HomeMy WebLinkAbout26-3458 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH00251 170
27
COLLISION REP FIT 1591971
CASE 26-3458 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 05 - 1-- 2026 1226 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. e✓ 1100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 20 1. 00 FMILES EET e S ❑ W e S RENTON VILLAGE PL
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2063052323 1 9 30
6❑ LAST NAME MONAGHAN FIRSTNAME KENDAL MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 15613 160TH CT SE CITY RENTON ST WA Zjp, 980586304 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 08 1— 16 — 2007 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 $❑ I P1 ATNES# BSF5392 sTAr WAu N# 5TDDK3EH7BSO44850
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 5 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 $ 34
13 A 2011 TOYT HIGHLA DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO MI-I—BALDWIN 15613160TH CT SE RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILI INSURANCE INSURANCE CO STATE FARM 415.3487-F31.47G 3 4
IN EFFECT &POLICY# 9TOP
LEGA LE CHARGE 5 36
LEIF" YES❑NO❑ CITATION# 10 BOTTOM
15❑ ......G
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:4259193761
16 a
LAST NAME BENDICKSON FIRST NAME MICHAEL MIDDLE 10
INITIAL
17❑ STREET ❑', 15814 124TH PL SE CITY' RENTON ST WA ZIP 980584731 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
19 DRIVER'S STATE WA SEX M D.C... 01 18 _ 2008 39
LICENSE# MMDDYY
HELMET I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE ADL1603 TAre WA vIN1t 1FMHK8D80BGA11985
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2011 MAKE FORD MODEL EXPLORE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO MATTHEW BENDICKSON 15814124TH PL SE RENTON WA 98058 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO ALLSTATE 942-114-460IN 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM
LEGALLY YES N`LJ
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SULIASI TAMAIVENA 12788 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH00251
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3458
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R 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.
SULIASI TAMA/VENA 05-04-26 04:37 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 5/6/2026 3:54:36 AM
BADGE OR ID# 1Y788 OR]# ! WA0171300 TIME POLICE DISPATCHED; 12:33 PM TIME POLICE ARRIVED',12:34 PM
PART I PAGE IT]OF 4�
REPORT NO. EH00251 CASE# 26-3458 OF COLLISION
05/04/26 12:26
OF CbLLI510N
NARRATIVE
On 05/04/2026, at approximately 1226 hours, I was dispatched to an accident at Talbot Road S and
Renton Village PL, in the City of Renton, while 1 was employed as a uniformed Patrol Officer for the
City of Renton, County of King, State of Washington.
I spoke with Unit#1, and she advised that she was in the right-turn lane at a red light on Renton
Village PL. As she proceeded onto Talbot Road South, she attempted to enter the left-turn lane to
access the 405 northbound ramp. She stated that while she was attempting to merge into the left
lane, she saw no vehicles to her left and proceeded to merge. As she merged into the left-turn lane,
she collided with Unit#1. When asked if she physically turned her head before merging, she said yes.
Unit#1 vehicle had damage to the left side of the vehicle. The vehicle was still drivable, and she
claimed no injuries.
I spoke with Unit#2, and he advised that he was exiting Talbot and in left-turn lane #1 (closest to the
freeway), preparing to turn onto Talbot Road South. He stated he had a green light and proceeded to
enter Talbot RD, maintaining his lane. He observed Unit#1 come from lane #1 on Talbot Rd S and
cross all lanes to attempt to enter the left-turn lane to access the 405 freeway. This is what caused
the collision, according to Unit#2.
Unit#2's vehicle had damage to its front and right bumper. The vehicle was still drivable, and he
claimed no injuries.
An exchange of information was given to both parties. Photos of the damage are uploaded as
evidence.
I believe the approximate cause of this collision was Unit#1 not safely confirming it was safe to
merge before merging.
This concludes my report.
My Axon camera was on for this call.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer S. Tamaivena #12788,
05/04/2026, at 1631 hours, Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Traffic Control: RED LIGHT
Motor Vehicle Unit 2
Action Code: LEFT TURN AND DRIVING STRAIGHT
Traffic Control: GREEN LIGHT
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EH00251 CASE# ' 26-3458 DATE AND TIME 05/04/26 12:26
OF COLLISION
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PAGE 4 OF 4