HomeMy WebLinkAbout26-4128 TFFiNouCERA II I III 1 III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 26-4128 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 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#
GowsloN 05 - 27 - 2028 2130 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e AIRPORT WAY
0 3 29
UNIT MOTOR
Z PEDAL ❑ YESAGE NHORE✓LD MET PHONE 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON ST ZIP z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
DRIVERS
STATE SEX D '❑- 328 LICENSE MDYY❑ M
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE sTATI urN#'
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. TRLR 5 3 33
12❑ VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 HYUN SANTA UT DAMAGE YES NO YES❑ NO✓
REGISTEREDOWNERINFO UNKNOWN RENTON WA VEHICLE NO. 1
SHADE IN DAMAGEDAREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VErIICLE 5 36
LECALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4252288983
16 a
LAST NAME HUBBARD FIRST NAME TOMMIE MIDDLE L
INITIAL
17❑ STREET I 71 SW VICTORIA ST CITY RENTON ST WA ZIP 98057 37
ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PRESENT tSENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCK YEs❑NoR INTERLOCK YES It1 I NOF YES l NO❑
19 DRIVE # STATE SEX M MMDEYY 09 _ 23 _ 1962 39
ON DUTY STATUS 1 AIRBAG RESTR EJECT 1 H EET 2 NJAU SY 5 [NATURE.1
KNEE,HIP,NJURIES RIB,AND HAND PAIN ❑ 40
❑21❑ LICENSE TATE vIN# 41
`1
PLATE#
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQ
VE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 s � e
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY
26 4 9 LAN 12007 0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH12989
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4128
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.
C.CATALAN 05-30-26 01:52 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
K.LANE 10008 6/17/2026 12:12:54 PM
BADGE OR ID# ( 1Y007 ORI#' ; WA0171300 TIME POLICE DISPATCHED 3:51 PM TIME POLICE ARRIVED',4:28 pry]
PART I PAGE IT]OF 4�
REPORT NO. EH12989 CASE# 26-4128 OF COLLISION
05/27/26 21:30
OF CbLLI510N
NARRATIVE
26-4128
On May 28th, 2026, at 1551 hours dispatch requested that I contact the victim of a prior hit and run
collision that occurred on May 27th around 2130 hours. This incident occurred at the intersection of
Rainier Ave South and Airport way, in the city of Renton, county of King, and state of Washington.
Upon contact I spoke with the victim, identified as Tommie L Hubbard (09/23/1962), and he explained
that around 2130 hours he was attempting to travel east across the south crosswalk on his bicycle.
He reached a concrete island that sits on the southeast corner of the intersection. While yielding for
traffic, he observed a vehicle traveling north on Rainier Ave South. The vehicle was traveling at a high
speed. That vehicle then merged onto the right turn lane which sits adjacent to the concrete island.
Based on the drivers' driving behavior and speed, Tommie believed the vehicle would not make the
turn appropriately, it could cause a collision. Tommie tried repositioning himself but unfortunately, he
was struck by the vehicle before he could move away safely. Tommie stated he was struck on his
right side which then pushed him over the top of the vehicle. Tommie also stated that his bicycle what
struck and mentioned that the front wheel had sustained some damage (which I observed). The
wheel was pushed back against the frame. T
After the collision occurred, the driver exited the vehicle and confronted Tommie about being too
close to the roadway. He claimed that Tommie was at fault and subsequently stated that he was not
waiting for police or anybody else. Tommie told the driver who's not allowed to leave, but the driver
proceeded towards his vehicle. As the driver approached his driver's side door, Tommie grabbed the
driver and pinned him to the ground. Tommie stated that he held the individual down for several
minutes until witnesses stopped by and assisted. One of the witnesses told Tommie that he would
detain driver until police arrived. Tommie realized that his hands were bloody, so he told the
witnesses to stay with the suspect and tell police that he was returning home to clean his hands.
After Tommie left the scene of the collision he never returned and never called police or further
assistance. Tommie also disclosed that he hates visiting the hospital so to prevent being transported,
he cleaned himself and expected police to arrive at his house.
Today, while visiting his doctor he disclosed that he was struck by a vehicle. That doctor then
contacted his care team which then reported it to the police.
I asked dispatch if anyone reported a collision or an assault of any kind at the intersection described,
but dispatch stated that no incidents were reported.
Tommie has a bruise on his right hip and injuries to his hands. He believes he has a cracked rib but
refuses to visit the hospital or be seen by medics.
Tommie described the vehicle as a Hyundai Santa Fe (unknown plates) that is black in color. He also
described the driver as a 40- to 50-year-old male who is possibly Polynesian or Portuguese. He
stated that the driver was wearing a blue shirt and blue pants and had black boots. He also had
missing front teeth and was under the influence of alcohol.
I asked Tommie why he didn't just wait for police to arrive so he could give them his statement, but he
reiterated that he did not want to visit the hospital and really wanted to clean his hands.
I checked to see if any cameras faced the roadway, but I was unable to locate any.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 05/30/2026 Renton
PAGE 3 OF 4
REPORT NO.! EH12989 CASE# 26-4128 DATE AND TIME 05/27/26 21:30
OF COLLISION
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PAGE 4 OF 4