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Home My WebLink About23-2636 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-2636 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFH1C;l F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 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 N E IN CITY# ❑ cawsloN 03 - 1-- 2023 1543 17 ❑. S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SUNSET BLVD N BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e N 3RD ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067726140 0 11 30 6❑ LAST NAME SCOTT FIRSTNAME CLARA MIDDLE S 1 2 31 INITIAL STREET ❑ 12410 79TH AVE S CITY SEATTLE ST WA Zjp, 98178 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 07 1— 20 — 1953 2 32 9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H USEET ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aTES� AGT7176 sTAT� WA vIN# 2HGFG12896H503272 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR $ 7 33 12 0 0 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 $ 34 13 A 2006 HOND CIVIC CP DAMAGE YES NO YES[:] No✓ REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 A NSURANCE CO 4 14 LIABILITY INSURANCE� SAFECO 6199291 IN EFFECT &POLICY# <,IQ LEGA LE YES❑NO❑ CITATION# CHARGE $ 36 L—C' 3AO185876 VEH ENTER INTERSEC STEADY RED 15 1 STANDING 7 6 ,l 1,1 VEHICLE MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE 16 UNIT 02 Z CYCLE ❑ �/PEDESTRIAN ❑ OWNER ❑ YES NO D:2066029712 a LAST NAME RIVERA FIRST NAME AUSTIN MIDDLE I D INITIAL 17❑ STREET NEW ADDREss❑' 419 S 2ND ST CITY RENTON ST WA ZIP 980572229 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YES❑NO INTERLOCK yEs❑NOF YES❑NOF,/ 19 DRIVER'S STATE WA SEX M D.C.B. 01 27 1999 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 H U EET NJAU EY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# CCT1852 TATE 41 WA vIN# JF1SG63655H704880 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GI VEH YEAR 2005 MAKE S(JB�Q MODEL FORESTE STYLE UT DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE &POLICY#E CO GEICO 6119504071IN 9TOP 5 VE"LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N`L J 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 RYAN KARLO RIVERA 1 12649 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED39646 COLLISION REPORT III III III III III 111 1591972 CASE# 23-2636 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WOOD SARA L (LAST FIRST, ADDRESS&PHONE# 10304 RAINIER AVE S SEATTlE WA 981782614 SEXi F MMDovyry 09 - 17 - 1973 PASSENGER Z WITNESS❑'UNIT# I 3 POS USE CLASS 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES : 1 NAME '(LAST,FIRST,MIDDLE INITIAL) BATH ERIC R ADDRESS&PHONE# D O B 17815 105TH PL SE APT L204 RENTON WA 98055 2066888811 SEX I M MMopvvvv23 _ 1970 PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES []WITNESS POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.B.MMDD -❑ YYYY. 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. RYAN KARLO R/VERA 03-05-23 07:04 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 31512023 5:40:33 PM BADGE OR ID# 12649 ORI# WA0171300 TIME POLICE DISPATCHED 3:47 PM TIME POLICE ARRIVED',3:51 PM PART I PAGE IT]OF REPORT NO. ED39646 CASE# 23-2636 OF COLLISION 03/04/23 15:43 OF CbLLI510N NARRATIVE On 03/04/2023 1 was working uniformed patrol in a marked police car as 1 R22. At approximately 1547 hours, I was dispatched to an unknown injury accident at the intersection of N 3rd St and Sunset Blvd N. Dispatch advised that there was a two motor vehicle accident, with unknown injuries, and was blocking the crosswalk. When I was driving to the call dispatch updated me stating that it was a 3-car accident. Additionally, an off-duty police officer had on-viewed the collision, stating that there were injuries to the involved parties. When I arrived, other officers and I identified the following involved parties: Unit 1 Vehicle: Blue 2006 Honda Civic (WA/AGT7176, VIN/2HGFG12896H503272) Driver: Clara S. Scott (DOB: 07/20/1953, verified via WADL) Unit 2 Vehicle: Gray 2005 Subaru Forester (WA/CCT1852, VIN/JF1SG63655H704880) Driver: Austin D. Rivera (DOB: 01/27/1999, VIN/verified via WADL) Unit 3 Vehicle: Gray 2014 Ford Mustang (WA/AVC5575, VIN/1ZVBP8EM9E5227077) Driver: Mark L. Wood (DOB: 06/29/1964, verified via WADL) Front Passenger: Sara L. Wood (DOB: 09/17/1973, verified via WADL) Unit 1 stated something along the lines that she was traveling northbound on Sunset Blvd N headed to turn westbound onto N 3rd St. Unit 1 continued, stating she had the solid green arrow and proceeded into the intersection to turn onto N 3rd St. Unit 1 then saw Unit 2 speeding down Sunset Blvd N from the north heading south to continue on Sunset Blvd N. Unit 1 then said Unit 2 impacted her in the middle of the intersection. Unit 1 then slid into Unit 3 which was stopped at a red light and headed eastbound on N 3rd St. Unit 2 stated something along the lines that he was traveling southbound on Sunset Blvd N headed straight across the intersection. Unit 2 stated he had the solid green light and began to proceed past the intersection. Unit 2 mentioned the light was green for sometime. Unit 2 described seeing Unit 1 enter the intersection, in the direction in which he was driving, before impacting Unit 1. Unit 3 stated something along the lines of that he and his passenger were stopped at the red light, preparing to continue eastbound on N 3rd St. Unit 3 only remembers then being hit by Unit 1. Unit 3 did not observe the collision between Units 1 and 2. Unit 3 also did not know which one of them had a solid green light. Other officers on scene identified a witness on the scene as Eric R. Bath (DOB:05/23/1970, verified via DOL photo). Eric stated that he was at Burger King outside on a smoke break. The Burger King Eric was at is to the northwest of the intersection. Eric then said he saw that Unit 2 had the green light to continue going southbound on Sunset Blvd N. Eric then saw Unit 1 in the middle of the intersection, turning to get onto N 3rd St then impacting Unit 2. Unit 1 sustained damage to the entire front of her vehicle as well as the passenger side. Unit 1 had side airbag deployment on the passenger side where she was struck. Unit 2 sustained damage to the entire front of his vehicle. Unit 2 had full front airbag deployment. PAGE 3 OF 6 REPORT NO. ED39646 CASE# 23-2636 OF COLLISION 03/04/23 15:43 OF CbLLI510N NARRATIVE Unit 3 sustained damage to the front driver's side wheel area from Unit 1. Based on the information the witness provided and statements made by all parties, I found that Unit 1 was the cause of the accident. I subsequently issued a traffic infraction for RCW 46.61.055.3C to Unit 1 to be sent to her through the mail. 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. Signature: Ryan Rivera (#12649) Date and Place: 03/04/2023 @ Renton, WA PAGE 4 OF 6 SUPPLEMENTAL REPORT No. ED39646 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-2636 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:2063000976 0 8 29 LAST NAME : WOOD FIRST NAME MARK MIDDLE L INITIAL STREET 30 ❑ NEW AnnRFSP 10304 RAINIER AVE S CITY SEATTLE ST WA ZIP 981782614 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs NO zERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 06 - 29 - 1964 7 ON DUTYl STATUS AIRBAG' 2 RESTR. 2 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE AVC5575 TAr WA VIN# 1ZVBP8EM9E5227077 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 0 0 VEH.YEAR2014 MAKE FORD MODELMUSTAN STYLE CV VEHICLE TOWE ET SABLIN TOWED BY anvi vFH1CP FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFO OWNED BY DRIVER J 9 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE INSURANCE CO USAA 012621005C71013 IN EFFECT &POLICY# 1EwcLE 34 13LEGALLY YES NO❑ CITATION# CHARGE STANDING S} 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL AL ❑ 36 STREET 16 NEW AnntxFs� CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR 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 LERicLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv 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. RYAN KARLO RIVERA 03-05-23 07:04 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12649 O#I',WA0171300 CHRISTIANSEN 3/5/2023 PAGE�OF 6 3000-345-013(R 11118) REPORT NO. ED39646 CASE# ' 23-2636 DATE AND TIME 03/04/23 15:43 OF COLLISION z 3 z 44 ry spa sr g A(4�IUNIT � 9 �.1 1^-- LCl z PAGE 6 OF s