HomeMy WebLinkAbout26-4410 TFFiNouCERA II I III 1 III I III I IIII III II I . 4 27c H
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 26-4410 z 0 7
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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#
COLLISION' 06 - 1-- 2026 0417 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
116TH ST SE BLOCK NO. e✓ 16400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S B VV e SE 164TH AVE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4254306400 0 11
30
6� LAST NAME KEARSE FIRSTNAME JAMAAL MIDDLE K 1 2 31
INITIAL
STREET ❑ 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8 LRIIVERCENS # STATE SEX'M MDMDo 05 - 12 - 1992 1 2 32
9� ON DUTY✓❑ STATUS' AIRBAG 3 RESTR 4 . EJECT 1 HELMETU E 2 CLASSY',6 1AHIT HEADJON STEERING WHEEL 2❑
3
10 9❑ LICENS P1 ATE 14 67610D sTATe WA u N# 1 GNLCDEC3KR357676
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# Rom To
TRLR. YRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 4 2019 CHEV TAHOE SV DAMAGE vEsNo �LII� RS YES[:] No
REGISTERED OWNER INFO RENTON C/TYOF1011 S GRADYWAY RENTON WA 98057 D:4254306400 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 ABILI INSURANCE CITY OF RENTON FLEET COVERAGE
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE to BOTTOM 5 36
LEGALLY Yes❑NO❑ CITATION# 4
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254306400
16 a
LAST NAME IURCO FIRST NAME ALEXANDRU MIDDLE IV
INITIAL
17❑ NEW STREETR 1055 S 7 GRADY WAY CITY' RENTON ST WA ZIP 98057 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NO�
19� LICENSE# STATE SEX M M D.C.B. 11 16 _ 2001 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ PLATE# 67626D TATE WA VIN1 1GNLCDECOKR355190 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2019 MAKE CHEV MODEL TAHOE STYLE SI/ VEHICLE TOWED TO BLIN TOWEDev GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO RENTON CITY OF 1055 S GRADY WAY RENTON WA 98057 D:4254306400 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY INSURANCE &POINSURGY#ECO CITY OF RENTON FLEET COVERAGE IU
STOP
IN EFFECT
—e E ❑ ,J� CITATION# CHARGE o BOTTOMLGALYYES N J25 '
=AS
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 SWAN 7 12965 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH11824
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4410
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
POS. USE CLASS
NAME
'(LAST,FIRS 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.
NICHOLAS SWAN 06-07-26 08:38 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 6/14/2026 3:45:22 AM
BADGE OR ID# 12965 OR]4f WA0171300 TIME POLICE DISPATCHED 4:17 AM TIME POLICE ARRIVED 4:25 AM
PART I PAGE IT]OF
REPORT NO. EH11824 CASE# 26-4410 OF COLLISION
06/07/26 04:17
OF CbLLI510N
NARRATIVE
#26-4410
Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State
of Washington.
This incident was captured on my body worn video camera and in-car cameras. This report is a
summary of events that occurred and is not an exact sequencing of events.
On 06/07/2026 at approximately 0417 hours I was dispatched to a two vehicle police involved
collision at the intersection of 116th Ave SE and SE 164th St in the city of Renton, King County, WA.
Unit#1 was a black 2019 Chevrolet Tahoe with WA XMT LIC 67610D (VIN: 1 GNLCDEC3KR357676).
The driver of unit 1 was the sole occupant of the vehicle, was operating with lights and sirens, was
wearing their seatbelt, and had a possible head injury.
Unit#2 was a black 2019 Chevrolet Tahoe with WA XMT LIC 67626D (VIN: 1 GNLCDECOKR355190).
The driver of unit 2 was the sole occupant of the vehicle, was operating with light and sirens, may
have been wearing their seatbelt, and had no injuries.
Roadway conditions were dry with overcast skies and streetlights at the time the collision occurred.
Both vehicles were traveling northbound on a single lane roadway with no dividing barrier. Both
vehicles were towed to the City of Renton maintenance shops.
Driver#1 of Unit#1 was responding code (lights and sirens) to a report (RPD #26-4409) of a vehicle
that had gone off the roadway, through a fence, and into the back of a house located at 16425 116th
PL SE. The vehicle was driving north bound on 116th Ave SE. The driver of the vehicle stated they
looked at their MDC to view the map to verify location and when they looked up they saw unit#2
stopped in the roadway directly in front of them. At this time they collided. Driver#1 stated that he
believed he was going between 40-50mph at the time of the collision.
Unit#2 was responding code (lights and sirens) to a report (RPD #26-4409) of a vehicle that had
gone off the roadway, through a fence, and into the back of a house located at 16425 116th PL SE.
Driver#2 stated he had come to a stop in the roadway where he had observed a broken fence to the
east of his location. He was unsure if he had taken his seatbelt on or off at this point. As he stopped,
he stated he was hit from behind by Unit#1. The impact caused severe damage to the back of his
vehicle and pushed the vehicle approximately 50-60ft further down the roadway from it's original
stopped position.
Pictures of the collision were uploaded to Axon by Officer Castain.
Both vehicles are self insured by the City of Renton.
Both drivers received medical care at the scene by Renton Fire and were cleared. Driver#1 may
have a possible head injury but stated he would self transport to the hospital if necessary.
At the conclusion of my investigation, I determined that Unit#1 was the proximate cause of the
collision as they took their eyes away from the roadway to operate their MDC and read their location.
By taking their eyes away from the roadway, this also caused failure to maintain a safe distance from
the vehicle in front of them.
If Unit#1 had not operated their MDC while actively driving and maintained a safe operating distance
from the second vehicle in front of them, then this collision would not have occurred.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by N. Swan on 04/25/2026 at 0837 hours, in the City of Renton, WA.
PAGE 3 OF 5
REPORT NO. EH11824 CASE# 26-4410 OF COLLISION
06/07/26 04:17
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO.! EH11824 CASE# 26-4410 DATE AND TIME 06/07/26 04:17
OF COLLISION
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