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Home My WebLink About25-8852 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 6 27c COLLISION REP FIT 1591971 CASE 25-8852 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 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# cawsloN 10 - 1-- 2025 0919 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ NE 12TH ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e K/RKLAND AVE NE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2625544076 0 11 30 6� LAST NAME SU FIRSTNAME CHANGLONG MIDDLE 1 2 31 INITIAL STREET ❑ 1631 HARRINGTON AVE SE CITY RENTON ST WA 2jp, 980583827 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 2❑ P1 ATE 14 BVS1524 STATE WA u N# 2HGFC2F69LH524306 11[-j- TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro TRLR. TRLR 7 3 33 12 2 5 VIN#j VIN# :: FROM TO VEH.YEAR 2020 HOND CIVIC MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 4 INSURANCE CO 3 4 14 IN EF IT INSURANCE ECONOMY PREFERRED INSURANCE COMPANY 6454800730 IN EFFECT &POLICY# 9TOP 15❑ LE vECALLv HICLE 5 36 res❑NO❑ CITATION# 5A0625786 CHARGE FAIL STOP AT STOP 10 BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062513702 16 a LAST NAME BOTROS FIRST NAME VAILLETA MIDDLE M INITIAL 17❑ STREET ❑', 3016 NE 15TH ST APT C16 CITY' RENTON ST WA ZIP 980563265 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK vEs It I NOF YES t t— l NO❑ 19 LDIIVEW # STATE WA SEX F MMDDW 11 13 _ 1947 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG,4 RESTR 4 EJECT ''1 USE CLASS ❑ 21❑ LICENSE ALM3012 TATe WA vIN# 4T1BK36656U140541 ❑ 41 pLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' TOWED BV GOV HI 44 VEH YEAR 2006 MAKE 7'Oy7' MODEL AVALON STYLE 7EHICLE TOWED✓ NOO BLIN GENE MEYERS YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#ECO FIRST NATIONAL INSURANCE CO.OF AMERICA H2532172 1 9TOP 5 IN EFFECT vE""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG38134 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8852 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MARQUEZ JENNIFER T (IAST FIRST, ADDRESS&PHONE# D O.B. ' 533 QUEEN PL NE RENTON WA 98056 2064076737 SEXi F MMDOYyry 10 - 28 - 1989 PASSENGER WITNESS UNIT# SEAT AIRBAG: RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ �; POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER ❑WITNESS❑ UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B.MMDD -❑ YYYY. 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 10-13-25 10:28 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 1011612025 7:48:12 AM BADGE OR ID# 12509 OR]4$ WA0171300 TIME POLICE DISPATCHED; 9:29 AM TIME POLICE ARRIVED',9:Y9 AM PART I PAGE IT]OF 4� REPORT NO. EG38134 CASE# 25-8852 OF COLLISION 10/13/25 09:19 OF CbLLI510N NARRATIVE CC 25-8852 On 10/13/2025 at 0921 hours I was dispatched to a motor vehicle collision at the intersection of NE 12th St and Kirkland Ave NE in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that she was facing North on Kirkland Ave NE at a posted stop sign at the intersection at NE 12th St in the #1 lane. Driver 1 stated that he was traveling East on NE 12th St approaching Kirkland Ave NE in the #2 lane. Collision Driver 2 stated that after she stopped, she proceeded North through the intersection. Driver 2 stated that when she did so, Unit 1 entered the intersection and the front bumper of Unit 1 collided with the drivers side doors of Unit 2. Driver 1 stated that he was unable to see Unit 2 because the sun was in his eyes. Driver 1 stated that he entered the intersection of NE 12th St and Kirkland to proceed East and upon doing so, was unable to stop to avoid a collision. Driver 1 stated that the front bumper of Unit 1 collided with the drivers side doors of Unit 2. A witness that was stationary on Kirkland Ave NE facing South observed that Unit 2 stopped and entered the intersection prior to Unit 1. Injuries None reported. Vehicle Disposition Unit 2 was rendered inoperable and was towed from the scene. Proximate Cause I determined that Driver 1 is the proximate cause of this collision because except when directed to proceed by a duly authorized flagger, or a police officer, or a firefighter vested by law with authority to direct, control, or regulate traffic, every driver of a vehicle approaching a stop sign shall stop except as provided in (b) of this subsection at a clearly marked stop line, but if none, before entering a marked crosswalk on the near side of the intersection or, if none, then at the point nearest the intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in the intersection or approaching on another roadway so closely as to constitute an immediate hazard during the time when such driver is moving across or within the intersection or junction of roadways. Driver 1 was cited per RCW 46.61.190. 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 10:18 on 10/13/2025 in the City of Renton, King County, Washington. PAGE 3 OF 4 REPORT NO. EG38134 CASE# 25-8852 DATE AND TIME 10/13/25 09:19 OF COLLISION 4t ' a r }A Jt a 4 4 t Cfl t� a 4 � f Q n; y 4 ` IRKLAND AVE i sa c' �a? \ Z�S F, 1 � PAGE 4 OF 4