The URL can be used to link to this page

Home My WebLink About25-7688 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 SASE 2sas88 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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# cowsloN 09 - 1-- 2025 1417 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ MAIN AVE S MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 .❑ FEET e S ❑ w a HOUSER WAYS ❑ � 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:7127889166 0 3 30 6� LAST NAME AJOFOTAN FIRSTNAME PRECIOUS MIDDLE I M 1 1 2 31 INITIAL STREET ❑ 217 4TH ST CITY MAURICE ST IA ZIP 510360000 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO ❑ DRIVER'S' STATE JA SEX'M MELO B 12 1- 07 - 1981 2 32 8 LICENSE# 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET I IINLJA URY 1 [!!RE OF INJURIES z❑ 3 10❑ Pi ATE 14 46KR5V STATE MO VIN# 3AKJHHDR8RSLK5038 TRAILER 29B792 STATE MO TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO rRLR TRLR 5 1 33 12 2 5 VIN# VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 3 34 13 4 2024 FRHT NEW DAMAGE YES NO YES NO✓ REGISTERED OWNER INFO NEW INC 2740 N MAYFAIR AVE SPRINGFIELD MO 65803 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO ACE AMERICAN INSUR,CO.XSAH11429075 3 4 IN EFFECT &POLICY# Q�Q VEH ITA lcl.e CHARGE 36 LE�ALLr res No clTAnoN# 5A0625735 FAIL TO OBEY TRAFFIC CONTROL 15❑ NDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254661242 16 a LAST NAME COTTON FIRST NAME DEAN MIDDLE G INITIAL 17❑ STREET ❑', 1708 NE 26TH PL CITY' RENTON ST WA ZIP 980560000 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NO❑ 19 STATEWASEXM .CB. _ 39 LICENSE# M . WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CCN4853 TATE WA VIN# 5J8TC2H77LL039027 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BY GOV HI 44 VEH YEAR 2020 MAKE /a C(fR MODEL RDX STYLE DAMAGE TO WED NOO✓ BLIN YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE I PORGY#E CO ALLSTATE 817 269 291IN 1ULI�iKOTTlf0�- E'E""LE ❑ ,J� CITATION# CHARGEYES N`L J25 OFFICER'S NAM (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG36342 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7688 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 PM 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. C.ARNOLD 09-03-25 03:54 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1011012025 1:28:49 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 2:99 Pry] TIME POLICE ARRIVED',2:19 PM PART I PAGE IT]OF 5� REPORT NO. EG36342 CASE# 25-7688 OF COLLISION 09/03/25 14:17 OF CbLLI510N NARRATIVE CC 25-7688 On 9/3/2025 at 1419 hours I was dispatched to a motor vehicle collision at the intersection of Main Ave S and Houser Way S in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was positioned in lane #2 of Main Ave S facing North at the intersection of Houser Way S preparing to perform a righthand turn to proceed East on Houser Way S. Driver 1 stated that he was in the #1 lane of Main Ave S facing North preparing to go straight ahead North on Main Ave S. At this intersection, the #1 lane of Northbound Main Ave S has a posted traffic control device that states that vehicles in the #1 lane must turn right and that vehicles in the #2 lane may proceed straight or turn right. Collision Driver 2 stated that as he entered the intersection and began to perform his right-hand turn to proceed East on Houser Way S, the front drivers side bumper of Unit 1 collided with the rear passenger side bumper of Unit 2. Driver 1 stated that he did not know that he was required to turn right from the #1 lane and proceeded straight through the intersection. Driver 1 stated that as he did this, Unit 2 turned in front of him and the front drivers side bumper of Unit 1 collided with the rear passenger side bumper of Unit 2. Injuries None reported. Vehicle Disposition Both vehicles were operational. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because the driver of any vehicle, a person operating a bicycle, and every pedestrian shall obey, and the operation of every personal delivery device shall follow, the instructions of any official traffic control device applicable thereto, and as specified in this chapter, placed in accordance with the provisions of this chapter. Had Driver 1 abided by the traffic control device in place requiring him to turn right, this collision would not have happened. Driver 1 was cited per RCW 46.61.050. 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 14:55 on 9/3/2025 in the City of Renton, King County, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG36342 r` COLLISIONOITRAFFPEA 1 27 T CASE# 25-7688 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 1 USDOT 003706 ICC# VEHICLE TYPE 4 CARGO BODY 2 TYPE 2 ❑ 1 28 CARRIER NAME NEW PRIME INC ....... 3 CARRIER ADDRESS 2740 N MAYFAIR AVE CITY SPR/NGFIELD ST MO ZIP 65803 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 05 GwvR 62000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnnRFs.� CITY'. ST ZIP CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYSYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 09-03-25 03:54 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED, PLACE SIGNED APPROVED BY DATE 26 OR ID# 12509 O#I,WA0171300 JACOBS 10/10/202 PAGE�OF 3000-345-013(R 11118) REPORT NO. EG36342 CASE# ' 25-7688 DATE AND TIME 09/03/25 14:17 OF COLLISION u j } �s 00 A, Al � Y e„ +5 PAGE 5 OF 5