MINNESOTA DEPARTMENT OF PUBLIC SAFETY MOTOR VEHICLE CRASH REPORT. Injuries. Middle LANE UNIT 2 DRIVER. Address BAY LANE

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1 ACN Day Of Week TH URSDAY Date 9/2/218 Road of Occurence HENNEPIN MINNESOTA DEPARTMENT OF PUBLIC SAFETY MOTOR VEHICLE CRASH REPORT Agency Minnetonka Police Dept Report ID MP Vehicles 2 Time 6:53 AM Fatalities Injuries First ERI K Last Name LARSON, I UNIT 1 DRIVER I Male D Female DL Middle LANE Apparently rmal (Including Drugs/Alcohol )... ;... ' ~.- II ~' VIN JTDKB2U Vehicle Color UNKNOWN Vehicle Model PRIUS Vehicle Fire Pulling Unit Plate MI NNESOTA Parked Status Point of Initial Contact REAR RIGHT QUARTER PAN EL Vehicle Maneuver Vehicle PASSENGER CAR Jurisdiction 5543 Status Valid Restriction Recommendations? Address Correct D Violations Physical Conditions Apparently rmal (Including Drugs/Alcohol) OcMv Vehicle Year 212 Pol icy Parked Status D Vehicle Fire Towing Company MATT'S Vehicle Make TOYOTA VIN 4T1 BD1FKXCU44723 Vehicle Model CAMRY #of Passengers Vehicle Color BLUE Tag# 6AM69 Plate M INNESOTA Year Registered 219 Insurance Co. Towed t Towed Policy Towing Company Pulling Unit Most Harmful Event MOVING FORWARD Endorsement Year Registered 219 Insurance Co. Towed Towed Due to Disabling Damage Middle tf.. Vehicle Make TOYOTA Tag# 244MAD I First KOFFI Age Driver's License W /11 / Class D The rma l (t Commercial ) Driver License DL Address Correct D Violations Physical Conditions Vehicle Year 26 Restriction Corrective Lenses Longitude D D D Address 5448 BRYANT AVE N I BROOKLYN CENTER Recommendations? Last Name AKA, UNIT 2 DRIVER I I Male D Female Status Valid Endorsement Jurisdiction Driver's License Z /21/ Class D The rmal (t Commercial) Driver License # of Passengers Private Property Damage? Public Property Damage? Address BAY LANE MINNETONKA I Age OcMv Report Amended? At the Intersection of MINNETON KA BLVD And CSAH 11 Latitude I Hit An d Run? Min netonka Point of Initial Contact FRONT Sequence of Events Vehicle Maneuver ROADWAY SIGN OR SIGN STRUCTURE Vehicle PASSENGER CAR Most Harmful Event Sequence of Events MOVING FORWARD Vehicle Use NORMAL Vehicle Use NORMAL Emergency Use Vehicle Factors NO CLEAR CONTRIBUTING FACTOR Contributing Factors FAILURE TO YIELD RIGHT-OF-WAY Distracted Driving UNKNOWN Emergency Use Vehicle Factors NO CLEAR CONTRIBUTING FACTOR Contributing Factors NO CLEAR CONTR IBUTING ACTION Distracted Driving NOT DISTRACTED... Speeding NOT SPEEDING Speeding NOT SPEEDING D Alcohol Suspected IPed Maneuver D Drug Suspected Ped Maneuver I Direction of Travel SOUTHBOUND Alignment STRAIGHT Roadway Grade LEVE L Traffic Ctrl Status OPERATIONAL Traffic Ctrl D Alcohol Suspected D Drug Suspected I I Direction of Travel EASTBOUND Alignment STRAIGHT Roadway Grade LEVEL Traffic Design Traffic Ctrl Status OPERATIONAL Traffic Ctrl t::::::::::...::_:::.::..:.:~.:::::11 ~.r.~. ~~~1 12:!"~~--~~~~M~.-:::_:_~~~.:=::::=::===..J ~-:.:::.::::::::=:::::::_.::::J ~ ~ ~,.~..~.,~,~ili!~ ~MCD :,:tm~::::::::.::::_::-::-:::-::=---::::-:_:--:j TRAFFIC CONTROL SIGNAL 35 Posted Speed 4 Number of Lanes TWO-WAY. NOT DIV IDED Report By Badge # Department Created Date Submitted By Johnson, Samantha 133 9/2 1/2 18 Date of Print: 9/ :5 PM Version I [Incident Id: ] MINNETONKA TRAFF IC CONTROL SIGNAL Checked By 35 Posted Speed 2 Number of Lanes Date Checked Page 1 of 4

2 Unit 1 Commerclaf Motor Vehicles Onfj Unit 2 Commercial Motor Vehicles Only t-:. Drop 12 Drop 12 D Undercarriage D Undercarriage DAii Areas DAii Areas Dunknown Dunknown Extent of Damage Moderate - Disabling Extent of Damage Moderate - Functional Date of Print: 9/21 /218 3:5 PM Version [Incident Id: ] Page 2 of 4

3 Crash Weather Light Cond. Motor Vehicle in Rain Dark (Street Lights On ) Transport $1+ in Damage Bus Inv. Yes Road Surface Wet Road Circumstances Road Surface Condition (wet, icy, snow, slush, etc.) Manner of Collision Photos Taken On Bridge Ownership of Land Roadway Direction On/Off Trafficway Location Relative to Trafficway Angle Yes Public Property South Trafficway, On Road On Roadway (including alley, driveway, etc.) Location Relative to Intersection Four-Way Intersection Near/In Work Zone of Work Zone NOT APPLICABLE Location Relative to Work Zone Workers Present L.E. Present Involved Persons VEH # Last Name, First, Middle Person Position LARSON.. ERIK LANE Driver Driver (Include Motorcycle Driver) 11/21 /1955 M Eject Airbag Use Injury Transported Ambulance Service t Ejected or Deployed- Apparent Injury Trapped Curtain Run# Restraint And Use Lap and Shoulder Belt Used VEH # Last Name, First, Middle Person Position 2 AKA.. KOFFI Driver Driver (Include Motorcycle Driver) 11/11 /1 988 M Eject Airbag Use Injury Transported Ambulance Service Run# Restraint And Use t Ejected or Trapped Unknown Apparent Injury Unknown LARSON.. ERIK LANE BAY LANE MINNETONKA Person 2 AKA., KOFFI 5448 BRYANT AVE N BROOKLYN CENTER Person Witness Name Damaged Pro~ Agency/Organization HENNEPIN COUNTY Property PUBLIC Property Description SIGNS Yellow Tag# Owned By: COUNTY Date of Print: 9/21 /218 3:5 PM Version I (Incident Id: ] Page 3 of 4

4 UNIT 1 WAS TRAVELING S/B CO RD 11 APPROACHING CO RD 5. UNIT 1 WENT THROUGH THE INTERSECTION AT CO RD 11 AND CO RD 5 AND WHEN HE LOOKED UP AT THE TRAFFIC SIGNAL HE BELIEVED HE HAD A RED LIGHT. UNIT 2 WAS TRAVELING E/B ON CO RD 5 APPROACHING CO RD 11. UNIT 2 DRIVER HAD A GREEN LIGHT. UNIT 1 AND UNIT 2 MADE CONTACT IN THE INTERSECTION. UNIT 1 HAD TO BE TOWED DUE TO DAMAGE. CO RD 11 CORDS Date of Print: 9/21/218 3:5 PM Version [Incident Id: ) Page 4 of 4

5 Report ID MP ACN Road of Occurence Date 9/2/218 Agency Minnetonka Police Dept Day Of Week THURSDAY PLYMOUTH RD Time 8:45 PM MINNESOTA DEPARTMENT OF PUBLIC SAFETY MOTOR VEHICLE CRASH REPORT Vehicles 2 Injuries Fatalities HENNEPIN Minnetonka Hit And Run? D Report Amended? D Private Property Damage? D Public Property Damage? D Latitude Longitude UNIT 1 DRIVER Male D Female PLYMOUTH Last Name RINGSVEN Address 635 WINDEMERE CRV N First NATHAN Middle JAY UNIT 2 DRIVER Male D Female GOLDEN VALLEY Last Name ERICKSON, Address 5645 WESTBROOK RD First DWIGHT Middle JOHN Age Driver's License 9/7/21 Class 17 N D The rmal (t Commercial) Driver License Status Va lid Age Driver's License 3/2/1968 Class 5 X D The rmal (t Commercial) Driver License Status Valid DL Endorsement Restriction Corrective Lenses DL Endorsement Restriction Corrective Lenses Jurisdiction Recommendations? Jurisdiction Recommendations? oe S~~ Physical Conditions D Address Correct Physical Conditions Address Correct Apparently rmal (Including Drugs/Alcohol ) Apparently rmal (Including Drugs/Alcohol) Violations Violations D CMV Vehicle Year Vehicle Make 25 HYUNDAI VIN KM8SC73 35U D CMV Vehicle Year Vehicle Make 212 VOLKSWAGEN VIN WVWMP7 ANSCE5643 Vehicle Model SANTA FE #of Passengers Tag # 344KRK MINNESOTA Plate Vehicle Color UNKNOWN Year Registered 219 Vehicle Model CC SPORT/R-LINE #of Passengers Tag# 838VJV MINNESOTA Plate Vehicle Color UNKNOWN Year Registered 219 Parked Status Insurance Co. Policy Parked Status Insurance Co. Policy Vehicle Fire Pulling Unit Towed t Towed Towing Company Vehicle Fire Pulling Unit Towed t Towed Towing Company Point of Initial Contact FRONT Vehicle Maneuver MOVING FO RWARD Vehicle PASSENGER CAR Most Harmful Event Sequence of Events Point of Initial Contact FRONT LEFT QUARTER PAN EL Vehicle Maneuver TURNING LEFT Vehicle PASSENGER CAR Most Harmful Event Sequence of Events Vehicle Use NORMAL Emergency Use Vehicle Factors VISION OBSCURED Vehicle Use NORMAL Emergency Use Vehicle Factors NO CLEAR CONTRIBUTING FACTOR Contributing Factors FAILURE TO YIELD RIGHT-OF-WAY Distracted Driving NOT DISTRACTED Contributing Factors NO CLEAR CONTRIBUTING ACTION Distracted Driving NOT DISTRACTED Speeding NOT SPEEDING Speeding NOT SPEEDING I Ped Maneuve< D Alcohol Suspected D Drug Suspected IPed Maneuver D Alcohol Suspected D Drug Suspected I I Direction of Travel NORTHBOUND Alignment STRAIGHT Traffic Ctrl Status OPERATIONAL Roadway Grade LEVEL Traffic Ctrl TRAFFIC CONTROL SIGNAL 35 4 Posted Speed Number of Lanes Direction of Travel SOUTH BOUND Alignment STRAIGHT Traffic Ctrl Status OPERATIONAL Roadway Grade LEVEL Traffic Ctrl TRAFFIC CONTROL SIGNAL 4 Posted Speed Number of Lanes Report By Badge # Department Created Date Submitted By Checked By Date Checked PATROL Haedtke, Sheldon 17 MINNETONKA PD 9/2/218 Date of Print: 9/ : 13 PM Version [Incident Id: Page 1 of 4

6 Unit 1 Commercial Motor Vehicles Onlj Unit 2 Commetcial Motor Vehk:Wes Onlj Drop 12 Drop 12 D Undercarriage D Undercarriage DAii Areas 9 3 DAii Areas 9 3 Dunknown Dunknown 6 6 Extent of Damage Minor Extent of Damage Modera te - Disabling Date of Print: 9/2/218 1: 13 PM Version [Incident Id: ) Page 2 of 4

7 Crash Weather Light Cond. $1+ in Damage Bus Inv. Road Surface Road Circumstanc:es Motor Vehicle in Clear Dark (Street Lights On ) Transport Yes Wet Road Surface Condition (wet, icy, snow, slush, etc.) GLARE Manner of Collision Photos Taken On Bridge Ownership of Land Roadway Direction On/Off Trafficway Location Relative to Trafficway Front to Front Public Property t Applicable Trafficway, On Road On Roadway (including alley, driveway, etc.) Location Relative to Intersection Near/In Work Zone of Work Zone Location Relative to Work Zone Workers Present L.E. Present Four-Way Intersection NOT APPLICABLE VEH # Last Name, First, Middle Person Position RINGSVEN, NATHAN JAY Driver Driver (Include Motorcycle Driver) 9/7/21 M Eject Airbag Use Injury Transported Ambulance Service Run# t Ejected or t Apparent Injury Trapped Deployed Restraint And Use Lap and Shoulder Belt Used VEH # Last Name, First, Middle Person Position 2 ERICKSON,, DWIGHT JOHN Driver Driver (Include Motorcycle Driver) 3/2/1968 M Eject Airbag Use Injury Transported Ambulance Service Run# Restraint And Use t Ejected or t Apparent Injury Trapped Deployed Lap and Shoulder Belt Used RINGSVEN., BRIAN J 635 WINDMERE CURVE NO PLYMOUTH Person 2 ERICKSON., DWIGHT JOHN 5645 WESTBROOK RD GOLDEN VALLEY Person 2 ERICKSON., CHRISTNE MARIE-ROSE 5645 WESTBROOK RD GOLDEN VALLEY Person Witness Name Date of Print: 9/2/218 1: 13 PM Version [Incident Id: ] Page 3 of 4

8 TRAFFIC ACCIDENT. VEH 1 GOING NB ON PLYMOUTH ROAD NORTH OF VEH 2 TURNING SB PLYMOUTH RD FROM WB WAYZATA BLVD. DRVR VEH 1 STATED DID NOT SEE RED LIGHT DUE TO GLARE ON THE ROADWAY AND WENT THRUOUGH RED LIGHT, STRIKING VEH 2. VEH 1 HAD MINOR FRONT END DAMAGE, VEH 2 HAD FRONT DRIVERS SIDE DAMAGE AND NEEDED TO BE TOWED. WAYZATA BLV D PL OUTH D Da\e ol Pnn OOJLllt'LOl8 tll:u P M Version [Incident Id: ] Page 4 of 4

9 Report ID ACN Road of Occurence Date 9/2/218 BAKER RD Agency Minnetonka Police Dept Day Of Week THURSDAY Time 7:48 AM MINNESOTA DEPARTMENT OF PUBLIC SAFETY MOTOR VEHICLE CRASH REPORT Vehicles 2 Injuries 1 Fatalities HENNEPIN Minnetonka Hit And Run? D Report Amended? D Private Property Damage? D Public Property Damage? D Latitude Longitude UNIT 1 DRIVER Male D Female WAYZATA Last Name KING Address 385 HIGHCROFT LN First JOSEPH Middle ADAM S UNIT 2 DRIVER Male D Female MINNEAPOLIS Last Name LORENZ, Address 43 UPTON AVE S First STEPHEN Middle JOHN 5545 Age Driver's License 1/4/1 956 Class 61 G D The rmal (t Commercial) Driver License Status Valid Age Driver's License 4/5/1969 Class 49 E D The rmal (t Commercial ) Driver License Status Valid CL Endorsement Restriction CL Endorsement Restriction Corrective Lenses Jurisdiction Recommendations? Jurisdiction Recommendations? Physical Conditions Address Correct Physical Conditions Address Correct Apparently rmal (Including Drugs/Alcohol) Apparently rmal (Including Drugs/Alcohol) D Violations D Violations D CMV Vehicle Year Vehicle Make 214 LEXUS Vehicle Model GX46 # of Passengers Tag # 4BB719 Parked Status MINNESOTA Plate Insurance Co. VIN JT JJM7FX8E Vehicle Color WHITE Year Registered 219 Policy D CMV Vehicle Year Vehicle Make 216 HONDA Vehicle Model CR-V # of Passengers Tag # PELOTON MINNESOTA Plate VIN 5J6RM4H91 GL39933 Vehicle Color BLUE Year Registered 219 Parked Status Insurance Co. Policy D Vehicle Fire Pulling Unit Towed t Towed Towing Company Ovehicle Fire Pulling Unit Towed Towed Due to Disabling Damage Towing Company MATTS Point of Initial Contact FRONT Vehicle Maneuver MOVING FORWARD Vehicle SPORT UTILITY VEHICLE Most Harmful Event Sequence of Events Point of Initial Contact FRONT RIGHT PASSENGER CABIN Vehicle Maneuver TURNING LEFT Vehicle SPORT UTILITY VEH!CLE Most Harmful Event Sequence of Events Vehicle Use NORMAL Emergency Use Vehicle Factors NO CLEAR CONTRIBUTING FACTOR Vehicle Use NORMAL Emergency Use Veh icle Factors NO CLEAR CONTRIBUTING FACTOR Contributing Factors RAN RED LIGHT TOO FAST IN THE RAIN I Ped Maneuve Distracted Driving UNKNOWN Speeding TOO FAST FOR CONDITIONS D Alcohol Suspected D Drug Suspected Contributing Factors FAILURE TO YIELD RIGHT-OF-WAY!Ped Maneuve Distracted Driving UNKNOWN Speeding NOT SPEEDING D Alcohol Suspected D Drug Suspected I I Direction of Travel EASTBOUND Traffic Design TWO-WAY. NOT DIVIDED Alignment STRAIGHT Traffic Ctrl Status OPERATIONAL Roadway Grade LEVEL Traffic Ctrl TRAFFIC CONTROL SIGNAL 3 2 Posted Speed Direction of Travel WESTBOUND Alignment STRAIGHT Roadway Grade LEVEL 3 Posted Speed Number Traffic Design Traffic Ctrl Status Traffic Ctrl 2 Number of Lanes TWO-WAY. NOT DIVIDED OPERATIONAL TRAFFIC CONTROL SIGNAL of Lanes Report By OFFICER Olson, Heather Badge # Department Created Date Submitted By Checked By Date Checked 9/2/218 Date of Print: : 19 PM Version I [Incident Id: ] Page 1 of 4

10 Unit 1 Commercial Motor Vehlcres Onlj Unit 2 Commercial Motor Vehicles Onlj Top 12 Top 12 D Undercarriage D Undercarriage DAii Areas 9 DAii Areas 9 Ounknown Ounknown 6 6 Extent of Damage Moderate - Functional Extent of Damage Severe - Disabling Date of Print: 9/2/218 5:19 PM Version [Incident Id: ] Page 2 of 4

11 Crash Weather Light Cond. Motor Vehicle in Rain Daylight Transport $1+ in Damage Bus Inv. Yes Road Surface Wet Road Circumstances Road Surface Condition (wet, icy, snow, slush, etc.) Manner of Collision Photos Taken On Bridge Ownership of Land Roadway Direction On/Off Trafficway Location Relative to Trafficway Angle Public Property East Trafficway, On Road On Roadway (including alley, dri veway, etc.) Location Relative to Intersection T Intersection Near/In Work Zone of Work Zone NOT APPLICABLE Location Relative to Work Zone Workers Present L.E. Present VEH # Last Name, First, Middle Person Position KING, JOSEPH ADAMS Driver Driver (Include Motorcycle Driver) 1/4/1956 M Eject Airbag Use Injury Transported Ambulance Service t Ejected or t Apparent Injury Trapped Deployed Run# Restraint And Use Lap and Shoulder Belt Used VEH # Last Name, First, Middle Person Position 2 LORENZ,, STEPHEN JOHN Driver Driver (Include Motorcycle Driver) 4/5/1969 M Eject Airbag Use Injury Transported Ambulance Service Run# Restraint And Use t Ejected or Deployed Suspected Serious Injury (A) EMS Ground Trapped Combination HCMC Lap and Shoulder Belt Used KING,, MARY MITCHELL 385 HIGHCROFT LN WAYZATA Person 2 LORENZ,, STEPHEN JOHN 43 UPTON AVES MINNEAPOLIS Person Witness Name Date of Print: 9/2/2185: 19 PM Version [lnciden1 Id: ] Page 3 of 4

12 Vehicle #2 was WB on MTKA BLVD. Vehicle #1 was EB on MTKA BLVD. Light at intersection was yellow. Vehicle #2 was yielding to make a left hand turn. Vehicle #1 was traveling straight through the intersection. Vehicle #2 driver believed that vehicles were slowing to a stop and light was turning red so he made the left turn. Vehicle #1 driver said that the light was yellow and turning red. The driver said that he wasnt going that fast and wasnt able to stop in time. It was raining during the crash and looked to be a factor in why the driver was unable to stop in time to prevent the accident. Driver #2 was transported the hospital via ambulance. Vehicle #2 had heavy side damage to the vehicle. N Minne onka BLVD Date of Print: 9/2/2185:19 PM Version [Incident Id: ] Page 4 of 4

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