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OOLCERAF EG23404
COLLISION REPRT 1591971
CASE# 25-7488 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOL`CO A`NG 4200 3[--�
COUNTY RD NVOLVED CODING
2❑ TOTAL 1
PRIVATE WAY
TRIBAL 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
coulsloN' 08 - 27 - 2025 0852 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO.
BRONSON WAY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e SUNSET BLVD N
2 0 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:4025600926 1 0 30
5 LAST NAME KEEFE FIRST NAME DENNIS MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 3223 S SUMMIT BLVD CITY LINCOLN ST NE ZIP 685020000 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs Na INTERLOCKYEs No YES D Na
8 DRIVECEN # STATE NE SEX M MMOCSYY' O6 — 28 — 1948 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET CLASS 1 NAruRE of INJURIES 2
LICENSE, CTA5022 sTArE VN#WA 1N4BL4DV7SN394217 3
10� PI ATF#
TRAILER STATE TRAILER ,STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR TRLR 7 3 33
12 2 5 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE
13 3 2025 N/SS ALTIMA DAMAGE vesNo ✓ ves❑ No 7 3 34
REGISTERED OWNER INFO FOX RENTA CAR INC 3150 S 160TH ST#504 SEATAC WA 98188 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 3 4
3 LIABILITY INSURANCE INSURANCE CO
14 FOX RENT-A-CAR
IN EFFECT &POLICY# 4TOP
Lewc�e CHARGE
36
15
srnNoiNc Yes❑NO❑ CITATION# 5A0625724 IMPROPER LANE USAGE s �o oorrofi 5
MOTOR PEDAL- PROPERTY DAM NO OLD MET PHONE
UNIT OZ Q ❑ PEDESTRIAN ❑ D:4257389227
VEHICLE CYCLE (7WNFR YES NO
16F1
LAST NAME COLEMAN FIRST NAME JORDAN MIDDLE R
INITIAL
STREET ❑ 37
17 ❑ 2100 LAKE WA CITY BLVD N A I102 CITY RENTON ST, WA ZIP 980561455
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNTION PRESENT MEDICALTRANSP6RTED� 38
INTERLOCKYEs No INTERLOCKYEs NO ves Na
19 DRIVERS STATE WA SEXIM D•0•B. 01 18 1997 � 39
LICENSE# MMDLSYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY�✓ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E D259846 TATE WA VIN# 3C7WRNAL9NG274454 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q22 MAKE RAM MODEL 5500 TOW STYLE VEHICLE TOWED TOBLIN
TOWED BY GOS HI 44
24= DAMAGE YES NOV YES NO
REGISTERED OWNER INFO BAI.SAUTOR .[)AND TOWI 405 S 7TH ST RENTON WA 98057 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO PIONEER SPECIALTY INSURANCE CO CPP 1227132
IN EFFECT &POLICY# 9TOP
1-1— ❑ ,.I— CITATION# CHARGE t080TTOM
LIIALLr YES N`L]
25 a s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG23404
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7488
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.ARNOLD 08-27-25 11:07 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 8/28/2025 2:24:51 PM
BADGE OR ID# 12509 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 9:54 AM TIME POLICE ARRIVED 9:54 AM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT No.` EG23404 CASE# 25-7488 O COLLI COLLISION TIME
OF 08/27/25 09:52
COLLI
NARRATIVE
CC 25-7488
On 8/27/2025 at 0954 hours I was dispatched to a motor vehicle collision at Bronson Way N and
Sunset Blvd N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was facing East on Bronson Way N in the #3 lane facing a red light and
stopped for traffic.
Driver 1 stated that he was facing East on Bronson Way N in the #2 lane and was attempting to
merge left into the #3 lane once the light turned green.
Collision
Driver 2 stated that as the light turned green he proceeded forward and upon doing so, the front
passenger side bumper of Unit 2 collided with the front drivers side door of Unit 1. Driver 2 was
driving a tow truck at the time which sits up high and he was unable to see Unit 1 was attempting to
wedge itself into lane #3.
Driver 1 stated that he had his turn signal on and once the light turned green he attempted to merge
from lane #2 to lane #3. Upon doing so, Unit 2 proceeded forward and the front passenger side
bumper of Unit 2 collided with the front drivers side door of Unit 1.
Injuries
None reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because a vehicle shall be driven as
nearly as practicable entirely within a single lane and shall not be moved from such lane until the
driver has first ascertained that such movement can be made with safety.
Driver 1 was cited per RCW 46.61.140
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 10:39 on 8/27/2025 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG23404 CASE# 25-7488 DATE AND TIME i 08/27/25 09:52
OF COLLISION
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