Progressive Premier Insurance Company of Illinois v. Singh Budhpheet

IN THE DISTRICT COURT OF OKLAHOMA COUNTY, THE STATE OF OKLAHOMA PROGRESSIVE PREMIER INSURANCE COMPANY OF ILLINOIS Plaintiff, vs. SINGH BUDHPREET Defendant. Case No. CJ-2025-8278 PETITION FOR MONEY DUE IN SUBROGATION COMES NOW the Plaintiff and for its cause of action against the Defendant states as follows: 1. That Plaintiff is a CORPORATION organized and existing under the laws of OHIO. 2. The cause of action herein accrued under the laws of the State of Oklahoma; the Defendant resides in or may be found in OKLAHOMA County, Oklahoma and within the venue of this court. In the alternative, the facts giving rise to the cause of action as stated herein occurred in OKLAHOMA County, Oklahoma and within the venue of this Court. 3. That at all times mentioned, WILLIAM TYLER, hereinafter referred to as 'Insured' was a covered person under the policy and/or was the owner of an automobile insured by Plaintiff. 4. That on or about 11/26/2023, Defendant did negligently, recklessly and/or carelessly operate a motor vehicle and as a result cause a motor vehicle accident resulting in damages to Insured in the amount of $24,729.52. 5. That upon information and belief, Defendant was the owner and/or operator of the vehicle involved in the motor vehicle accident with Insured. 6. That the acts of negligence which were the direct and proximate cause of the injury to Insured may include but are not limited to: a. Failure to exercise the highest degree of care while operating a motor vehicle. b. Failure to maintain lane responsibility. c. Failure to maintain a safe driving distance. d. Failure to yield and/or obey traffic signs or signals. e. Driver inattention f. Failure to keep a proper lookout. g. Careless and/or prohibited driving. 7. That prior to the loss set forth above, Plaintiff had issued to Insured a policy of insurance in which Plaintiff agreed to indemnify Insured against loss or damage to the described property. 8. That by reason of the legal liability imposed on Plaintiff by the policy, Plaintiff was obligated to pay, and did pay to or for the benefit of Insured, the amount of $24,729.52, for damages arising from Defendant’s negligence, as evidenced by the documents attached hereto. 9. That Insured, pursuant to the subrogation provisions of his or her policy, assigned to plaintiff all rights of Insured to recover the amount of loss so paid under the policy and caused by the negligence of Defendant. 10. Pursuant to the SCRA §201(b)(4), Plaintiff declares under penalty of perjury that Defendant SINGH BUDHPREET is/are not in the Armed Forces for the United States, verified on 10/02/2025 via the U.S. Department of Defense website. WHEREFORE, Plaintiff prays that it be subrogated to the rights of Insured as against Defendant, to the extent of all amounts paid under its policy with Insured and for Judgment against Defendant, and for each of them, in the amount of: Amount claimed: $24,729.52; Interest: at the rate of 9.50% per annum from the date of Judgment until paid; All costs herein expended, including but not limited to court costs, sheriff’s fees, and any costs for service of the summons(es). Respectfully submitted, FABER AND BRAND L.L.C. BY: Michael L. Foster OK #20701 Jason P. Gubbins OK #22576 P.O. Box 10110 Columbia, Missouri 65205-4000 (888) 233-3141 (573) 442-1072 FAX [email protected] ATTORNEY FOR PLAINTIFF THIS IS A COMMUNICATION FROM A DEBT COLLECTOR IN AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. F&B Acct. No: 568743 AFFIDAVIT OF ACCOUNT & VERIFICATION OF BUSINESS RECORDS Ohio STATE OF ______________________ COUNTY OF CUYAHOGA Before me, the undersigned authority, personally appeared Kelli A Znidarsic, who, being by me duly sworn deposes and states: I am of sound mind, capable of making this affidavit and personally acquainted with the facts herein stated: I am in charge of the records for PROGRESSIVE PREMIER INSURANCE COMPANY OF ILLINOIS a CORPORATION organized and existing under the laws of the State of OHIO. In such capacity I am the custodian of the business records of such company and attached hereto are the pages of records which are kept and maintained under my control and supervision in the regular course of business by employees or representatives of the company with knowledge of the act, event, condition, opinion, or diagnosis recorded to make the record or transmit information thereof to be included in such record; and the record was made at or near the time of the act, event, condition, opinion or diagnosis. The attached statement of account and supporting documentation are business records of such company so kept, and such statement as well as the various items thereof are within my personal knowledge just, true and correct, and the originals or exact duplicates of the originals and the balance of $24,729.52 shown thereon is due and owing over and above all payments, credits and set offs, plus interest at the Judgment rate, per annum from the date of Judgment until paid in full, by SINGH BUDHPREET to such company. Charges for the above referenced services are reasonable, and the services were necessary. To the best of my knowledge and belief, the Defendant(s), SINGH BUDHPREET, is/are not on active duty in the Armed Forces for the United States nor any branch thereof. Defendant(s) is/are not an infant or incompetent person. Kelli Znidarsic In witness whereof I have hereunto subscribed my name and affixed my official seal the 8th day of October, 2025. My commission Expires: 03/19/2028 Notarial Act performed by Audio-Video Communication. Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial 6 Pedestrians 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Location 900 feet (Approximated) North of INTERSTATE 40 WB and E RENO AVE County Oklahoma City Oklahoma City Latitude 35.46651 Longitude -97.46354 Date of Collision 11/26/2023 Day of Week SUNDAY Time of Collision 01:05 Date of Report 11/26/2023 Locality Business Unit 1 # Occup 1 Last Name UNKNOWN First Name UNKNOWN SFX Hit and Run Non Contact Address 9 Phone # Country City State Zip Date of Birth Age Sex DLN DL Status Injury Severity (0) No Apparent Injury Injury Area Unknown Condition Unknown Restraint Systems Air Bag Not Deployed Ejected Not Ejected Extincted No Phone in Use NO Endorsements Alcohol Suspected Test Status Test Not Given Alcohol Method Pending Drug Use Suspected Test Status Drug Not Given Drug Test Results Pending Citation # Description Arrested Owner Information Driver is Owner Owner Last Name TURCI First Name CHARLES Owner Address (Street, City, State, Zip) Vehicle Information Year 2001 Make MERCURY Model Grand Marquis VIN 7306 Color Gold Plate # Insurance Company PROGRESSIVE INSURANCE Insurance Phone # Policy # Unit 2 # Occup 1 Last Name SCHRITTER First Name GERALD SFX Hit and Run Non Contact Address Phone # Country City State Zip Date of Birth Age Sex DLN DL Status Injury Severity (0) No Apparent Injury Injury Area Condition Apparently Normal Restraint Systems Air Bag Not Deployed Shoulder and Lap Belt Used Not Deployed Ejected Not Ejected Extincted No Phone in Use NO Endorsements Alcohol Suspected Test Status Test Not Given Alcohol Method Pending Drug Use Suspected Test Status Drug Not Given Drug Test Results Pending Citation # Description Arrested Owner Information Driver is Owner Owner Last Name First Name Owner Address (Street, City, State, Zip) Vehicle Information Year 2007 Make GMC Model Sierra VIN 890 Color White Plate State OK Plate Exp. 7/2024 Insurance Company PROGRESSIVE Insurance Phone # Policy # Towed Due to Disabling Damage INTERSTATE TOWING Removed By INTERSTATE TOWING Contributing Circumstance None Visibility Obscured By Unknown Driver Distracted By Unknown Traffic Control Device No Controls Traffic Controls Functional No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Contributing Factor 2 Negotiating a Curve Pre-Crash Action Surface Type Concrete Speed Involved NO Rolling NO Burned NO Extent of Damage None None Disabled Damage NO Traffic Way Two-Way - Divided - Positive Median Barrier Alignment Curve Left Downhill Grade 2 Total Lanes 60 Legal Speed Most Damaged Area No Damage Top Undercarriage All Areas Not at Scene Most Harmful Event Concrete Traffic Barrier Sequence of Events Concrete Traffic Barrier, Parked Motor Vehicle Towed Due to Disabling Damage ARROW WRECKER Removed By ARROW WRECKER Contributing Circumstance None Visibility Obscured By Unknown Driver Distracted By Not Distracted Traffic Control Device No Controls Traffic Controls Functional No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Contributing Factor 2 Negotiating a Curve Pre-Crash Action Surface Type Concrete Speed Involved NO Rolling NO Extent of Damage None Disabled Damage NO Traffic Way Two-Way - Divided - Positive Median Barrier Alignment Curve Left Downhill Grade 2 Total Lanes 60 Legal Speed Most Damaged Area No Damage Top Undercarriage All Areas Not at Scene Sequence of Events Jackknife Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial 6 Pedestrians 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit 3 # Occupant 1 Last Name BUDHPREET First Name SINGH MI SFX Phone # 5307178091 Country USA City ELK GROVE State CA Zip 95758 Date of Birth 09/13/1995 Age 28 Sex M DL Status Valid License DLN Y5694851 DL State CA Class A Condition Apparently Normal Air Bag Not Deployed Not Ejected Ejected Not Ejected Not Extricated Phone in Use NO Unit 4 # Occupant 1 Last Name PARMLEY First Name HAROLD Phone # 8706362651 Country USA City WEST MEMPHIS State AR Zip 72301 Date of Birth 11/21/1959 Age 64 Sex M DL Status Valid License DLN 913059250 DL State AR Class A Condition Apparently Normal Air Bag Not Deployed Not Ejected Ejected Not Ejected Not Extricated Phone in Use NO Owner Information Driver is Owner Business Name KANDOLA TRANS INC Business Address 6916 GRASSY KNOB ST BAKERSFIELD, CA 93313 Vehicle Information Year 2022 Make PETERBILT Model 579 VIN [REDACTED] Color Red Plate # [REDACTED] Plate Exp 1/2024 Insurance Company ACCORD INSURANCE Insurance Phone # 2094742771 Policy # Truck Tractor** Special Function No Special Function Towed Due to Disabling Damage ARROW WRECKER Removal Location ARROW WRECKER Removed By ARROW WRECKER Contributing Circumstance None Visibility Obscured By Not Applicable Driver Distracted By Not Distracted Traffic Control Functional No Controls Traffic Control Device No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Non-Collision Contributing Factor 2 Negotiating a Curve Surface Type Concrete Speed Involved NO Rolled NO Burned NO Direction West Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area All Areas Sequence of Events Concrete Traffic Barrier, Jackknife, Parked Motor Vehicle Owner Information Driver is Owner Business Name HEARTLAND EXPRESS INC OF IOWA Business Address 901 HEARTLAND WAY NORTH LIBERTY, IA 52317 Vehicle Information Year 2022 Make FREIGHTLINER Model New Cascadia 126" SleeperCab VIN [REDACTED] Color White Plate # [REDACTED] Plate State IA Plate Exp 3/2024 Insurance Company PROTECTIVE INSURANCE Insurance Phone # 3196263389 Policy # Truck Tractor** Special Function No Special Function Towed Due to Disabling Damage ARROW WRECKER Removal Location ARROW WRECKER Removed By ARROW WRECKER Contributing Circumstance None Visibility Obscured By Not Applicable Driver Distracted By Not Distracted Traffic Control Functional No Controls Traffic Control Device No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Non-Collision Contributing Factor 2 Negotiating a Curve Surface Type Concrete Speed Involved NO Rolled NO Burned NO Direction West Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area All Areas Sequence of Events Concrete Traffic Barrier, Parked Motor Vehicle Oklahoma Official Collision Report Type: Crash Vehicles: 19 Commercial: 6 Pedestrians: 0 Pedalcyclists: 0 Injuries: 3 Fatalities: 0 Unit 5 Hit and Run: Non Contact Last Name: JOHNSON First Name: DANTE Address: 605 SW 119th St Apt 4104 Phone #: 4054316686 City: Oklahoma City State Zip: OK 73170 Date of Birth: 01/04/2002 Age: 21 Sex: M DLN: E084071902 DL State: OK DL Class: Regular License/Class D DL Status: Valid License Injury Severity: (0) No Apparent Injury Injury Area: Air Bag Condition: Apparently Normal Restraint Systems: Shoulder and Lap Belt Used Air Bag: Not Deployed Released: Not Ejected Extracted: No Phone in Use: NO Endorsements Restrictions Alcohol Suspected: NO Test Status: Test Not Given Alcohol Method: Pending RAC: Pending Drug Use Suspected: NO Test Status: Test Not Given Drug Method: Pending Drug Test Results: Pending Owner Information Driver is Owner: Yes Owner Last Name: WERNER Owner First Name: DEBORAH Owner Address (Street, City, State, Zip): 3226 LINDSAY LN SE CEDAR RAPIDS, IA 52403 Unit 6 Hit and Run: Non Contact Last Name: WERNER First Name: MORGAN Phone #: 6206551743 Address: 3226 LINDSAY LN SE City: CEDAR RAPIDS State Zip: IA 52403 Date of Birth: 07/27/2001 Age: 22 Sex: F DLN: 741AX8579 DL State: IA DL Class: Class C DL Status: Valid License Injury Severity: (8) Suspected Minor Injury Injury Area: Unspecified Condition: Apparently Normal Restraint Systems: Shoulder and Lap Belt Used Air Bag: Not Deployed Released: Not Ejected Extracted: No Phone in Use: NO Endorsements Restrictions Alcohol Suspected: NO Test Status: Test Not Given Alcohol Method: Pending RAC: Pending Drug Use Suspected: NO Test Status: Test Not Given Drug Method: Pending Drug Test Results: Pending Owner Information Driver is Owner: Yes Owner Last Name: WERNER Owner First Name: DEBORAH Owner Address (Street, City, State, Zip): 3226 LINDSAY LN SE CEDAR RAPIDS, IA 52403 Vehicle Information Year: 2019 Make: HONDA Model: Civic VIN: [Redacted] Color: Gray Plate #: [Redacted] Plate State: OK Plate Exp: 10/2023 Insurance Company: PROGRESSIVE Insurance Phone #: 0000000000 Policy #: 970067570 Vehicle Configuration: Passenger Car Special Function: No Special Function Vehicle Removal: Towed Due to Disabling Damage Removal Location: 5-STAR TOWING Removed By: 5-STAR TOWING Contributing Circumstance: None Visibility Obscured By: Not Applicable Driver Distracted By: Not Distracted Traffic Control Device: No Controls Traffic Controls Functional: No Controls Contributing Factor 1: Unsafe Speed - For Ice or Snow on Roadway Contributing Factor 2: Pre-Crash Action: Negotiating a Curve Extent of Damage: Concrete Surface Type Speed Involved: NO Rolled: NO Burned: NO Direction: West Alignment: Curve Left Grade: Downhill Total Lanes: 2 Legal Speed: 60 Most Damaged Area: All Areas Point of Initial Contact: Top Disabling Damage: Cargo Loss Not at Scene Alignment: Curve Left Grade: Downhill Total Lanes: 2 Legal Speed: 60 Most Damaged Area: Top Sequence of Events: Concrete Traffic Barrier Owner Information Driver is Owner: Yes Owner Last Name: WERNER Owner First Name: DEBORAH Owner Address (Street, City, State, Zip): 3226 LINDSAY LN SE CEDAR RAPIDS, IA 52403 Vehicle Information Year: 2020 Make: SUBARU Model: Forester VIN: [Redacted] Color: Green Plate #: [Redacted] Plate State: IA Plate Exp: 12/2024 Insurance Company: [Redacted] Insurance Phone #: [Redacted] Policy #: [Redacted] Vehicle Configuration: (Sport) Utility Vehicle Special Function: No Special Function Vehicle Removal: Towed Due to Disabling Damage Removal Location: 5-STAR TOWING Removed By: 5-STAR TOWING Contributing Circumstance: None Visibility Obscured By: Not Applicable Driver Distracted By: Not Distracted Traffic Control Device: No Controls Traffic Controls Functional: No Controls Contributing Factor 1: Unsafe Speed - For Ice or Snow on Roadway Contributing Factor 2: Pre-Crash Action: Negotiating a Curve Extent of Damage: Concrete Surface Type Speed Involved: NO Rolled: NO Burned: NO Direction: West Alignment: Curve Left Grade: Downhill Total Lanes: 2 Legal Speed: 60 Most Damaged Area: Top Sequence of Events: Parked Motor Vehicle Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial 6 Pedestrians 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit 7 # Occurs 3 Last Name TYLER First Name WILLIAM Phone # 5054638714 Country USA City LAVONIA Stat GA Zip 30553 Date of Birth 09/18/1966 Age 57 Sex M DLN 050581006 DL State GA DL Class Class C DL Status Valid License Injury Severity (O) No Apparent Injury Injury Area Air Bag Condition Apparently Normal Restraint Systems Unknown Shoulder and Lap Belt Used Not Deployed Ejected Not Ejected Extracted No Phone In Use NO Alcohol Suspended NO Test Status Test Not Given Alcohol Method BAC Pending No Drug Use Suspended NO Test Status Test Not Given Drug Method Drug Test Results Pending Owner Information Driver is Owner Owner Last Name First Name MI SFX Owner Address Vehicle Information Year 2016 Make RAM Model 2500 VIN [Redacted] Color Gray Plate # [Redacted] Plate Exp 9/2024 Insurance Company PROGRESSIVE INSURANCE Insurance Phone # [Redacted] Policy # [Redacted] Vehicle Comp Type Pickup Special Function No Special Function Towed Due to Disabling Damage CAR-CAB Removed By CAR-CAB Contributing Circumstance None Visibility Obscured By Not Applicable Not Distracted Traffic Control Device No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Non-Collision 12 Top 1 Undercarriage 10 Cargo Loss 2 Not at Scene 7 Unknown 5 Pre-Crash Action Negotiating a Curve Surface Type Concrete Speed Involved NO Rolled NO Burned NO Trajectory Two-Way - Divided - Positive Median Barrier Direction West Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area No Damage 11 Top 10 Undercarriage 9 All Areas 8 Not at Scene 7 Sequence of Events Jackknife, Parked Motor Vehicle Unit 8 # Occupants 1 Last Name UNKNOWN First Name UNKNOWN Phone # Country USA City State Zip Date of Birth 01/01/2001 Age 22 Sex U DLN DL State DL Class Regular License/Class D DL Status Injury Severity (O) No Apparent Injury Injury Area Unknown Condition Unknown Restraint Systems Unknown Air Bag Not Deployed Ejected Not Ejected Extracted No Phone In Use NO Alcohol Suspended NO Test Status Test Not Given Alcohol Method BAC Pending Drug Use Suspended NO Test Status Test Not Given Drug Method Drug Test Results Pending Owner Information Driver is Owner Owner Last Name JIMBOY First Name BENNY Owner Address Vehicle Information Year 2008 Make FORD Model F-150 VIN 3642 Color Black Plate # Plate State OK Plate Exp 4/2023 Insurance Company Insurance Phone # Policy # Vehicle Comp Type Pickup Special Function No Special Function Towed Due to Disabling Damage Removal Location Removed By 5-STAR TOWING Contributing Circumstance None Visibility Obscured By Unknown Driver Distracted By Unknown Traffic Control Device No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Non-Collision 12 Top 1 Undercarriage 10 Cargo Loss 2 Not at Scene 7 Unknown 5 Pre-Crash Action Negotiating a Curve Surface Type Concrete Speed Involved NO Rolled NO Burned NO Trajectory Two-Way - Divided - Positive Median Barrier Direction West Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area No Damage 11 Top 10 Undercarriage 9 All Areas 8 Not at Scene 7 Sequence of Events Concrete Traffic Barrier, Parked Motor Vehicle Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial 6 Pedestrians 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit 9 # Occupant 1 Last Name UNKNOWN First Name UNKNOWN Country USA City 9 State Zip Date of Birth 01/01/2001 Age 22 Sex U DLN Regular License/Class D DL Status Expired Injury Severity (O) No Apparent Injury Restraint Systems Air Bag Unknown Not Deployed Ejected No Not Ejected Yes Endorsements Alcohol Suspected Test Status NO Test Not Given Drug Use Suspected Test Status NO Test Not Given Citation # Description Owner Information Driver is Owner MIDWEST CAR AND TRUCK SALES LLC Business Address 5 SE 29TH ST Oklahoma City, OK 73129 Year 2004 Make NISSAN Model Murano VIN [redacted] 5850 Color Silver Plate # NONE Plate State OK Plate Exp Insurance Company [redacted] Insurance Phone # Policy # Vehicle Configuration (Sport) Utility Vehicle Special Function No Special Function Removed By Towed Due to Disabling Damage 5-STAR TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE TOWING Removed By Towed Due to Disabling Damage INTERSTATE TOWING Removed Location Removal Location INTERSTATE Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial 6 Pedestrians 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit 11 Unit Occurs 1 Last Name MOODY First Name DEWAYNE MI SFX Hit and Run Non Contact Address [REDACTED] Phone # [REDACTED] County City State Zip Date of Birth Age Sex DLN [REDACTED] DL State MS DL Class Class A DL Status Valid License Injury Severity (O) No Apparent Injury Injury Area Air Bag Condition Apparently Normal Restraint Systems Shoulder and Lap Belt Used Not Deployed Ejected Not Ejected Extracted No Phone In Use NO Alcohol Suspected No Test Status Test Not Given Alcohol Method BAC Pending Drug Use Suspected No Test Status Test Not Given Drug Method Drug Test Results Pending Citation # Description Arrested Restrictions: Owner Information Driver is Owner Business Name DOBBS TRUCKING LLC Address 1413 CR 86 NEW ALBANY, MS 38652 Vehicle Information Year 2015 Make FREIGHTLINER Model Cascadia VIN [REDACTED] 3671 Color Black Plate # Plate State MS Plate Exp 10/2024 Insurance Company SOUTHERN INSURANCE SPECIALIST Truck Tractor** Special Function No Special Function Towed Due to Disabling Damage INTERSTATE TOWING Removal by INTERSTATE TOWING Contributing Circumstances None Visibility Obscurred By Unknown Driver Distracted By Unknown Traffic Control Device No Controls Unsafe Speed - For Ice or Snow on Roadway Pre-Crash Action Negotiating a Curve Extent of Damage Disabled Damage Concrete Surface Type Concrete Speed Involved NO Crash Result NO Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area No Damage Top Undercamage All Areas Not at Scene Sequence of Events Jackknife, Concrete Traffic Barrier, Parked Motor Vehicle Unit 12 Unit Occurs 1 Last Name BAIRD First Name SADIE MI SFX Hit and Run Non Contact Address [REDACTED] Phone # [REDACTED] County City State Zip Date of Birth Age Sex DLN [REDACTED] DL State KS DL Class Regular License/Class D DL Status Valid License Injury Severity (B) Suspected Minor Injury Injury Area Air Bag Condition Apparently Normal Restraint Systems Shoulder and Lap Belt Used Not Deployed Ejected Not Ejected Extracted No Phone In Use NO Alcohol Suspected No Test Status Test Not Given Alcohol Method BAC Pending Drug Use Suspected No Test Status Test Not Given Drug Method Drug Test Results Pending Citation # Description Arrested Restrictions: Owner Information Driver is Owner Owner Last Name [REDACTED] Owner First Name [REDACTED] Driver Address [REDACTED] Vehicle Information Year 2013 Make FORD Model Edge VIN [REDACTED] 4820 Color White Plate # Plate State KS Plate Exp 4/2024 Insurance Company STATE FARM Insurance Phone # 0000000000 Policy # Vehicle Configuration (Sport) Utility Vehicle Special Function No Special Function Towed Due to Disabling Damage 5-STAR TOWING Removal by 5-STAR TOWING Contributing Circumstances None Visibility Obscurred By Not Applicable Driver Distracted By Not Distracted Traffic Control Device No Controls Unsafe Speed - For Ice or Snow on Roadway Pre-Crash Action Negotiating a Curve Extent of Damage Disabled Damage Concrete Surface Type Concrete Speed Involved NO Crash Result NO Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area No Damage Top Undercamage All Areas Not at Scene Sequence of Events Concrete Traffic Barrier Oklahoma Official Collision Report Type: Crash Vehicles: 19 Commercial: 6 Pedestrians: 0 Pedalcyclists: 0 Injuries: 3 Fatalities: 0 Unit 13 # Occup: 1 Last Name: UNKNOWN First Name: UNKNOWN Address: 9 Country: USA State: OK DLN: DL State: DL Class: Regular License/Class D DL Status: Injury Severity: (O) No Apparent Injury Condition: Unknown Restraint Systems: Unknown Air Bag: Not Deployed Ejected: Not Ejected Not Ejected: Endorsements: Alcohol Suspected: NO Test Status: Test Not Given Alcohol Method: BAC: Pending: Drug Use Suspected: NO Test Status: Test Not Given Drug Method: Drug Test Results: Pending: Citation #: Description: Owner Information Driver is Owner: Owner Last Name: WHITE First Name: BRENT Owner Address (Street, City, State, Zip): 112 CUYLER DR Shawnee, OK 74804 Vehicle Information Year: 2012 Make: CHEVROLET Model: Malibu VIN: Color: Gray Plate #: Plate State: OK Plate Exp: 7/2024 Insurance Company: USAA Insurance Phone #: 0000000000 Policy #: 0145393757103 Vehicle Configuration: Passenger Car Special Function: No Special Function Vehicle Removal: Towed Due to Disabling Damage: Removal Location: 5-STAR TOWING Removed By: 5-STAR TOWING Contributing Circumstance: None Visibility Obscured By: Unknown Traffic Control Device: No Controls Traffic Controls Functional: No Controls Contributing Factor 1: Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact: Contributing Factor 2: Pre-Crash Action: Negotiating a Curve Extent of Damage: Disabling Damage Surface Type: Concrete Speed Involved: NO Rolling: NO Burned: NO Cargo Loss: Not at Scene: Unknown: Trafficway: Two-Way - Divided - Positive Median Barrier Direction: West Alignment: Curve Left Grade: Downhill Total Lanes: 2 Legal Speed: 60 Most Damaged Area: Most Harmful Event: Concrete Traffic Barrier Sequence of Events: Concrete Traffic Barrier Unit 14 # Occup: 1 Last Name: PACE First Name: GIOVANNI Address: Country: State: Zip: Date of Birth: Age: Sex: County: City: DLN: DL State: CT DL Class: Regular License/Class D DL Status: Valid License Injury Severity: (O) No Apparent Injury Condition: Apparently Normal Restraint Systems: Shoulder and Lap Belt Used Air Bag: Not Deployed Ejected: Not Ejected: Extricated: No Phone In Use: NO Endorsements: Restrictions: Alcohol Suspected: NO Test Status: Test Not Given Alcohol Method: BAC: Pending: Drug Use Suspected: NO Test Status: Test Not Given Drug Method: Drug Test Results: Pending: Citation #: Description: Owner Information Driver is Owner: Owner Last Name: First Name: Owner Address (Street, City, State, Zip): Vehicle Information Year: 2012 Make: HYUNDAI Model: Genesis VIN: 3778 Color: Gray Plate #: Plate State: OK Plate Exp: 3/2024 Insurance Company: USAA Insurance Phone #: 0000000000 Policy #: 0529572567105 Vehicle Configuration: Passenger Car Special Function: No Special Function Vehicle Removal: Towed Due to Disabling Damage: Removal Location: SUPER-MOTOR Removed By: SUPER-MOTOR Contributing Circumstance: None Visibility Obscured By: Driver Distracted By: Not Distracted Traffic Control Device: No Controls Traffic Controls Functional: No Controls Contributing Factor 1: Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact: Contributing Factor 2: Pre-Crash Action: Negotiating a Curve Extent of Damage: Disabling Damage Surface Type: Concrete Speed Involved: NO Rolling: NO Burned: NO Cargo Loss: Not at Scene: Unknown: Trafficway: Two-Way - Divided - Positive Median Barrier Direction: West Alignment: Curve Left Grade: Downhill Total Lanes: 2 Legal Speed: 60 Most Damaged Area: Most Harmful Event: Parked Motor Vehicle Sequence of Events: Parked Motor Vehicle Oklahoma Official Collision Report Type Crash Vehicles Commercial 19 Pedestrians 6 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit 15 # Occur 1 Last Name MCCULLEY First Name KEVIN MI SFX Hit and Run Non Contact Address [Redacted] Phone # Country City Date of Birth Age Sex DLN DL State DL Class DL Status Injury Severity (O) No Apparent Injury Injury Area Condition Apparently Normal Restraint Systems Air Bag Not Deployed Shoulder and Lap Belt Used Not Ejected Extracted No Phone in Use NO Endorsements Restrictions Alcohol Suspended Test Status NO Test Not Given Alcohol Method BAC Pending Drug Use Suspended Test Status NO Test Not Given Drug Method Drug Test Results Pending Location # Description Arrested Owner Information Driver is Owner Business Name TAYLOR TRANSPORT INC Business Address (Street, City, State, Zip): 1708 HWY 113 SW CARTERSVILLE, GA 30120 Year Make Model VIN 2023 PETERBILT 389 Color Plate # Plate State Plate Exp Maroon GA 11/2024 Insurance Company Insurance Phone # Policy # ARCH INSURANCE 8774236711 [Redacted] Vehicle Configuration Truck Tractor** Special Function No Special Function Vehicle Removed Towed Due to Disabling Damage Removal Location CAR-CAB Removal By Contributing Circumstance CAR-CAB None Visibility Observed By Driver Distracted By Not Applicable Not Distracted Traffic Control Device Traffic Controls Functional No Controls Concluding Factor 1 Unsafe Speed - For Ice or Snow on Roadway Contributing Factor 2 Negotiating a Curve Extent of Damage Disabling Damage Surface Type Concrete Street Involved NO Speed Involved NO Burned NO Not at Scene NO Direction西 Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area Unknown Sequence of Events Parked Motor Vehicle Unit 16 # Occur 1 Last Name FREDRICK First Name BRIEVA MI SFX Hit and Run Non Contact Address [Redacted] Phone # Country City State Zip Date of Birth Age Sex DLN DL State DL Class DL Status Injury Severity (O) No Apparent Injury Injury Area Condition Apparently Normal Restrictions Air Bag Not Deployed Shoulder and Lap Belt Used Not Ejected Extracted No Phone in Use NO Endorsements Restrictions Alcohol Suspended Test Status NO Test Not Given Alcohol Method BAC Pending Drug Use Suspended Test Status NO Test Not Given Drug Method Drug Test Results Pending Location # Description Arrested Owner Information Driver is Owner Business Name ACTIVE TRANSPORTATION LLC Business Address (Street, City, State, Zip): 2899 FLOWER CREEK LN DICKINSON, TX 77539 Year Make Model VIN 2018 FREIGHTLINER New Cascadia 126" Sleepercab 1220 Color Plate # Plate State Plate Exp White CA 4/2024 Insurance Company Insurance Phone # Policy # PROGRESSIVE INSURANCE 8004444487 [Redacted] Vehicle Configuration Truck Tractor** Special Function No Special Function Vehicle Removed Towed Due to Disabling Damage Removal Location CAR-CAB Removal By Contributing Circumstance CAR-CAB None Visibility Observed By Driver Distracted By Not Applicable Not Distracted Traffic Control Device Traffic Controls Functional No Controls Concluding Factor 1 Unsafe Speed - For Ice or Snow on Roadway Contributing Factor 2 Negotiating a Curve Extent of Damage Disabling Damage Surface Type Concrete Street Involved NO Speed Involved NO Burned NO Not at Scene NO Direction西 Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area Unknown Sequence of Events Jackknife, Parked Motor Vehicle Oklahoma Official Collision Report Type Crash Vehicles Commercial 19 Pedestrians 6 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Case Number 23-024451 Unit 17 # Occur 1 Last Name CHALICH First Name SHERRIE Address Phone # City State Zip Date of Birth Age Sex DLN DL State DL Class DL Status Injury Severity (O) No Apparent Injury Injury Area Condition Apparently Normal Restraint Systems Air Bag Not Deployed Shoulder and Lap Belt Used Ejected No Extracted No Phone in Use NO Endorsements Restrictions Alcohol Suspected NO Test Status Test Not Given Alcohol Method BAC Pending Drug Use Suspected NO Test Status Test Not Given Drug Method Drug Test Results Pending Citation # Description Arrested Owner Information Driver is Owner Business Name HEARTLAND EXPRESS INC OF IOWA Business Address (Street, City, State, Zip) 901 HEARTLAND WAY NORTH LIBERTY, IA 52317 Vehicle Information Year 2023 Make INTERNATIONAL Model LT625 VIN 2796 Color Red Plate # Insurance Phone # Policy # NAIC INSURANCE 3196263389 Plate State IA Plate Exp 3/2024 Vehicle Configuration Truck Tractor** Special Function No Special Function Vehicle Removal Towed Due to Disabling Damage Removal Location MORGAN'S TOWING Removed By MORGAN'S TOWING Contributing Circumstance None Visibility Obscured By Not Applicable Driver Distracted By Not Distracted Traffic Control Device No Controls Traffic Controls Functional No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Contributing Factor 2 Pre-Crash Action Negotiating a Curve Surface Type Concrete Speed Involved NO Rolling NO Burned NO Traffeway Two-Way - Divided - Positive Median Barrier Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area All Areas Point of Initial Contact Non-Collision Top Undercarriage Cargo Loss Not at Scene Unknown Unit 18 # Occur 1 Last Name ROMERO First Name JOSE Address Phone # City State Zip Date of Birth Age Sex DLN DL State DL Class DL Status Injury Severity (O) No Apparent Injury Injury Area Condition Apparently Normal Restraint Systems Air Bag Not Deployed Shoulder and Lap Belt Used Ejected No Extracted No Phone in Use NO Endorsements Restrictions Alcohol Suspected NO Test Status Test Not Given Alcohol Method BAC Pending Drug Use Suspected NO Test Status Test Not Given Drug Method Drug Test Results Pending Citation # Description Arrested Owner Information Driver is Owner Owner Last Name Owner First Name Owner Address (Street, City, State, Zip) Vehicle Information Year 2012 Make DODGE Model Ram VIN 38414 Color Blue Plate # Insurance Phone # Policy # ALLSTATE 0000000000 Plate State OK Plate Exp 4/2024 Vehicle Configuration Pickup Special Function No Special Function Vehicle Removal Towed Due to Disabling Damage Removal Location MORGAN'S TOWING Removed By MORGAN'S TOWING Contributing Circumstance None Visibility Obscured By Not Applicable Driver Distracted By Not Distracted Traffic Control Device No Controls Traffic Controls Functional No Controls Contributing Factor 1 Unsafe Speed - For Ice or Snow on Roadway Contributing Factor 2 Pre-Crash Action Negotiating a Curve Surface Type Concrete Speed Involved NO Rolling NO Burned NO Traffeway Two-Way - Divided - Positive Median Barrier Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area All Areas Point of Initial Contact Non-Collision Top Undercarriage Cargo Loss Not at Scene Unknown Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial Pedestrians 6 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit 19 # Crew 1 Last Name SCOTT First Name IVORY MI SFX Shoulder and Lap Belt Used Not Deployed Not Ejected Exhaled NO Phone in Use NO Owner Information Driver is Owner Owner Last Name Name MI SFX Vehicle Information Year 2017 Make NISSAN Model Altima VIN [REDACTED]5069 Color Black Plate # [REDACTED] Plate State OK Plate Exp 4/2024 Insurance Policy Holder SHELTER INSURANCE Insurance Policy # 0000000000 Plate # [REDACTED] Passenger Car No Special Function Towed Due to Disabling Damage VTN Reason for Towing None Traffic Control Device No Controls Traffic Controls Functional No Controls Unsafe Speed - For Ice or Snow on Roadway Point of Initial Contact Non-Collision 12 Top 11 Undercarriage 10 Cargo Loss 9 Not at Scene 8 Unknown 7 Pre-Crash Action Negotiating a Curve Extent of Damage Disabling Damage Concrete NO Two-Way - Divided - Positive Median Barrier Direction West Alignment Curve Left Grade Downhill Total Lanes 2 Legal Speed 60 Most Damaged Area No Damage 12 Top 11 Undercarriage 10 All Areas 9 Not at Scene 8 Oklahoma Official Collision Report Type: Crash Vehicles: 19 Commercial: 6 Pedestrians: 0 Pedalcyclists: 0 Injuries: 3 Fatalities: 0 UNIT #3 Carrier Name: KANDOLA TRANS INC USDOT #: 3016365 NASI #: Address (Street, City, State, Zip): 6916 GRASSY KNOB ST BAKERSFIELD, CA 93313 GVWR/GCWR Heavy Cargo Body: Van/Enclosed Box Carrier Type: Interstate Carrier Placard #: Placard Req.: Displayed Properly: Released Axle #: 5 HAZMAT Class: Non-permitted Load Oversized Load CMV Vehicle Config Truck Tractor/Semi-Trailer UNIT #4 Carrier Name: HEARTLAND EXPRESS INC OF IOWA USDOT #: 134697 NASI #: Address (Street, City, State, Zip): 901 HEARTLAND WAY NORTH LIBERTY, IA 52317 GVWR/GCWR Heavy Cargo Body: Van/Enclosed Box Carrier Type: Interstate Carrier Placard #: Placard Req.: Displayed Properly: Released Axle #: 5 HAZMAT Class: Non-permitted Load Oversized Load CMV Vehicle Config Truck Tractor/Semi-Trailer UNIT #11 Carrier Name: DOBBS TRUCKING LLC USDOT #: 986432 NASI #: Address (Street, City, State, Zip): 1413 CR 86 NEW ALBANY, MS 38652 GVWR/GCWR Heavy Cargo Body: Van/Enclosed Box Carrier Type: Interstate Carrier Placard #: Placard Req.: Displayed Properly: Released Axle #: 5 HAZMAT Class: Non-permitted Load Oversized Load CMV Vehicle Config Truck Tractor/Semi-Trailer UNIT #15 Carrier Name: TAYLOR TRANSPORT INC USDOT #: 603945 NASI #: Address (Street, City, State, Zip): 1708 HWY 113 SW CARTERSVILLE, GA 30120 GVWR/GCWR Heavy Cargo Body: Van/Enclosed Box Carrier Type: Interstate Carrier Placard #: Placard Req.: Displayed Properly: Released Axle #: 5 HAZMAT Class: Non-permitted Load Oversized Load CMV Vehicle Config Truck Tractor/Semi-Trailer UNIT #16 Carrier Name: ACTIVE TRANSPORTATION LLC USDOT #: 3520511 NASI #: Address (Street, City, State, Zip): 2899 FLOWER CREEK LN DICKINSON, TX 77539 GVWR/GCWR Heavy Cargo Body: Van/Enclosed Box Carrier Type: Interstate Carrier Placard #: Placard Req.: Displayed Properly: Released Axle #: 5 HAZMAT Class: Non-permitted Load Oversized Load CMV Vehicle Config Truck Tractor/Semi-Trailer UNIT #17 Carrier Name: HEARTLAND EXPRESS INC OF IOWA USDOT #: 134697 NASI #: Address (Street, City, State, Zip): 901 HEARTLAND WAY NORTH LIBERTY, IA 52317 GVWR/GCWR Heavy Cargo Body: Van/Enclosed Box Carrier Type: Interstate Carrier Placard #: Placard Req.: Displayed Properly: Released Axle #: 5 HAZMAT Class: Non-permitted Load Oversized Load CMV Vehicle Config Truck Tractor/Semi-Trailer UNIT #7 Last Name: [Redacted] First Name: [Redacted] MI: [Redacted] SFX: [Redacted] Phone Number: 0000000000 Date of Birth: [Redacted] Age: [Redacted] Sex: [Redacted] Injury Severity: (O) No Apparent Injury Injury Area: Seat Position: Second Row-Middle Seat Extricated: No Restraint Systems: Air Bag Not Deployed Shoulder and Lap Belt Used: Not Ejected Ejection Path: Not Ejected UNIT #7 Last Name: TYLER First Name: CHARLOTTE MI: [Redacted] SFX: [Redacted] Phone Number: 5054179239 Date of Birth: [Redacted] Age: [Redacted] Sex: [Redacted] Injury Severity: (O) No Apparent Injury Injury Area: Seat Position: Front Row-Right Seat Extricated: No Restraint Systems: Air Bag Not Deployed Shoulder and Lap Belt Used: Not Ejected Ejection Path: Not Ejected UNIT #6 Last Name: WERNER First Name: MORGAN MI: [Redacted] EMS Agency Name: TRANSPORTED BY GOOD SAMARITAN Transported By Other: Transported to Medical Facility Transported to Medical Facility: SAINT ANTHONY'S HOSPITAL UNIT #12 Last Name: BAIRD First Name: SADIE MI: [Redacted] EMS Agency Name: TRANSPORTED BY GOOD SAMARITAN Transported By Other: Transported to Medical Facility Transported to Medical Facility: SAINT ANTHONY'S HOSPITAL UNIT #19 Last Name: SCOTT First Name: IVORY MI: [Redacted] EMS Agency Name: UNKNOWN Transported By EMS Ground Transported to Medical Facility: SAINT ANTHONY'S HOSPITAL UNIT #2 Type: Utility Trailer GVWR/GCWR: Light (Less than 10,000 lbs. GVWR/GCWR) Plate #: Plate State: Plate Expiration: UNIT #3 Type: Other GVWR/GCWR: Heavy (Greater than 26,000 lbs. GVWR/GCWR) Plate #: Plate State: Plate Expiration: UNIT #4 Type: Other GVWR/GCWR: Heavy (Greater than 26,000 lbs. GVWR/GCWR) Plate #: Plate State: Plate Expiration: UNIT #7 Type: Another Vehicle GVWR/GCWR: Light (Less than 10,000 lbs. GVWR/GCWR) Plate #: A22837689 Plate State: GA Plate Expiration: Oklahoma Official Collision Report Type Crash Vehicles 19 Commercial 6 Pedestrians 0 Pedalcyclists 0 Injuries 3 Fatalities 0 Unit # 15 Type Other GVWR/GCWR Heavy (Greater than 26,000 lbs. GVWR/GCWR) Plate # XIN704 Plate State GA Plate Expiration Unit # 17 Type Other GVWR/GCWR Heavy (Greater than 26,000 lbs. GVWR/GCWR) Plate # Plate State Plate Expiration Weather Condition Freezing Rain or Freezing Drizzle Light Condition Dark - Lighted Road Surface Conditions Ice/Frost Type of Intersection Not an Intersection Relation to Junction Crossover-Related Interchange Related YES Railroad Crossing # Workers Present Secondary Crash Information Location of Work Zone Collision No Property Damage Data Entered. Investigating Officer Austin May Agency OKLAHOMA HIGHWAY PATROL TROOP A Badge 500 Troop/Division Troop A Reviewing Officer Michael Moler Agency OKLAHOMA HIGHWAY PATROL TROOP A Badge 72 Troop/Division Troop A Diagram INTERSTATE 35 NB INTERSTATE 40 WB RIVER ALL UNITS WERE TRAVELING ON INTERSTATE 40 WB AT THE INTERSTATE 35 NB (FT. SMITH) JUNCTION. THERE WAS INCLEMENT WEATHER AT THE TIME OF THE COLLISION THAT INCLUDING FREEZING PRECIPATION. THE ROADWAY WAS AN OVERPASS THAT WAS DOWNHILL, CURVED LEFT AND WAS COVERED IN ICE. DUE TO ROAD CONDITIONS, MULTIPLE IMPACTS, AND THE EXCESSIVE NUMBER OF VEHICLES INVOLVED, THE FIRST COLLISION EVENT IS UNKNOWN. UNITS 1-4 ARE THE FORWARD MOST UNITS INVOLVED IN THE COLLISION. MOTORISTS INVOLVED STATED THAT A CHAOTIC MULTIPLE VEHICLE PILEUP OCCURED AS VEHICLES WERE SLIDING INTO THE CONCRETE BARRIER WALL AND OTHER VEHICLES IN THE ROADWAY. ALL UNITS WERE TRAVELING TOO FAST FOR THE ROADWAY CONDITIONS. THE DIAGRAM SHOWS THE FINAL AOR FOR ALL UNITS. AN AOI IS ESTIMATED TO BE APPROX. 900 FEET NORTH OF RENO AVE AND APPROX. 45 FEET EAST OF THE WEST EDGE OF THE NORTH CANADIAN RIVER. TWO SECONDARY COLLISIONS OCCURED AFTER THIS COLLISION, THE COLLISION NUMBERS FOR THE EVENTS ARE OHP23-024452 AND OHP23-024873. Event Report Event ID: 23-00097294 Call Ref #: 698 Date/Time Received: 12/11/23 13:28:39 Rpt #: Call Source: PHONE Prime 433 Unit: LUSK, LASHAUNTA S Services Involved: LAW Location: 2660 GODBY RD OLD NATIONAL HWY X-ST: GODBY PL Business: OLD NATIONAL DISCOUNT Phone: ( ) - Jur: CAD Service: LAW Agency: CPPD St/Beat: 33 District: D2 RA: GP: GP3 Nature: PRIVATE PROPERTY Alarm Lvl: 1 Priority: 4 Medical Priority: Caller: LAVONTESE Addr: 2660 GODBY RD Phone: (770) 480-9136 Alarm: Alarm Type: Vehicle #: St: Report Only: No Race: Sex: Age: Call Taker: CLEWIS Console: DISP3 Geo-Verified Addr.: Yes Nature Summary Code: LAW Disposition: 4 Close Comments: Notes: See Event Notes Addendum at end of this report Times Call Received: 12/11/23 13:28:39 Time From Call Received Call Routed: 12/11/23 13:29:44 000:01:05 Unit Reaction: : : Call Take Finished: 12/11/23 13:29:44 000:01:05 En-Route: 000:00:03 (1st Dispatch to 1st Arrive) 1st Dispatch: 12/11/23 13:40:37 000:11:58 (Time Held) On-Scene: : : 1st En-Route: 12/11/23 13:40:40 000:12:01 (Reaction Time) 1st Arrive: : : Last Clear: 12/11/23 14:09:17 000:40:38 (1st Arrive to Last Clear) Radio Log <table> <tr> <th>Unit</th> <th>Empl ID</th> <th>Type</th> <th>Description</th> <th>Time Stamp</th> <th>Comments</th> <th>Close Code</th> <th>User</th> </tr> <tr> <td>433</td> <td>3390</td> <td>D</td> <td>Dispatched</td> <td>12/11/23 13:40:37</td> <td>Stat/Beat: B3</td> <td></td> <td>ERICAN</td> </tr> <tr> <td>433</td> <td>3390</td> <td>E</td> <td>En-Route</td> <td>12/11/23 13:40:40</td> <td></td> <td></td> <td>ERICAN</td> </tr> <tr> <td>433</td> <td>3390</td> <td>C</td> <td>Cleared</td> <td>12/11/23 14:09:17</td> <td></td> <td>4</td> <td>LASHAU</td> </tr> </table> Event Log <table> <tr> <th>Unit</th> <th>Empl ID</th> <th>Type</th> <th>Description</th> <th>Time Stamp</th> <th>Comments</th> <th>Close Code</th> <th>User</th> </tr> <tr> <td colspan="7">TR Time Received</td> <td>12/11/23 13:28:39</td> <td>By: PHONE</td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">ENT Entered Street</td> <td>12/11/23 13:28:50</td> <td>2660 GODBY RD</td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">ENT Entered Nature</td> <td>12/11/23 13:28:57</td> <td>PRIVATE PROPERTY ACCIDENT</td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">ENT Entered Remarks</td> <td>12/11/23 13:29:26</td> <td></td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">ENT Entered</td> <td>12/11/23 13:29:33</td> <td>LAVONTESE</td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">ENT Entered CallerPhone</td> <td>12/11/23 13:29:44</td> <td>7704809136</td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">FIN Finished Call Taking</td> <td>12/11/23 13:29:44</td> <td></td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">VEV Viewed Event</td> <td>12/11/23 13:30:15</td> <td>User First Viewed Event CAD</td> <td>ERICAN</td> </tr> <tr> <td colspan="7">VEV Viewed Event</td> <td>12/11/23 13:31:14</td> <td>User First Viewed Event CAD</td> <td>KHARA.</td> </tr> <tr> <td colspan="7">ARM Added Remarks</td> <td>12/11/23 13:32:02</td> <td></td> <td>CLEWIS</td> </tr> <tr> <td colspan="7">ARM Added Remarks</td> <td>12/11/23 13:39:29</td> <td></td> <td>ERICAN</td> </tr> <tr> <td colspan="7">ARM Added Remarks</td> <td>12/11/23 14:03:17</td> <td></td> <td>Unit:433</td> </tr> </table> Event Notes Addendum Notes: Vehicle #1 (AT FAULT) was driven by Ms. Starks. She was traveling the wrong direction down the aisle and struck vehicle #2. [12/11/23 14:07:17 Unit:433] VEHICLE #2 LIC/CQA7098 LIT/ LIY/ LIENS: VEHICLE DETAIL RESPONSE VIN: 5973 2021 KIA SOUL MP BLACK/BLACK TITLE NO: 770060206266961 ISSUE DT: 20201228 CUSTOMER ID: 000059100367 DOB: [REDACTED] LAVANTEZ HUGUNEA STEWART [12/11/23 14:05:23 Unit:433] VEHICLE #1 (AT FAULT) LIC/TEK0219 LIT/ LIY/ LIENS: VEHICLE DETAIL RESPONSE VIN: 2952 2002 MERCEDES BENZ G500 MP BLACK/BLACK TITLE NO: 770140261565963 ISSUE DT: 20221214 CUSTOMER ID: 000056131670 DOB: [REDACTED] LATONYA SHANICE STARKS TAX COUNTY: FULTON CURRENT PLATE NO: TEK0219 CAT: AA ISSUE DT: 20230413 VALID DT: 20240210 REGISTRATION STATUS: VALID PERMANENT: Y AUTHORITY: 0016 FULTON INSUR: VALID INSURANCE COVERAGE 20230412 LOYA INSURANCE CO. INSURANCE POLICY #: [REDACTED] [12/11/23 14:04:50 Unit:433] DRIVER #2 OLN/059100367. NAME: STEWART, LAVANTEZ HUGUNEA ADAP:N PREV OLN: H250534867620 PREV JURISDICTION: FL SURR: Y CONTACT: PRI: 470-774-5066 SEC: NONE [12/11/23 14:03:55 Unit:433] DRIVER #1 (AT FAULT) OLN/056131670. NAME: STARKS, LATONYA SHANICE ADAP:N CONTACT: PRI: 404-953-3426 SEC: NONE [12/11/23 14:03:17 Unit:433] 403 clear 1st avail [12/11/23 13:39:29 ERICANNE.JOHNSON] SECOND CALLER LATONYA SHARP 4049533426 OR 404 5285432 [12/11/23 13:32:02 CLEWIS] BLK KIA SOUL VS JEEP SILVER [12/11/23 13:29:26 CLEWIS] Payment Information Disbursement Number: [REDACTED] Digital Payment #: [REDACTED] Pay to the Order of: WILLIAM TYLER Digital Payment Notification Method: Email: [REDACTED] Phone Number: [REDACTED] In Payment Of: Progressive Invoice Number: [REDACTED] Total Amount: $32,113.36 Invoice Number: [REDACTED] Reviewed Summary Issuing Rep: [REDACTED] Issue Date: 02-07-24 Last Updated Rep: [REDACTED] Approved By: Review Date: Reviewed By: Bank Information Type: Loss Stop Reason: Stop Date: Bank Code: [REDACTED] Cleared: 02-10-24 Exposure Detail: COLL Party Name: TYLER, WILLIAM Property Description: 16 RAM RAM 2500 Payment Type: FINAL PAYMENT Amount Paid: $32,113.36 Deductible Taken: $0.00 Property Damage: $0.00 Rental: $0.00 Payment Information Disbursement Number: [REDACTED] Draft Number: [REDACTED] Pay to the Order of: REPWEST INSURANCE CO Mailing Address: 2721 N CENTRAL AVE ATTN ACCOUNTING 6 SOUTH PHOENIX, AZ 85004 USA In Payment Of: [REDACTED] Progressive Invoice Number: [REDACTED] Reviewed Summary Issuing Rep: [REDACTED] Issue Date: 11-14-24 Last Updated Rep: [REDACTED] Bank Information Type: Loss Stop Reason: Stop Date: Exposure Detail: COLL Party Name: TYLER, WILLIAM Property Description: 16 RAM RAM 2500 Payment Type: SUPPLEMENTAL PAYMENT Total Amount: $500.00 Invoice Number: [REDACTED] Approved By: Review Date: Reviewed By: Amount Paid: $500.00 Deductible Taken: $0.00 Property Damage: $0.00 Rental: $0.00 Insurance Auto Auctions, Inc. Attn: Settlement Group Two Westbrook Corporate Center Suite 500 Westchester, IL 60154 Phone: (708) 492-7000 Fax: (708) 492-7078 E-mail: Salvage Information IAA Stock #: 000-38184148 IAA Branch: Oklahoma City Fed. Tax I.D. 954455113 Handler: Traci Horn Adjuster: Traci Horn Insured: William Tyler Owner: William Tyler Claim #: 23-6050931 Policy #: Vehicle: 2016 RAM 2500 Damage: Left & Right Side/Rear Mileage: 67296 Mileage Type: Actual VIN: [REDACTED] 2699 ACV: $29,990.99 NICB Date: 10/17/2024 Elapsed Days Analysis Date of Event: Date Days Loss 11/26/2023 -- Assigned 11/27/2023 2 Released 11/30/2023 4 Pickup 11/30/2023 1 Title Rec'd 7/29/2024 243 Sale Doc. Rec'd 10/11/2024 75 Auction Date 10/16/2024 6 Buyer Payment N/A 0 Remittance 10/17/2024 2 Elapsed Total Days: 327 REMITTANCE: 42955871 DATE: 10/17/2024 Remittance Payable To: Progressive Casualty Insurance - Corporate 6300 Wilson Mills Road E64 Attn: National Salvage Unit (NSU) Mayfield Village, OH 44143 Attn: Salvage Dept Account of Sale Total Activity %ACV Sales $8,650.00 28.84 Charge Adjustment $31.00 0.10 IAA Charges <table> <tr><th> </th><th>Total Activity</th><th>%ACV</th></tr> <tr><td>Consignment Flat Fee</td><td>$85.00</td><td>0.28</td></tr> <tr><td>Storage Fee</td><td>$117.00</td><td>0.39</td></tr> <tr><td>Additional Title Processing Fee</td><td>$103.00</td><td>0.34</td></tr> <tr><td>Fast Title Fee</td><td>$10.00</td><td>0.03</td></tr> <tr><td>Fast Title Fee</td><td>$10.00</td><td>0.03</td></tr> <tr><td>State/Local Transfer Fee</td><td>$18.00</td><td>0.06</td></tr> <tr><td>Title Ad Valorem Tax</td><td>$75.00</td><td>0.25</td></tr> <tr><td>Title Direct Fee</td><td>$5.00</td><td>0.02</td></tr> </table> Less IAA Charges ($423.00) (1.41) Net IAA Return $8,258.00 27.53 Outside Charges Advanced by IAA <table> <tr><th> </th><th>Total Activity</th><th>%ACV</th></tr> <tr><td>Administrative Fee</td><td>$20.00</td><td>0.07</td></tr> <tr><td>Fuel Charge</td><td>$41.40</td><td>0.14</td></tr> <tr><td>Notification Fee</td><td>$35.00</td><td>0.12</td></tr> <tr><td>Storage</td><td>$90.00</td><td>0.30</td></tr> <tr><td>Advance Tow</td><td>$150.00</td><td>0.50</td></tr> <tr><td>Dolly</td><td>$30.00</td><td>0.10</td></tr> <tr><td>Tax</td><td>$7.76</td><td></td></tr> </table> Less Outside Charges ($374.16) (1.25) Payment Amount $7,883.84 26.29% Settlement Summary Claim Information Claim Number: 23-6050931-01 Policy Number: Owner : TYLER, WILLIAM Coverage Type of Loss: Collision Loss Date: 11/26/2023 Reported Date: 11/26/2023 Valuation Report ID: 1018532981 Vehicle Information Loss Vehicle: 2016 Ram 2500 Tradesman 4 Door Crew Cab 6 Foot Bed 6.4L 8 Cyl Gas A 4WD VIN: [REDACTED] Mileage: 67,296 miles Title History: No Location: GA 30553 Exterior Color: Granite Crystal Metallic Clearcoat License Plate: [REDACTED], Georgia Payment Information Loan Information Lien Holder Payoff: $0.00 Loan/Lease Payoff Coverage: $0.00 Lien Holder Payment(s): $0.00 Net to Owner: $32,113.36 Settlement Stated Amount: $0.00 Actual Cash Value: $29,990.99 Base Value: $30,581.43 Title History Adjustment: -$0.00 Refurbishment Adjustments: $0.00 After Market Parts Adjustment: $75.00 Condition Adjustment: -$665.44 Prior Damage Adjustment: -$0.00 Market Value: $ 29,990.99 Settlement Adjustment(Pre-Tax): $0.00 Fees: $23.00 Taxes: $ 2,099.37 Company Obtains: $0.00 Net Settlement: $32,113.36 Print Settlement Summary Settlement Adjustment(Post-Tax): $0.00 Deductible: -$0.00 Other Adjustments: $ 0.00 Total Settlement: $32,113.36 Adjuster License #: Comments: