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Home My WebLink About26-2574 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 26-2574 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 04 - 1-- 2026 1905 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE PETROVITSKY RD BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 128THAVESE 0 4 29 MOTUNIT O1 VEHICR Z PEDAL-CLE CYCLE ElYYESA�NO THRESHOLD MET PHONE O 1 30 6❑ LAST NAME HOLLINGER FIRSTNAME BRANDON MIDDLE J 1 1 2 31 INITIAL STREET ❑1 9624 S 252ND ST E103 CITY KENT ST WA ZIP 98030 z NEW ADDRESS 7❑ CDL I 1/ INTGNITION REQUIRED IGN �/ITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO ERLOCKYEs NO YES 1/ NO 8❑ LICENSE# STATE WA SEX'M I D-MMDDYY 05 - 10 - 1984 1 2 32 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10[1 PI ATNE 14 AN27754 sTAr AZ uN# 1FTBR1Y88SKA63384 F_ TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLINq(y/FR GOVT.VEHICLE 3 7 34 13 2025 FORD TRANSI VN DAMAGE YES NO �"""�Y TOW YES❑ NO✓ REGISTERED OWNER INFO UHAUL 2727 N CENTRAL AVE PHOENIXAZ 85004 D:6237381242 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO UHAUL S012 3 4 IN EFFECT &POLICY# 9TOP VEHCLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2094506639 16 2 LAST NAME CICERO FIRST NAME CARL MIDDLE M INITIAL 17 STREET NEW ADDRESS❑' 15150 140TH WAY SE R102 CITY' RENTON ST WA ZIP 98058 37 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER'S STATE WA SEX M D.C... 02 _ 05 _ 1983 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H EET 2 NJAU EY 6 SUPERFICIAL CUTS TO HANDS ❑F—NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# BKU2577 TArE WA vIN It 19XF62F53CE357011 41 1 42 22❑ PILER LATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2012 MAKE HOND MODEL CIVIC STYLE SO VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES�/ NO GENE MEYER TOWING YES No�/ REGISTERED OWNER INFO CARL CICERO 15150140TH WAY SE R102 RENTON WA 98058 D:2094506639 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ &POINSULICY#E COIN 1UR VETILe ❑ ,J� CITATION# CHARGELEGALYYES N 25 7.1 -ETF NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 Y NGUYEN 13182 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG91480 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2574 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SIMPSON KATRINA M (/AST FIRST, ADDRESS&PHONE# 9624 S 252ND ST E103 KENT WA 98030 SEXi F MMDOYyry 11 - 09 - 1987 PASSENGER Z WITNESS❑ UNIT# 1 POS 3 AIRBAG 6 RESTR. 9 EJECT ? 1 HELMET LASS NATURE OF INJURIES USE 2 -CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX' MMDDYVYV PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. - 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. TIMOTHY NGUYEN 04-02-26 10:00 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 1 4/3/2026 1:04:00 AM BADGE OR ID# 13182 OR]# WA0171300 TIME POLICE DISPATCHED 7:05 PM TIME POLICE ARRIVED',7:05 PM PART I PAGE IT]OF 6� REPORT NO. EG91480 CASE# 26-2574 OF COLLISION 04/02/26 19:05 OF CbLLI510N NARRATIVE 26-2574 Unless stated otherwise, this incident occurred in the City of Renton, County of King, State of Washington. During this incident, I was on duty as a Police Officer for the City of Renton and assigned to Patrol District R12. I was wearing a fully marked uniform and driving a fully marked vehicle. This incident was recorded with video and audio. It is important to note that the camera may have captured things that I did not perceive, and I may have perceived things that were not captured by the camera. The following is a summary of the events: On 04/02/2026 at approximately 1904 hours, I was dispatched to assist Officer A. lurco and Officer J. Elfering with a vehicle pursuit in the area of Grammercy Apartments, 17425 120th Lane SE. The suspect vehicle was identified as 2025 FORD TRANSIT VAN (AZ: AN27754) and will be referred to as Unit 1. As I was responding, Officers advised that Unit 1 collided with other vehicles at the intersection of SE Petrovitsky Rd and 128th Ave SE. I responded to the location and observed the Unit 1 facing northbound on 128th Ave SE. Unit 1 had moderate damage to the front-end and appeared disabled. Once the scene was secured, I contacted the victims of the collision. Unit 2 had heavy damage to the driver's door and minor damage to the right side of the rear bumper. Driver 2 had superficial cuts to both of his hands. Driver 2 was later medically cleared by Renton Regional Fire Authority (RRFA). RRFA advised that Driver 2 did not need to be transported for immediate medical attention. Unit 3 had minor damage to the front-end. Driver 3 did not have injuries and was later medically cleared by RRFA. I proceeded to interview Driver 2. In summary, Driver 2 was driving westbound on SE Petrovitsky Rd and approaching 128th Ave SE in lane two. Driver 2 observed Unit 1 driving eastbound at a high rate of speed with police vehicles pursuing it. As Driver 2 entered the intersection of SE Petrovitsky Rd and 128th Ave SE, Unit 1 turned left (northbound) onto 128th Ave SE and collided with Driver 2. Driver 2 was unsure how the rest of the incident unfolded. Driver 2 later provided a sworn recorded statement detailing the events with no new information. Driver 2 also completed a Medical Release form in the event that his condition gets worse. Unit 2 was ultimately towed by Gene Meyer Towing. Afterwards, I interviewed Driver 3. In summary, Driver 3 was stationary in lane one on 128th Ave SE and facing southbound at the intersection. Driver 3 observed Unit 2 driving westbound through the intersection and Unit 1 turning northbound through the intersection and colliding with Unit 2. The collision pushed Unit 2's rear end into Unit 3's front end. Driver 3 later provided a sworn recorded statement detailing the events with no new information. Please refer to all reports for full details. This concludes my involvement on today's date. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT. Signature: Officer T. Nguyen #13182 PAGE 3 OF 6 REPORT NO. EG91480 CASE# 26-2574 OF COLLISION 04/02/26 19:05 OF CbLLI510N NARRATIVE Date, Time, and Place: 04/02/2026 at approximately 2159 hours in the City of Renton, County of King, State of Washington PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EG91 480 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-2574 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2067797243 8 29 LAST NAME CASTILLO SEGURA FIRST NAME : SHIRLEY MIDDLE rF0 G INITIAL STREET 30 ❑ NEW AnDRFSP' 13235 SE 160TH PL CITY RENTON ST WA ZIP 98058 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs NO NTERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 01 - 27 - 1995 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BSS3444 TAr Wq VIN# 3VWE57BU3KM226160 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO 2019 VOLK JETTA SD DAMAGE YES NO YES NO REGISTERED OWNER INFOSHIRLEY CASTILLO SEGURA 13235 SE 160TH PL RENTON WA 98058 D:2067797243 J 9 33 12 � SHADE IN DAMAGED AREA j 4 FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 1"01? vewCLE 10 6QTTUM 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 OAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F1' CITY ST ZIP NEW CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES No NTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LecALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. TIMOTHY NGUYEN 04-02-26 10:00 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 13182 O#I',WA0171300 APPROVED 4/33/2026 PAGE F OF 6 3000-345-013(R 11118) REPORT NO. EG91480 CASE# ' 26-2574 DATE AND TIME 04/02/26 19:05 OF COLLISION 0 ........... Z, ............. 3S 3AV HIBZ PAGE 6 OF 6