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Iowa Department of Transportation-8/18/2014 (3)
Iowa Department of Transportation Application for TRAFFIC SAFETY FUNDS GENERAL INFORMATION Location / Title of Project Intersection of Dubuque Road and Osage Avenue Rev. 3/08 Applicant City of Waterloo Contact Person Mohammad Elahi Title Traffic Engneer Complete Mailing Address 625 Glenwood Street, Public Works Building Waterl000, Iowa 50703 Phone (319) 291-4440 E -Mail mohammad.elahi@waterloo-ia.org (Area Code) If more than one highway authority is involved in this project, please indicate and fill in the information below (use additional sheets if necessary). Co-Applicant(s) Contact Person Complete Mailing Address Title Phone E -Mail (Area Code) PLEASE COMPLETE THE FOLLOWING PROJECT INFORMATION: Application Type Funding Amount Total Project Cost Safety Funds Requested Site Specific Ej Traffic Control Device ❑ Safety Study ❑ $ $288,000 $ $288,000 Rev. 3/08 APPLICATION CERTIFICATION FOR LOCAL GOVERNMENT To the best of my knowledge and belief, all information included in this application is true and accurate, including the commitment of all physical and financial resources. This application has been duly authorized by the participating local government(s). I understand the attached resolution(s) binds the participating local government(s) to assume responsibility if any additional funds are committed, and to ensure maintenance of any new or improved city streets or secondary roads. I understand that, although this information is sufficient to secure a commitment of funds, a firm contract between the applicant and the Department of Transportation is required prior to the authorization of funds. Representing the Signed: Attest: Typed Name t iL _ `` , 2/ Signature Date Sided B INTERSECTION OF DUBUQUE ROAD AND OSAGE AVENUE B. NARRATIVE The intersection experiencing right angle crashes. Some of the crashes have been injury crashes. It experiences a high number of crashes which include injury accidents. Dubuque Road is a divided multi -lane high speed highway with 2 lanes on each approach and a wide median. Osage Avenue intersect Dubuque at an acute angle and is stop sign controlled. Almost all of the injury crashes have involved stop sign violation. Dubuque Road runs SW -NE. Osage Avenue runs E -W with 2 -lanes. Osage is stop controlled with yield signs on the median! Dubuque is uncontrolled. Dubuque approaches Osage from east on a curve and there is a slight degree of curvature at the intersection as well. Waterloo Police Department records show 28 traffic accidents in 3 years. Number or reports filed was 16. Of those crashes 5 were running the stop sign right angle crashes. 5 out of these 6 were injury crashes. Many of the stop sign violators indicated that they just didn't notice the traffic on Dubuque Road. The intersection layout makes the situation hazardous. Traffic signals are proposed along with some measures to reduce the probability of rea-rend collisions and red-light running after the signals are installed. Several other solutions, including J -turns, involving some geometric design revisions were investigated but due to the angle between the roadways and the railroad tracks signals are proposed as a plausible solution. Proposed Solution Traffic signals are proposed to reduce the injury right angle crashes. Properly installed traffic signals will assign right of way in a clear manner and will reduce the right angle collisions. Railroad tracks with gated crossing exist north of the intersection. Track clearance timing in needed that will require coordination with the railroad company. Crash Reduction Factor Only the right angle crashes were used in benefit -cost analysis. Traffic signals can increase rear -end collisions. The added benefits of proposed stop bars and pavement markings, and proposed advance end of green warning system were NOT included in the benefits to offset increases that might be causes by signal installation. SPOT IMPROVEMENT APPLICATION C. ITEMIZED BREAKDOWN OF ALL ESTIMATED COSTS: No. Item Quantity Unit Unit Cost Item Cost 1 Mast Arm Poles 5 EA 10,000 50,000 2pedestal poles 2 EA 1,800 3,600 3Signal Heads 7 EA 800 5,600 4Signal Heads PV 12 EA 1,600 19,200 5Control Cabinet 1EA 14,000 14,000 6Advance End of Green Warning Ssyetm 2 EA 20,000 40,000 7VID 4 -Camera 1 EA 24,000 24,000 8 LED Luminaires 4 EA 450 1,800 9 Street Name Signs 4ea 400 1,600 10 Detector Loop 8 EA 700 5,600 11 Handhole 10 EA 350 3,500 12Wiring (Includes Trench Conduit) 1 LS 15,000 15,000 13 Conduit (Bore) 150 FT 20 3,000 14Wireless Connection To TOC 1 EA 12,000 12,000 15 Pavement Markings 1 LS 8,000 8,000 16 High Durability Intersection Stop Bars 6EA 3,000 18,000 17video Monitoring Cameras 2 EA 2,000 4,000 18 Earthwork At Pole Locations 1 LS 10,000 10,000 19 Railroad Preemption System 1 LS 15,000 15,000 20 Railroad Interconnect (Cost to Railroad) 1 LS 7,000 7,000 21Traffic Control 113 4,000 4,000 22 Mobilization 113 2,000 2,000 23 Contingency 20,500 TOTAL: SPOT IMPROVEMENT APPLICATION $ 287,400 C D. TIME SCHEDULE D SPOT IMPROVEMENT APPLICATION 2015 2016 W MARCH APRIL MAY JUNE JULY AUGUST SEPT OCT < DEC > FEB MARCH APRIL MAY JUNE JULY AUGUST START DOT Agreement Exchange mmilmilmil Plans & Contract Documents wilisiomme Letting imimini Construction simimimismisionome END SPOT IMPROVEMENT APPLICATION E E. LOCATION MAP A' F'ari, d St SI Dr • 'wns ft Ye:A' Waterloo ,•‘• --, 47, +,5 Mitchell Ave- > A:a L Ridgeway Ave • :904 Nowww 0. 7.0 st Neeis Eit ideace Awe • vett East End kte Evarssdale Firridkvr,ie Ave b'- 1)1 CATION OtKage Rd WI: Err I or SPOT IMPROVEMENT APPLICATION pH tinti F. COLOR PICTURES F East Leg of Osage Avenue West Leg Osage (Left) and West Leg Dubuque (Right): Most Injury Crashes Involve Osage Avenue Stop Sign Violation. SPOT IMPROVEMENT APPLICATION Eastbound -Southbound Dubuque Approach to the Intersection East Leg of Osage (Left) and East Leg of Dubuque (Right) SPOT IMPROVEMENT APPLICATION LEGEND G 1— PROPOSED SIGNAL HEAD NOTE: Intersection of Dubuque Rd, and Osage Ave, PV <1— PROPOSED PROGRAMMABLE VISIBILITY 1- RR1 is a no right tum railroad preemption activated blank -out sign. I I, SIGNAL HEAD 2- RR2 is a no left tum railroad preemption activated blank -out sign. Proposed SIgnQddZQtIon PROPOSED MAST ARM POLE 3- Advance detection on Dubuque 4- There will be advance end Road approaches. 5- Street name signs will be 6- Railroad preemption will OFwAY RIGHT OF WAY 41) I Road will be by detector loops. of green waming systems on Dubuque overhead mounted. be installed. G C6'� / PV _ ,-, .� -.- `� 0 PROPOSED PEDESTAL POLE F PROPOSED SIGN — —* PROPOSED LUMINAIRE EXTENSION o PROPOSED VIDEO DETECTION CAMERA -" VIDEO DETECTION ZONE & DIRECTION ----® RAILROAD GATE `� at,,,,,--> °A.11'4.--- \ ,., AA ill)PV - --... ... e-1 _ 'o...' PV ., + �., _ a -.--1:02 OSAGE AVE. y2 --6.— o- `` PN/4 + 1 Z_.. PV `. O RR2PV • . \ per... 7 PV `` RIGHT OF WAY -�� .. i� PHASE 1 PHASE 2 47G-;-"i--lir Ove (/Q�F pO V � � 7.0A-1:1--- \\ (/p�� OILII r-50 FT-, ALL SIGNAL HEADS PROPOSED PHASING DIAGRAM Waterloo, Iowa H. AERIAL PHOTOGRAPH H SPOT IMPROVEMENT APPLICATION J J. TRAFFIC VOLUMES AND/OR TURNING MOVEMENT Source: 2009 Iowa DOT Counts; http://www. iowadotmaps. com/msp/traffic/2009/citiesNVaterloo C. pdf SPOT IMPROVEMENT APPLICATION (For K. SIGNAL LAYOUT please see Part G.) SPOT IMPROVEMENT APPLICATION Intersection or Spot Benefit / Cost Safety Analysis Iowa DOT Office of Traffic & Safety County: Black Hawk Prepared by: Intersection: Dubuque Road and Osage Road M.E. Rev. 7/10 Date Prepared: Aug 14-2014 Improvement Proposed Improvement(s): on Eastbound Osage Road. Install Traffic Signals with Railroad Preemption and add a Left Turn Pocket $ 287,400 Estimated Improvement Cost, EC Other Annual Cost (after initial year), AC $ Present Value Other Annual Costs, OC OC— AC 1 1 INT (1+INT)Y 15 Est. Improvement Life, years, Y 67 Crash Reduction Factor (integer), CRF 0.8% Discount Rate (time value of $), INT Present Value Cost, COST = EC + OC $ 287,400 Traffic Volume Data Source: Iowa DOT 2009 Counts Daily Entering Vehicles by Approach (or AADT / 2) 3,600 740 740 3,600 1.0% Projected Traffic Growth (0%-10%), G 8,680 Current Daily Entering Vehicles, DEV Crash Data 2012 First full year –> 12 Additional months 0 Fatal Crashes — 4 Injury Crashes 1 Property Damage Only 2009 Date of traffic count 3,168,200 Current Annual Entering Veh., AEV = DEV * 365 10,077 veh / day, Final Year DEV, FDEV 51.00 MEV, Total Million Entering Veh. Over life of Project, TMEV TMEV =AEV 1 C11G)p 6 10 2013 5 Total Crashes, TA Last full year 3.0 years, Time Period, T values as of Dec. 2007 Fatalities @ $3,500,000 $ Major Injuries @ 3 Minor Injuries @ 1 Possible Injuries @ (assumed cost per crash) $240,000 $ - $48,000 $ 144,000 $25,000 $ 25,000 $2,700 $ - -OR- enter all Property Costs of all crashes: $ 43,000 Total $ Loss, LOSS $ 212,000 1.67 Current Crashes / Year, AA = TA / T $ 42,400 Cost per Crash, AVC = LOSS / TA 26.8 Total Expected Crashes, TECR = CR x TMEV 1.12 Crashes Avoided First Year AAR = AA x CRF / 100 $ 47,347 Crash Costs Avoided in First Year, AAR x AVC 18.0 Total Avoided Crashes, TECR x CRF/ 100 0.53 Crashes / MEV, Crash Rate, CR CR=TAx 10^6 /(DEVx 365 xT) Present Value of Avoided Crashes, BENEFIT BEN. — AVC x AAR /1 (1+ G Y INT—G) (1+INT) $ 713,864 Benefit / Cost Ratio Benefit : Cost = $713,864 $287,400 = 2.48 : 1 EXECUTIVE OFFICE OF THE PRESIDENT OFFICE OF MANAGEMENT AND BUDGET WASHINGTON, D.C. 20503 January 24, 2013 M-13-04 MEMORANDUM FOR THE HEADS OF DEPARTMENTS AND AGENCIES FROM: Jeffrey D. Zients/ Deputy Director for+Ianagement SUBJECT: 2013 Discount Rates for OMB Circular No. A-94 On October 29, 1992, OMB issued a revision to OMB Circular No. A-94, "Guidelines and Discount Rates for Benefit -Cost Analysis of Federal Programs." The revision established new discount rate guidelines for use in benefit -cost and other types of economic analysis. The revised Circular specifies certain discount rates that will be updated annually when the interest rate and inflation assumptions in the budget are changed. These discount rates are found in Appendix C of the revised Circular. The attachment to this memorandum is an update of Appendix C. It provides discount rates that will be in effect for the calendar year 2013. The rates presented in Appendix C do not apply to regulatory analysis or benefit -cost analysis of public investment. They are to be used for lease -purchase and cost-effectiveness analysis, as specified in the Circular. Attachment OMB Circular No. A-94 APPENDIX C (Revised December 2012) DISCOUNT RATES FOR COST-EFFECTIVENESS, LEASE PURCHASE, AND RELATED ANALYSES Effective Dates. This appendix is updated ann»u11y. This version of the appendix is valid for calendar year 2013. A copy of the updated appendix can be obtained in electronic form through the OMB home page at http://www.whitehouse.gov/omb/circulars a094/a94 aApx-c/. The text of the Circular is found at http://www.whitehouse.gov/omb/circulars a094/, and a table of past years' rates is located at http://www.whitehouse.gov/sites/default/files/omb/assets/a94/dischistodf. Updates of the appendix are also available upon request from OMB's Office of Economic Policy (202-395- 3381). Nominal Discount Rates. A forecast of nominal or market interest rates for calendar year 2013 based on the economic assumptions for the 2014 Budget is presented below. These nominal rates are to be used for discounting nominal flows, which are often encountered in lease -purchase analysis. Nominal Interest Rates on Treasury Notes and Bonds of Specified Maturities (in percent) 3 -Year 5 -Year 7 -Year 10 -Year 20 -Year 30 -Year 0.5 1.1 1.5 2.0 2.7 3.0 Real Discount Rates. A forecast of real interest rates from which the inflation premium has been removed and based on the economic assumptions from the 2014 Budget is presented below. These real rates are to be used for discounting constant -dollar flows, as is often required in cost- effectiveness analysis. Real Interest Rates on Treasury Notes and Bonds of Specified Maturities (in percent) 3 -Year 5 -Year 7 -Year 10 -Year 20 -Year 30 -Year -1.4 -0.8 -0.4 0.1 0.8 1.1 Analyses of programs with terms different from those presented above may use a linear interpolation. For example, a four-year project can be evaluated with a rate equal to the average of the three-year and five-year rates. Programs with durations longer than 30 years may use the 30 -year interest rate. Intersection or Spot Benefit / Cost Safety Analysis Iowa DOT Office of Traffic & Safety Rev. 7/10 County: Black Hawk Prepared by: M.E. Date Prepared: Aug 14-2014 Intersection: Dubuque Road and Osage Road Improvement Proposed Improvement(s): on Eastbound Osage Road. Install Traffic Signals with Railroad Preemption and add a Left Turn Pocket $ 300,000 Estimated Improvement Cost, EC 15 Est. Improvement Life, years, Y Other Annual Cost (after initial year), AC 67 Crash Reduction Factor (integer), CRF Present Value Other Annual Costs, OC 4.0% Discount Rate (time value of $), INT OC AC 1_ 1 INT (1+ INT)Y $ 300,000 Present Value Cost, COST = EC + OC Traffic Volume Data Source: Iowa DOT 2009 Counts 2009 Date of traffic count Daily Entering Vehicles by Approach (or AADT / 2) 3,600— 3.168,200 Current Annual Entering Veh., AEV = DEV * 365 740 —i f 740 10,077 veh / day, Final Year DEV, FDEV 3,600 51.00 MEV, Total Million Entering Veh. Over life of Project, TMEV 1.0% Projected Traffic Growth (0%-10%), G 8,680 Current Daily Entering Vehicles, DEV TMEV =AEG 1 (1+Glp 6 l J 10 Crash Data 2012 First full year –> 2013 12 Additional months 0 Fatal Crashes 4 Injury Crashes 1 Property Damage Only 5 Total Crashes, TA Last full year 3.0 years, Time Period, T values as of Dec. 2007 Fatalities @ $3,500,000 $ Major Injuries @ $240,000 $ 3 Minor Injuries @ $48,000 $ 144,000 1 Possible Injuries @ $25,000 $ 25,000 (assumed cost per crash) $2,700 $ -OR- enter all Property Costs of all crashes: $ 43,000 Total $ Loss, LOSS $ 212,000 1.67 Current Crashes / Year, AA = TA / T $ 42,400 Cost per Crash, AVC = LOSS / TA 26.8 Total Expected Crashes, TECR = CR x TMEV 1.12 Crashes Avoided First Year AAR = AA x CRF / 100 $ 47,347 Crash Costs Avoided in First Year, AAR x AVC 18.0 Total Avoided Crashes, TECR x CRF/ 100 0.53 Crashes / MEV, Crash Rate, CR CR = TA x 10^6/ (DEV x 365 x T) Present Value of Avoided Crashes, BENEFIT BEN. = AVC x AAR 1— (1+ G (INT —G) C1+INT ) $ 560,829 Benefit / Cost Ratio Benefit : Cost = $560,829 $300,000 = 1.87 : 1 CMF Clearinghouse >> CMF / CRF Details http://www.cmfclearinghouse.org/detail.cfm?facid=326#commentanchor CRASH MODIFICATION FACTORS CLEARINGHOUSE CIF / CRF Details CMF ID: 326 Install a traffic signal Description: Prior Condition: No Prior Condition(s) Category: Intersection traffic control Study: Accident Modification Factots for rrafric Engineering and ITS Bnppro ventents, Harkey et al., 2008 Star Quality Rating: Crash Modification Factor (CMF) Value: 0.23 Adjusted Standard (Error: 0.02 Unadjusted Standard Error: 0.02 Crash Reduction Factor (CRF) Value: 77 (This value indicates a decrease in crashes) Adjusted Standard Error: 2 Unadjusted Standard Error: 2 Applicability Crash Type: Angle Crash Severity: All Roadway Types: Not Specified Number of Lanes: Road Division Type: Speed Limit: 1 of 2 8/13/2014 8:30 AM CMF Clearinghouse >> CMF / CRF Details http://www.cmfclearinghouse.org/detail.cfin?facid=326#corrgnentanchor Area Type: Rural Traffic Volume: Time of Day: If countermeasure is intersection -based Intersection Type: Roadway/roadway (not interchange related) Intersection Geometry: 3-Ieg,4-leg Traffic Control: Stop -controlled Major Road Traffic Volume: 3261 to 29926 Annual Average Daily Traffic (AADT) Minor Road Traffic Volume: 101 to 10300 Annual Average Daily Traffic (MDT) Development Details Date Range of Data Used: Municipality: State: Country: Type of Methodology Used: Before/after using empirical Bayes or full Bayes Sample Size Used: Other Details Included in Highway Safety Manual? Yes. HSM lists this CMF in bold font to indicate that it has the highest reliability since it has an adjusted standard error of 0.1 or less. Date Added to Clearinghouse: 11-01-2009 Comments: Countermeasure name changed to match HSM [View the Full Study Details] Export PDF Export this detail page as a PDF file This site is funded by the U.S. Department of Transportation Federal Highway Administration and maintained by the University of North Carolina Highway Safety Research Center The information contained in the Crash Modification Factors (CMF) Clearinghouse is disseminated under the sponsorship of the U.S. Department of Transportation in the interest of information exchange. The U.S. Government assumes no liability for the use of the information contained in the CMF Clearinghouse. The information contained in the CMF Clearinghouse does not constitute a standard, specification, or regulation, nor is it a substitute for sound engineering judgment. 2of2 8/13/20148:30 AM REPORTS Ta �rl.V C.�-l�-h WMMO L5-7Qc) 51133 rove a went ofTransportation Iowa Department of Transport( .1,?n OfficP.O. Box9204 INVESTIGATING OFFICERS REPO. Des Moines, Iowa 90306-9204' Lary Eniarcament Casa Number: W12-060327 OF MOTOR VEHICLE ACCIDENT Legal Intervention?❑ Private Property? ❑ Date of Accident Tune of Accident County Accident occurred wHhtn corporate Hails L 06/10/2012 18:00 Hrs. Black Hawk - 07 of (city) Waterloo - 8155 Locators Literal Description NBIEB O C If accident occurred show general vicinity: outside of city Grails "N/A" of nearest city "N/A" DUBUQUE RD and OSAGE RD A On Road, Street, "NIA" or Highway At Intersection with "NIA" T Note: Unless accident occurred at an intersection which is completely described above, use the space below to give the exact l location from a milepost or definable intersection, bridge, or railroad crossing, using two distances and directions if necessary. X -Coordinate: 00567914 O Distance "NiA" Direction Distance Dlrectton "NIA" "NIA" "NIA" Y -Coordinate: 04703737 N end of If Divided Highway, Provide Route Milepost Number "N/A" Definable intersection, bridge, or railroad crossing Or "NIA" (Cardinal) Travel Direction Driver's Name - SEALS Last First Middle Suffix Home/Cel Phone KAYLA CHRISTINE Add130 GREENBUSH DR CRAYMOND IA 5State 0667.0000 Date of Birth 05/11/1994 Drivers License Number 369AE4104 Citation Charge Code 1 Citation Charge 1 Gender Female State IA Class C Endorsements NONE Restriction B Citation Charge Code 2 Citation Charge 2 Alcohol Test Given? 1- None Test Results plug Given? 1- Test None Test Results: Citation Charge Coda 3 Citation Charge 3 Citation Charge Code 4 Mellon Charge 4 U Searing PosItion0l Injury Status 6 Occupant Protectlon2 Airbag Deployment 5 Airbag Swtch Status 9 Ejection 1 Ejection Path 1 Trapped 1 N I Transported to: Transported by: T Owners Name - Last First LORI Middle JEAN Sulfa Owner Company Name 001 ' Address 130 REENBUSH DR C RAYMOND State A 50667 7721 Insurance Co. Name STATE FARM MUTUAL Insurance 2915021F0216H Policy g License Plate # 34ILQL State IA Year 2012 VIN No. 1B3ES48C91D184214 Year 2001 Make Dodge -DODG Model NEO Style 4D Tow # YES Approximate Cost be Repair or Replace Initial Travel Direction 2 Vehicle Action 01 Speed Limit 45 Point of _ Initial Impact 01 Most Damaged Area 01 Extent of Damage 2 Underrtdel Override 1 Private? ❑ $5,000.00 • Total Occupants 3 Trafio Controls 01 Vehicle Contig. 01 Cargo Body Type 01 Vehk4e Defect 01 Driver Condition 1 Vision Obscured 01 Contributing Circumstances, Driver (up to two) 28 SEQUENCE OF EVENTS I First Event 21 Second Event 22 Third Event Fourth Event Most Harmful Event (by vehicle) 21 Conumerrial Trailer License Plate # Attached to Power Unit State Year Attached to Trailer Unt Stale Year Emergency Vehicle Type 1 Emergency Status 3 Cartier Name Address City State Zip US DOT # or MC # Number of Axles Gross Vehicle Weight Rating Placard # Hazardous Materials Released? Drivers Name - ALTAMIRANO LastIJlctdie OL RENSO u a JS HomefCell Phone 167- LEHMAN CIR WAAddress TERLOO State IA 50707-0000 Date of Birth 04/17/1980 Driver's License Number 335AE1725 C9ation Charge Cade 1 Citation 321.20B VIOLATION Charge 1 FINANCIAL LIABILITY Gender Male State IA (lass C Endorsements' NONE Restrictions 11 NONE Citation Charge Code 2 Citation 321.321 FAIL Charge 2 TO YIELD UPON ENTERING THROUGH HIG Alcohol Test Given? 1 - None Test Results: Drug Given? 1 - Test None Test Results•. Citation Charge Code 3 CHation Citation Charge Code 4 Citation Charge 3 Charge 4 U N Seating Posltionel Injury Status 5 Occupant Protedior2 Airbag Deployment 5 Airbag Switch Status 3 Ejection 1 Ejection Path 1 Trapped 1 I Transported to: Transported by. T AVB -LA Name- Last FirstGRI Middle Suffix Owner Company Name 002 799115JESSICA LN Eess DINBURG State TX 78 542 Insurance Co. Name Insurance Poky # Lhanse 6E68577 Plate # State TX Year 2011 VN No. 3GNEC12T14G137371 Year 2004 Make Chevrolet - CHEV Model AVALANCHE Style PK Tow NO it Approximate Cost to Repair or Replace Initial Travel Direction 1 Vehicle Action 01 Speed Limit 26 Point Int fat of Impact 06 Most Damaged Area 05 Extent of Damage 2 Underride/ Override 1 Private? ❑ $3,000.00 Total Occupants 2 Traffic Controls 04 Vehicle Contig. 02 Cargo Body Type 01 Vehicle Defect 01 Driver Condition 1 Vision Obscured 01 Contributing Driver Circumstances, (up to two) 93 SEQUENCE OF EVENTS I First Event 21 Second Event 22 Third Event Fourth Event Most Harmful Event (by vehicle) 21 Commercial Trailer Attached to State Year Attached to State Year license Plate # Power Unit Trailer Ural Emergency Vehicle Type 1 Emergency Status 3 Cartier Name Address City State Zip LIS DOT# or MC 8 Number of Axles Gross Vehicle Weight Rating Placard # Hazardous Materials Released? Printed At: Waterloo Police Department 06/14/2012 08:58 PM Page 1 Form #: W12-060327 ACCIDENT ENVIRONMENT Location of Fast Harmful Event 1 Weather C is Manner of Crash/Collision 5 0-9 10 tri'. 01 Light Conditions 1 Surface Conditions 1 ROADWAY CHARACTERISTICS Major Contributing Circumstances: Environment 1 Roadway 01 Type of RoadwayJuncttonfFeature 11 WORKZONE RELATED? No , Location Type Workers Present? SEQUENCE OF EVENTS First Harmful Event of Crash (use codes 11-42 only) 29 p E R S NDN Date UTransported R E D Name - Last Fust Middle Suffix MILLER COURTNEY Address City State Zip Code 816 JUNIPER WATERLOO IA 50702 of Birth 7/5/1993 Sex Female Unit No. 001 searing Position 09 [ritzy y Status 4 OccupantAirbag Protection 2 Deployment 5 Airbag Switch Status 9 Ejection 1 Ejection Path 1 Trapped 1 to UNKNOWN Transported by. , PERSONAL VEHICLE NON -MOTORIST Type Location Action Condition Safety Equipment Contributing Circumstances UmT No. of Vehicle Striking I G R M _ Bratce� ��v fr"� Dubuque Rd Un(itt 2 ,jµ t-,6 Drage Ave NARRATIVE Describe what happened (refer to vehicles by number) ON SUNDAY JUNE 10 2012 AT APPROXIMATELY 1800 HOURS OFFICERS WERE DISPATCHED TO THE INTERSECTION OF OSAGE AVE AND DUBUQUE RD REFERENCE A TWO VEHICLE ACCIDENT. OFFICERS MADE CONTACT WITH THE DRIVER OF UNIT 1 WHO STATED SHE WAS HEADING EAST ON DUBUQUE WHEN UNIT 2 ENTERED THE INTERSECTION IN FRONT OF HER UNIT 1 TIRED TO STOP BUT WAS UNABLE TO AND STUCK UNIT 2. ONE OF THE OCCUPANTS FROM UNIT 1 COMPLAINED OF LEG PAIN AND WAS CHECKED ON SCENE BY WATERLOO FIRE AND RESCUE. THE INJURED PERSON WAS GOING TO BE TRANSPORTED TO THE HOSPITAL BY, PRIVATE VEHICLE.. 'OFFICERS SPOKE WITH THE DRIVER OF UNIT 2 STATED HE WAS STOPPED AT THE STOP SIGN ON OSAGE AVE AND ATTEMPTED TO CROSS DUBUQUE RD. THE DRIVER OF UNIT 2 DID NOT SEE UNIT 1 AND WAS STRUCK BY THERE VEHICLE AS HE WAS CROSSING THE INTERSECTION. THE DRIVER OF UNIT 2 DID NOT HAVE PROOF OF INSURANCE AND WAS CITED FOR THAT AND FAILURE TO YIELD ENTERING THROUGH HIGHWAY. Officer ULLOM KYLE Badge No. 1.13719 Time Officer Noticed of Acddent 18x10 Hrs. Time Officer Arrived At Scmre 18:04 Hrs. Name of Agency Waterloo Police Department Date of Report 06/10/2012 tnvestigation Me& atscene? Yes T.I. # Report Reviewed By. FRANA, MONTY Date Reviewed 06114/2012 Agency specific WATERLOO Other Teatmtcal Investigation Agency Printed At Waterloo Police Department 06/14/2012 08:58 PM Page 2 Form #: W12-060327 WATERLOO POLICE DEPARTMENT Call For Service Record Call #: 12060327 Premise: Location: DUBUQUE RD/ OSAGE AV City: WATERLOO Cross Str: Call Type: MVAPI MVA INJURY Lat: 42.483584 Lon: 0.000000 Police Fire Anib Other Grid: 26 F503 F503 9999 Beat: ES 35 35 CMD Area: P F F Area/Agency: WLPD xWLF bCOV Priority: 2 2 St: Zip: Reporting Party Information Name: SEALS,KAYLA Address: City: St: lA Zip: Phone: (319)504-2115 Cell: (319)504-2115 Work Phone: Disposition: RI RI Disp Desc: REPORT INITIATED Actual Type: MVAPI MVA INJURY by: FREIN,SHELLY-DISI via: E911 Received: 06/10/2012 @ 18:00:07 Custody: Fire Out: Pat Contact: Remarks: - ALL REMARKS ENTERED BY: D25 na. 06/10/2012 18:00:07 911 - WPH2 / 06/10 17:59 ENTERED BY: D25 (106/10/201218:00:13 2 VEH INVOLVED ENTERED BY: D25(7a, 06/10/201218:00:23 BLU CHEVY TRUCK VS WFII DODGE NEON ENTERED BY: D25 (l i 06/10/2012 18:00:26 JUST ONE INJURED ENTERED BY: D25 (er) 06/10/2012 18:00:37 UPDATED BY: D25 @ 06/10/2012 18:01:45 LICBE68577 INVOLVED RP WAS AFRAID THIS VEH MIGHT LEAVE ENTERED BY: D25 na 06/10/2012 18:01:02 ONE FEMALE HURT COMPLAINING ARMS AND LEGS KNEES ARE HURT ENTERED BY: D40 ca 06/10/2012 18:04:52 LIC/341LQL LIS/ LIY/ LIT/ V1N/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D40 06/10/2012 18:05:03 LICBE68577 LIS/TX LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: 3G6 A 06/10/2012 18:10:14 Queries run = QQ.ORU.OLN/369AE4104.1ND/N ENTERED BY: D25 A, 06/10/2012 18:11:34 Name/SEALS,KAYLA DOB/19940511 Race/ Sex/ Hgt/ Wgt/ Hair/ Eye/ OLN/ OLS/ OLY/ OLT/ ENTERED BY: D25 (3, 06/10/201218:11:58 UPDATED BY: D25 @ 06/10/2012 18:27:46 Name/ALTAMIRANO,LORENSO DOB/19800417 Race/ Sex/ Hgt/ Wgt/ Hair/ Eye/ OLN/ OLS/ OLY/ OLT/ ENTERED BY: 3G6 (u) 06/10/201218:17:48 Queries run = QQ.ORU.LICBE68577.LIS/TX.LIT/PC ENTERED BY: D25 (a1106/10/201218:21:06 LIC/341LQL LIS/ LIY/ LIT/ VIN/ 08/07/2014 Page 1 of 2 Version 0411 VCO/ VYR/ VMK/ VMO/ VST/ NEXT ONE UP ENTERED BY: D25 (ii 06/10/2012 18:22:38 Vehicle Towing Number - 12-001687 Towing Company - HAWK - HAWKEYE TOWING Towing Company Responding - Y Vehicle - 341LQL 2001 DODG NEO WH1 Unit Information: Unit ID Officer 1 Times Disp Enrte Arriv Clear Total Destination Trans Trans Mile Mile Start Stop Start Stop 300 06/10/2012 18:02:46 18:03:03 18:04:26 18:09:10 33 301 06/10/2012 18:02:46 18:04:37 33 305 06/10/20I2 18:02:00 18:03:08 18:39:46 37 331 06/10/2012 18:02:00 18:03:20 18:06:18 18:29:42 40 3E4B F3728 06/10/2012 18:04:30 18:05:06 18:43:53 39 3E8B S3737 06/10/2012 18:04:30 18:05:07 18:59:31 55 3G6 U3719 06/10/2012 18:00:53 18:18:41 18:43:17 43 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 08/07/2014 Page 2 of 2 Version 0411 ° '' V ' / —05//'/ MARS "- :r _ yro laveDepartrnerdofTransportation Iowa Department Of lYBf1S(DQiC0tL» ' olficeofodverservrces= INVESTIGATING OFFICERS REPOI P.O. Box 9204 Des Moines, lova 50308-9204 MOTOR VEHICLE ACCIDENT Law Enforcement Case Number W12 -07537th' ' Legal lnterventon?❑ Private Properly? ❑ L Date of Accident 0711912012 Time of Accident 18:40 Hrs. County Black Hawk - 07 Accident occurred within corporate limas of (city) Waterloo - 8155 Location Liters! Description SBIWB DUBUQUE OSAGE RD RD and O C If accident occurred show general vicinity outside of city Emits "NIA" of nearest city "NIA" A On Road, Street, "NIA" or Highway. At Intersection with: "NIA" T i Note: Unless accident lavation from a occurred Man milepost or definable intersection which Is completely described above, use the space below to give the exact intersection, bridge, or railroad crossing, using hvo distances and directions if necessary. X -Coordinate: 00557914 Y-Coordinate:04703737 D N Distance "N/A" Dtrecion "N/A" Distance Direction and "NIA" "NIA" of 11 Dlvtded Highway, (Cardinal) Travel "N/A.' Provide Route Direction Milepost Number "N/A" Definable intersection, bridge, or railroad crossing Or "NIA" Driver's Name - GAINES Last First Middle Suffix Home/Cell Phone LARRY DONEALL Address 409 INDIANA AVE City State Zip WATERLOO IA 50703 Date of Birth 04/2511958 Driver's License 201AD0688 Number Citation Charge Coda 1 Citation Charge 1 321.208-B VIOLATION -FINANCIAL LIABILITY -ACCIDENT Gender Male State IA Class 0 Endorsements NONE Restrictions NONE Molten Charge Code 2 Citation Charge 2 WT/3842.220 FAIL TO YiELD UPON ENTERING THROUGH Caattan HIGHW Alcohol Test Given? 1- None Test Results Drug Given? 1- Test None Test Results: Charge Code 3 Citation Charge 3 321,263 INFORMATION AND AID -LEAVING SCENE Tion Charge Cade 4 Citation Charge 4 OF ACCID U Seating Position 01 Injury Status 5 Occupant Protection9 Airbag Deployment 9 Airbag Switch Status 9 Ejection 1 Ejection Path 1 Trapped 1 N I Transported to: Transported by. T Owner s hams -Leat GAINES Fest LENA Middle VERNICE Suffix Owner Company Name 001 Address INDIANA ST City WATERLOO State 50703 Insurance Co. Name NONE insurance Policy # License 661YXB Plate # State IA Year 2012 VIN No. 102NW12E1(2023ee73 Year 2002 Make Pontiac - PONT Model GRANDAM Style GT 2D Tow NO # Approximate Repair Cost to or Replace Initial Travel Direction 1 Vehicle Action 01 Speed Limit Point Mal of Impact 07 Most Damaged Area 07 Edent of Damage 2 Undsrridel Override 9 Private? ❑ $1,000.00 Total Occupants 1 Traffic Controls 04 Vehicle Cmtftg. 01 Cargo Body _ Type 01 Vehicle Defect 99 Driver Condilon 9 Vision Obscured 99 Contributing Driver C rcumstances, (LIPID Iwo} 13 SEQUENCE OF EVENTS I First Event 21 Second Event Third Event Fourth Event , Most Harmful Event (by vehicle) 21 Commercial Trailer License Plate # Attached Power Unit to State Year Attached to Trailer Unit State Year Emergency Vehicle Type 1 Emergency Status 3 Carrier Name Address Cay State Zip US DOT # or MC # Number Aides of Gross Vehicle Weight Rating Placard 4 Hazardous Materials Released? Driver's Name - SNYDER Last First ERIC Middle MATTHEW Suffix Home/Cell Phone (515) 451-8925 x Address 545 HOME ACRES Cly EVANSDALE State IA 50707 Date of Birth 10/05/1984 Driver's License 3900117505 Number Cilation Charge Code 1 Citation Charge 1 Gender male State IA Class C Endorsements NONE Restrictions NONE Cftation Charge Ccde 2 Citation Charge 2 Alcohol Test Given? 1- None Test Results: i rug Given? 1- Test None Test Results Citation Charge Citation Charge Code 3 4 Citation Charge 3 Citation Charge 4 U Seating Pestilent/9 injury Status 4 Occupant Protectlon6 Airbag Deployment 6 Airbag Switch Status 3 Ejection 4 Ejection Path 1 Trapped 1 N T Transported to: ALLEN Transported b y WATERLOO FIRE - Owner's TSa-Last E ERIC M MATTHEW. Suffix Owner ComparryName Address 002 5,45 H ME ACRES O EVANSDALE IIAtatB 50707 hsura nce Co. Name FARM BUREAU MUTUAL Insurance 7650637 Poky # License Plate 4 State 5276NE IA Year 2012 VW No. 1HFSC22OSMA300982 Year 1991 Make Honda -HOND Modal GL1500A Style MC Tow # YES Approximate RepalrorReplace Cost to Initial Travel Direction 2 Vehicle Action 01 Speed Lknit 55 Point InatalImpact of 02 Most Damaged Area 02 Extent of Damage 5 Underddel Override 9 Private? ❑ $3,000.00 Total Occupants 1 Traffic Controls 01 Vehicle Contg. 14 Cargo Body Type 01 Vehicle Defect 01 Driver Condition 1 Vision Obscured 01 Contributing Ctraunstances, Driver (up to Ivo} 28 SEQUENCE OF EVENTS Fkst Event 21 Second Event Thad Event Fourth Event Most Harmful Event (by vehicle) 21 Commercial Trailer Attached to State Year License Plate # Power Unit Attached to State Year Trailer Unit: Emergency Vehicle Type 1 Emergency Status 3 Carrier Name Address CO State Zip US DOT # or MC 4 Number of Axles Gross Vehicle Weight Rating Placard 4 Hazardous Materials Released? Printed At Waterloo Police Department 07/20/2012 08:09 AM Page 1 Form #: W12-076378 571-0 ACCIDENT ENVIRONMENT Location of First Harmful Event 1 Weather 'ns Manner of Cressh/Collislon 6 (I to' 01 Light Conditions 1 Surface Conditions 1 ROADWAY CHARACTERISTICS Major Contributing CImumstances: Environment 1 Roadway 01 Type of Roadway Junction/Feature 16 WORKZONE RELATED? No Location ( Type Workers Present? SEQUENCE OF EVENTS First Harmful Event of Crash (use codes 11-42 only) 21 • A G R ED Dubuque Rd 82 ft2 ^, r-- #2 • — –#2- tt2 Drage Rd T�� O NARRATIVE Describe what happened (refer to vehicles by number) ON JULY 19, 2012, WATERLOO OFFICERS WERE DISPATCHED TO OSAGE AND DUBUQUE RD FOR A REPORT OF A VEHICLE THAT HAD BEEN INVOLVED IN AN ACCIDENT WITH A MOTORCYCLE. WHILE OFFICERS WERE IN ROUTE TO THE LOCATION, DISPATCH NOTIFIED OFFICERS VEHICLE #1, A WHITE GRAND AM OR GRAND PRIX, HAD LEFT THE SCENE AND BLACK HAWK COUNTY DEPUTIES WERE IN A PURSUIT WITH VEHICLE #1. BLACK HAWK COUNTY DEPUTIES LATER LOCATED VEHICLE #1 AND DRIVER#1 WAS PLACED UNDER ARREST FOR DRIVING WHILE LICENSE SUSPENDED AND ELUDING. OFFICERS ARRIVED ON SCENE OF THE ACCIDENT AND MADE CONTACT WITH WITNESS 1 WHO STATED HE SAW VEHICLE #2 STRIKE A WHITE PONTIAC GRAND AM ON THE DRIVER'S SIDE AT OSAGE AND DUBUQUE RD. WITNESS 1 SAID DRIVER #2 WAS THROWN FROM VEHICLE #2 AND VEHICLE #1 TOOK OFF FROM THE SCENE. WITNESS 1 WAS ON THE INSIDE LANE OF DUBUQUE RD, TRAVELING EAST BEHIND VEHICLE #2 WHEN THE ACCIDENT HAPPENED. WITNESS 1 SAID VEHICLE #1 WAS TRAVELING NORTHWEST FROM OSAGE ONTO DUBUQUE WHEN THE ACCIDENT HAPPENED. OFFICERS MADE CONTACT WITH WITNESS 2 WHO STATED HE SAW VEHICLE #1, A WHITE GRAND AM OR GRAND PRIX, PULL OUT IN FRONT OF VEHICLE #2 AT OSAGE AND DUBUQUE RD. WITNESS 2 SAID VEHICLE #2 STRUCK VEHICLE #1 IN THE DRIVER'S SIDE AND DRIVER #2 WAS THROWN FROM VEHICLE #2. WITNESS 2 TOW OFFICERS VEHICLE #1 THEN LEFT THE SCENE. WITNESS 2 WAS BEHIND VEHICLE #2 WHEN THE ACCIDENT HAPPENED. WITNESS 2 PROCEEDED TO FOLLOW VEHICLE #1 AND EVENTUALLY LOST SIGHT OF VEHICLE #1. OFFICERS MADE CONTACT WITH WITNESS 3 WHO STATED HE SAW VEHICLE #2 STRIKE VEHICLE #1 ON THE DRIVER'S SIDE AFTER VEHICLE #1 PULLED OUT IN FRONT OF VEHICLE #2 FROM OSAGE AND DUBUQUE RD. WITNESS 3 SAID VEHICLE #1 WAS A WHITE GRAND AM THAT DAMAGE TO THE DRIVER'S DOOR FROM THE ACCIDENT. OFFICERS MADE CONTACT WITH WITNESS 4 WHO STATED SHE SAW VEHICLE #1 PULL OUT IN FRONT OF VEHICLE #2 AND VEHICLE #2 STRUCK VEHICLE #1 ON THE DRIVER'S SIDE AT OSAGE AND DUBUQUE RD. WITNESS 4 SAID VEHICLE #1 TOOK OFF FROM THE SCENE AND WAS A WHITE GRAND AM OR GRAND PRIX WITH DAMAGE TO THE DRIVER'S SIDE DOOR. OFFICERS MADE CONTACT WITH WITNESS 5 WHO STATED SHE SAW VEHICLE #1 PULL OUT IN FRONT OF VEHICLE #2. WITNESS 5 SAID AS VEHICLE #1 STARTED THROUGH THE INTERSECTION AT OSAGE AND DUBUQUE RD, VEHICLE #2 STRUCK VEHICLE #1 ON THE DRIVER'S SIDE. WITNESS 5 SAID DRIVER #2 WAS THROWN FROM VEHICLE #2 AND VEHICLE #1 LEFT THE SCENE. OFFICERS MADE CONTACT WITH DRIVER # TALLEN HOSPITAi)AND HE STATED THE LAST THING HE REMEMBER WAS TRAVELING EAST ON DUBUQUE RD WUENA I OFfiHE SUDDEN HE SAWA WHITE VEHICLE PULL OUT IN FRONT OF HIM. DRIVER #2 SAID THE NEXT THING HE REMEMBER WAS LYING IN THE MEDIAN WITH PEOPLE AROUND HIM. DRIVER #2 HAD SMALL ABRASIONS ON HIS HANDS, FACE, ELBOWS, KNEES AND FACE AND COMPLAINED OF RIGHT SHOULDER PAIN. DRIVER #2 WAS WEARING A HELMET THAT SUSTAINED DAMAGE TO THE RIGHT TEMPLE AREA. VEHICLE #1 SUSTAINED DAMAGE TO THE DRIVER'S SIDE DOOR AND A PIECE OF THE FOOT PEDAL FROM VEHICLE #2 WAS STILL STUCK IN THE DRIVER'S DOOR OF VEHICLE #1. Printed At• Waterloo Police Department 07/20/2012 08:09 AM Page 2 Form 0: W12-076378 NARRATIVE 'Describe what happened (refer to vehicles by number) DRIVER #1 WAS CITED FOR INFORMATION AND AID -LEAVING THE SCENE OF ACCIDENT, LIABILITY -ACCIDENT, AND FAIL TO YIELD UPON ENTERING THROUGH HIGHWAY. VEHICLE #2 WAS TOWED FROM THE SCENE. VIOLATION -FINANCIAL w I T N E s s Witness Name - Last BAHR First JOE Middle Suffer Address 212 E MULLAN AVE City WATERLOO State IA Zfp Code Home/Cell Phone # (319) 493-1174 x Work Phone # W I T N E S S Witness Name - Last WRIGHT Rrst RICHARD Middle Suffix Address 921 BURTON AVE City WATERLOO State IA Zip Code Home/Ceti Phone # (319) 232-3329 x Work Phone # w 1 T N E s $ Witness Name - Last PENTECOST First JUSTIN Middle Suffix Address 2010 ST SE City OELWEIN Stale IA Zip Code Home/Cell Phone # (319) 238-3793 x _ Work Phone # w 1 T N E S s Witness Name - Last STEMS Fist CANDY Middle Sudfsc Address 2228 CUNNINGHAM RD City DUNKERTON State IA Zip Code HomeICeI Phone # (319) 827-1914 x Work Phone # w 1 T N E S s WilnessName -Last WOOD First CAROL Middle Suffix Address 420 DUN -IAM PL City WATERLOO State IA Zip Code Home/Cell Phone # (319} 240-8898 x Work Phone # Officer BROWNELL TYLER Badge No. B3727 Time Officer Noted of Accident 1848 Hrs. Time Officer Arrived At Scene 18:48 Hrs. Name of Agency Waterloo Police Department Date of Report 0711912012 Investigallon made al some? Yes T.I. # Report Reviewed By. CAMPBELL, USA Date Reviewed 07/2012012 Agency Specific WATERLOO Other Technical Investigation Agency Printed At Waterloo Police Department 0712012012 08:09 AM Page 3 Form #: W12-076378 WATERLO F LICE DEPARTMENT Call For Service :' ecord Call #: 12075378 Lat: 42.485086 Lon: 0.000000 Police Fire Amb Other Premise: Grid: 26 F503 F503 9999 Location: DUBUQUE RD/ OSAGE AV Beat: E8 35 35 City: WATERLOO St: Zip: CMD Area: P F F Cross Str: Area/Agency: WLPD xWLF bCOV Call Type: MVAPIMOT MVA INJURY MOTORCYCLE/BICYC Priority: 1 1 Reporting Party Information Name: WOOD,CAROL Address: WITNESS City: St: IA Zip: Phone: Cell: (319)240-8896 Work Phone: Disposition: RI RI Disp Desc: REPORT INITIATED Actual Type: MVAPIMOT MVA INJURY MOTORCYCLI by: KNIEF,AMBER DISF via: E9 I I Received: 07/19/2012 ® 18:40:58 Custody: 18:56 Fire Out: Pat Contact: Remarks: - ALL REMARKS ENTERED BY: D44 0 07/19/2012 18:40:58 911 - WPH2 / 07/19 18:40 MOTORCYCLE VS CAR CAR TOOK OFF - WHI CAR ENTERED BY: D16 07/19/201218:41:30 WHI GRAND AM POSS INVOLVED RAN LIGHT AND LSH E BOUND ON DUBUQUE ENTERED BY: D44 0 07/19/2012 18:41:24 WHI CAR HEADED TWDS RAYMOND ON DUBUQUE DRIVER SIDE DOOR DAMAGE ENTERED BY: D44 (a7 07/19/2012 18:41:36 MOTORCYCLIST LOOKS TO BE INJURED RP GOING TO CHECK ENTERED BY: D16 (u 07/19/2012 18:41:52 UPDATED BY: D16 @ 07/19/2012 18:42:00 2ND CALLER CHRIS GARTHOFF PBX 939-49455 ENTERED BY: D44 (a, 07/19/2012 18:42:45 SUBJ RIDING A HARLEY IS FOLLOWING THE RUN VEH ENTERED BY: D44 {a, 07/19/2012 18:43:11 MOTORCYLIST SCRAPES ON FACE AND ELBOW HURT ENTERED BY: D39 (a7 07/19/2012 18:44:55 NEWELL EB ENTERED BY: D39 (4 07/19/2012 18:45:22 NEWELL EB OFF ELK RUN ENTERED BY: D12(7a, 07/19/2012 18:46:42 3E8B Location updated to NEWELL/ELK RUN ENTERED BY: D39 (i 07/19/2012 18:46:43 WHITE GRAND AM POSSIBLY CONTINUED THRU THE FIELD ENTERED BY: D39 (4 07/19/2012 18:47:13 7N67 Location updated to ELK RUN REMINGTON ENTERED BY: D39()a, 07/19/2012 18:47:58 SB ON ELK RUN ENTERED BY: D39 (r i 07/19/2012 18:48:12 UPDATED BY: D12 @ 07/19/2012 19:02:24 LIC/607YSA LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ 08/07/2014 Page 1 of 3 Version 0411 MLK/ELK RUN WAS NOT THE RIGHT VEHICLE ENTERED BY: D39 (4 07/19/2012 18:48:22 NOT RIGHT VEHICLE ENTERED BY: D12(cry 07/19/2012 18:48:49 3E8B Location updated to ELK RUN/MLK W/RUN VEHICLE ENTERED BY: D39 07/19/2012 18:49:03 NOT RIGHT PERSON ENTERED BY: D16 07/19/2012 18:52:01 RUN VEHICLE SHOULD BE A GT COUPE GRAND AM DRIVERS SIDE DAMAGE ENTERED BY: D16 na 07/19/2012 18:52:10 UPDATED BY: D12 @ 07/19/2012 18:57:32 UPDATED BY: D12 UPDATED BY: D12 2DR ENTERED BY: D39 (2 07/19/2012 18:52:33 7S69 Location updated to NEWELL/ELK RUN ENTERED BY: D39 na, 07/19/2012 18:52:44 7N67 Location updated to NEWELL/ELK RUN ENTERED BY: D16 (i 07/19/2012 18:52:47 RP COULDNT TELL IF ANY DAMAGE OR WHERE ENTERED BY: D39 (u) 07/19/2012 18:52:56 CHECKING FIELD ENTERED BY: D39 ii 07/19/2012 18:55:38 7S69 Location updated to EAGLE TANNING ENTERED BY: D12(7a 07/19/2012 18:55:49 3E8B Location updated to EAGLE TANNERY ENTERED BY: D39 (i 07/19/2012 18:55:51 7N67 Location updated to EAGLE TANNERY ENTERED BY: D39 ()a 07/19/2012 18:55:51 3E8B Location updated to EAGLE TANNERY ENTERED BY: D39 (.i 07/19/2012 18:56:13 LIC/661YXB LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D44 (i 07/19/2012 18:57:10 Name/GAINES,LARRY DOB/19580425 Race/ Sex/ Hgt/ Wgt/ Hair/ Eye/ OLN/ OLS/ OLY/ OLT/ ENTERED BY: D44 (i107/19/2012 18:58:56 LIC/5276NE LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D12 na, 07/19/2012 18:59:32 LIC/661 YXB .LIT/STANDARD ***PRIVATE*** OWNER(SNGAINES, LENA VERNICE 409 INDIANA ST WATERLOO IA 50703 LIT/PC DOB/19691001 SOC-OLN/030AA0182 WHI 2002 PONT PONTIAC GRM GRAND AM GT 2D VIN/ 1G2NW12EX2C238673 AUTOMOBILE USE/REGULAR VALCO/BLACKHAWK NO/661YXB10201201 EXP/10-2012 REGISTRATION DATE/2012-02-21 PREV PLATE/923YPD 1'1 ILE DATE/2012-02-21 NO/07AD01417 PREV TITLE CO/ ENTERED BY: D44 (4 07/19/2012 19:00:12 Vehicle Towing Number - 12-002055 @ 07/19/2012 18:57:48 @ 07/19/2012 18:53:48 EARLY 2000 MODEL UPDATED BY: D44 @ 07/19/2012 19:03:07 08/07/2014 Page 2 of 3 Version 0411 Towing Company - CANM - CAN -AM TOWING SERVICE Towing Company Responding - Y Vehicle - IA 5276NE 1991 HON MC BLK ENTERED BY: D44 na 07/19/2012 19:04:41 Vehicle Towing Number - 12-002056 Towing Company - SHEE - SHEETZ TOWING SERVICE Towing Company Responding - Y Vehicle - IA 661YXB 2002 PONT GRM 2D WHI ENTERED BY: 3E3B ra 07/19/2012 19:07:23 Queries run = QQ.OR1/NAM/GAINES,LARRY.DOB/19580425.SEX/M.IND/N ENTERED BY: 3E3B A 07/19/2012 19:09:03 Queries run = QQ.ORU.LIC/N276NE.LIT/MC ENTERED BY: 3E3B (a7 07/19/2012 19:10:23 Queries run = QQ.ORI/.LIC/5276NE.LIT/MC ENTERED BY: 012 (a 07/19/2012 19:23:38 EVIDENCE SEJ7FD 1923 ENTERED BY: D39 (l 2 07/19/2012 19:36:03 3E3B Location updated to ALLEN ENTERED BY: D39 ii, 07/19/2012 19:36:32 313 Location updated to ALLEN HOSPITAL ENTERED BY: D39 ( i 07/19/2012 20:03:15 ELDERLY MALE TOLD 3E3 ABOUT THE SMELL OFC. COULDNT DETECT ANYTHING Unit Information: Unit ID Officer 1 Times Disp Enrte Arriv Clear Total Destination Trans Trans Mile Mile Start Stop Start Stop 305 331 3E3B 3E3B 3E8B 313 3I3 7D60 7N67 7S69 B3727 133727 S3723 03679 D3679 T0681 C4820 H3722 07/19/2012 18:42:26 07/19/2012 18:42:26 07/19/2012 I8:45:06 07/19/2012 20:48:38 07/19/2012 18:44:44 07/19/2012 18:52:19 07/19/2012 19:24:48 07/19/2012 19:03:48 07/19/2012 18:44:44 07/19/2012 18:50:50 18:43:50 18:45:22 19:03:06 18:43:50 18:46:43 19:49:28 18:48:32 20:48:38 21:55:56 18:48:55 19:03:59 18:58:37 19:24:48 20:26:31 19:16:25 18:58:17 20:22:49 18:52:23 19:17:32 51 67 ALLEN 19:02:47 19:08:56 123 JAIL TO DROP OFF VI 2021:47 20:28:33 67 715 PAPERWORK 20:48:38 20:50:03 19 32 TANNERY PHOTOS 19:12:33 19:18:50 62 DUBUOUEADAHO 19:24:48 19:30:34 13 98 JAIL 19:17:36 19:17:40 27 JAIL 1 MALE 19:07:08 19:14:43 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 08/07/2014 Page 3 of 3 Version 0411 MARS 5103 MAL REPORTS TO: Iowa Department of Transportation Office of Diver Services P.O. Box 9204 Des Moines. Iowa 50306-9204 iI01107a epartmerat of Transportation INVESTIGATING OFFICERS REPORT OF MOTOR VEHICLE ACCIDENT Law Enforcement Case Number. W14-050202 L 0 c A T I O N Date of Accident 6/2212014 'Brno of AccMent 11:06 Hrs. County BLACK HAWK - 07 Accident occurred wINn corporate Smits of (city) WATERLOO - 8156 Legal Intervention? ❑ Private Praperti7 1--1 If accident occurred outside of city gnats show general vicinity: "NiA" of nearest city "NIA" On Road, Street, or Highway. "NIA" At Intersection with: .,NIA" Note: unless accident occurred al an intersection which Is completely described above, use the space below to give the exact towton from a milepost or definable intersection, bridge, or railroad crossing, using two distances and directions If necessary. Location Literal Description DUBUQUE RD AND OSAGE RD Distance "NIA" Direction "N/A, Distance and '"NiA" Direction "N/A" ol 6 -Coordinate: 00567914 y-Coordamt01 04703737 Milepost Number "NiA" Or "N/A" Definable intersection. bridge, or railroad crossing 11 Divided Highway, Provide Route (Cardinal) Travel Direction "NIA" u N T 001 Drivers Nerve - Lest TOURNIER First DANIEL middle SR 31me/Ceil Phone 81 Number Address City WATERLOO 800 FULTON ST AStata 60707 Date of Birth 09/3011989 Driver's License Number 160ACT036 Gender MALE Stale IA Class C Endorsements NONE Restrictions NONE Alcohol Test Given? 1 - NONE Test Results: Drug Test Given? 1 -NONE Test Results: Citation Charge Code 1 Citation Charge Code 2 Citation Charge Code 3 Citation Charge Code 4 Citation Charge 1 Citation Charge 2 Citation Charge 3 Citation Charge 4 Sealing Posfion 01 Injury Status 6 Occupant Protection 9 Airbag Deployment 1 Airbag Switch Status 9 Ejection 1 Ejeuxion Path 1 Trapped 1 Transported to: Transported by. Owner's Name - Last TOURNiER 900AFULTON ST Fast DANIEL Middle DIANE Shama JR Owner Company Name WATERLOO State 60707 Insurance Co. Name PROGRESSIVE CASUALTY VIN No. 1FAFP40463F437993 Insurance Policy 21564606 License Pie BZUB02 Year 2003 Make FORD -FORD Modal MUS Style ZD Vehicle Acibn 01 Speed welt 46 Point of initial Impact 01 Most Damaged 01 Area arfttsrrmve Direction 2 Total Occupants 1 SEQUENCE OF EVENTS I First Event 21 Second Event 22 Third Evert Traffic Controls 01 Commercial Trader Attached to License Plate 9 Power Unit Vehicle Contig. 01 Type6 01 Vehicle Defect 99 Extent or Undertfdel Damage 4 Override 1 Tow YES Private? Q Slabs IA Year 2014 Approximate Cost to Repair or Replace $6,000.00 Driver Cond6ion 1 Vision Obecaed 99 Contributing Graumslances. Driver (up to two) 28 Fourth Event Most Harmed Event (by vehicle) 22 State Year Attached to Trager Unit State Year Emergency Vehicle Type 1 Emergency Status 3 Caner Name Address City State Zip US DOT 9 or MC # Number of Axles Gross Vehicle Weight Rating Placard 9 Hamrdcus Materials Released? u N Driver's Name - Lest GARRISON DOROTHY Middle JEAN Suffix HanaCelI Phone Number (319) 416-7826 T 002 Address 214 WASHINGTON ST APT 20 WATERLOO IA to 60701-1404 Date of 05111 02/13/1937 Driver's Lk erase Number 836AA3027 Gender FEMALE Stale to Class C Endorsements NONE Restrictions NONE Citation Charge Code 1 WI73842.220 Citation Charge Code 2 Aloottot Test Given? 1 -NONE Test Results: Drug Test Given? 1 -NONE Test Results: Citation Charge Cade 3 Citation Charge Code 4 (Statione 1 FAiL TO EI.D UPON ENTERING THROUGH HIG Citation charge 2 CttatIori Charge 3 Citation Chews 4 Seating Position 01 imjuuryStalus 4 Occupant Protection 2 Airbag Deployment 6 Airbag Switch Status 9 Ejection 1 Ejection Path 1 Trapped 1 ALLEN M ORIAL Ong WI011RE Owners Name - Lest GARRISON First DOROTHY Middle JEAN SuMPoc Owner Company Name Address 214 WASHINGTON ST APT 20 WATERLOOIA State 60701-1404 Insurance Co. Name AMERICAN FAMILY MUTUAL VIN No. 2C4GP44302R660876 insurance Policy 9 112433620659FPPAIA License Pate 5 28789 State I Year IA 2016 Year 2002 Make CHRYSLER-CHRY Model TOW Slyly VN tnttfal Travel Direcfmrt 1Action Vehicle 01 Speed Limn Total Occupants 2 Traffic Controls Point of MostExtent of Initial Impact OT a Damaged 07 `Damage 4 Vehicle ge� 03 Cargo Body Type Vehicle 99 Underridet Oventde 1 Tote YES Private? Approximate Cost to Repair or Reptece $7,000.00 Driver Vision CondtdObscured on 1 Obsced 99 Contributing Glrcartstances. Driver (up to two) 13 SEQUENCE OF EVENTS I First Event 21 Second Event 22 Third Event Fourth Event Most Harmtui Event (by vehicle) 22 Comrrterdal Trader Attached to License Plate1e Power Unit State Year Attached to Trailer Unit State Year Emergency VoType 1 Emergency Status 3 Cada' Name Address City State aP US DOT 8 or MC Number I Gross Wilde of Axles Weight Rating Placard 9 Hazarclehs Materials Released? Printed At WATERLOO POLICE DEPARTMENT 8/8/2014 10:24 AM Page 1 of 2 Form $: W14-060202 ACCIDENT ENVIRONMENT Location of First Harmful Event 1 Weather Conditions Manner of Crash/Collision 6 (up to two) 01 Light Conditions 1 Surface Conditions 1 ROADWAY CHARACTERISTICS MajorConbibutotg Circumstances Environment 1 Roadway 01 Type of Roadway JunctcoNFoature 11 WORKZONE RELATED? NO Location Type Workers Present? SEQUENCE OF EVENTS First HarmM Evert of Crash (use codas 11-42 only) 21 A A M Date of Report 05/22/2014 tnvesltgafon made at stens? YES OSAOE RD Date Reviewed 0512312014 Agency Specific Oilier Technical Investigation Agency I if LJ I — — )---i — — DUBUQUE RD I t NARRATIVE Describe what happened (refer to vehicles by number) Vehicle #1 was east bound on Dubuque Rd. approaching intersection with Osage Rd. Vehicle #2 was south bound on Osage Rd. approaching intersection with Dubuque Rd. Driver #2 stopped for a stop sign but enter the intersection and was struck by vehicle #1 on the driver's side in the intersection. Driver #2 was cited for entering a through highway. Officer FRISCH TIM Badge No. F3482 Time Officer Refilled of Accident 11:07 Hrs. Time Officer Arrived At Scene 11:10 Hrs. Name of Agency WATERLOO POLICE DEPARTMENT Date of Report 05/22/2014 tnvesltgafon made at stens? YES T.L 4 Report Reviewed By: ROGERS, KEITH Date Reviewed 0512312014 Agency Specific Oilier Technical Investigation Agency Printed At WATERLOO POUCE DEPARTMENT 8/8/2014 10:24 AM Page 2 of 2 Form #: W14-050202 WATERLOO POLICE DEPARTMENT Call For Service Record Call #: 14050202 Premise: Location: DUBUQUE RD/ OSAGE AV City: WATERLOO St: Zip: Cross Str: Call Type: MVAUNK MVA UNKNOWN INJURIES Lat: 42.483513 Lon: 0.000000 Police Grid: 26 Beat: E8 CMD Area: P Area/Agency: WLPD Priority: 2 Fire Amb Other F503 F503 9999 35 35 F F xWLF bCOV Reporting Party Information Name: JACOBMEYER,STEVE Address: City: St: IA Zip: Phone: (319)929-7433 Cell: (319)929-7433 Work Phone: Disposition: RI RI Disp Desc: REPORT INITIATED Actual Type: MVAUNK MVA UNKNOWN INJURIES by: VAN HAUEN,SHERE via: E911 Received: 05/22/2014 @ 11:06:42 Custody: Fire Out: Pat Contact: Remarks: - ALL REMARKS ENTERED BY: D5 aA 05/22/2014 11:06:42 911 - WPH2 / 05/22 11:05 2 VEHICLES ENTERED BY: D5 (i 05/22/2014 11:06:53 AT LEAST 3 VEHICLES ENTERED BY: D5 (u7 05/22/201411:08:12 305 IS THERE BUT ON WRONG SIDE OF TRACKS ENTERED BY: D29 A 05/22/2014 11:08:29 UPDATED BY: D29 @ 05/22/2014 11:08:53 ANOTHER RP TAMMY HARTLY PBX/ 281-886-9061 NOT INVOLVED 2 VEH TBONED ONE MALE INJURED HIS LEG IS UP WALKING/LIMPING AROUND ENTERED BY: D5 (a7 05/22/2014 11:09:18 ALL VEH'S UPRIGHT...PEOPLE UP & ABOUT...WILLADVISE FURTHER ENTERED BY: D11A 05/22/2014 11:14:05 LIC/Z8789 LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D11 A 05/22/2014 11:14:14 LICBZU802 LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D11 (i, 05/22/2014 11:23:24 VAN AT FAULT PER 31(5 ENTERED BY: Dll na 05/22/2014 11:29:37 LICBZU802 .LIT/STANDARD LIT/PC ***PRIVATE*** OWNER(S)/TOURNIER, DANIEL DUANE JR DOB/19890930 SOC-OLN/160AC7035 TOURNIER, CHARLO lib LEE DOB/19310531 SOC-OLN/117AC4957 900 FULTON ST WATERLOO IA 50707-2918 BLU 2003 FORD FORD MUS MUSTANG 2D VIN/ 1FAFP40463F437993 AUTOMOBILE USE/REGULAR 08/07/2014 Page 1 of 2 Version 0411 VAL CO/BLACK HAWK NO/BZU80209201401 EXP/09-2014 REGISTRATION DATE/2014-01-17 PREV PLATE/BTL243 TITLE DATE/2014-01-15 NO/07AD83747 PREV TITLE CO/ NO/ LIEN/CITIZENS COMMUNITY CREDIT UNION 2012 1ST AVE S , FORT DODGE IA 505016704 2014-01-15 07L04597744 ;201405221114/201405221114 C072 200 MESSAGE FROM MVR 084353 ENTERED BY: D11 (u% 05/22/2014 11:29:47 C072. L1C/Z8789 .LIT/DISABLED PERSON ***PRIVATE*** OWNERS)/GARRISON, DOROTHY JEAN 214 WASHINGTON ST APT 205 WATERLOO IA 50701-1404 LIT/DX DOB/19370213 SOC-OLN/836AA3027 GRN 2002 CHRY CHRYSLER TOW TOWN & COUNTRY VN VIN/ 2C4GP44302R660876 MULTI-PURPOSE USE/REGULAR VAL CO/BLACK HAWK NO/Z878902201501 EXP/02-2015 REGISTRATION DATE/2014-01-15 PREV PLATE/Z8789 TITLE DATE/2014-01-15 NO/07AD83393 PREV TITLE CO/ NO/ ;201405221114/201405221114 C072 196 MESSAGE FROM MVR 084302 ENTERED BY: D29 nu 05/22/201411:31:37 Vehicle Towing Number - 14-001729 Towing Company - CANM - CAN -AM TOWING SERVICE Towing Company Responding - Y Vehicle - Z8789 ENTERED BY: 3E7A (a, 05/22/2014 11:36:34 Queries run = QQ.ORi//.LICBZU802.LIT/PC ENTERED BY: D11(ii 05/22/2014 11:50:44 3E7A Location updated to 76 ALLEN Unit Information: Unit ID Officer 1 Times Disp Elute Arriv Clear Total Destination Trans Trans Mile Mile Start Stop Start Stop 2G8 220 05/22/2014 11:07:54 11:10:17 11:45:52 38 0.0 0.0 2L7 212 05/22/2014 11:10:27 11:10:27 12:24:47 74 0.0 0.0 301 05/22/2014 11:08:38 11:08:49 11:11:34 55 0.0 0.0 305 05/22/2014 11:07:18 11:08:01 11:08:55 11:40:00 39 0.0 0.0 331 05/22/2014 11:07:18 11:07:36 11:12:43 11:50:18 116 ALLEN 11:3222 11:41:22 0.0 52 3E7A F3482 05/22/2014 11:07:18 11:10:04 12:59:42 112 0.0 0.0 3E8A H3481 05/22/2014 11:07:33 11:07:33 11:11:11 11:18:45 11 0.0 0.0 3K5 G3576 05/22/2014 11:08:24 11:08:24 11:13:09 11:52:16 44 0.0 0.0 7G51 M8850 05/22/2014 11:08:32 11:08:32 11:12:30 11:52:08 44 0.0 0.0 08/07/2014 Page 2 of 2 Version 0411 MAIL REPORTS To:l©wa Department ant of Transportation ��' !aura Department of Transportation ,,@ ,J_.,. P.O. Boxof 92 4 services "S'_�a b INVESTIGATING OFFICERS REPORT OF P.O. 9204 -�~ Des Moines, lows 50306.9204 _ MOTOR VEHICLE ACCIDENT Law Enfmcament Case Number. W14-050762 Le Intervention? ❑ Private rl �-i1 PropeAy? I_i L Date of Accident 6/23/2014 Time of Accident 18:43 Hrs. County BLACK HAWK - 07 Accident ocpmed within corporate Smits of (city) WATERLOO - 8156 Location Literal Description OSAGE RD AND DUBUQUE p C U accidentocaured outside of city limits show general vicinity: "NiA" of nearest city "WA" RD A T On Road, Street, or Highway: "NiA" At Intersection wlttc "NIA" 1 O Note: Unless accident occurred at an intersection which is completely described above, use Ore space below to give the exact location from a milepost or definable Intersection, bridge, or railroad crossing, using two distances and directions O necessary. X-Coordinate: OD667903 Y•Coordinete:04703740 N Distance Direction Distance Direction "NiA" "NiA" and "N/A" "NiA" of If Divided Highway, (Cardinal) Travel Direction "NiA" Provide Route Milepost Number Definable intersection, bridge, or railroad crossing "NIA' Or "NIA" Ddvefs Name - Last First Middle Suffix Home/Cell Phone HERBERT ALLEN (319) 232-6028 Number pBdE�ASLEY �iy 409 STATE ST WATERLOO IA to 60703-0000 Date of Birth 1112711941 Drivels License Number 668AA0284 Citation Charge Code 1 Citation Che 1 WT/3842.220 FAiL TO YIELD UPON ENTERING THROUGH HIG Gender MALE State IA pass C Endorsements NONE Restrictions B Citation Charge Code 2 Citation Charge 2 Citation Charge Coda 3 Alcohol Test Given? 1-NONE Test Results: Drug Given? 1-NONE Test Test Results: Citation Charge 3 Citation Charge Code 4 Citation Charge 4 U Seating! Poslfion 01 Injury Status 6 Occupant Protection 9 Airbag Deptoymerd 6 Airbag Switch Status 9 Ejection 1 Ejection Path 1 Trapped 1 N I Transported to: Transported by: T OwnefsName-Last BEASLEY First HERBERT Middle ALLEN Suffix Owner Company Name LOU-I STATE ST W TERLOO te IA Zip 60703-0000 Insurance Co. Name PROGRESSIVE CASUALTY - Insurance 102216300 Polley if License 862XHS Plate 0 State IA Year 2014 VIN No. 101JF52T4Y7106258 Year 2000 Make CHEVROLET - CHEV Model CAV Style 40 Tow YES 0 Approximate to Repair Replace Cost or Ideal Travel Direction Vehicle Action 01 Speed limit 30 Point of Initial impact 03 Moat Damaged 03 Area Exent of Damage 3 Underddet 1 Override Private? ❑ $4,000.00 Total Occupants 1 Traffic Controls Q4 Vehicle Coria 01 Cargo Body Type 01 Vehicle Defect 99 Driver Condition 1 Vision Obscured 01 Contributing Driver Circumstances, (up to two) 13 SEQUENCE OF EVENTS 1 First Event 21 Second Event Third Event Fourth Event Most Harmful Event (by vehicle) 21 Conueerdal Trailer Ucense Prete 0 Attached to Power Unit State Year Attached to Trailer Unit State Year Emergency Vehicle Type 1 Emergency Status 3 Carry Name Address • City State Zip US DOT# or MC # Number ofAxtes Grose Vehicle WeightRafing Placard 0 Hazardous Materials Released? SAHR Name - Last CODddta Y TIM Suffix HomeICef Phony Number (319) 951-1999 Ad BLVD WATERLOO Stated iA 60701-0000 Dale of Birth 08/3011996 Drtvefs license 642AG9071 Nicobar Citation Charge Code 1 Citation Charge 1 Gender MALE State IA Class C Endorsements NONE Restrictions Y Citation Charge Coda Citation Charge Code 2 3 Citation Charge 2 Alcohol Test Given? Test Results: 1-NONE Drug Given? 1-NONE Test Test Results: Mallon Charge Cede 4 Marion Charge 3 Citation Charge 4 I j Searing Position 01 Injury Status 6 Occupant Protection 9 Airbag Deployment 9 Airbag Switch Status 9 E7ecton 1 Elfin Path 1 Trapped 1 N I Transported to: Transported by: T OvmefsNS= -Last SAHR Rrst TIMOTHY Middle GEORGE Suffix Owner Company Name 002 A521 HANNA BLVD CWAly TERLOO te IA ZIP 60701-1909 Insurance Co. Name AMERICAN FAMILY MUTUAL Insurance Policy 0 License Plate 0 State 386ZTS iA Year 2016 VIN No. 1G2WP12K0WF203624 Year 1998 Make PON1IAC - PONT Model GRA Style 213 Tay YEs Approximate to Repalr Replace Cost or Initial Travel Dir 2 Vehicle Action 01 Speed limit 55 Point of initial Imps 01 Most Damaged 01 Extent of Damage 1 Underrtdef Override 1 Private? V $4,000.00 TotalTraffic Occupants 3 Controls 01 Vehicle Contig. 01 Cargo Body Type 01 Vehicle Defer 99 Driver Condition 1 Vision Obscured 01 ufng umslsnces. Cod/Riding(2rc Driver (up to two) SEQUENCE OF EVENTS I First Event 21 Second Event Third Event Fourth Event Most Harmful Event (by vandde) 21 Commercial Trailer Attached to Ucense Plata 0 Power Unit State Year Attached to State Year Trailer Unit Emergency Vehicle Type Emergency Status Carry Name Address City State Zip US DOT# or laic# �N r Axles I eight Rating PlacaNO RHERMUTIOUS eleased? Materials Printed At WATERLOO POLICE DEPARTMENT 8/8/2014 10:25 AM Page 1 of 2 Form ft W14-050762 ACCIDENT ENVIRONMENT Location of First Hanntui Event 1 Weather Conditions Warmer of Crash/Collision 6 (UP 10 (M) 01 Light Conditions 1 Surface Conditions 1 ROADWAY CHARACTERISTICS Major Contributing C)rwmstances: Environment 1 Roadway 01 Type of Roadway JundbnlFeature 11 WORKZONE RELATED? NO Location Type Workers Present? SEQUENCE OF EVENTS First Harmful Event of Crash (use codes 11-42 only) 21 D A G R A M N E s i I I r Stale IA by Code 60707 I HolneiCeli Phorm# (319) 883-1261 Work Phone # w rr ( Mangum ) Fast DAN Middle Suffix / / t �� ) / State FA NARRATIVE Describe what happened (refer to vehicles by number) On 5/23/14 at approximately 18:46 hours, I was dispatched to a motor vehicle collision at the intersection of Osage and Dubuque. Upon arrival I made contact with the driver of unit two. The driver of unit two stated that he was heading East on Dubuque when unit one came through the Intersection. Unit one sustained disabling damage in the middle portion of the driver side and unit two sustained disabling damage to the front end. The driver of unit one agreed with this account and added that he could not see unit two when he was crossing Dubuque. Witnesses Wentz and Thorne agreed with this account. Thome was behind unit one when he pulled onto Dubuque Road. The driver of unit one was cited for failure to yield. Ray Mount towed both vehicles. w IT Witness Name - last WENTZ First LAURIE Middle Suffix N E s Address 139 DEARBORN AVE. City WATERLOO Stale IA by Code 60707 S HolneiCeli Phorm# (319) 883-1261 Work Phone # w rr WUress Name - Last THORNE Fast DAN Middle Suffix N s Address 380 WENIA AVE City WATERLOO State FA bp Cade 50707 S Home/Cen phone# (319) 404-7327 Work Phone # Oar HEREID DREW Sedge No. H3736 Time Officer Notified of Accident 18 46 Hrs. Tkas Officer Arrived At Scene 18:48 HIS. Name of Agency WATERLOO POLICE DEPARTMENT Date or Report 05/23/2014 Investigation made atscene? NO T.L# Report Reviewed By. CLARK, ANDREW Date Reviewed 05/2712014 Agency Specific OtherTedtnlcal Investigation Agency Printed AC WATERLOO POLICE DEPARTMENT 8/8/2014 10:25 AM Page 2 of 2 Form 41: W14.050762 WATERLOO POLICE DEPARTMENT Call For Service Record Call #: 14050762 Lat: 0.000000 Lon: 0.000000 Police Fire Amb Other Premise: Grid: 26 F503 F503 9999 Location: DUBUQUE RD/ OSAGE AV Beat: E8 35 35 City: WATERLOO Cross Str: Call Type: MVAPD St: Zip: MVA PROPERTY DAMAGE CMD Area: P F F Area/Agency: WLPD xWLF bCOV Priority: 5 Reporting Party Information Name: DAN Address: City: WATERLOO St: Zip: Phone: Cell: 404-7327 Work Phone: Disposition: RI Disp Desc: REPORT INITIATED Actual Type: MVAPD MVA PROPERTY DAMAGE by: CAMPBELL,JENA-D via: Phone Received: 05123/2014 @ 18:43:00 Custody: Fire Out: Pat Contact: Remarks: - ALL REMARKS ENTERED BY: D39 (2i 05/23/2014 18:43:00 ENTERED BY: D39 (i 05/23/2014 18:43:09 ELDERLY MALE IN 1 CAR ENTERED BY: D41 (i 05/23/2014 18:43:29 IN TRAFFIC ENTERED BY: D39 n. 05/23/2014 18:44:00 NOT ENTRAPPED BUT NOT ABLE TO OPEN DRIVERS DOORS ON THE VEH THAT WAS TBONED ENTERED BY: D44 (4 05/23/2014 18:49:39 UPDATED BY: D44 @ 05/23/2014 18:49:55 LIC/366ZTS LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ LIC/366ZTS .LIT/STANDARD ***PRIVATE*** OWNER(S)/SABR, TIMOTHY GEORGE 521 HANNA BLVD WATERLOO IA 50701-1909 LIT/PC DOB/19630408 SOC-OLN/758YY2508 RED 1998 PONT PONTIAC GRA GRAND PRIX GT 2D VIN/ IG2WP12K0WF203524 AUTOMOBILE USE/REGULAR VAL CO/BLACK HAWK NO/366ZTS04201501 EXP/04-2015 REGISTRATION DATE/2014-05-19 PREV PLATE/354YWZ TITLE DATE/2012-10-17 NO/07AD30594 PREV 1'1'ILE CO/ NO/ ENTERED BY: D44 R. 05/23/2014 18:49:43 LIG/852XIHS LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ LIC/852XHS .LIT/STANDARD ***PRIVATE*** OWNER(S)BEASLEY, HERBERT ALLEN 425 ALLEN ST APT 103 WATERLOO IA 50701-2658 UPDATED BY: D44 @ 05/23/2014 18:50:05 LIT/PC DOB/19411127 SOC-OLN/558AA0284 08/07/2014 Page 1 of 2 Version 0411 TAN 2000 CHEV CHEVROLET CAV CAVALIER LS 4D VIN/ 1GIJF52T4Y7106258 AUTOMOBILE USE/REGULAR VAL CO/BLACK HAWK NO/852XHS 11201401 EXP/11-2014 REGISTRATION DATEJ2014-01-03 PREV PLATE/443AEP TITLE DATE/2010-04-14 NO/07AC24370 PREV TITLE CO/ NO/ ENTERED BY: 3E8B na, 05/23/2014 19:05:49 Queries run = QQ.ORI/.LIC/852XHS.LIT/PC ENTERED BY: D22 (b 05/23/2014 19:14:23 MOUNTS TAKING BOTH VEHS Unit Information: Unit ID Officer 1 Times Disp Enrte Arriv Clear Total Destination Trans Trans Mile Mile Start Stop Start Stop 3E8B H3735 05/23/2014 18:46:55 3 01 B H3736 05/23/2014 18:43:46 18:49:33 19:24:49 38 18:44:01 1 0.0 0.0 0.0 0.0 08/07/2014 Page 2 of 2 Version 0411 MMS MAIL REPORTS TO ~teLew 5103 Iowa Department of Transportation X14 Dow DepartW8 ant of Trea 8Sp®rst9®b9 Office of DriverServtms 1?` P.O. Box9204 -': INVESTIGATING OFFICERS REPORT OF Des Moines, Iowa 50305-9204 MOTOR VEHICLE ACCIDENT Enfetcemenl Case Pksitber W14-077100 Legal❑ Intervention? �c�PrNate❑ L Date of AcddeM 811!2014 Time of Acddenl 14:03 Hrs. County BLACK HAWK - 07 Accident occurred within corporate limits of (cay) WATERLOO - 8155 Location Literal Description DUBUQUE RD AND OSAGE O C Ifacddent occurred showgene/elvidney. outside of city Omits "NIA" ofnearest dly "NiA" RD A T t On Road, Street, „NIA" or Highway: At Intersection with: .NIA.. 1 D Note: Unless accident location from a milepost occurred at an intersection which Is completely described above, use the space below to give the exact or definable intersection. bridge, or railroad crossing, using two distances and directions a necessary. XCoordtnate: 00667814 Y -Coordinate: 04703737 N Distance "NiA" Direction Distance Dtraction NIA" and "NIA" "NiA" of If Divided Highway, (Cardinal) Travel "NIA" Provide Route Medan e Milepost Number "NIA" Definable Intersection, bridge, or railroad crossing Or 'IIIA" Driver's Name - Last TAdY�LssOR First Mlddie Suffix Home/Call Phone RICHARD HAROLD (319) 961-3983 Number 316 WALNUT ST APT 406 WATERLOO te IA 68703-0000 Date of 13111h 05130/1936 Driver's license Number 903ZZ4339 Citation Charge Code 1 elation Charge 1 3842.220 FAiL TO YIELD UPON ENTERING THROUGH HIG Gander MALE State IA Class A Endorsements P Restrictions UM Citation Charge Code 2 Citation Charge 2 Citation Charge Code 3 Citation Charge 3 Alcohol Test Given? 1 -NONE Test Resutls: Drug Given? 1 -NONE Test Test Results: Citation Charge Code 4 Citation Charge 4 U Seating Position 01 bile/ Status 6 Occupant Protection 9 Airbag Deployment 1 Airbag Switch Status 9 Election 1 Election Path 1 Trapped 1 N I Transported to: Transported by. T Owners Name - TAYLOR Leal First RICHARD Middle HAROLD Suffix Owner Company Name 001 33 6 WALNUT ST APT 405 City WATERLOO IAale 60703-0000 Insurance Co. Name ALLIED insurance PPM/10007560497-5 Policy # License 300ZCW Plate # State IA Year 2015 VIN No. 2FMDK4KC2DBB86886 Year 2013 Make FORD - FORD Modal EDGE Style LL Tow YES # Approximate Cost so Repair or Replace Initial Travel Direction 1 Vetdcle Action 01 Speed Limit 25 Paint of InNsi Impact 01 Most Damaged Area 07 Extent of Damage 4 Underside! Overrtda 1 Private? ❑ 35,000.00 Total Occupants 1 Traffic Controls 04 Vehhtle Contig. 04 Cargo Body Type 01 Vehicle Defect 99 _ Driver Condjon 1 Vision Obscured 99 Genlrlbuling Driver Circumstances, (up totwo) 13 SEQUENGE OF EVENTS ( Fief Event 21 Second Event Third Event Frith Evan! Most Harmful Event (by vehicle) 21 Commercial Trailer License Pinta # Attached to Povrer LI& Stale Year Attached to Trailer INC State Year Emergency Vehicle Type 1 Emergency Status 3 Canter Narita Address Clly State Zip US DOT # or MC # Number of Axles Gross Vehicle Walght Raring Placard Kazandmrs Materials Released? Drivels Name - Last NAGELs First MARK JOHN Middla Suffix HcmeiCefl Phone Number (319)) 236-1308 206 cRESTVIEW AVE ry WATERLOO IA ta 59701-0000 Date of Ethel 0528/1957 Driver's License 498X0(8867 Number Citation Charge Coda 1 Citation Charge 1 Gender MALE State IA pass C Endorsemerds L Restrictions NONE Citation Charge Code Citalton Charge Coda 2 3 Citation Charge 2 Citation Charge 3 Alcohol Test Given? 1 - NONE Test Results: Drug Given? 1'- Test NONE Test Resfls: Citation Charge Code 4 Citation Charge 4 U 01 Inpay Stabs 4 ;Ox:upant Protection 1 Airbag Deployment 6 Airbag Switch Status 3 Ejection 1 Ejection Path 1 Trapped 1 (F . TSeatingpooskim AL i( OSPITAL >I�O_FIRE RESCUE T OwrttersNente_last..: NAGEL First MARK JOHN Middle Suffix Owner Company Nanta 002 Addresste 205 CRESTVIEW AVE Cly WATERLOO IIA 60701-0000 insurance Co. Name ALLSTATE insurance Policy # License Plate # 1764MY State IA Year 2015 VIN No, Year 2012 Make rcn.Pr FIR1HDIKBSH7CB861961 FM uwvrvawv Modal FHX Style MC Tow # YES Approximate Cost R Replawl mor Initial Travel Direction 2 Vehicle Acton 01 Speed Lime 45 Point of lathe imps 01 Most Damaged Area 01 Extent of Damage 4 Underddef Override 1 Private? ❑ 56,000,00 Total,Trafc Occupants 1ontig. Canbcts 01 Vetdde 14 Cargo Body Type 01 Vehicle Defect 99 Driver Codon 1 Vision Obscured 99 Con�cing Circumstances, Driver (up to two) 28 SEQUENCE OF EVENTS ( First Ever11 21 Second Event Third Event Fourth Event Most Harmful Event (by vera) 21 Commercial Trailer Attached to State Year Attached to State Year License Plato # Power Unit Trailer Unit Elia sal4 VehtdeType 1 Emergency Status 3 Cartier Name Address City Stale Zip US DOT # or MC # Number of ites Groes VehiclePlacard Weight Rating # Hazardous Materials Released? 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IueA3InJWIRHi11440wawa -I jN3WNOLNW3IN3OIOOV WATERLOO POLICE DEPARTMENT Call For Service Record Call #: 14077100 Lat: 42.466841 Lon: 0.000000 Police Fire Amb Other Premise: Grid: 26 F503 F503 9999 Location: DUBUQUE RD/ OSAGEAV Beat: E8 35 35 City: WATERLOO Cross Str: Call Type: MVAPI St: MVA INJURY Zip: CMD Area: P F F Area/Agency: WLPD xWLF bCOV Priority: 2 2 Reporting Party Information Name: SLJIVO,ADANM Address: City: St: IA Zip: Phone: (319)610-2008 Cell: (319)610-2008 Work Phone: Disposition: AS RI Disp Desc: ASSISTED Actual Type: MVAPI MVA INJURY by: GERMAIN,STACEY- via: E911 Received: 08/01/2014 @ 13:48:08 Custody: Fire Out: Pat Contact: Remarks: - ALL REMARKS ENTERED BY: D29 A 08/01/2014 13:48:09 911 - WPH1 / 08/01 13:47 MOTORCYCLE VS CAR MALE STILL DOWN ENTERED BY: D8 «, 08/01/2014 13:49:01 EVEN,KIM 2314238 WITNESS ENTERED BY: D5(7w 08/01/2014 13:49:18 TRAIN IS JUST GOING ACROSS FRANKLIN ENTERED BY: D7 0 08/01/2014 13:50:02 MC DRIVER UP AND WALKING AROUND BUT BLEEDING ENTERED BY: D5 08/01/2014 13:51:42 DRIVER OF MC HAS CUTS ON HEAD AND BUSTED COLLAR BONE ENTERED BY: D5(7a 08/01/2014 13:51:42 LIC/1754MY LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D5 (ai 08/01/2014 13:52:04 LIC/1754MY .LIT/STANDARD ***PRIVATE*** OWNER(S)/NAGEL, MARK JOHN 205 CRESTVIEW AVE WATERLOO IA 50701-4919 LIT/MC DOB/19570528 SOC-0LN/498XX8867 BLU 2012 HD HARLEY-DAVIDSON FFIX FLHX MC VIM/ IHD1KBM17CB661951 MOTORCYCLE USE/REGULAR VAL CO/BLACK HAWK NO/1754MY05201501 EXP/05-2015 REGISTRATION DATE/2014-04-23 PREV PLATE/ TITLE DATE/2012-04-06 NO/07AD07080 PREV TITLE CO/ NO/ LIEN/VERIDIAN CREDIT UNION 5805 ROCKWELL DR NE , CEDAR RAPIDS IA 5240272012012-04-05 07L03905133 08/07/2014 Page I of 3 Version 0411 ;201408011351/201408011351 ENTERED BY: D5 (a 08/01/2014 13:52:53 LIC/300ZCW LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D29 (ii 08/01/2014 13:52:59 ONE MC DOWN ON GROUND APPEARS TO HAVE HIT THE SIDE OF AN SUV BOTH DRIVERS ARE OUT ENTERED BY: D5 (a 08/01/2014 13:53:05 LIC/ LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ LIC/300ZCW .LIT/STANDARD ***PRIVAI'1r*** OWNER(S)/TAYLOR, RICHARD HAROLD 315 WALNUT ST APT 405 WATERLOO IA 50703-3853 LIT/PC DOB/19350530 SOC-OLN/903ZZ4339 WHI 2013 FORD FORD EDG EDGE LIMITED LL VIN/ 2FMDK4KC2DBB85985 MULTI-PURPOSE USE/REGULAR VAL CO/BLACK HAWK NO/300ZCW05201501 EXP/05-2015 REGISTRATION DATE/2014-07-30 PREV PLATE/ TITLE DATE/2013-05-01 NO/07AD52037 PREV TITLE CO/ NO/ LIEN/FORD MOTOR CREDIT COMPANY 260 INTERSTATE N PKWY NW 12TH , ATLANTA GA 30348 2013-04-30 07L04312200 ENTERED BY: D5 (i 08/01/201413:53:15 WHI 2013 FORD EDGE IS VEH AT FAULT ENTERED BY: D8 (i 08/01/2014 13:56:39 LIC/300ZCW LIS/ LIY/ LIT/ VIN/ VCO/ VYR/ VMK/ VMO/ VST/ ENTERED08/011201413:56:51 LIC/300ZCW .LIT/STANDARD ***PRIVATE*** OWNER(S)/TAYLOR, RICHARD HAROLD 315 WALNUT ST APT 405 WATERLOO IA50703-3853 LIT/PC DOB/19350530 SOC-OLN/903ZZ4339 WHI 2013 FORD FORD EDG EDGE LIMITED LL VIN/ 2FMDK4KC2DBB85985 MULTI-PURPOSE USE/REGULAR VAL CO/BLACK HAWK NO/300ZCW05201501 EXP/05-2015 REGISTRATION DATE/2014-07-30 PREV PLATE/ TITLE DATE/2013-05-01 NO/07AD52037 PREV TITLE CO/ NO/ LIEN/FORD MOTOR. CREDIT COMPANY 260 INTERSTATE N PKWY NW 12TH , ATLANTA GA 30348 2013-04-30 07L04312200 ;201408011356/201408011356 C073 153 MESSAGE FROM MVR ENTERED BY: D8 (r i 08/01/2014 13:58:53 Vehicle Towing Number - 14-002434 Towing Company - CANM - CAN -AM TOWING SERVICE Towing Company Responding - Y Vehicle - IA 1754MY 13 FORD EDG LL WHI ENTERED BY: 3E4A (4 08/01/2014 13:59:43 Queries run = QQ.ORI/.LIC/1754MY.LIT/PC ENTERED BY: D8 (4 08/01/201413:59:44 LIC/1754MY LIS/ LIY/ LIT/ VIN/ 08/07/2014 Page 2 of 3 Version 0411 VCO/ VYR/ VMK/ VMO/ VST/ ENTERED BY: D8 A 08/01/2014 13:59:57 LIC/1754MY .LIT/STANDARD ***PRIVATE*** OWNER(S)/NAGEL, MARK JOHN 205 CRESTVIEW AVE WATERLOO IA 50701-4919 LIT/MC DOB/19570528 SOC-OLN/498XX8867 BLU 2012 HD HARLEY-DAVIDSON FHX FLHX MC VIN/ 1HDIKBM17CB661951 MOTORCYCLE USE/REGULAR VAL CO/BLACK HAWK NO/1754MY05201501 EXP/05-2015 REGISTRATION DATE/2014-04-23 PREV PLATE/ 1111E DATE/2012-04-06 NO/07AD07080 PREV TITLE CO/ NO/ LIENNERIDIAN CREDIT UNION 5805 ROCKWELL DR NE , CEDAR RAPIDS IA 5240272012012-04-05 07L03905133 ;201408011359/201408011359 C073 157 MESSAGE FROM MVR ENTERED BY: 3E4A (i 08/01/2014 14:01:15 Queries run = QQ.ORI/.LIC/1754MY.LIT/PC ENTERED BY: D8 (i 08/01/2014 14:02:21 Vehicle Towing Number - 14-002435 Towing Company - MOUN - RAY MOUNT TOWING Towing Company Responding - Y Vehicle - 1754MY 12 HD MC BLU ENTERED BY: 3E4A 08/01/2014 14:02:58 Queries nm = QQ.ORI/.LIC/300ZCW.LIT/PC ENTERED BY: D5(7a 08/01/2014 14:08:06 BOTH WRECKERS 10-23 Unit Information: Unit ID Officer 1 Times Trans Trans Mile Mile Disp Enrte Arriv Clear Total Destination Start Stop Start Stop 300 08/01/2014 13:50:05 13:50:05 13:53:45 14:05:02 32 0.0 0.0 301 08/01/2014 13:50:05 13:50:05 13:50:11 0 0.0 0.0 301 08/01/2014 13:50:38 13:50:38 13:56:27 32 0.0 0.0 305 08/01/2014 13:49:38 13:50:24 13:52:40 14:18:06 32 0.0 0.0 331 08/01/2014- 13:49:38 13:50:27 13:56:20 14:29:08 60 ALLEN 14:07:20 14:1910 0.0 10.4 3E3A C3597 08/01/2014 13:48:47 13:48:47 13:53:23 14:20:33 32 0.0 0.0 3E4A W3581 08/01/2014 13:48:39 13:50:23 15:15:02 87 7151TRAX 1427:44 14:57:39 0.0 0.0 3E8A B3611 08/01/2014 13:48:39 13:51:34 13:54:08 14:32:51 44 315 WALNUT CT 14:23:47 14:32:48 0.0 0.0 3E8A B3611 08/01/2014 14:32:51 14:40:58 8 ALLEN 14:32:51 14:40:33 0.0 0.0 3K5 G3576 08/01/2014 13:49:06 13:49:06 13:53:28 14:20:57 31 0.0 0.0 08/07/2014 Page 3 of 3 Version 0411 Date Reported Time Call Type Reporting Party Location CFS # Agency Date Reported, CaII Type T Reporting Party TLocation 1 CFS # -- Agency 08/07/2011 02:47:47 MVAPD REFUSED FEMALE DUBUQUE RD/ OSAGE AV 11-079030 WLPD 1 1 ' 10/02/2011 00:48:09 MVAPD CASSIDY DIETZ DUBUQUE RD/ OSAGE AV 11-100693 WLPDiJ N`fl'-- 12/17/2011 12:08:26 MVAPD ICH ', II - • I o • • ERD-I-OSAGE`AV 1-1=128730—WL h = , (- 12/19/2011 06:58:51 MVAROLL ELLIOT,RITA DUBUQUE RD/ OSAGE AV 11-129350 WLPD 02/23/2012 19:49:26 MVAPD KATHY -STREET DEPT DUBUQUE RD/ OSAGE AV 12-019778 WLPD 04/27/2012 15:14:22 MVAUNK US CELLULAR 800-510-6091 DUBUQUE RD/ OSAGE AV 12-043613 WLPD , 12,-.. � , ,. C.' ; st,, 1:2- /:,_,c: ' >j-; 05/17/2012 17:49:07 MVAPD GARY COLE DUBUQt7 RDMSAGE At/ LPD 06/10/2012 18:00:07 MVAPI SEALS,KAYLA DUBUQUE RD/ OSAGEAV 12-060327 WLPD 07/19/2012 18:40:58 MVAPIMOT WOOD,CAROL DUBUQUE RD/ OSAGEAV 12-075378 WLPD 07/29/2012 19:08:58 MVAPD MILLS,CANDICE DUBUQUE RD/ OSAGE AV 12-079220 WLPD, -'�... k,Z: 'Al r 09/17/2012 04:35:16 MVAPD MATTHEW ISLEY DUBUQU 2-097608 WLPD 09/29/2012 22:30:28 MVAPD CARY,AUSTIN DUBUQUE RD/ OSAGE AV 12-102483 WLPD 10/20/2012 23:44:04 MVAUNK LONG,ELTON DUBUQUE RD/ OSAGE AV 12-109742 WLPD 11/19/2012 15:05:39 MVAPD 3L4 DUBUQUE RD/ OSAGE AV 12-119698 WLPD ?, r - , <<, Ir ! "? S 'N (::. 01/09/2013 07:57:18 MVAPD 7Z55 DUSUQUE-RDMSAGE V 1 002605--WL-PD �' k', 02/01/2013 09:30:05 MVAPD NESBIT,RUSS DUBUQUE RD/ OSAGE AV 13-010307 WLPD i',,c. 03/02/2013 18:35:45 MVAPD DUBUQUE RD/ OSAGE AV 13-020841 WLPD � - , ;.o� sr 04/13/2013 01:24:22 MVAUNK DUBUQUE RD/ OSAGE AV 13-035946 WLPD� �i - 05/11/2013 10:36:17 MVAPD MARK, LUBUUUE RD/ OSAGE AV 13-04662 06/14/2013 09:45:53 MVAPD RYNEARSON,SARA DUBUQUE RD/ OSAGE AV 13-059972 WLPD 08/25/2013 20:30:37 MVAPD HAMILTON, DIRK DUBUQUE RD/ OSAGEAV 13-087140 WLPD 't','<, 11/07/2013 22:53:53 MVAPD HARALD BOECK DUBUQUE RD/ OSAGE AV 13-114556 WLPD `'-'_ =1=- .-<',- s��,-_ iv \ r -...:" 12/31/2013 11:11:13 MVAPI PROVIN.,JOHN DUBUQUE RDtOSAGEAV D r 01/10/2014 15:46:17 MVAPD MICHAEL DEAN DUBUQUE RD/ OSAGE AV 14-003101 WLPD 11)•-c,,, 02/18/2014 07:09:07 MVAPI CUMMINGS,KEN DUBUQUE RD/ OSAGE AV 14-016521 WLPD 0:, , _ 05/22/2014 11:06:42 MVAUNK JACOBMEYER,STEVE DUBUQUE RD/ OSAGE AV 14-050202 WLPD ,R7 I 05/23/2014 18:43:00 MVAPD DAN DUB17QGE RD/ OSAGE AV 14050762— ERID--- 08/01/2014 13:48:08 MVAPI SLJIVO,ADANM DUBUQUE RD/ OSAGE AV 14-077100 WLPD 'L