 OF ORID# # 3000-345-013(R 11/18) REPORT NO. EG 10527 CASE# 25-6099 DATE AND TIME 07/15/25 13:10 OF COLLISION> ' , } �z rev �P+ f$ t:i 4� 4 fief �, ,v, 3 4. S3 It r a, !g Y�t t PAGE 5 OF 5