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Home My WebLink About26-3599 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 3 27c COLLISION REP FIT 1591971 CASE 26-3599 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4300 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 CITY# ❑ COLLISION' 05 - 09 - 2026 2242 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ DUVALL AVE NE BLOCK NO. e✓ 1800 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 20 00 FEET MILES e S B W e NE 18TH ST 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:4252692301 0 7 30 6� LAST NAME WILKINS FIRSTNAME SHERMAN MIDDLE J 1 1 2 31 INITIAL STREET ❑ 4418 W LAKE SAMMAMISH PKWY SE CITY ISSAQUAH ST WA 2jp, 980279774 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� BXJ5274 sTArI WAvIN# 4T1821HK1J0004577 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# FROM To TRLR. TRLR 1 5 33 12 4 0 vIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2 2018 TOYT CAMRY DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO SHERMAN WILKINS PO BOX 1722 BELLEVUE WA 98009 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 INSURANCE CO 3 4 14 LIABILITY INSURANCE z ALLSTATE 817 522 708 IN EFFECT &POLICY# 9TOP vEF" 36 LEGALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:2063354039 16 a LAST NAME MESSORE FIRST NAME TAGESE MIDDLE lH INITIAL 17❑ STREET ❑', 4503 NE 18TH C►R CITY' RENTON ST WA ZIP 980593998 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NOF,/ 19[ LDI IVER # STATE WA SEX DDY M M D.C.B. 12 _ 15 _ 1978 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑ 21❑ LICENSE I CKV5696 TAre I WA vIN# 7SAYGAEE3PF941501 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2028 MAKE TESL MODEL MODEL Y STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO TAGESEMESSORE4503NE18THCIR RENTONWA98059 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#E CO PROGRESSIVE 926273994IN 1 GQO, VEHICLE CITATION# CHARGE LEGALLY YES N� 25❑ JAGENCY s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 K.LANE 10008 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EHO5310 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3599 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ADMASSU BARKOM (LAST FIRST, ADDRESS&PHONE# D O.B. ' RENTON 2066975527 SEX M MMDDuyvv 06 - 15 - 2015 PASSENGER Z WITNESS UNIT# 2 FOS 7 AIRBAG'2 RESTR. 4 EJECT ? 1 H U SE 2 `CLASS 1 NATURE OF INJURIES NAME (LAST,FIRST,MIDDLE INITIAL) BELETE AMEM ADDRESS&PHONE# RENTON 2062184986 SEX M MMaDuvvv O6 _ 20 _ 2013 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) TAGESE JOSHUA ADDREss&PHONE# 4503 NE 18TH CIR RENTON WA 980593998 2063354039 SEX M D•O•B• 05 _M 09 _ 2012 MDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT 1 3 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS NARRATIVE' Unit 1 was traveling southbound on Duvall AVE NE approaching the 1800 blk. Unit 2 was in front of Unit 1 and was stopped for traffic in the 1800 blk of southbound Duvall AVE NE back from a traffic signal. Unit 3 was traveling behind Unit 1 also southbound on Duvall AVE NE approaching the 1800 blk. After the collision, Driver 1 was determined by Renton AID to be suffering from diabetic issues which were a contributing factor in the collision. Unit 1 failed to stop in time, but at a low speed, struck Unit 2. The front end of Unit 1 impacted the rear end of Unit 2 causing minor damage to both vehicles. Unit 1 then backed up and struck Unit 3. The rear end of Unit 1 struck the front end of Unit 3 causing very minor damage to both vehicles. Driver 1 was transported to the hospital due to the diabetic issues. All other vehicles left under their own power. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 05-10-26 01:08 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 5/22/2026 11:01:01 PM BADGE OR ID# 10008 ORI# WA0171300 TIME POLICE DISPATCHED 10:43 PM TIME POLICE ARRIVED',10:48 PM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. EH0531 O r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-3599 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: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE _) PEDESTRIAN � OWNER � YES NO D:4255322038 rFO 1 29 LAST NAME PONCE GARCIA FIRST NAME : CRUZ MIDDLE' F INITIAL STREET 30 NEW AnnRFrtP 1713 CAMAS AVE NE CITY RENTON ST WA ZIP 1 980562723 5 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 05 - 30 - 1978 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CWF3447 TAr WA VIN# 2HKRW2H52JH627093 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 4 0 VEH.YEAR2018 MAKE HOND MODELCR-V STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFO CRUZ PONCE GARCIA 1713 CAMAS AVE NE RENTON WA 98056 1 5 SHADE IN DAMAGED AREA 12 z 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO BRISTOL WEST 301.797-68800 q"i"Olx IN EFFECT &POLICY# VEHICLE 34 13 ❑ Lecnuv YES❑ NO❑ CITATION# CHARGE 10 BOTTOM STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O : CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NID AL ❑ 35 STREET 16 NEW AnnRES.� CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 VEHICLE 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. K.LANE 05-10-26 01:08 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 25 ORID# 10008 O#I WA0171300 JACOBS 5/22/2026 PAGE F OF 4 3000-345-013(R 11118) REPORT NO.! EH05310 CASE# 26-3599 DATE AND TIME 05/09/26 22:42 OF COLLISION i k r iY Sr tnt } R ail va trn � t ry �t iv 4( ti} f s� s� F � r ty� Zc, 4h4�i 1 ty r PAGE 4 OF 4