HomeMy WebLinkAbout26-2157 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG87019oc� RA
COLLISION REPORT 1591971
CASE# 26-2157 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL UN TS#OF 02 SO BJECT 1TRUCK 6 0 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulslON' 03 - 18 - 2026 1745 17 =.= S 8 W E OF IN M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO. e O .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ . FEET e S 8 W e RAINIER AVE S
OF 4 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
vEHiOLE ❑ CYCLE ❑ YES No �/ D:2065512570 30
6❑ LAST NAME BIRD-LEI-SAM FIRST NAME KIARA MIDDLE G 1 2 31
INITIAL
STREET ❑ 4405 S 150TH ST CITY TUKWILA ST WA ZIP 98188 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs No✓ INTERLOCK YES NO✓ YEs NO✓
8 DRIVECEN # STATE WA SEX F MMOr YY' 12 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 1 INJURYCLASS 1 NAruRE of INJURIES 2
10 1❑ aiCENSE'ti� A9131686 STATE WA VN# JTHGZ1E20M5021958 3�
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# HEW TO
TRLR TRLR 5 7 33
12 VIN# VIN
'.....: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 3 2021 LEXS IS-F SD DAMAGE YES DNO ✓ YEs❑ No✓ 7 3 34
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 ✓ STATEFARM 5819863E2147
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Lemur YES❑NO❑ CITATION# 7 o BOTTOM
15❑ sTANowc e
MOTOR PEDAL-:. ✓ '.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE' OWNER YES NO �/ D:2067151039
16�
LAST NAME CAMPOS FIRST NAME MARCO MIDDLE' A
INITIAL
STREET ❑
17 ❑ 9310 NE 143RD ST CITY KIRKLAND ST, Wq ZIP 98034 4 37
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNTION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYES NO INTERLOCK YES NO YES NO
19[ LICIENSE# STATE sEX M MMDQYv 08 18 1979 39
4 HELMET INJURY' NATURE OF INJURIES 3 40
20❑ ON DUTY STATUS' 1 AIRBAG RESTR EJECT 2 2 5 ❑
USE CLASS POSS.BACK AND/OR HIP INJURIES
21 1
PLATE# rarE VIN# 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
43
23 TRLR UIN#. ''NIN#.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,.I—I CITATION# CHARGE tO BOTTOM
LEEAILY YES N`LJ
25 a a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 5 0 MICAH BATTLE 12049 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EG87019
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2157
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} BIENVENU MATTHEW H
(LAST,FIRST,
ADDRESS&PHONE# DOB
9703 11TH AVENUE CT E TACOMA WA 98445 2538886428 SEX' M MMDDYYYY 11 - 05 - 1985
PASSENGER WITNESS UNIT# SEAT AIRBAG: RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS ---�
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD - 1
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
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.
MICAH BATTLE 03-18-26 10:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
3/19/2026 1:05:29 AM
NICOLAS SANGDER 11350
BADGE OR ID# 12049 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:47 PM TIME POLICE ARRIVED 5:49 PM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EG87019 CASE# 26-2157 O COLLI COLLISION TIME
OF 03/18/26 17:45
COLLI
NARRATIVE
26-2157
On 3/18/26 at 1747 hours, I was dispatched to an injury accident at SW Sunset Blvd and Rainier Ave
S, in the City of Renton, County of King, Washington.
Dispatch advised that it was a vehicle versus a motorized bicycle. The initial report was that the
bicyclist used the crosswalk against the crosswalk signal.
Upon arrival I assessed the bicyclist's injuries. He was lying on his back on the ground, conscious but
clearly dazed from the accident. He stated that something on his left side hurt but he didn't feel any
pain in his head.
I spoke to Unit 1, who was identified as Marco A. Campos (8/18/79, verified by WAID Photo). Marco
was riding a motorized bicycle and not wearing a helmet at the time of the accident, nor did he have
one with him. He stated the following verbally:
He was in the process of crossing the pedestrian crosswalk of Rainier Ave S on the south side of the
intersection, making his way from west to the east side of the street. He did not remember if he had
the appropriate crosswalk signal to cross the street. When he was then struck on his right side by Unit
2.
1 spoke to Unit 2, who was identified as Kiara G. Bird-Lei-Sam (12/17/99, verified by WADL), she was
driving WA-A9131686 and was the sole occupant. Kiara stated the following verbally:
She was traveling northbound on Rainier Ave S in the inside left lane preparing to turn left on a green
light at about 25 MPH when Unit 1 appeared in front of her. Unable to stop in time, she struck Unit 1
on her front driver's side.
I spoke to a witness that was directly behind Unit 2, he was identified as Matthew H. Bienvenu
(11/5/85, verified by WADL). He stated the following verbally:
He was located directly behind Unit 2 in his commercial truck. They were both traveling northbound in
the inside left lane on Rainier Ave S, preparing to turn left of SW Sunset Blvd on a green light. When
Unit 1 crossed in front Unit 2 causing a collision.
Bienvenu's commercial vehicle was equipped with a dash cam. He woulc talk to his supervisor so
they could access and provide the footage. He was given a link to upload the footage via AXON.
I observed minor damages to Unit 2's vehicle to include a dent on the driver side hood, and a minor
fracture of the driver side front grill.
Campos's injuries were assessed by King County Medics at the scene. Although nothing was
immediately obvious, they suspected a back or hip injury. Campos verbally agreed to sign a medical
consent form but was unable to physically sign it. He was transported to Valley Medical Hospital.
Campos's bicycle was placed into safekeeping; his small property was transported to the hospital
with him.
Due to the limitations of SECTOR, Bird-Lei-Sam is incorrectly labeled as Unit 1. She is Unit 2 and
Campos is Unit 1.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed, M. Battle 12049, 3/18/26, 1850
PAGE 3 OF 4
REPORT NO. EG87019 CASE# 26-2157 DATE AND TIME i 03/18/26 17:45
OF COLLISION
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