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Agenda 05/14/2024 Item #16K 9 (County Attorney to file a lawsuit on behalf of the Collier County Board of County Commissioners against Abigail Arias Perez)05/14/2024 EXECUTIVE SUMMARY Recommendation to authorize the County Attorney to file a lawsuit on behalf of the Collier County Board of County Commissioners against Abigail Arias Perez and any other responsible parties for $1,904 in damages caused to a traffic signal pole at Golden Gate Parkway and 47th Street Southwest. OBJECTIVE: To recover money spent by Collier County to repair a damaged traffic signal pole damaged in a car accident. CONSIDERATIONS: On February 24, 2023, Abigail Arias Perez was driving westbound on Golden Gate Parkway and collided with another vehicle that was crossing the intersection at 47 th Street Southwest. The other vehicle spun and damaged a County traffic signal pole. The drivers each gave conflicting statements, and the responding sheriff’s deputy could not determine fault. After initially denying responsibility and subsequent County Attorney’s Office intervention, the insurance company for the other driver paid their share of the damages in the amount of $1,904. Abigail Arias Perez and her insurance company deny any liability and refuse to honor the County’s claim. The County is seeking to recover Abigail Arias Perez’s $1,904 share of the damage. The County recommends Board approval to file a lawsuit in county court to recover Abigail Arias Perez’s $1,904 share of the damage. Attached is a draft copy of the complaint, along with corresponding backup materials documenting the damage and amounts thereof. By filing this lawsuit to recover damages, the County puts motorists and their insurance companies on notice that they will be held responsible for their negligent actions. FISCAL IMPACT: The cost to file and serve a Complaint is approximately $235 and funds are budgeted and available in the Risk Management Property & Casualty Fund (5016). GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this item. LEGAL CONSIDERATIONS: This item has been reviewed by the Office of the County Attorney, is approved as to form and legality and requires majority vote for approval. -DDP RECOMMENDATION: To authorize the County Attorney to file a lawsuit on behalf of the Collier County Board of County Commissioners against Abigail Arias Perez and any other responsible parties for $1,904 in damages caused to a traffic signal pole at Golden Gate Parkway and 47th Street Southwest. PREPARED BY: Derek D. Perry, Assistant County Attorney Michael K. Quigley, Risk Management Division Director ATTACHMENT(S) 1. Arias Perez - Draft Complaint (PDF) 2. Arias Perez - Backup Documentation (PDF) 16.K.9 Packet Pg. 2034 05/14/2024 COLLIER COUNTY Board of County Commissioners Item Number: 16.K.9 Doc ID: 28710 Item Summary: Recommendation to authorize the County Attorney to file a lawsuit on behalf of the Collier County Board of County Commissioners against Abigail Arias Perez and any other responsible parties for $1,904 in damages caused to a traffic signal pole at Golden Gate Parkway and 47th Street Southwest. Meeting Date: 05/14/2024 Prepared by: Title: Legal Assistant – County Attorney's Office Name: Rosa Villarreal 04/25/2024 8:28 AM Submitted by: Title: County Attorney – County Attorney's Office Name: Jeffrey A. Klatzkow 04/25/2024 8:28 AM Approved By: Review: Risk Management Michael Quigley Other Reviewer Completed 04/25/2024 9:47 AM County Attorney's Office Derek D. Perry Level 2 Attorney Review Completed 05/01/2024 11:11 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 05/02/2024 7:56 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 05/02/2024 9:08 AM Office of Management and Budget Blanca Aquino Luque OMB Reviewer Completed 05/02/2024 10:12 AM County Manager's Office Amy Patterson Level 4 County Manager Review Completed 05/06/2024 11:08 AM Board of County Commissioners Geoffrey Willig Meeting Pending 05/14/2024 9:00 AM 16.K.9 Packet Pg. 2035 [23-RMG-00803/1847923/1] Page 1 of 3 IN THE COUNTY COURT OF THE TWENTIETH JUDICIAL CIRCUIT IN AND FOR COLLIER COUNTY, FLORIDA SMALL CLAIMS DIVISION COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS, Plaintiff, v. Case No. ABIGAIL ARIAS PEREZ, Defendant. __________________________________/ COMPLAINT COMES NOW, the Plaintiff, COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS, (“COUNTY”), by and through its undersigned counsel, and sues Defendant ABIGAIL ARIAS PEREZ (“PEREZ”), and alleges: 1. This is an action for damages that does not exceed $8,000.00 and is within the jurisdictional limits of this Honorable Court. 2. All events and occurrences set forth occurred and took place in Collier County, Florida. 3. The COUNTY is a political subdivision of the State of Florida. 4. At all times material, Defendant PEREZ is sui juris and a resident of Collier County, Florida. 5. This Court has jurisdiction over all parties and venue is proper in Collier County, Florida. 6. At all times material, the COUNTY owned and maintained a traffic signal pole near the intersection of Golden Gate Parkway and 47th Street Southwest. 7. On or about February 24, 2023, Defendant PEREZ maintained a motor vehicle registration in Collier County, Florida, and was otherwise the owner of a 2015 Nissan silver sedan. 8. On or about February 24, 2023, around 1:15 P.M., Defendant PEREZ was operating the 16.K.9.a Packet Pg. 2036 Attachment: Arias Perez - Draft Complaint (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 in [23-RMG-00803/1847923/1] Page 2 of 3 motor vehicle that was registered in their name, on Golden Gate Parkway, when they collided with another vehicle at the intersection of Golden Gate Parkway and 47th Street Southwest, Collier County, Florida. 9. As a result of the collision, the other vehicle spun and struck and damaged a traffic signal pole owned and maintained by the COUNTY. 10. At that time and place, Defendant PEREZ, as driver of the vehicle, negligently operated or maintained the motor vehicle so that it caused another vehicle to cause damage to the COUNTY’s traffic signal pole. COUNT I - NEGLIGENCE AGAINST ABIGAIL ARIAS PEREZ 11. The COUNTY, by reference, reiterates and adopts paragraphs 1 through 10 and further states: 12. At the aforementioned place and time, Defendant PEREZ was operating a motor vehicle and negligently operated and/or maintained the motor vehicle by failing to operate the vehicle in a safe and reasonable manner. 13. Defendant PEREZ owed a duty to the COUNTY to ensure the vehicle was operated in a careful and safe manner and to prevent the vehicle from colliding with another vehicle causing damage to the COUNTY’s property. 14. Defendant PEREZ breached this duty and negligently operated the vehicle. 15. As a direct and proximate result of the negligence of Defendant PEREZ, the COUNTY suffered property damage totaling $3,807.27. 16. The other vehicle involved paid half of the damages, leaving a remaining damages balance of $1,904.00. The relevant invoices and backup documentation are attached hereto as Exhibit “A”. 16.K.9.a Packet Pg. 2037 Attachment: Arias Perez - Draft Complaint (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 in [23-RMG-00803/1847923/1] Page 3 of 3 WHEREFORE, Plaintiff COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS demands judgment against Defendant ABIGAIL ARIAS PEREZ for all aforementioned remaining damages, pre-judgment interest, and interest from the entry of judgment until paid, plus cost of litigation, and any further relief this Court deems just and proper. Respectfully submitted, By: _____________________________ DEREK D. PERRY, ESQ. Florida Bar No. 1018383 Collier County Attorney’s Office 3299 East Tamiami Trail, #800 Naples, FL 34112 Telephone: (239) 252-8400 Facsimile: (239) 252-6300 Counsel for Plaintiff COLLIER COUNTY derek.perry@colliercountyfl.gov nancy.bradley@colliercountyfl.gov ronald.tomasko@colliercountyfl.gov rosa.villarreal@colliercountyfl.gov 16.K.9.a Packet Pg. 2038 Attachment: Arias Perez - Draft Complaint (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 in UAIC;1'. UNITED AlJTOiVIOBILE INSURANCE COlVIPANY . PO Box 694120. Miami. FL 33269-1 I �O UM£0 AUTDl..,-J!31LE NSURANCf COMPAN'< 1 J \.fay 4, 2023 Phone: 305-9-10-7299 \Neb: w\vw.uaig.net COLLIER COUNTY TRAFFIC OPS 4800 Davis Blvd Naples, FL 34104-5306 REF: Claim No.: Policy No.: Insured: Loss Date: 0100331918-002-145 UAH 371472 ABIGAlL ARIAS PEREZ February 24, 202:' Dear COLLIER COUNTY TRAFFIC OPS: This lener is in regards to the above referenced accident. The purpose of this lener is to advise you that we have completed our investigation on the above referenced accidem with our insured, ABIGAIL ARIAS PEREZ. Wt: have attempted to gather and fairly assess the information concerning the above claim from all available sources. including statements, estimate damages, photos and a police report from this loss. As you may be aware, there are conflicting statements regarding this accident. Because there was neither a conclusive police investigation nor independent witness statements thar ·an confirm either panics accounts of the above loss, our inve�tigation has not resulted in establishing legal liability on our insured, therefore we wi II be unable 10 honor your claim If you have any questions, please contact the un lcrsigned. Sincerely, Eric Tinunons 305-940-7299 .x32737CC: ABIGAIL ARIAS PEREZ A11r person who knm1,·i11gly und 1,·irh inrenr lo it1j11re. de/iw,d. or decein• 011\" insurer files a statement cf cloim or an app/icutio11 cullflli11i11,� am· Jiilse. i11comp/e1e, ;Jr 111i.1/e{l:/i11g i11(ormation is guilrr <fufdony 0{1he third degree. Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2039 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 RISK MANAGEMENT INVOICE COLLIER COUNTY TRAFFIC OPERATION DEPARTMENT 2885 S HORSESHOE DR NAPLES, FL. 34104 (239)252-8260 TELEPHONE (239)252-5868 FA) Traffic Operations: NAME Ken Martin Michael Stephenson Pamela Wilson PROJECT/LOCATION: ACTIVITY: AUTHORIZATION: X HOURLY OVERTIME HOURS MAN HRS. RATE RATE WORKED COST $ 52.97 2 $ 105.94 $ 53.28 2 $ 106.56 $ 47.88 1.25 $ 59.85 Golden Gate Parkway and 4 7th ST SW Pole for signal damage Anthony Khawaja, P.E. DEPOSIT REIMBURSEMENT CHECK TO: 101-163630-646984 REMARKS: Man Hours Equipment Material Vendor Total Admin. Ovhd. COMMENTS: SSL 4500220041 Cost Cost Cost Cost Cost 0.15 TOTAL X Traffic Accident Report X Vendor Invoice Damage/Maintenance Report ----Roadway Lighting Damage Report ---- EQUIP. USED TRK 272.35 14.00 0.00 3,024.32 3,310.67 496.60 3,807.27 EQUIP. RATE 14.00 CLAIM #3031STARS 50-02242313728 DATE OF ACCIDENT:2-24-23 DATE OF COMPLETION: EQUIPMENT MATERIAL USED COST TYPE COST $ 14.00 Submitted By: }:� � Pamela WV§dn t V �a:t3.[ o/Lpport S.PeG,ialist I Approved By:\ � /' \. � Anthony Khawajc:31, P.E. Chief Engineer Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2040 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit • • • 2-24-23 Golden Gate parkway and Sunshine upright damage Task 692377 Crash report CCSO 23-80045 CCTO Claim 3031 Stars 50-02242313728 J Golden Gate Pkwy at Sunshine Accident Mast Arm Pole Damage MeyerTerri O To O WibonP1mrl• Cc O S1q:,hunonMkhnl Ken call@d and ls taking pies, Task 6923n Crash Raport 23-8004.5 Respect-fully, Tt.rrilllq,r TMC Te<hnicion CALL TIME 00:01:39 START PA.GE✓ GENERAL INFOAMATION CLAIM NUMBER ._._.... LOSSOATE 212412023 ''"""" 212'4'2C23 12392�28� TRANSPORTATION Et#GINEERtNG OMSION Golden Gate Pano.way and sunshine COlLIER COUNTY QY @N 000 <-:) Rep� «) R.p� AD .... : �·�-� ��.��:--] Fii.:!/.?4/20231:51 PM CLAtMANTFULL NAME STATUS In Progress ii 000 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2041 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 • • • 2-24-23 Golden Gate parkway and Sunshine upright damage Task 692377 Crash report CCSO 23-80045 CCTO Claim 3031 Stars 50-02242313728 Thank you for submitting. Pleas,e i-etain th ,t Number: 50022 2313728 Please submit any supporting docu Iii@@ Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2042 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 3 WAS DOT PROPERTY INVOLVED IN THIS CRASH? FLORIDA TRAFFIC CRASH REPORT LONG FORM � SHORTFORM 0 UPDATE 0 (Shaded Areas) MAIL TO: DEPARTMENT OF HIGHWAY SAFETY p MOTOR VEHICLES TRAFFIC CRASH RECORDS, NEIL KIRKMAN BUILDING TALLAHASSEE, FL 32399-0537 TOTAL# OF VEHICLE SECTION(S) TOTAL# OF PERSON SECTION(S) TOTAL# OF NARRATIVE SECTION(S) 2 2 1 CRASH DATE 02/24/2023 TIME OF CRASH 1:15 PM DATE OF REPORT 02/24/2023 REPORTING AGENCY CASE NUMBER 23-80045 HSMV CRASH REPORT NUMBER 25705267 CRASH IDENTIFIERS COUNTY CODE CITY CODE COUNTY OF CRASH 64 TIME ON SCENE 1:25 PM 00 COLLIER CRASH OCCURRED ON STREET, ROAD, HIGHWAY GOLDEN GATE PKWY PLACE OR CITY OF CRASH UNINCORPORATED REASON (If Investigation NOT Complete) , .. AT STREET ADDRESS# I• □ AT LATITUDE 26.183530 AT FEET I MILES p [][]□Ill AT/FROM INTERSECTION WITH STREET, ROAD,HIGHWAY 47TH ST SW Road System Identifier 7 Fores, Road Type of Shoulder �� of Intersection 8 Private Roadway 1 t at Intersection 1 Interstate 4 County 9 Parking Lot Ci] 1 Paved 0 2 Four-Way Intersection 2U.S. 5 Local 77 Other, Explain in 2 Unpaved 3 T.lntersect10n 3 State 6 Tumpike/T oU Narrative 3Curb 4 Y-lnlersection CRASH INFORMATION (CHECK IF PICTURES TAKEN) I ILight Condition Weather Condition Roadway �i�ace Condition School Bus Related 4 Fog, Smog, Smoke TIME REPORTED 1:20 PM TIME DISPATCHED 1:20 PM Notified By: 1 MotoriS1 2 Law Enforcement ANO LONGITUDE -81.701891 I a OR FROM MILEPOST# 5 Traffic C�cle 6 Roundabout 7 Five.Point, or More 77 Other, Explain in Narrative Manner of Collision/Impact Ci] 1 Daylight 5 Dark-Not Lighted 4 Sideswipe, same d�ection Ci] 5 Sleet/Hail/ 6 Mud, Dirt, Grave! 1 No 020usk 6 Dark-Unknown Freezing Rain Ci] 7 Sand Ci] 2 Yes, School Bus 5 Sideswipe, Opposite Direction 30awn Lighting 6 Blowing Sand, Soil 8 Water Directly Involved 6 Rear to Side 4 Dark-Lighted 77 Other, Explain in Dirt (standing/moving) 3 Yes, School Bus 7 Rear to Rear Narrative 1 Clear 1 Front to Rear 88 Unknown 2 Cloudy 7 Severe Crosswinds 1 Dry 77 Other, Explain in Indirectly Involved 77 Other, Explain in Narrative 2 Front to Front 3Ra,n n Other, Explain in 2Wet Narrative 88Unknown 3Angle Narrative First Harmful Event Non-Collislon 1 Overturn.'Rollover 2 Fire/Explosion G 3 lrnrnersion 4 Jackknife 5 Cargo/Equipment First Harmful Event Loss or Shift 6 Fell/Jumped From within Interchange Motor Vehicle 1 No 7 Thrown or Falling Object 2Yes 8 Ran into Water/Canal 88 Unknown 9 Other CoHision First Harmful Event Relation to 0 Junction 5 Railway Grade Crossing 14 Entrarice/Exit Ramp 15 Crossover • Related 1 Non.Junction 16 Shared-Use of Path or Trail 2 Intersection 17 Acceleration/Deceleration 3 lntersection-Retated lane 4 Driveway/Aney Access 18 Through Roadway Related � Other, Explain in Narrative Work Zone Related Crash In Work Zone 4 Ice/Frost 88Unknown Collision Non-Fixed Object Collislon with Fixed Object 10 Pedestrian 19 lmpact Atlenuator/Crash 30 Concrete 11 Pedalcycle Cusion 31 Other Traffic Barrier 12 Railway vehicle (train, 20 Bridge Overhead Structure 32 Tree (standing) engine) 21 Bridge Pier or Support 33 Utility Pole/Light Support 13Animal 22 Bridge Rail 34 Traffic Sign Support 14Motor Vehicle in 23 Culvert 35 Traffic Signal Support Transport 24 Curb 36 Other Post, Pole or 15 Parked Motor Vehide 25 Ditch Support 16 Work Zone/Maintainance 26 Embankment 37 Fence Equipment 27 Guardrail Face 38 Mailbox 17 Struck By Faffing. Shifting 28 Guardrail End 39 Other Fixed Object (wan, Ca,go 29 Cable Barrier buildinsi. tunnel, etc. l 18 Other Non-Fixed Obiect First Harmful Event Location 1 On Roadway 2 Off Roadway Ci] 3Shoulder 4 Median 6Gore 7 Separator 8 In Parking Lane or Zone 9 Outside Right-of-way 10 Roadside 88 Unknown Contributing Circumstances: Road 9 Worn, Trave�Polished Surface Contributing Circumstances: Environment Ci] 1 None □ 4 Work Zone (construction/ maintenancelut.Rity □ 6 Shoulders (none, low, soft, high) 7 Rut, Holes, Bumps 10 Road Surface Condition (wet, Ci] □ □ icy, snow, sk.Jsh, etc.) 11 Obstruction in Roadway 12 Debns 13 Traffic Control Device 1 None 5 Animal(s) in Roadway Inoperative, Missing or Obscured 2 Weather Conditions 77 Other, Explain in 14 Non-Highway Work 3 Physical Obstruction(s) Narrative 77 Other Explain in Narrative 4 Glare 88 Unknown 88Unknown Workers In Work Zone Type of Work Zone 1 Before the First Work Zone 1 Lane Ck>sure wamingSign Ci] 1 No □ 2Advarice Warning Area 2 Lane Shift/Crossover □ 1 No □ 2Yes 3 Transition Area □ 3 Work on Shoulder or Median 2Yes 88 Unknown 4ActivilyArea 4 Intermittent or Moving Work 88 Unknown 5 Termination Area 77 Other, Explain in Narrative WITNESSES NAME ADDRESS CITY&STATE ZIP CODE NAME ADDRESS CITY &STATE ZIP CODE NAME ADDRESS CITY&STATE ZIP CODE NON VEHICLE PROPERTY DAMAGE VEH.# lt'tK# PROPERTY DAMAGE· OTHER THAN VEH. EST.AMT. OWNER'S NAME � (CHECK IF BUSINESS) ADDRESS CITY & STATE ZIP CODE 2 TRAFFIC SIGNAL 5000 4800 DAVIS BLVD NAPLES FL 34104 COLLER COUNTY TRAFFIC OPS VEH.# PER# PROPERTY DAMAGE -OTHER THAN VEH. EST.AMT. OWNER'S NAME □ (CHECK IF BUSINESS) ADDRESS CITY & STATE ZIP CODE HSMV90010 S 7 Page ____ of Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2043 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 VEHICLE# 1 Check if Commercial O Reporting Agency Case Number I HSMV Crash Report Number 23-80045 25705267 1 Vehicie in Transport �I VEHICLE LICENSE NUMBER I STATE REGISTRATION EXPIRES I VIN 2 Parked Motor Vehicle I Check if Permanent 3 Wor1<ing Vehicle AG54HW FL 11/16/2023 Registration 0 1N4AL3AP0FN323362 Hiland Run � YEAR MAKE MODEL l'STYLE COLOR I DAMAGE: � I EST. AMOUNT 1 No 1 Disabling 4 Minor 2Yes 2015 NISS 4DOOR SEDAN SILVER· SIL 2 Functional 88 Unknown $12,000.00 88 Unknown 3None INSURANCE COMPANY (DRIVER) INSURANCE POLICY NUMBER I Towed due 0 VEHICLE REMOVED BY 1. Rotation � UNITED AUTOMOBILE INSUR to Damage: 2. Owner Request UAH000371472 BALD EAGLE TOWING 3. Driver 1No 2Yes 4. Other, Explain in Narrative NAME OF VEHICLE OWNER (CHECK IF BUSINESS) □I CURRENT ADDRESS CITY & STATE ZIP ABIGAIL ARIAS PEREZ 2323 66TH ST SW NAPLES FL 34116 TraiJer LICENSE NUMBER STATE REGISTRATION EXPIRES Check ii Permanent VIN YEAR MAKE LENGTH AXLES One: Registration □ Trailor LICENSE NUMBER STATE REGISTRATION EXPIRES Check ii Permanent VIN YEAR MAKE LENGTH AXLES Two: Registration □ VEHICLE N s E w Off-Road Unknown ON STREET, ROAD, HIGHWAY TRAVELING □□□� □□ GOLDEN GATE PARKWAY HAZ. MAT. RELEASED HAZ. MAT. PLACARD NUMBER CLASS 1 No □ 1 No □ 2Yes 2Yes 88 Unknown 88 Unknown MOTOR CARRIER NAME US DOT NUMBER MOTOR CARRIER ADDRESS I CITY Vehicle Body Type 15 Low Speed Vehicle Trafflcway � 16 (Sport) Utility Vehicle � 1 Two-Way, Not Divkied 17 Cargo Van (10,000 lbs 2 Two-Way, Not Divided, with a (4,536 kg) or less) Continuous Left Tum Lane 1 Passenger Car 18 Motor Coach � 3 Two-Way, Divided, Unprotected Area or lrlltlal Impact 2 I 3 I 4 Is 6 7])0[(16 17 8 14 9 '13 '12111 �o � AT EST. SPEED I I 18 Undercarriage 19 Overturn 20 Windshield 21 I Trailer I STATE I ZIP CODE I/POSTED SPEED 35 FOTALLANES I 18 19 20 I 21 � Most uamaged Area l 3l4ls 6 7 ] 2 -0:(16 17 !.. 14 9 l13I12 11 hO I PHONE NUMBER Commercial Motor Vehicle Configuration 1 Vehicle 10,000 lbs or less Placarded 8 Tractor/Triple □ for Hazardous Materials 9 Truck more than 10,000 lbs (4,536 2 Single-Unn Tr uck (2-axle and GVWR kg), Cannot Classify more than 10,000 lbs (4,536 kg)) 10 Bus/Large van (seats for 9-15 3 Single-Unn Truck (3 or more axles) occupants, including driver) 2 Passenger Van 19 Other Light Trucks (10,000 lbs (painted >4 feet) Median 4 Truck Pulling Trailer(s) 3 Pickup (4,536 kg) or less) 4 Two-Way, Divided, Positive 11 Bus (seats for more than 15 7 Motor Home 20 Medium/Heavy Trucks (more Median Barrier 5 Truck Tractor (bo�I) occupants, including driver) 8 Bus than 10,000 lbs {4,536 kg)) 6 Truck Tractor/Semi-Trailer 77 Other, Explain in Narrative 5 One-Way Tralficway 7 Truck Tractor/Double Truck 11 Motorcycle 21 Farm Labor Vehicle 88 Unknown 88 Unknown m.1ff�ain Vehicle (A TV) 77 Other, Explain in Narrative Trailer Type 88 Unknown 1 Single Semi Trailer 8 Pole Trailer 2 Tandem Semi Trailer 9 Towed Vehicle Cargo Body Type 13 lntermodal Comm/Non-Commercial TRAILER 1 TRAILER 2 3Tank Trailer 1 o Auto Transport □ □ 4 Saddle Mount.fTrailer 77 Other, Explain in □ 3 Van/Enclosed Box Container Chassis □ 1 Interstate Carrier 4 Hopper 14 Vehicle Towing 2 Intrastate Carrier 5 Boat Trailer Narrative 5 Pole-Trailer Another Vehicle 3 Not in Commerce/Government 6 Utility Trailer 88 Unknown 6 Cargo Tank 15 Nol Applicable 4 Not in Commerce/Other Truck 7 House Trailer 1 No Cargo 7 Flatbed (vehicle 10,000 lbs 1 10,000 lbs (4,536 kg) or less 2Bus 8Dump (4,536 kg) or less not Most Harmful Event Non-Collision Comm 0 -1 Overturn/Rollover OVWR/OCWR 2 10,00 1-26,000 lbs (4,536-11,793kg) 9 Concrete Mixer displaying HM placard 2 Fire/Explosion 3 More than 26,000 lbs (11,793kg) 10 Auto Transport 77 Other, Explain in El Sequence of Events 1st 2n d □ 3rd 4th □ □ Roadway Grade 1 Level 2 Hillcrest 3Uphill 31mmersion 4 Not Applicable 4 Jackknife Collision with Non-Fixed Object 5 Cargo/Equipment Loss or Shift 10 Pedestrian 6 Fe/I/Jumped From Motor Vehicle 1 1 Pedalcycle 7 Thrown or Faffing Object 12 Railway Vehicle (train, engine) 8 Ran into Water/Canal 13Animal 9 Other Non.Collision 14 Motor Vehicle in Transport 15 Parked Motor Vehicle (40-46 Sequonc. of Events only) 16 Wor1< Zone/Maintenance 40 equipment Failure (blown tire, Equipment brake failure, etc.) 17 Struck By FaUing, Shifting Cargo or 41 Separation of Units -Anything Set in Motion by Motor 42 Ran Off Roadway, Right Vehicle 43 Ran Off Roadway, Left 18 Other Non-Fixed Obiect 44 Cross Median Vehicle Maneuver Action 45 Cross Centerline 1 Straight Ahead 13 Stopped in Trallic 46 Downhiff Runaway 3Tuming Left 14 Slowing � 4Backing 15 Negotiating a Curve 5 Turning Right 16 Leaving T ralfic Lane Roadway Alignment 6 Changing Lanes 17 Entering Traffic Lane 11 Garbage/Refuse Narrative Col/ls/on Fixed Object 12Log 88 Unknown 19 Impact Menuator/Crash Cushion 29 Cable Barner Emergency 20 Bridge Ovemead Structure 30 Concrete T ralfic Barrier Vehicle Use 31 Other Traffic Barrier 21 Bridge Pier or Support 32 Tree (standing) � 22 Bridge Rail 33 Utilny Pole/Light Support 23 Culvert 34 Traffic Sign Support 24 Curb 35 T raffle Signal Support 1 No 25 Ditch 36 Other Post, Pole , or Support 2Yes 26 Embankment 37 Fence 88 Unknown 27 Guardrail Face 38 Mailbox 28 Guardrail End 39 Other Fixed Object (wall, buildina, tunnel, etc.) Traffic Control Device For Vehicle Defects This Vehicle � □ 0 8 Flashing Signal 1 None 9 Railway Crossing 1 No Controts Device 2 Brakes 13Wheels � 4 Downhill � 1 Straight 8Parked 77 Other, Explain in Narrative 4 School Zone Sign/ 1 O Person (including 3r�es 14Windows/ Device 4 Lights (head, Wmshield 5 Sag (bottom) 2 Curve Right 10 Making U-Tum 88 Unknown 5 T raff,c Control Flagman, Ollice<, signal, ta!) 15 Mirrors 3Curve Left 11 Overtal<inglPassing Guard, etc.) Signal TT Other, Explain in 6 Steering 16 Truck Coupling Special Function 1 No Special Function 9 Ambulance 14 lntercrty Bus 6 Stop Sign Narrative 7Wipers Trailer Hitch/ � of Motor Vehicle 2 Farm Vehicle 10 Fire Truck 15 Charter IT our Bus 7 Yield Sign 88 Unknown 9 Exhaust System Safety Chains 3Police 1 1 Farm Labor Transport 16 Shuttle Bus 10 Body, Doors 77 Other, Explain in 7 Taxi 12 School Bus 17 Farm Labor Bus 11 Power Train Narrative 8 Military 13 Transit/Commuter Bus 88 Unknown 12 Suspension 88 Unknown VIULAIIUN:O PERSON# NAME OF VIOi.ATOR FL STATUTE NUMBER CHARGE CITATION NUMBER PERSON# NAME OF VIOLATOR FL STATUTE NUMBER CHARGE CITATION NUMBER PERSON# NAME OF VIOi.ATOR FL STATUTE NUMBER CHARGE CITATION NUMBER HSMV 90010 S 2 7Page ____ ol Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2044 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 PERSON# 1 I Reporting Agency Case Number 23-80045 I HSMV Crash Report Number 25705267 1 Driver � VEHICLE# I NAME I PHONE NUMBER I vneckif □ 2 Non-Motorist Recommend 3 Passenger 1 ABIGAIL ARIAS PEREZ Oriver Re--exam CURRENT ADDRESS (Number and Street) I NAPLES 2323 66TH ST SW DATE OF BIRTH 11/16/1969 DL Typo 0 1A 2B 3C 4 D/Chauffeur 5 E/Operator 6 E/Oper-Rest 7None SEX: 1 Male 2 Female 88 Unknown [J DRIVERS LICENSE NUMBER A-621-000-69-416-0 Required Endorsements 1st 0 � 1 Yes 2No 3 No Req. Endorsement STATE FL u",v"'" Drivers Actions 1 No Contribution Action 2 Operated MV in Careless or Negligent Manner 3 Failed to Yield Righl--0f-Way 4 Improper Backing CITY& STATE FL EXPIRES 8/12/2023 at Tim• of Crnh 26 Ran off Roadway I ZIP CODE 34116 I l��!y SEVERITY (INJ) 4 lncapacttating 2 Possible 5 Fatal (within 30 days) 3 Non-lncapacttating 6 Non-Traffic Fatality 3rd Condition At Time of 27 Disregarded other Traffic □ Cruh Sign 1 Apparently Normal 28 Disregarded Other Road 3Asleep or Fatigued Markings 5 111 (sick) or Fainted [J [J 6 Improper Turn 29 Over-Correcting/Over Drtvor Dls1n1ctod By ◄ Other Inside the Vehic� Steering 6 Seizure, Eplepsy, Blackout [J (explain in narrative) 1 O Followed too Closely 7 Physically Impaired t Not Distracted 2nd 8 Emotional (depression. 2 E�tronic CommunK:ation 5 External Distraction □ 11 Ran Red Light 30 Swerved or Avoided : Due 4th angry, disturbed, etc.) (outstde the vehicle, explain 12 Drove too Fast for Conditions to Wind, Slippery Surface, MV, Devices (cell phone, etc. in narrative) 13 Ran Stop Sign Object, Non.Motorisl in □ 9 Under the Influence of 3 Other Electronic Device 6 Texting 15 Improper Passing Roadway, etc. Medications/Drugs/Alcohol (navigation device. DVD player) 7 Inattentive 17 Exceeded Posted Speed 31 Operated MV in Erratic. n Other, E xplain in Narrative 88 Unknown 21 Wrong Side of Wrong Way Reckless or Agressive Manner 88 Unknown DRIVER VISION OBSTRUCTIONS I 25 Failed to Keep in Proper Lane TT Other Contributing Action [J 1 Vision Not Obscured 5 Load on Vehicle 9 Smoke 2 Inclement Weather 6 Building/Fixed Object 10Glare DRIVER OR PASSENGER 3 Parked/Slopped Vehicle 7 Signs/Billboards 77 All Other, Explain 4 Trees/Crops/Bushes 8 Fog in Narrative Ho!mot Uso (HU) Eyt Protoctlon (EP) 0 Restraint Systtms DRIVER OR PASSENGER □ 1 DOT-Compliant □ 1 Yes (RS) SEAT ROW OTHER I Motorcycle Helmet 2No Motor Vehicle Seating Position: !:LOCATION. 117 Fl n 2 Other Helmet 3 Nol Applicable 1 Not Applicable (non-motorist) Seat Row Other (LOC) 3No Helmet 2 None Used -Motor Vehicle Occupant 3 Shoulder and Lap Belt Used 1 left 1 Not Applicable 4 Shoulder Belt Only Used 2Middle 1 Front 2 Sleeper Section of Truck Cab Air Bag Doployod 5 Lap Belt Only Used 2 Second 5 Deployed-Other 3Righl 3 Other Enclosed Cargo Area Ejection (EJECT) (knee, air belt, etc ) 6 Restraint Used • Type Unknown 77 Other 3 Third 4 Unenclosed Cargo Area [J 1 Nol Ejected 0 1 Not Applicable 6 Deployed-7 Child Restraint System -Fo,ward Facing (explain in 4 Fourth 5 Trailing Unit 2 Ejected. To tally 2 Not Deployed Combination 8 Child Restraint System -Rear Facing narrative) 770therRow 3 Ejected. 3 Deployed-F ronl 7 Deployed-Curtain 9 Booster Seat 88 Unknown 88 Unknown 6 Riding on Motor Vehicle Exterior (non-Partially 4 Deployed-Side 88 Deployment 10 Child Restraint Type Unknown trailing unit) 4 Not Applicable Unknown 77 Other, Explain in Narrative 88 Unknown 88 Unknown nvr,•m-1 -m� 1 □ Non-l/lotorlst Doscripdon □ Non-Motorist Location At Time of Crash SSidewalk □ Action Prior to Crash 1 Pedestnan 5 Walking/Cycling on Sidewalk 2 Other Pedestrian (wheefchair, person in a 1 Intersection -Marl<ed Crosswalk 9 Median/Crossing Island 2 Intersection -Unmarked Crosswalk 10 Driveway Access 6 In Roadway -Other (working. building, skater, pedestrian conveyance, etc. 3 Intersection -Olher4 Midblock -Marked Crosswalk playing, etc.) 3 Bicyclist 11 Shared-Use Path or Trail 1 Crossing Roadway 4 Midbfock -Marked Crosswalk 7 Adjacent to Raodway (e.g., 4 Other Cyclist 5 Travel Lane -Other Location 12 Non-Trafficway Area 2 Waiting to Cross Roadway shoulder, median) 5 Occupant of Motor Vehicle Not in Transport 6 Bicycle Lane 77 Other, Explain in Narrative 3 Walking/Cycling Along 8 Going to or from School (K-12) (parked, etc.) 88 Unknown Roadway with Traffic (in or 7 shoulder/Roadside 9 Working in Trafficway 6 Occupant of a Non-Motor Vehicle adjacent lo travel lane) (incident response) Transportation Device Non .... ,..,�onsc ,.._ ... uona. .... ,rcum�nc.s 4 Walking/Cycttng Along 10 None 7 Unknown Type of Non-Motorist 1st □ 1No Improper Action Roactway Against Traffic (in 77 Other, Explain in Narrative 2 Dart/Dash or adjacent to travel lane) 88 Unknown 1 None Safety Equipment 3 Failure to Yield Right-of-Way 5 Lighting □ 4 Failure to Obey Traffic Signs 2Helmet 6 Not Applicable 2nd □ Stgnals, or Officer 7 Entering/Exiting Parked/Standing 10 Improper Tum/Merge 3 Protective Pads Used 77 Other, Explain 5 In Roadway Improperly (standing, Vehicle 11 Improper Passing (elbows, knees, shins, etc.) in Narrative □lying, working, playing) 8 lnattentrve (talking, eating, etc) 12 Wrong-Way Riding or Walking 4 Reflective Clothing fjacket, 88 Unknown 6 Disabled Vehicle Related (working 9 Not Visible (dark clo1hing, no 77 Other, Explain in Narrative backpack, etc.) on, pushing, leaving/approaching) lighting. etc ) 88 Unknown ALCOHOUDRUG/EMS SUSPE CTED ALCOHOL TESTED: ALCOHOL TEST TYPE: l'\LCOHOL BAC �USPECTED pRUG TESTED: DRUG TEST TYPE: DRUG TEST RESULT: ALCOHOL USE: [J 1 Test Not Given □ 1 Blood 2 Breath □ !TEST RESULT □□ DRUG USE [J 1 Test Not Given □ 1Blood □ 1 Positive □ 1 No 2 Test Refused 3Urine 1 PENDING 1 No 2 Test Refused 3Urine 2 Negative 2Yes 3 Test Given 77 Other, E xplain 2COMPLETED �Yes 3 Test Given 77 Other. 3 Pending 88 Unknown 68 Unknown, if Tested in Narrative 68UNKNOWN 138 Unknown 88 Unknown, if Tested Explain in Narrative 88 Unknown SOURCE OF TRANSPORT TO MEDICAL FACILITY EMS AGENCY NAME OR ID EMS RUN NUMBER rEDICAL FACILITY TRANSPORTED TO 1 Not Transported [J 2 EMS 3 Law Enforcernerlt 77 Other, Explain in Narrative 88 Unknown " PERSON# !V EHICLE# rAME ATE OF BIRTH INJ rEX roe: s R l o rJECT ru rp I ABO rs CURRENT ADDRESS (Number and Street) I CITY I STATE I ZIP CODE SOURCE OF TRANSPORT TO MEDICAL FACILITY □ EMS AGENCY NAME OR ID I EMS RUN NUMBER I MEDICAL FACILITY TRANSPORTED TO 1 Not T'llnaport•:I 2 Er.1S 3 L•w l11fo_,.,,.11\ 1T Olhar. Ex.,!a"';,, Mll,...1-H1Jnlcno""'1 PERSON # !VE HICLE# rAME ATE OF BIRTH !NJ rEX ILOC:S R l o rJECT ru rp I ABO I RS CURRENT ADDRESS (Number and Street) I CITY I STATE I ZIP CODE SOURCE OF TRANSPORT TO MEDICAL FACILITY □ EMS AGENCY NAME OR ID I EMS RUN NUMBER I MEDICAL FACILITY TRANSPORTED TO 1 Nol Tn1111;:1oiu,d 2 ELIS l Law Ento�-o,t 17 0041( Expll.11"" IZ.!TIILWIIU!l.llnlt'M' HSMV 90010 S 3 7 Page ____ of Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2045 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 NARRATIVE Reporting Agency Case Number 23-80045 Crash occurred at the intersection of Golden Gate Parkway and 47th St Sw. HSMV Crash Report Number 25705267 V1 was traveling in the outside west bound lane of Golden Gate Parkway. V2 was traveling north on 47th St Sw. V1 Driver stated as he approached 47th street Sw he looked up and saw a green light and proceeded to cross the intersection. V2 Driver stated she was traveling north on 47th St Sw. North and south bound had a green light and she entered in to the intersection, continuing north. V1's front center bumper struck V2's rear right door. V1 continued north west, with final rest just west of the intersection. Due to the impact, V2 spun and continued north east. V2 struck a traffic light pole, with final rest facing south in the west bound lane. Both vehicles were removed from scene by Bald Eagle Towing, Rotation. Hazards were removed from scene by the fire department. No injuries observed or reported on scene by V1 Driver or V2 passenger. V2 Driver reported injuries on scene and was transported to physicians regional pine ridge, by EMS, for observation. Due to conflicting stories and no witnesses, I am unable to determine fault. PERSON# VEHICLE# AME ATE OF BIRTH 3 2 NANAUZ GUTIERREZ CRUZ 11/3/2020 CURRENT ADDRESS (Number and Street) CITY SOURCE OF TRANSPORT TO MEDICAL FACILITY � EMS AGENCY NAME OR ID 1 Not TISIIIOOll•'3 2 HIS J Lt# Enfo!Qa�II\ 77 0-.n•,. Elq,1-,,, ti'! Nt,,..W.IIU,,knO'M'I PERSON# VEHICLE# AME CURRENT ADDRESS (Number and Street) CITY SOURCE OF TRANSPORT TO MEDICAL FACILITY □ EMS AGENCY NAME OR ID 1 Not T�11tpo.,." 2 EMS J Ltw £11fo11:t11Nnt T7 Oihu £ui.� ,n lw�we II Unltftown ADDITIONAL VIOLATIONS PERSON# NAME OF PERSON# NAME OF REPORTING OFFICER IDitlADGE# 4428 HSMV 90010 S VIOLATOR VIOLATOR RANK CSD FL STATUTE NUMBER FL STATUTE NUMBER OFFICER NAME B FAHEY 7 Page ____ of INJ SEX LOC· S R 0 EJECT EP ABO RS 2 2 1 2 10 EMS RUN NUMBER MEDICAL FACILITY TRANSPORTED TO SEX R 0 EJECT EP ABO RS EMS RUN NUMBER MEDICAL FACILITY TRANSPORTED TO CHARGE CITATION NUMBER CHARGE CITATIUN NUMBER DEPARTMENT COLLIER COUNTY SHERIFFS OFFI TYPE OF DEPT. St1t:t<lt-t'"' S Ul"t-lCt:: (SO) Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2046 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 DIAGRAM V1 Final rest i HSMV90010S REPORTING AGENCY CASE NUMBER 23-80045 � ....... en � 5 Page __ of HSMV CRASH REPORT NUMBER 25705267 Not To Scale �------'....:....;;;_;__.::...., V2 Final Rest Golden Gate Parkway Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2047 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 VEHICLE# 2 Check if Commercial D Reporting Agency Case Number I HSMV Crash Report Number 23-80045 25705267 1 Vehicle in Transport � I VEHICLE LICENSE NUMBER 'STATE REGISTRATION EXPIRES I VIN 2 Parked Motor Vehicle I Check if Permanent 3 Working Vehicle EQBA25 FL 10/26/2023 Registration D 2HGFA1F52AH305613 Hit and Run � YEAR MAKE MODEL I SlYLE COLOR 'DAMAGE: � 'EST .AMOUNT 1 No 1 Disabbng 4Minor 2Yes 2010 HOND 4D00R SEDAN BLACK-BLK 2 Functional 88 Un known $10,000.00 88 Unknown 3None INSURANCE COMPANY (DRIVER) INSURANCE POLICY NUMBER I Towed due 0 VEHICLE REMOVED BY 1. Rotation � AUSTATE FIRE AND CASUA to Damage: 2. Owner Request 9886141790402 BALD EAGLE TOWING 3. Driver 1 No 2Yes 4. Other, Explain in Narrative NAME OF VEHICLE OWNER (CHECK IF BUSINESS) □ I CURRENT ADDRESS CllY &STATE I ZIP ALAN RICHARD CRUZ BAQUERO 8420 BORBONI CT NAPLES FL 34114 Trailer LICENSE NUMBER STATE REGISTRATION EXPIRES Check if Permanent VIN YEAR MAKE LENGTH AXLES One: Registration □ Trailer LICENSE NUMBER STATE REGISTRATION EXPIRES Check if Permanent VIN YEAR MAKE LENGTH AXLES Two: Registration □ VEHICLE N s E w Off-Road Unknown I ON STREET, RO AD , HIGHWAY TRAVELING �□□□□ □47TH ST SW HAZ.MAT RELEASED HAZMAT PLACARD NUMBER CLASS 1 No □ 1 No □ 2Yes 2Yes 88 Unknown 88 Unknown MOTOR CARRIER NAME US DOT NUMBER MOTOR CARRIER ADDRESS I CITY Vehicle Body Type 15 Low Speed Vehicle Trafficway 8 16 (Sport) Utillty Vehicle 8 1 Two-Way, Not Divided 17 Cargo Van (10,000 lbs 2 Two-l'Vay, Not Divided, with a (4,536 kg) or less) Continuous Left Tum Lane 1 Passenger Car 18 Motor Coach � 3 Two-Way, Oivtded, Unprotected Area or lnitiai Impact 2 I 3 I 4 IS 6 7 ]@[(ls 17 8 14 9 113b2111 10 B AT EST. SPEED I I 18 Undercamage 19 Overturn 20 Windshield 21 I Trailer I STATE I ZIP CODE rOSTED SPEED I TOTAL LANES I 18 19 20 I 21 B Most uamaged Area 2 I 3 4 1s 6 7_ 1@� 17� 14 9 113 12 11 10 I PHONE NUMBER , v��n;i�i�cJ!lo��a��• Confll!Jlf��/Triple □ for Hazardous Materials 9 Truck more than 10,000 lbs (4,536 2 Single-Uni Truck (2-axle and GVWR kg), Cannot Classify more than 10,000 lbs (4,536 kg)) 10 Bus/large van (seats 10< 9-15 3 S1ngle-Unft Truck (3 or more axles) occupants, including driver) 2 Passenger Van 19 Other Light Trucks (10,000 lbs (painted >4 feet) Median 4 Truck Puffing Trailef(s) 3Pickup (4 536 kg) or less) 4 Two-way, Divided , Positive 11 Bus (seats for more than 15 7Motor Home 20 Medium/Heavy Trucks (more Median Barrier 5 Truck Tractor (bobtail) occupants, including driver) 8Bus than 10,000 lbs (4,536 kg)) 6 Truck Tractor/Semo Trailer 77 Other, Explain in Narrative 5 One-Way Traff,cway 7 Truck Tractor/Oouble Truck 11 Motorcycle 21 Farm Labor Vehicle 88 Unknown 88 Unknown 12 Moped 77 Other , Explain in Narrative Trnl��rTrailef 8 Pole Trailer 13 All Terrain Vehicle (A TV) 88 Unknown 2 Tandem Semi Trailer 9 Towed Vehicle Cargo Body Type 13 lntermodai Comm/Non-Commercial TRAILER 1 TRAILER 2 3 Tank Trailer 1 O Auto Tran sport □ □ 4 Saddle Mount/Trailer 77 Other, Explain in □ 3 Van/Enclosed Box Container Chassis 1 Interstate Carrier 4 Hopper 14 Vehicle Towing □2 Intrastate Canier 5 Boat Trailer Narrative 5 Pole-Trailer Another Vehicle 3 Not in Commerce/Government 6 Util<y Trailer 88 Unknown 6 Cargo Tank 15 Not Applicable 4 Not in Commerce/Other Truck 7 House Trailer 1 No Cargo 7 Flatbed (vehicle 10,000 lbs 1 10,000 lbs (4,536 kg) or less 2Bus 8Dump (4,536 kg) or less not Most HarmfUI Event Non-Collision Comm � -1 Overturn/Rollover GVWRJGCWR 2 10,001-26,000 lbs (4536-11,793kg) 9 Concrete Mixer displaying HM placard 2 Fife/Explosion 3 More than 26,000 lbs (11,793kg) 10 Auto Transport 77 Other, Explain in 31mmersion 4 Not Applicable 11 Garbage/Refuse Narrative 4 Jackknife Cofflslon with Non-flxed Object Collision Fixed Object 12 Log 88 Unknown G 5 Cargo/Equipment Loss or Shift 10 Pedestrian 19 Impact Attenuator/Crash Cushion 29 Cable Barrier Emergency 6 FeWJurnped From Motor Vehicle 11 Pedalcycle 30 Concrete Traffic Barrier Vehicle Use 7 Thrown or Faning Object 12 Railway Vehicle (train, engine) 20 Bndge Overhead Structure 31 Other T raffle Barrier Sequence of Events 8 Ran into Water/Canal 13Animal 21 Bndge Pier or Support 32 Tree (standing) 89 Other Non-Collision 14 Motor Vehicle in Transport 22 Bndge Rail 33 Utillty Pole/Light Support 23 Culvert 1st 2nd 15 Parked Motor Vehicle 34 Trame Sign Support □ (40-46 Sequence ol Events only) 16 Work Zone/Maintenance 24 Curb 35 Traffic Signal Support 1 No 40 equipment Failure (blown tire, Equipment 25 Ditch 36 Other Post, Pole, or Support 2Yes brake failure, etc.) 17 Struck By Falling, Shirting Cargo or 26 Embankment 37 Fence BS Unknown 3rd 41 Separation of Units -Anything Set in Motion by Motor 27 Guardrail Face 38 Mailbox 4th 42 Ran Off Roadway, Right Vehicle 28 Guardrail End 39 Other Fixed Object (wall, □□ ◄3 Ran orr Roadway, Left 18 Other Non-Fixed O"""t building, tunnel, etc.) 44 Cross Median Vehicle Maneuver Action Traffic Control Device For Vehicle Defects 45 Cross Center1ine 1 Straight Ahead 13 Stopped in Traffic This Vehicle 8 □Roadway Grade 46 Downhin Runaway 3 Turning Left 14 Slowing 01 Level 8 4Backing 15 Negotiating a Curve 8 Flashing Signal 1 None 8 2HiHcrest Roadway Alignment 5 Turning Right 16 Leaving Traffic Lane 9 Raitway Crosstng 3Uphifl 6 Changing Lanes 17 Entering Traffic Lane 1 No Controls Device 2 Brakes 13 Wheels 4 School Zone Sign/ 3T�es 14 Windows/ 4 Downhill 8 1 Straight 8 Parked 77 Other, Explain in Narrative Device 10 Person (including 4 Lights (head, Wllldshiefd 5 Sag (bottom) 2 Curve Right 10 Making U-Tum 88 Unknown 5 Traffic Control Flagman, Officer, signal, tan) 15 Mirrors 3CurveLeft 11 Overtaking/Passing Guard, etc.) Signal n Other, Explain in 6 Steering 16 Truck Coupling Special Function 1 No Special Function 9Ambulance 14 lnterc�y Bus 6 Stop Sign Narrative 7 Wipers Trailer Hitch/ 8 of Motor Vehicle 2 Farm Vehicle 1 O Fire Truck 15 Charter IT our Bus 7 Yield Sign 88 Unknown 9 Exhaust System Safety Chains 3Police 11 Farm Labor Transport 16 Shuttle Bus 10 Body, Doors 77 Other, Explain in 7Taxi 12 School Bus 17 Farm Labor Bus 11 Power Train Narrative 8 Military 13 T ransit/Commoter Bus 88 Unknown 12 Suspension 88 Unknown VIOLATIONS PERSON# NAMEOF VIOLATOR FL STATUTE NUMBER CHARGE CITATION NUMBER PERSON# NAME OF VIOLA TOR FL STATUTE NUMBER CHARGE CITATION NUMBER PERSON# NAME OF VIOLATOR FL STATUTE NUMBER CHARGE CITATION NUMBER HSMV 90010 S 6 7 Page ____ or Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2048 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 PERSON# 2 I Reporting Agency Case Numbef 23-80045 I HSMV Crash Report Number 25705267 1 Driver 2 Non-Motorist 3 Passenger i.7 VEHICLE# LJ 2 CURRENT ADDRESS (Number and Street) 8420 BORBON! CT I NAME ALANNA RENAE I NAPLES CRUZ I PHONE NUMBER CITY & STATE FL I ZIP CODE 34114 I��□Driver Re-exam DA TE OF BIRTH SEX· DRIVERS LICENSE NUMBER 1 Male 2 Female 4/21/2004 88 Unknown C-620-016-04-641-0 STATE EXPIRES FL 4/21/2028 11��1!,V SEVERITY (INJ) ◄ Incapacitating 2 Possible 5 Fatal (within 30 days) 3 Non-Incapacitating 6 Non-Traffic Fatahty DL Ty.,. 1A2B 3C 4 D/Chauffeur 5 E/Operator 6 E/Oper-Rest 7None Driver Dlslrllcted By 1 Not Otstracted 2 Electronic Communication Devices (cell phone. etc. 3 Other Electronic OeV'lce (navigation device, DVD player) Requir� Endorsements 1 Yes 2No 3 No Req. Endorsement 4 Other Inside the Vehicle (explain in narrative) 5 External Distraction ( outside the vehicle, explain in narrative) 6 Texting 7 Inattentive 88 Unknown DRIVER VISION OBSTRUCTIONS I 1 Vision Not Obscured 5 Load on Vehicle 9 Smoke 2 Inclement Weather 6 Building/Fixed Object 10 Glare 1st Lll<IVCI< Drivers Actions 1 No Contribution Action 2 Operated MV IO Care!ss or Negligent Manner 3 Failed 10 Yield Right-of.way 4 Improper Backing 6 Improper Tum 2 d 10 Followed too Closely n 11 Ran Red Light □ 12 Drove too Fast for Conditions 13 Ran Stop Sign 15 Improper Passing 17 Exceeded Posted Speed 21 Wrong Side of Wrong way 25 Failed lo Keep ., Proper Lane 3 Parked/Stopped Vehicle 7 Signs/Billboards 77 All Other, Explain 4 Trees/Crops/Bushes 6 Fog in Narrative Helmet Use (HU) It Tim• of Crash 26 Ran off Roadway 27 Disregarded other Traffic Sign 28 Disregarded Other Road Markings 29 Over-Correctiog/Over Steering 30 Swerved or Avoided : Due to Wind, Slippery Surface, MV, Oti,ec� Non-Motorist in Roadway, etc. 31 Operated MV in Erratic, Reckless or Agreessive Manner 77 Other Contributing Action 3rd □ 4th □ DRIVER OR PASSENGER Condition At Time of Crash 1 Apparently Normal 3Asleep or Fatigued 5 Ill (sick) or Fainted 6 Seizure, Epilespsy, Blackout 7 Physically lmpained 8 Emotional (depression, angry, dis1urbed, etc.) 9 Under the Influence of Medications/Drugs/Alcohol 77 Other, Explain in Narrative 88 Unknown ReSlrlllnt Syswms (RS) DRIVER OR PASSENGER I □ 1 DOT-Compliant 1 ,-------,S�EA=T��R�O�W�-o=TH..,E�R�� Motorcycle Helmet Motor Vehlcle Seating Position: LOCATION: r.71 r.71 n 2 Other Helmet 1 Not Applicable (non-motorist) Seat Row Other (LOCJ 11 I 11 I 3 No Helmet 2 None Used • Motor Vehicle Occupant 3 Shoulder and Lap Belt Used 4 Shoulder Belt Only Used 1 Lelt 1 Front 1 Not Applicable 2 Midde 2 Second 2 Sleeper Section of Truck Cab 3 Right 3 Third 3 other Enclosed Cargo Area ,--,,E""J•-c-,Uo_n_("E!c-JE=c""T)=----� 1 Not Ejected Air Bag Deployed 5 Deployed-Other (knee, air belt, etc.) 6 DeployedCombination 5 Lap Belt Only Used 6 Restraint Used . Type Unknown [{:) ii��:r Row : �r:�1�c�o�� Cargo Area 88 Unknown 88 Unknown 6 Riding on Mot or Vehicle Exterior (non2 Ejected, Totally 3 Ejected, Partially r:l 1 Not Applicable LJ 2 Not Deployed 3 Deployed-Front 4 Deployed-Side 7 Deployed-Curtain 88 Deployment Unknown 7 Child Restraint System • Forward Facing 8 Child Restraint System • Rear Facing 9 Booster Seat tralling unit) 88 Unknown □ Non�otorlst Description 1 Pedesinan 2 Other Pedestnan (wheelchari, person in a building, skater, pedestnan conveyance, etc 3Bicyclis1 4 Other Cyctis1 5 Occupant of Motor Vehicle Not in Transport (parked, etc.) 6 Occupant of a Non-Motor Vehicle Transportation Device 7 Unknown Type of Non-Motorist 1 None 2Helmet Safety Equipment 3 Protective Pads Used (elbows, knees, shins, etc.) 4 Reflective Clothing 0ackel. backpack, etc .) 5 Lighting 6 Not Applicable 77 Other, Explain in Narrative 86Unknown SUSPECTED ALCOHOL TESTED: 4 Not Applicable 88 Unknown 10 Child Restraint Type Unknown 77 Other, Explain in Narrative □ Non-Motorist Location At Tlm• of c,-.sh 1 Intersection • Marked CroSS1Valk 2 Intersection -Unmarked Crosswalk 3 lnterreclion • Other4 Midblock -Marked Crosswalk 4 Midblock • Marked Crosswalk 5 Travel Lane -Other Location 6 Bicycle lane 7 shoulder/Roadside 8 Sidewalk 9 Median/Crossing Island 10 Dnveway Access 11 Shared-Use Path or Trail 12 Non-TraffiC1Vay /vea 77 Other Explain in Narrative 88 Unknown □ Action Prior to Crash 1 Cross,ng Roadway 2 wailing to Cross Roadway 3 Walking/Cycling Along Roadway with Traffic (in or adjacent to travel lane) l-------,N:r::o"n=-u=,,o"n"'strA=,c11"',o"n=�w"',r"'cu"m=sta=1n"'ce"s,-----------f4 Walking/Cycling Along □ 1N o Improper Action Roadway Against Traffic (in 1•t 2 Dart/Dash or adjacent to travel lane) 3 Failure 10 Yield Right-of-way □ 4 Failure to Obey Traffic Signs 10 Improper Tum/Merge 11 Improper Passing 5 Walking/Cycting on Sidewalk 6 In Roadway -Other (working. playing, etc.) 7 Adjacent to Raodway (e.g, shoulder, median) 8 Going to or from School (K-12) 9 Working in Tramcway (incident response) 10 None 77 Other, Explain in Narrative 88 Unknown □ Signals, or Officer 7 Enlerinj;'Eding Parked/Standing 2nd 5 In Roadway Improperly (standing, Vehicle □lying, working, playing) 8 Inattentive (talking, ea1ing, etc) 6 Disabled Vehicle Related (working 9 Nol Visible (dark clothing, no on, pushing, leaving/approaching) lighting. etc.) 12 Wrong-way Riding or Walking n Other, Explain in Narrative 88Unknown ALCOHOUDRUG/EMS ALCOHOL TEST TYPE· ALCOHOL BAC !SUSPECTED DRUG TESTED: DRUG TEST TYPE: µRUG TEST RESULT: ALCOHOL USE: 8 1 Test Not Given □ 1 No 2 Test Refused 2 Yes 3 Test Given 1 Blood 2 Breath □ TEST RESULT. □□ PRUG USE: 1 Test Not Given □ 1 Blood □1 Positive 3 Urine 1 PENDING 1 No 8 2 Test Refused 3 Urine 2 Negative □ 77 Other, Explain 2 COMPLETED 12 Yes 3 Test Given 77 Other, 3 Pending in Narrative 88 UNKNOWN Isa Unknown 88 Unknown, if Tested Explain in Narrative 88 Unknown 88 Unknown 88 Unknown, if Tested SOURCE OF TRANSPORT TO ME DICAL FACILITY 1 Not Transported 02 EMS 3 lalV Enforcement 2 n Other, Explain in Narrative 88 Unknown PERSON # !VEHICLE# rAME CURRENT ADDRESS (Number and Street) EMS AGENCY NAME OR ID M076 SOURCE OF TRANSPORT TO ME DICAL FACILITY 1 Not T,.."IIOOM� l El.15 l l•·· Enb-ir.nt 17 0-J'lt( La, .. ,,, 111 Nt"l',t. .... ll lJncn.-"" □ EMS AGENCY NAME OR ID PERSON # !VEHICLE# rAME CURRENT ADDRESS (Number and Street) SOURCE OF TRANSPORT TO MEDICAL FACILITY □ EMS AGENCY NAME OR ID t Nol T,..,._;u:i,._.d l El.tS I L•· .. Ento�ma11117 O!nti ll<o:.111 ,n ru .... : 11 l'-,lmt"lffl HSMV 90010 S EMS RUN NUMBER 23-29736 JA TE OF BIRTH INJ I SEX I LOC· s EMS RUN NUMBER ATE OF BIRTH INJ I SEX I LOC:S EMS RUN NUMBER 7 7 Page ____ of R I STATE R I STATE MEDICAL FACILITY TRANSPORTED TO PHYSICIANS REGIONAL PINE RIDGE I ZIP CODE MEDICAL FACILITY TRANSPORTED TO I ZJP CODE ME DICAL FACILITY TRANSPORTED TO Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2049 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 Traffic Ops Tasks Report Transportation Management Services Department • crsilyofSouth'F ��.Countyc'Co :r,Esri, fRE.Garm· .l�CREMENTP,NGA. SGS Task ID Issue Activity , Asset Priority 692377 Status Street Details 4/27/2023 Completed Location Description GOLDEN GA TE PKWY Remove Hazard / Secure Scene Signalized Intersection SIG111 High GOLDEN GATE PKWY@SUNSHINE BLVD/47TH ST SW Intersecting Street SUNSHINE BLVD 1/24/2023 Received call that mast arm was hit accident number 23-80045 2/28/2023 Created a work order for SS&L to Repair, repaint upright and replace broken nut covers. Generated by Cartegraph Page 1 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2050 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 Traffic Ops Tasks Report Transportation Management Services Department Labor Log Date Labor 2/24/2023 10148 Ken Martin 2/28/2023 5431 Michael Stephenson 4/27/2023 1321 Pamela Wilson Equipment Log Date Egui ment Description 2/28/2023 CC2-1749 Vehicle Truck Material Log Rate Name Standard Standard Standard Hours Cost 2.00 105.94 2.00 106.56 1.25 59.85 5.25 Total 272.35 Usage Cost 1.00 14.00 1.00 Total 14.00 Date Material Descri tion Purchase Order Quantit Cost Other Log Date 3/31/2023 Task Cost Labor Cost 272.35 4/27/2023 Vendor Name Cost SOUTHERN SIGNAL AND LIGHTING 3024.32 Equipment Cost 14.00 Total 3024.32 Material Cost 0.00 Generated by Cartegrap,1 0 Total 0 Notes Invoice# 2250618.01 Other Cost Total Cost 3024.32 3310.67 Page 2 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2051 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 • • • Collier County Traffic Operations:Department 2885 South Horseshoe Drive• Naples, FL 34104 Office: (239) 252-8260, Fax: (239) 252-5868 NOTICE TO PROCEED# 23-18 Sig TO: Southern Signal & Lighting P.O. Box 5142 Hudson, FL 34674 Job Location: Golden Gate Pkwy @ Sunshine Blvd NOTICE TO PROCEED DATE: 02/24/2023 Ii] ROUTINE O EMERGENCY County Purchase Order No: 4500220041 Collier County RFP #: 19-7541 Prepared By: Mike Stephenson Cartegraph Task#: 692377 Contact Name: Gregory Garcia Contact Phone: 239-253-2252 Contract Time: Description of Work: Repair, repaint mast pole upright on the northwest corner from top to bottom and replace all damaged and missing nut covers. Per Contract You are authorized to use subcontractors as needed for this (Normal = 1 week) NTP (Emergency = less Contract Gregory Garcia 239-252-5000 72 hours prior to the than 2 hours) beginning of work NOTE: The aforementioned work shall be initiated per the Contract Time noted above (unless otherwise requested in writing and approved by the Traffic Operations Chief Engineer) after receipt of this NTP which must be attached to your invoice. County Inspection Staff shall be notified when each phase of the aforementioned work is completed for review and approval. Upon review and approval of the aforementioned work, prior to the submittal of any furnish or install payment request(s), an "As Built Schematic" of all underground work, material quantities, and/or labor shall be provided if the underground routing of existing components was changed. 0 REJECTED Reason: Date: 0 ACCEPTED Date: Inspected By: ________________ _ Traffic Signal & Roadway Lighting Technician CONTRACTOR: Authorized By: Print Name: Signature Date of Work Order Acceptance: ______ _ Date Work Completed: __________ _ Date Submitted for Final Inspection: _____ _ Date Submitted for Reinspection: ______ _ Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2052 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 Southern Signal & Lighting, Inc. Phone # 727-819-2061 Fax# 727-857-4097 southernsignalandlighting@gmail.com Account# 114725 Bill To Collier County Board of County Commission Attn: Accounts Payable 3299 Tamiami Tri E Ste 700 Naples, FL 34112-57 49 Item Description Supervisor Labor Per Man Hour -Supervisor Laborer Labor Per Man Hour -Laborer HeavyEq-BKT Heavy Equipment -Bucket Truck Materials Material Cost SHLXN800 UDB 1.25G Material Markup Markup on Materials Material Tax Tax on Materials Material Freight Freight on Materials Materials Materials Material Cost MAC646 ULDEEP 2G Material Markup Markup on Materials Material Tax Tax on Materials Material Freight Freight on Materials Materials Materials Material Cost DENATURED ALCOHOL Material Markup Markup on Materials Material Tax Tax on Materials Material Freight Freight on Materials Materials Materials Material Cost BOLT COVERS Material Markup Markup on Maierials Material Freight Freight on Materials Materials Materials Material Cost 1/4-20 X 1 SOCKET SET SCREW SS Material Markup Markup on Materials Material Tax Tax on Materials Material Freight Freight on Materials Remit To Address: 16909 US Highway 19 Hudson, FL 34667 Invoice# 2250618.01 Revised Inv# Date 3/31/2023 SSL Job# 2250618 Golden Gate Pky @ Sunshine Name Mast Arm Painting Repairs Location GG Pky @ Sunshine Blvd WO# 23-18 SIG PO# 4500220041 Bid# 19-7541 Project Bill Ref 692377 Unit of Measure Unit Price Quantity Amount -MH 77.00 14 1,078.00 MH 60.50 14 847.00 HR 66.00 11 726.00 152.74 0.5 76.37 10.00% 7.64 7.00% 5.35 0.00 0.00 0.00 89.36 136.80 0.5 68.40 10.00% 6.84 7.00% 4.79 0.00 0.00 0.00 80.03 19.63 0.5 9.82 10.00% 0.98 7.00% 0.69 0.00 0.00 0.00 11.49 70.00 2 140.00 10.00% 14.00 0.00 0.00 0.00 154.00 1.72 12 20.64 10.00% 2.06 7.00% 1.44 0.00 0.00 Total Payments/Credits Balance Due Page 1 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2053 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 Southern Signal & Lighting, Inc. /t-takin(J '/c,tJaJs Sa61l>' & 731'i(JAtll1' SinctZ 2001/-Invoice# 2250618.01 Revised Inv# Phone# 727-819-2061 Fax# 727-857-4097 Date 3/31/2023 southernsignalandlighting@g mail.com SSL Job# 2250618 Golden Gate Pky@ Sunshine Account# 114725 Name Mast Arm Painting Repairs Location GG Pky @ Sunshine Blvd WO# 23-18SIG Bill To PO# 4500220041 Collier County Board of County Commission Bid# 19-7541 Attn: Accounts Payable 3299 Tamiami Tri E Ste 700 Project Naples, FL 34112-5749 Bill Ref 692377 Item Description Unit of Measure Unit Price Quantity Amount Materials 0.00 24.14 Materials Material Cost 4 VELOUR ROLLER 3.056 4 12.22 Material Markup Markup on Materials 10.00% 1.22 Material Tax Tax on Materials 7.00% 0.86 Material Freight Freight on Materials 0.00 0.00 Materials 0.00 14.30 Remit To Address: Total $3,024.32 16909 US Highway 19 Payments/Credits $0.00 Hudson, FL 34667 Balance Due $3,024.32 Page 2 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2054 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 Collier County Traffic Operations1Department 2885 South Horseshoe Drive• Nap.les, FL 34104 Office: (239) 252-8260, Fax: (239) 252-5868 NOTICE TO PROCEED NOTICE TO PROCEED# 23-18 Sig DATE: 02/24/2023 TO: Southern Signal & Lighting P.O. Box 5142 Hudson, FL 34674 Job Location: Golden Gate Pkwy @ Sunshine Blvd [i] ROUTINE O EMERGENCY County Purchase Order No: 4500220041 Collier County RFP #: 19-7541 Prepared By: Mike Stephenson Cartegraph Task#: 692377 Contact Name: Gregory Garcia Contact Phone: 239-253-2252 Contract Time: Description of Work: Repair, repaint mast pole upright on the northwest corner from top to bottom and replace all damaged and missing nut covers. Per Contract You are authorized to use subcontractors as needed for this (Normal = 1 week) NTP (Emergency = less Contract Gregory Garcia 239-252-5000 72 hours prior to the than 2 hours) beginning of work NOTE: The aforementioned work shall be initiated per the Contract Time noted above (unless otherwise requested in writing and approved by the Traffic Operations Chief Engineer) after receipt of this NTP which must be attached to your invoice. County Inspection Staff shall be notified when each phase of the aforementioned work is completed for review and approval. Upon review and approval of the aforementioned work, prior to the submittal of any furnish or install payment request(s), an "As Built Schematic" of all underground work, material quantities, and/or labor shall be provided if the underground routing of existing components was changed. 0 REJECTED Reason: Date: 0 ACCEPTED Date: Inspected By: ________________ _ Traffic Signal & Roadway Lighting Technician CONTRACTOR: Authorized By: Print Name: _____________ _ DANIELA G COLEMAN Digitally signed by DANIELA G COLEMAN Date: 2023 03 31 15-40·53 -04'00' Signature Date of Work Order Acceptance: ______ _ Date Work Completed: __________ _ Date Submitted for Final Inspection: _____ _ Date Submitted for Reinspection: ______ _ Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2055 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 • • • 2-24-23 Golden Gate parkway and Sunshine upright damage Task 692377 Crash report CCSO 23-80045 CCTO Claim 3031 Stars 50-02242313728 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2056 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904 • • 2-24-23 Golden Gate parkway and Sunshine upright damage Task 692377 Crash report CCSO 23-80045 CCTO Claim 3031 Stars 50-02242313728 Composite Exhibit "A" to Complaint 16.K.9.b Packet Pg. 2057 Attachment: Arias Perez - Backup Documentation (28710 : Authorize the County Attorney to file a lawsuit against Abigail Arias Perez for $1,904