HomeMy WebLinkAbout26-3513 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 26-3513 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 0720 17 ❑.❑ S 8 W e IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BENSON DR S BLOCK NO. e✓ 2300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 20 00 FEET MILES e S B W e S 160TH ST
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2064346326 0 6 30
6 LAST NAME SEVILLA AGUILAR FIRST NAME ANDY MIDDLE L 1 1 2 31
INITIAL
STREET El 1519 S TALBOT RD CITY RENTON ST WA Zlp' 98055 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs Z/NO YEs �No /
LRIIVER # STATE WA SEX'M I EL MI MIT Y
8❑ ' 10 - 21 - 2003 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CTE4787 sTArI WAVIN# 5J6RM4H72GL106229
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12 4 0 VIN#' VIN#
>; FROM TO
VEH.YEAR 2016 HOND CR-V SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 DAMAGE YES NO YES❑ No✓
REGISTERED OWNER INFO CARMEN RAQUENO FELICIA101707 MERRILL CREEK PKWY APT I EVERETT WA 98203 VEHICLE NO. 1 ❑
SHADE IN DAMAGEDAREA 35
14 ❑ INSURANCE CO <53 4LIABILITY INSURANCEIN EFFECT &POLICV# Q
VE— CHARGE 5 36
LEGALLv YEs❑NO CITATION# 6AO092346,6AO092346, OP MOT VEH W/OUT INSURANCE,
15❑ STANDING 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:2536517110
16 a
LAST NAME LARKIN FIRST NAME JAMES MIDDLE R
INITIAL
17❑ STREET ❑', 17650 134TH AVE SE APT H303 CITY RENTON ST WA ZIP 980586892 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX M M .C... 07 31 1948 El 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I CGC8127 TAre WA VIN# 2T3DFREVXJW745179
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 201E MAKE 7'Oy7' MODEL RA V4 STYLE $D DAMAGE TOWED NOO✓ BLIN YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU PORGY#ECO STATE FARM 2798035 B1547UIN 1 9TOP
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5305
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3513
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.
D.NELSON 05-06-26 03:35 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 5/22/2026 11:06:48 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 7:29 AM TIME POLICE ARRIVED',7:Y9 AM
PART I PAGE IT]OF 4�
REPORT NO. EH05305 CASE# 26-3513 OF COLLISION
05/06/26 07:20
OF CbLLI510N
NARRATIVE
26-3513 ACC
On 5/6/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a two-vehicle, non-injury, non-blocking collision in the
2300 block of Benson Dr S Renton/King/WA. An involved party was calling to report that both
vehicles had moved from the roadway.
I arrived on scene and confirmed with both drivers there was no injury.
The driver of the 2016 Honda CRV WA/CTE4787 (Unit 1), was identified by a Honduran passport as
Andy L Sevilla Aguilar DOB: 10/21/2003. Andy used a translator to explain what happened, he said
that he was driving north on Benson Dr S and there was police activity in the southbound lanes. He
said that he then collided with the rear bumper of Unit 2. There was minor damage to the front
bumper of Unit 1 and no airbag deployment. Andy advised he did not have any insurance on the
vehicle. A DOL check showed that his driving status showed as Not Licensed -Eligible. I was able to
get a WA return for Andy but there was no physicals or a photograph attached. The photograph in his
passport was accurate.
The driver of the 2018 Toyota Rav4 WA/CGC8127 (Unit 2), was identified by his WADL as James R
Larkin DOB:7/31/1948. James said that he was driving north in the #2 lane of Benson Dr S. He said
that there was police activity in the southbound lanes, so he began to slow down when he was rear-
ended by Unit 1. There was minor damage to the rear bumper of Unit 2. The vehicle was drivable and
there was no airbag deployment.
I cited Andy for RCW 46.61.015 No Valid Operators License with Valid ID, RCW 46.30.020 Operating
a Motor Vehicle Without Proof of Valid Insurance, and RCW 46.61.145.1 Following Vehicle Too
Closely under Sector Citation #6A0092346. This citation should be mailed to his DOL 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 5/6/2026 Renton WA
PAGE 3 OF 4
REPORT NO. EH05305 CASE# 26-3513 DATE AND TIME 05/06/26 07:20
OF COLLISION
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PAGE 4 OF 4