HomeMy WebLinkAbout26-1038 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG82171oc� RA
COLLISION REPORT 1591971
CASE# 26-1038 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT o 5 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3I M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 02 - 05 - 2026 1216 17 =.= S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e 4800 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00 FEET e✓ S 8 E e DUVALL AVE NE
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2068772487 0 4 30
5 LAST NAME HARRIS FIRST NAME TAMIE MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 22526 SE MAY VALLEY RD CITY; ISSAQUAH ST WA ZIP; 980278542 2
NEW ADDRESS
7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCKYES NOW] INTERLt)CKYES NO�/ YES NO
8 DRIVERS# STATE WA SEXI F MMDDYY' 10 - O6 - 1962 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSrtEI BMA1216 STATE WA VIN# JF2SJAWC5JH613121 3
TRAILER
11 3 5 STATE TRAILER STATE PLATE# PLATE# ROM To
TRLR TRLR 7 1 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2018 MAKE SUBA MODEL FOREST STYLE SD VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 3 5 34
13� DAMAGE YES�NO� YES NO
REGISTERED OWNER INFO TAMIE HARR.22526 SE MAY VALLEY RD ISSAQUAH WA 98027 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 4
14 STATE FARM 544 0067 824 47A
IN EFFECT &POLICY# 9TOP
VEn" CHARGE 5 I < 36
LEGALLY YES❑NO❑ CITATION# t a 80TTOM
15❑ STANDING 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2062931268
16�
LAST NAME MORALIS FIRST NAME HILARI MIDDLE F
INITIAL
17 F1 STREET ❑
❑ 14235 169TH AVE SE CITY RENTON ST, WA ZIP 98059 37
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
CDL INTERLOCKYES NO INTERLOCK YES No YES NO
19 DRIVE # STATE SEX F MMDDYY 11 21 2007 39
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 2 5 ❑
USE CLASS UNABLE TO MOVE LEFT LEG
21 ILICENSEPLATE# BVB1887 TATE I WA VIN# 19XFB2F53DE241776 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2013 MAKE HOND MODEL CIVIC STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO SILVIA CARERRA GOMEZ 14235169TH AVE SE RENTON WA 98059 VEHICLE NO.2
SHADEY DAGEAREA
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VEH10LE vEs❑ NCO CITATION# 6A0092308,6A0092308,6AO092309 CHARGE FAIL TO YIELD MOTOR VEHICLE,OP to sorTOM
ecALLv
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
WA0171300
26
D.NELSON 12421
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG82171
COLLISION REPORT III III III III III 111
1591972 CASE# 26-1038
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
PC& 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.
D.NELSON 02-06-26 03:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 3/2/2026 12:35:03 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 12:16 PM TIME POLICE ARRIVED i 12:16 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG82171 CASE# 26-1038 DATE OF COLLI r�510NN + 02/05/26 12:16
L1
NARRATIVE
26-1038 ACCINJ
On 2/5/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I on-viewed a two-vehicle collision just east of the NE 4th St and Duvall Ave NE
intersection Renton/King/WA. Officer Gorajewski started RRFA.
The driver of the 2013 Honda Civic WA/BVB1887 (Unit 2) was verbally identified as Hilari F Moralis
DOB: 11/21/2007. Hilari said that she was in the center turn lane facing west to turn south into the
Dairy Queen parking lot. She said that as she made her turn, she was struck by Unit 1. There was
heavy damage to the passenger side of the vehicle and side airbag deployment. The Civic was not
drivable. I was able to move the Civic out of the roadway and into a nearby parking space.
Hilari advised that she did not have a license or ID Card, a DOL check of Hilari did not locate any
record. Hilari was also not able to provide me with any valid proof of insurance.
Hilari said she was not able to move her left leg and was evaluated by RRFA, she was taken to VMC
for further evaluation.
The driver of the 2013 Subaru Forester WA/BMA1216 was identified by her WADL as Tamie T Harris
DOB: 10/6/1962. Tamie said that she was driving east on NE 4th St in the #1 lane when Unit 2
suddenly turned in front of her. There was damage to the front bumper of the Forester, it was drivable
and there was no airbag deployment. Tamie did not have a complaint of injury.
A witness nearby captured the collision on camera, this footage was uploaded to Axon Evidence. It
showed Hilari fail to yield to Tamie as she drove eastbound.
I cited Hilari for the following:
RCW 46.61.180.1 Failure to Yield Motor Vehicle
RCW 46.30.020 Operating a Motor Vehicle Without Proof of Valid Insurance
RCW 46.20.005 No Valid Operator's License Without Valid ID.
These citations should be mailed to Hilari's address.
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 2/5/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EG82171 CASE# 26-1038 DATE AND TIME 02/05/2612:16
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