HomeMy WebLinkAbout26-502 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG79066oc� RA
COLLISION REPORT 1591971
❑ 0 RESULTED I
$ 26-502 z
INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOL`CODIGENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 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' 01 - 18 - 2026 0201 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑
FACTORYAVEN MILE POST
e 300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e N 3RD ST
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:2068906100 0 1 30
5❑ LAST NAME TOLBERT FIRST NAME DEJA MIDDLE IS1 2 31
INITIAL
STREET ] 1150 UNION AVE NE,APT 5-5 CITY; RENTON ST' WA ZIP; 98059 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES ✓NO INTERLOCK YEs No✓ YES NO,✓
8❑ DRIVER # STATE WA SEXI F MMDDYY' 09 — 19 — 1998 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N UET SE LA SY 1 [NATURE of INJURIES 2
LICENSE, CVC8072 STATE WA VIN#; 1G1ZD5ST7RF156197 3
10 Fl I PI ATP tt
TRAILER
11 0 0 STATE TRAILER STATE PLATE# PLATE# ROM To
TRLR zRLR 1 1 5 33
12 0 0 VIN#' VIN#
FROM TO
13 2 VEH.YEAR 2024 MAKE CHEV MODEL MALIBU STYLE SD VEHICLE TO YED NOIyS46LIN diW9YMEYER YESE IGOVT ENp✓HICLE 7 3 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO DEJA TOLBERT 1150 UNION AVE NE,APT S-S RENTON WA 98059 D:2068906f00 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 14 AMERICAN FAMILY 865-400822
IN EFFECT &POLICY#VEn" CHARGE 36
Lec , YES❑NO❑ CITATION# <14,
15 STMDING
MOTOR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:4255243643
16�
LAST NAME OSARIO FIRST NAME EVERADO MIDDLE'
INITIAL
17 F1 STREET ❑ 4415 NE 5TH ST,APT E304 CITY RENTON ST, WA ZIP 98059 37
NEW ADDRESS ❑
1$ —1CDL IGNITION REt1UIREO IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYEs No✓ JNTERLOCI£YES NO✓ YES NO✓
19 DRIVER'S '
MMDDYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E CKU1041 TATe WA VIN# 2HGFE2F53RH527230 41
11
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2Q24 MAKE HOND MODEL CJVIC STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYER E No✓
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY 410445310971
IN EFFECT &POLICY# IUV
STOP
—L ❑ , CITATION# CHARGE o BOTTOM
HICL
LEGnIIY YES N`[
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
TYLER EDIGER 12807 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG79066
COLLISION REPORT III III III III III 111
1591972 CASE# 26-502
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) TOLBER NEVAEH C
ADDRESS&PHONE#
7946 46TH AVE S SEATTLE WA 98118 SEXi F MMDDD B. 12 - 06 - 2004
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z 1 1 POS. 9 6 4 1 USE CLASS '1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) PRINCE KEVIN C
ADDRESS R PHONE# D O B
207 MAIN AVE S,APT 41 RENTON WA 98057 8583980022 SEX'' M MMDDYYvr 07 _ 04 _ 2003
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 1 POS. ' 3 AIRBAG 6 RESTR. 4 EJECT 1 USE CLASS 1 ----�
NAME MIDDLE INITIAL) OROZCO TORRES JACQUELINE
(LAST,FIRST,
AQQREss a PHONE# 3100 S 208TH ST,APT C304 SEA TAC WA 98198 2066990366 SEX' F I D.O.B. 02 _ 14 _ 2003
MMDDYYYY
PASSENGER WITNESS UNIT# I 2 SEAT 9 AIRBAG 6 RESTR. 4 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES
a POS. USE CLASS
NARRATIVE li
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.
TYLER EDIGER 01-18-26 09:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.BRAUN 2194 2/19/2026 4:03:56 AM
BADGE OR ID# 12807 ORI# WA0171300 TIME POLICE DISPATCHED 2:01 AM TIME POLICE ARRIVED i 2:06 AM
PAST B a Do-3mx-attar gt 1Mffp PAGE 2�OF 57
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG79066
COLLISION REPORT III III III III III 111
1591972 CASE# 26-502
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) COX-DURAN ILIANA M
ADDRESS&PHONE# D 0 B
2115 REDMOND AVE NE RENTON WA 98056 2067750902 SEXi F MI MDDYVYY 01 IT
27 - 2004
PASSENGER Z WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' 2 POS. 7 6 4 1 USE CLASS '1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) DURAN-ARGAEZ KELLY G
ADDRESS&PHONE# D 0 B
4415 NE 5TH ST,APT E304 RENTON WA 98059 2067741987 SEX'' F MMDavvvr 11 _ 21 _ 2001
PASSENGER a WITNESS UNIT# 2 INJURY NATURE OF INJURIES
POS.SEAT ' 3 AIRBAG 6 RESTR. 4 EJECT 1 HELMETUSE CLASS 1 ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX I 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.
TYLER EDIGER 01-18-26 09:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.BRAUN 2194 2/19/2026 4:03:56 AM
BADGE OR ID# 12807 ORI# WA0171300 TIME POLICE DISPATCHED 2:01 AM TIME POLICE ARRIVED i 2:06 AM
PAST B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF 57
REPORT NO. EG79066 CASE# 26-502 O OF COLLI 510N TIME 01/18/26 02:01
COLLISION
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. 1 was operating a fully marked Police Tahoe #309 which was equipped with
overhead emergency lights and sirens. 1 was also wearing my department issued Renton Police
uniform clearly identifies me as a Police Officer.
Case Number 26-502
On 01/18/2026 at approximately 0201 hours 1 was dispatched to a blocking accident at the
intersection of N 3rd St and Factory Ave N, within the City of Renton, King County, Washington.
I identified unit 1 in this collision as a 2024 Chevy Malibu (WA/LIC: CVC8072 VIN#
1G1ZD5ST7RF156197). The driver was identified as Deja B Tolber (DOB 09/19/1998), the front
passenger was identified as Kevin C Prince (DOB 07/04/2003) and the rear passenger was identified
as Nevaeh C Tolbert (DOB 12/06/2004). Unit 1 sustained significant front-end damage along with
airbag deployment, it was towed by Gene Meyer. No injuries were reported in unit 1.
I identified unit 2 in this collision as a 2024 Honda Civic (WA/LIC: CKU1041 VIN#
2HGFE2F53RH527230). The driver was identified as Everado Osario (DOB 07/15/2000), the front
passenger was Kelly G Duran-Argaez (DOB 11/21/2001), rear passenger side occupant was
Jacqueline Orozco Torres (DOB 02/14/2003) and the rear drivers side occupant was (liana M Cox-
Duran (DOB 01/27/2004). Unit 2 sustained significant drivers side damage along with airbag
deployment. Unit 2 was towed by Gene Meyer.
The driver of unit 1 seemed shaken up from the collision and was not sure what had happened. After
speaking with all parties involved it was determined that unit 2 was traveling eastbound on N 3rd St
through a green light at Factory Ave N. Unit 1 was traveling southbound on Factory Ave N, failed to
recognize the red light at N 3rd St, and entered the intersection causing a T-bone style collision. Both
vehicle had significant damage, and all parties involved had general soreness however no injuries
were noted.
The proximate cause of this collision was unit 1 failing to yield to the traffic signals.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer T. Ediger#12807 01/18/2026 Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. EG79066 CASE# 26-502 DATE AND TIME 01/18/2602:01
OF COLLISION
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