HomeMy WebLinkAbout26-2662 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG92624OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 26-2662 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 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#
eaCL s on' 04 - 06 - 2026 1544 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1.� FEET e S 8 W e BRONSONWAYNE
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4259196057 0 8 30
5 LAST NAME BENAVIDES MEJIA FIRST NAME RONY MIDDLE A 1 1 2 31
INITIAL
STREET ] 10311 SE 228TH ST CITY; KENT ST WA ZIP 980313241 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYePRES Na YES No
8 DCIENSE# STATE WA SEXI M MMDDYY' 02 — 05 — 1995 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY',1 [NATURE of INJURIES 2
10 PI ENSttEI D94296D STATE WA VIN# 1FTYR44U06PA21282 3
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
TRLR TRLR. 7 1 3 33
12 0 o VIN#' VIN#
FROM TO
VEH.YEAR 2006 MAKE FORD MODEL RANGE STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34
13 DAMAGE YES YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE NSURANCE CO GEICO 6152860356 2 3 4
IN EFFECT &POLICY# CDQgNOLNG ❑ ❑ 6AO190289 CHARGEFOLLOW VEHICLE TOO CLOSELY 36
VEHICLE YES NO CITATION#
15
MOTCSR PEDAL- PEDESTRIAN PROPERTY PHONE
DAM THR OLD MET N
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNRR YEs No �/ D:2533984724
16�
LAST NAME NAB►ZADA FIRST NAME MOHAMMAD MIDDLE' H
INITIAL
17 F1 STREET ❑❑ 37 27602 PACIFIC HWY S APT Q104 CITY FEDERAL WAY ST, WA ZIP 980033524
NEW ADDRESS
18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED! ❑ 38
CDL INTERLOCKYEs ND INTERLOCK YES No YES NO
19 DRIVERS STATE WA SEX,M D.O.a. 02 25 1986 39
LICENSE# MMDC7YY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS CHEST PAIN
21 LICEN E CMT2342 rarE WA vIN# JTDKN3DUOF0484785 41
I El
22❑ PLATE# STATE PLATE# STATE E 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE TOYT MODEL PR/US STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 986016681
IN EFFECT &POLICY# I STOP
HICL
L'EIL YES� NCO CITATION# CHARGE to BOTTOM
VEE
25 s s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG92624
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2662
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
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.
C.ARNOLD 04-07-26 06:18 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 4/7/2026 3:44:14 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:46 PM TIME POLICE ARRIVED i 3:53 PM
PAST B 3 Do-3m5—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG92624 CASE# 26-2662 DATE OF COLLI r�510NN + 04/06/26 15:44
L1
NARRATIVE
CC 26-2662
On 4/6/2026 at 1546 hours I was dispatched to a motor vehicle collision at the intersection of NE 3rd
St and Bronson Way NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling East on NE 3rd St at Bronson Way NE. Driver 2 stated that he
was coming to a stop for traffic that was stopped in the #2 lane in front of him.
Driver 1 stated that he was behind Unit 2 in the #2 lane of Eastbound NE 3rd St.
Collision
Driver 2 stated that he came to a stop for traffic ahead of him and upon doing so, the front bumper of
Unit 1 made contact with the rear bumper of Unit 2, causing minor damage.
Driver 1 stated that he was unable to stop in time to avoid a collision. Driver 1 stated that the front
bumper of Unit 1 contacted the rear bumper of Unit 2.
Injuries
Driver 2 complained of chest pain from hitting the steering wheel but refused medical attention at the
scene.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a motor
vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due
regard for the speed of such vehicles and the traffic upon and the condition of the highway.
Had Driver 1 not followed Unit 2 more closely that is reasonable and prudent, this collision would not
have happened. Driver 1 was cited reference RCW 46.61.145.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 06:13 on 4/7/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG92624 CASE# 26-2662 DATE AND TIME 04/06/2615:44
OF COLLISION
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