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Home My WebLink About25-8917 )STATE TFcN 0 4 27i t Oc� RA EG44816 COLLISION REPRT 1591971 INTERSTATE CITY STREET FIRE❑ ❑ CASE# 25-8917 2 RESULTED 1 STOLEN STATE ROUTE OTHER ❑ VEHICLE LOt`CO A`OENC'Y 4100 3 COUNTY RD INVOLVED CODING 2❑ TOTAL 1 PRIVATE WAY TRIBAL UNITS#OF 03 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' 10 - 15 - 2025 0823 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION MAPLE VALLEY HIGHWAY MILE POST e 15300 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 250 00-1 MILES N E FEET e✓ S 8 W e 152ND AVE SE 0 1 29 MOTtlR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO D:2064468526 0 7 30 5 LAST NAME NGUYEN FIRST NAME BENNETT MIDDLE H 1 1 2 31 INITIAL STREET 21930 SE 311TH CT CITY BLACK DIAMOND ST WA ZIP 980101320 2 NEW AbDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs ND✓ (NTERLOCKvEs N ✓ YES ND;✓ 8 LICIENS# STATE WA SEX'M MMOCSYY' 04 — 26 — 2009 1 2 32 9 URIE ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT, 1 HELMET 2 INJURY 7 NATURE of LIPFs 2 USE ;CLASS INJURY TO LIP FROM AIRBAG LICENSE CEP6874 STATE WA VIN# WEIA3B1C50EPV79393 3 10[9� PI ATF#' TRAILER STATE TRAILER ,STATE 11 5 0 PLATE# PLATE# FROM TO TRLR TRLR 3 7 33 12 5 0 VIN# VIN# 1 FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN GO VEHICLE 9 9 34 13 4 2014 BMW 320 DAMAGE ves ✓ No {&RS TOWING ves� No✓ REGISTERED OWNER INFO VIET NGUYEN 21930 SE 311 TH CT BLACK DIAMOND WA 98010 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 14 LIABILITY INSURANCE[%/] INSURANCE CO PROGRESSIVE 996699010 4 IN EFFECT &POLICY# 4TOP _ 15 Yes NO CITATION# srgNOLNG 5AO723033 CHARGE INATTENTIVE DRIVING E] o ooTrob 36 III MOTCSR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE � CYCLE. � rtwNFR YES / NO D:8609080191 16� LAST NAME MEYER FIRST NAME NICHOLAS MIDDLE R INITIAL 2 8 STREET ❑ 37 17 ' 5316 232ND AVE SE CITY MAPLE VALLEY ST, WA ZIP 98038699 NEW AbORESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'' ❑ 38 INTERLOCKYEs No✓ INTERLOCK YES No✓ vEs No✓ 19 DRIVER'S STATE WA SEX M I D.O.B. 1 12 01 1988 ❑ 39 LICENSE# MMDDYY - HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21 LICENSE I PATE# BZP5274 TATE WA VIN# JTDKARFPXH3018577 41 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2Q17 MAKE TOYT MODEL PR/US STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO SARA MEYER 25316 232ND AVE SE MAPLE VALLEY WA 980381111 D:8609080191 VEHICLE NO.2 SHADE IN DAMAGAREA 2 3 LIABILITY INSURANCE INSURANCE CO SAFECO H2469093 IN EFFECT &POLICY# 9TOP VEHICLE ,.I—I CITATION# CHARGE tO BOTTOM LEGAILY YES N`LJ 25 a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 D.NELSON 12421 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG44816 COLLISION REPORT III III III III III 111 1591972 CASE# 25-8917 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MEYER AMELIA (LAST,FIRST,MIDDLE INITIAL} ADDRESS&PHONE# DOB 25316 232ND AVE SE MAPLE VALLEY INA 98038 SEX' F MMDDYY'Y 11 — 29 — 2020 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES Q Q 2 POS. 9 2 10 1 USE 2 CLASS ;1 ---� '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 -F L----------� MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q' POS. USE CLASS r— ----� 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. D.NELSON 10-17-25 04:05 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 111412025 10:53:08 AM BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:34 AM TIME POLICE ARRIVED 8:49 AM PART B 3 Do-3mx-,aR(Burls) PAGE 27 OF 57 REPORT No.` EG44816 CASE# 25-8917 O COLLI COLLISION TIME OF 10/15/25 08:23 COLLI NARRATIVE 25-8917 ACCBLK On 1 0/1 5/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a blocking collision near the Chevron at 15355 Maple Valley Highway Renton/King/WA. A caller was reporting a 3-vehicle collision blocking one lane of travel, they advised no injury. I arrived on scene and located two-vehicles, one blocking the #1 westbound lane. There was airbag deployment, so I called RRFA to the scene for an evaluation. The driver of the 2014 BMW 320 WA/CEP6874 (Unit 1), was identified by his WADL as Bennett H Nguyen DOB: 4/26/2009. There was a combination of airbag deployment in the BMW and Bennett said that he was a complaint of pain to his face. RRFA evaluated Bennett on scene and cleared him. Bennett said that he was approaching Unit 2 and as he went to slow down his vehicle began to skid. He said that he then collided with the rear of Unit 2. There was damage to the front bumper of the BMW, and it was not drivable, Bankers Towing removed the BMW from the scene. The driver of the 2017 Toyota Prius WA/BZP5274, was identified by his WADL as Nicholas R Meyer DOB: 12/1/1988. Nicholas said that he believed that he was stopped for traffic in the #1 lane facing west. He said that the BMW collided with his rear bumper and pushed him into Unit 3. Nicholas said he was not injured and neither was his daughter, Amelia Meyer DOB: 11/29/2020. Amelia was secured in a forward-facing car seat. The Prius was drivable and there was no airbag deployment. Unit 3 had already left the scene, but the driver had provided her information to Nicholas before she left. Unit 3 is a 2018 Honda CRV WA/BVZ6677 driven by Jamie L Coleman DOB: 11/22/1983. 1 called Jamie who advised she had slight head pain and there was no damage to her vehicle, she advised the airbags did not deploy. Based on Bennet stating that he began to skid as he slowed for traffic, I cited him for Inattentive Driving RMC 10-12-25 under Sector citation #5AO723033. This citation should be mailed to Bennet's DOL address. RMC 10-12-25 states: It shall be a traffic infraction, subject to RCW 7.80.120(1)(a), for any person to drive a motor vehicle on any public highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in this section means a lack of: 1) attentiveness required to safely operate the vehicle under the prevailing conditions, including, but not limited to, the nature and condition of the roadway, the weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver focusing or directing the driver's attention to something other than driving the motor vehicle; or 2) attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take appropriate action as circumstances require. (Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11). Nothing further. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. D. Nelson #191 10/15/2025 Renton WA PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EG4481 6 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#+ 25-8917 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS CITY ST ZIP 4 NAME # PLACARD. GWVR NO NUMBER SOURCE' AXLES ' + NAME IF 4a ❑ ADDITIONAL UNITS 'J ,µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE CYCLE C) PEDESTRIAN OWNER ❑'. YES NO D:2068520133 0 7 29 LAST NAME COLEMAN FIRST NAME JAMIE MIDDLE L INITIAL STREET 30 NFW ADDRFs,p 3128 N BALTIMORE ST CITY TACOMA ST WA ZJP 98047 6 ❑ 1 1 2 31 CDL IGNITION RE6UIRED '.IGNITION PRESENT MEDICALT#N5PORTED INTERLOCK YES NO�/ ..INTERLOCK YES NOZ YES N•..� G DRIVER'S wq SEX P D.O.B 11 7 LICENSE' MMDDVYv - 22 - 1983 HELMET I INJURY N INTO INJURIES ON DUTY STATUS: AIRBAG 2 RESTR. ¢ ' EJECT '1 USE 2 GLASS, 7 COMPLAINT OF HEAD PAIN LICENSE BVZ6677 rar WA VIN# 2HKRW2H98JH638053 PLATE# 9 9 TRAILER TRAILER 2 PLATE#i STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.# VIN.#. 11 5 0 VEH.YEAR2018 I MAKE HOND MODELCRV I STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES n NO REGISTERED OWNER INFOOWNED BYDRIVER 9 9 33 12 � SHADE IN DAMAGED AREA 4 FROM TO INSURANCE CO LIABILITY INSURANCE STATE FARM 476 5987 DOY 47A IN EFFECT � &POLICY# iGQO 34 13 v...... YES NO[jj CITATION# CHARGE ecauv sTANolmc � MOTOR PEDAL_ ' PROPERTY DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YESF-1 NO 15 LAST NAME FIRST NAME NIDD ALE ❑ 36 16 ❑ STREET CITY ST! ZIP NEW ADDRESS" GDL IGNITION RE(]UIRED IGNITION PRESENT MEI71C#LTANSPORTED INTERLOCK YES NO INTERLOCK YES NO YES NO: 17 37 LLIRIVERSICENSE STATE I SEX M�Dfl - 1 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#+. 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUE T SABLIN TO BY GOVT.VEHICLE DAMAGE YES NO YESR NO LI 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# tK-99 44 vewcEe ❑ ❑ CITATION# CHARGE 24 IEGALLY VES NO3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 10-17-25 04:05 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12421 O#RI WA0171300 APJACOBS 11%4/2025 PAGE OFF 3000-345-013(R 11/18) REPORT NO. EG44816 CASE# 25-8917 DATE AND TIME i 10/15/25 08:23 OF COLLISION e s C� 4 t � r. ` r tt ) r. PAGE 5 OF 5