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RES NO 03-04-2022
CITY OF VAN BUREN,ARKANSAS RESOLUTION NO.03 - 01-1 - 2022 BE IT ENACTED BY THE CITY COUNCIL,FOR THE CITY OF VAN BUREN, ARKANSAS, A RESOLUTION TO BE ENTITLED: A RESOLUTION TO AUTHORIZE THE MAYOR AND CITY CLERK TO REMOVE AND DISPOSE OF CERTAIN FIXED ASSETS FROM THE CITY OF VAN BUREN'S FIXED ASSET INVENTORY, BY SEALED BID, AUCTION OR OTHER METHODS AUTHORIZED UNDER THE LAW, AND FOR OTHER PURPOSES. WHEREAS, the City of Van Buren has certain fixed assets on its Fixed Asset Inventory List which are obsolete, and/or beyond repair, and are no longer cost effective, to no longer be needed by the City;and WHEREAS, after an inventory of fixed assets, it is therefore recommended by our State Auditor that said items or item be removed from the City's Fixed Asset Inventory and disposed of by sealed bid,auction or as otherwise authorized under A.C.A§ 14-54-302. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF VAN BUREN, ARKANSAS,THAT: SECTION 1: The Mayor and City Clerk are hereby authorized to remove the following asset or assets from the Fixed Asset Inventory and to dispose of same by sealed bid, auction or other such methods authorized under the law: Department Amount Description Control# Police $28,652.00 2011 Ford Expedition PD—000031 VIN: 1 FMJU 1 G59BEF29061 IN WITNESS WHEREOF,the City of Van Buren,Arkansas,by its City Council,did pass,approve, and adopt,by a vote of C. for and v against the foregoing Resolution at its regular meeting held on the 28th day of March 2022. Cg-71C oseph P. ATTESTED: 0 FORM: Phplis Thomas r a� owell City Clerk/Treasurer City Attorney City of Van Buren, AR Fixed Asset Transaction A=ADD C=Contribution D=DELETE TI=Transfer In TO=Transfer Out E=Edit Action (A,C,D,TI,TO,E) aon- aaoo3) Fixed Asset # P 1; Department Date Acquired 3-Ito-99, Date Sold or Transferred (Circle One) Zg 125 . Cost —(cost must equal the invoice amount or fair market value, if donated) Sale Amount Resolution # Description: o?0) 1 lord 1 xpedi-koi Location:(i.e. office/station): Serial Number: yu' I FIA3 U i G5°I 6Ec aeio(o Approval Dept. Supervisor Approval Mayor _(C54, (Attach a copy of the invoice) Drivers'Last Names!PERRY I Page 1 of 18 I Juvenile involved ❑Yes Q No ARKANSAS MOTOR VEHICLE CRASH REPORT Severity 0 Fatality 0 injury El PDO #of Motor Vehicles Rev.2019•t Automobiles,h'otorcycles,etc. 1 Crash Report# 22-816 #of Non-i%otorists 0 Investigating Agency BARLING PD PedesMans,B cyclists,etc. , Investigating Officer Officer Mayhugh Nathan 8009 Signature Rank Last First Middle Suffix Badge# CRASH DATE AND TIME Date of Crash (MM/Do/yyy}p Time of Crash (HH:MMAMJPM) Date Police Notified Time Police Notified Date Police Arrived Time Police Arrived 0:/04/2022 10:45 PM 03/04i2022' 10:46 PM 03/04/2022 10:48 PM Mil CRASH LOCATION County City • Latitude Longitude Sebastian Bariing 35.332234°N 94.296373°W RoadiStrer tlHighway Section Log Mile At Intersection With 59(59) - - 7 - 1.328 HST - - Not in City but of the City Limits of Distance(feet or mites to two decimal niaces) Direction(WS.rEM) Cdy Not at Inte,section,but of Distance feet ormaes to two decimal•laces Direction Reference•olnt CRASH FACTORS AND CONDITIONS First Ha 1 Event 204 Location of First 100 School Bus 000 Roadway Surface 10d Weather Conditions 1000vertum(rollover - Harmful Event Related Condition Check oft that apply: 101 Fire/explosion 100 On roadway 000 No,school bus 100 Dry 171 100 Clear O 102 Immersion,full or partial 101 Shoulder not involved 101 Wet a 103 Jackkr ife " 102 Median 100 Yes,school bus 102 Snow 0 101 Cloudy ❑108 Freezing rain or = 104 Cargo.equipment loss or shift 103 Roadside directly involved 103 Slush freez ng drizzle ❑ 102 Fog 113 Fellfju need from motor vehicle 104 Gore 101 Yes,school bus 104 Ice or frost 109 Snow 115 Object thrown or fallen 105 Separator indirectly involved 105 Water(standing or moving) El 103 Smog ❑ on art ear motor vehicle 106 In parking lane or zone Type of I 000 106 Sand 0 104 Smoke ❑110 Blowing snow 196 Other.on-collision 107 Off roadway,location unknown intersection 107 Mud,dirt,or gravel ❑ .105 Rain ❑111 Severe crosswinds a 200 Pedes rian 108 Outside right-of-way(trafficway) 000 Not an intersection 108 Oil 112BIowing sand, 999 Unknown 196 Other 0 106 Sleet El Pedal(yde 100 Four-way intersection soil,or dirt 202 Other on-motorist Type of Collision 100 101 T-intersection ❑107 Hail * 203 Railwz L vehicle(train,engine) 100 Single vehicle crash 102 Ydntersection 999 Unknown 0 198 Other 204 Anima(live) 200 Fmnt to rear 103 L-intersection 205 Motor ehicle in transport 201 Front to front 104 Traffic circle Light Condition 104 E. , 206 Parke motor vehicle 202 Angle 105 Roundabout 100 Daylight ❑999 Unknown 207 Falling shifting cargo or anything 203 Sideswipe,same direction 106 Frve-point or more 101 Dawn 0. o set in t lotion by motor vehicle 204 Sideswipe,opposite direction 999 Unknown 102 Dusk Roadway Conditions 208 Work;onefmaimenance equipment 205 Rear to side 103 Dark-lighted Checkoff thatapply: Road System ! 102 a 298 Other on-fixed object 206 Rear to rear 104 Dark-not Gghled n 980 Other describe below) 100 Interstatelighting 000 None 0 300 lmpacl attenuatorlcrash cushion ( 101 US highway 105 Dark- r unknown fi htin Q 0 100 Backup due to prior crash �, 301 Bridge overhead structure 102 State highway 6 302 Bridge pier or support Relation to 103 County road 0 101 Backup due to prior 303 Bridge rail DOD 999 Unknown non-recurringincident 9Junction 104 City street a 304 Cable artier 105 Frontage road Environmental Factors El 102 Backup due to regular 000 Non-junction Check all thatapply: x 106 Ramp 305 Culver 100 Intersection congestion n 306 Curb ❑000 None 101 Intersection related 999 Unknown 0 103Toll booth/plaza related 307 Ditch 0 100 Weather conditions 308 Embarkment 102 Entrance or exit ramp Property I 100 0 104 Road surface condition 00 309 Guardrail face 103 Entrance or exit ramp related Classification El 101 Visual obstructions (wet,icy,snow,slush,etc.) 310 Guardrail end 104 Railway grade crossing 100 Public property 0 102 Glare 0 105 Debris 105 Crossover related 311 Canon to traffic barrier 101 Private property 1D6 Driveway access ✓❑103 Animals in roadway 0 106 Ruts,holes,or bumps 312 Other t affic barrier 107 Driveway access related 0 198 Other. 0 107 Work zone 313 Tree(standing) 108 Shared-use path or trail 314 Utility polellight support 109 Acceleration or deceleration lane 0 108 Worn,travel-polished surface p ' 315 Traffic sign support 110 Through roadway 0 999 Unknown 0 109 Obstruction in roadway 316 Traffic signal support 198 Other location within an Trafficway Classification I 100 0 110 Traffic control device 317 Merl ost,pole,or support interchange area 100 Trafficwa on road inoperative,missing,or obscured 318 Fence (median,shoulder,and roadside) 101 Trafficway,not on road 0 111 Shoulders(none,low,soft,high) 310 Mailbox 102 Non-tmffrcway(describe below) 3200uildin,t ❑ 112 Non-highway work • 398 Other Iced object 999 Unknown 0 198 Other. 999 Unknown 11198,298,or 378,describe: 0 999 Unknown WORK ZONE CRASH INFORMATION Work Zone 000 Location Relative 970 Work Zone Type 970 Workers)Present 970 Law Enforcement Present 970 000 No to Work Zone 100 Lane closure 000 No 000 No law enforcement presence 100 Yes 100 Before the lit-st workzone warning sign 101 Lane shift or crossover 100 Yes 100 Officer present 999 Unknown 101 Advance warning area 102 Work on shoulder or median 970 Not applicable 101 Law enforcement vehicle only present 102 Transition area 103 Intermittent or moving work 999 Unknown 970 Not applicable 103 Activity area 198 Other 999 Unknown 104 Termination area 970 Not applicable 999 Unknown 970 Not applicable 999-Unknown CRASH REPORT-CRASH SUMMARY EmE eport# 22-816 Page 2 of 8 Photos Taken ATTACHMENTS 0 Ye Type Description Q No Vehicle 1 Damage to front end NEB NON-VEHICULAR PROPERTY DAMAGE Descrtptimage d d n of Property Damage :sag: ContaOwner Address od Name Street d . were Posh)!Code WITNESSES'CONTACT INFORMATION La Name First Name Middle Name Suffix Address City State Postal Code ,; - _ - - - CRASH REPORT-ATTACHMENTS/PROPERTY DAMAGE/WITNESSES) Motor dehicle# ARKANSAS MOTOR VEHICLE CRASH REPORT ''age 13 I oS I tS I 1 VEHICLE INFORMATION Crash Report# 22-816 ME DESCRIPTION AND IDENTIFICATION Chuck it INS'ehtde Hit and Run 000 Vehicle Body Type 109 had no dri er 000 No,did not leave the scene 100 Yes,vehicle&driver left the scene Passer ter Vehicles 0 001 No,vehicle&driver left the scene 10i Yes,only driver left the scene too 2-door 002 No,only driver left the scene 101 4-door VIN 1FMJ1'1659BEF29061 102 Hatchback 103 Convertible Vehicle Ye;r,Make,and Model 104 Station wagon 2011 Ford Expedition 105 Pick-up Year Make Model 106 Mini-van License Ph to 107 Passenger van(seats any number if personal;up to 8 if business) ❑Missing 108 Cargo van(10,000 lbs or less) AR 3570XA RI Unknown(fill in all known details) 109 Sport utility vehicle Steve lumber Year 110 Large utility vehicle Trailer#1 License Plate 111 Motor homelrecreational vehicle D Missing 198 Other passenger vehicle ❑Unknown(fill in all known details) Truck(>10,0001bs) State lumber - - - 200 Single unit truck(2 axles) Trailer#2 License Plate D Missing 201 Single unit truck(3 or more axles) El Unknown(fill in ali known details) 202 Single unit truck with trailer Slate lumber 203 Truck tractor only(bobtail) Owner Nan le ❑Same as driver ❑ Unknown 204Tractorfsemi-trailer 206 doubles VAN BUREN POLICE DEPT C u 206 ConstnslrucGonfmaintenanceequipment Owner Address ❑Same as driver ❑ Unknown 207 Farm equipment 111 S 11TH ST VAN BUREN AR 72956 298 Other heavy vehicle(GVWRIGCWR>10,000Ibs) Bus f Van!Limo(9 or more seats,Including driver) Street City State Postal Code 300 School bus Motor Carrier Type 000 Motor Carrier ID Numbers 301 Transil/city bus 000 Personal transportation USDOT# 302 Motor coach/intercity/cross-country bus 100 Interstate carrier 303 Limousine 101 Intrastate carrier MC/MX# 304 Van(seats 9-15,including driver) 102 Not in commerce-government 390 Other vehicle(seats 9-15,Including driver) 103 Not in commerce-other truck State# State 391 Other vehicle(seats 16 or more,including driver) 999 Unknown Cycle/Low Speed Motor Carrier Name ❑Unknown 400 Motorcycle 401 Motor scooter 402 Moped Motor Carr er Address 0 Unknown 403 AN(3,4,orb wheels) 404 Snowmobile 405 Golf cart Stunt City State Postal Code 406 Low speed vehicle Cargo Bod,Type 000 495 Other motorized cycle/low speed vehicle Unknown 000 No cargo ,ody 104 Cargo tank 109 Dump 198 Other 100 Bus 105 Log 110 Concrete mixer 999 Unknown type of motor vehicle 101 Van I encased box 106Intermodal container chassis 111 Auto transporter 999 Unknown If198,298,390,391,or498,describe below; 102 Grain!ch ps 1 gravel 107 Vehicle towing another vehicle 112 Garbage/refuse 103 Pole traile• 108 Flatbed GVWRIGCWVR 970 Hazardous Materials Placard 000 Hazardous Material ID Hazardous Materials Released 970 10010,0001bl or less 000 Placard not re uired (4-digit#ornemefrommiddle from Vehicle Cargo Compartment q of diamond or rectangular box) 000 No,hazardous materials not released 10110,001-26,00D lbs 100 Placard displayed Hdous Material Class 102 More titer 26,000 lbs 200 Placard required but not displayed 100 Yes,hazardous materials released (1-digit#from 970 Not applicable(not carrying hazardous materials) 970 Not applicable 999 Unknown bottom of diamond) INSURANCE DAMAGE Insurance Damage Severity 102 Initial Contact Point Damaged Areas i 0 Uninsure i at time of crash [�Unknown 000 No damage (check 1) (check all that apply) (fill in any known details) 100 Minor damage 7 8 9 10 11 7 8 9 10 11 Insurances;ompany 101 Functional damage ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 102999 Disabling damage 6 ❑ t?1 12, 6 ❑ O I 12 AR{ANSAS MUNICIPAL LEAGUE 9g9llnknnwn Damage Estimate ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 0 Q NAIC'# $5,000 5 4 3 2 1 5 4 3 2 1 Damage Prior to the Crash 0 000 Non-collision ❑097 No damage (=J(No prior damage ❑100 Cargo loss ❑113 Top Policy# ❑Yes(describe below) ❑113 Top ❑114 Undercarriage 0 114 Undercarriage ❑999 Unknown 0 999 Unknown TOWING Towed 100 Towed By 000 Not towed Larry's 100 Towed,bu not due to disabling damage 101 Towed due to disabling damage Towed To 1720 Fayetteville Road Van Buren AR 72956 Street City State Postal Code CRASH REPORT-MOTOR VEHICLE DESCRIPTION AND IDENTIFICATION Mote r Vehicle# ARKANSAS MOTOR VEHICLE CRASH REPORT Page I 4 I of 15 I 1 VEHICLE INFORMATION Crash Report# 22-816 MOTOR VEHICLE CIRCUMSTANCES Vehicle Usage 108 Emergency Vehicle Usage 102 Vehicle Maneuver 100 000 No pedal function 100 Non-emergency,non-transport 100 Movement essentially straight ahead 100 Taxi 101 Non-emergency transport 101 Negotiating a curve 101 School:iuslschool transport 102 Emergency operation,emergency warning equipment not in use 102 Backing 102 Church aus 103 Emergency operation,emergency warning equipment in use 103 Changing lanes 103 Transit/commuter bus 970 Not applicable 104 Overtaking/passing 104 Intercity bus 999 Unknown 105 Turning right 105 Charterltour bus 105 Turning left 106 Shuttle bus 107 Making U-turn 107 Military Travel Direction I 100 108 Leaving traffic lane 108 Police 100 Northbound 109 Entering traffic lane 109 Ambula ice 101 Souhbound 110 Slowing 110 Fire truck 102 Eastbound 111 Parked 103 Westbound 111 Non-transport emergency services vehicle 104 Not on roadway 112 Slopped in traffic 112 Incident response 198 Other 999 Unknown 999 Unknown -Vehicle Defects Check authatapply. _ _ 999 Unknown ❑000 Nona Traffic Control Device Types and Statuses Check the box next to each traffic 100 Functioning property ❑ 100 Brat e ❑101 Exhaust system ❑102 Body or doors control device that was present at the 101 Functioning improperly ❑ 103 Stet ring 0 104 Power train 0 105 Suspension location of the crash. Use the codes to the right to mom, 102 Inoperative or missing ❑106Tire ❑ 107 Wheels 0 108 Headlights the status of each trelriccontrol 999 Unknown device present. ❑109 Tail ights 0 110 Trim signals 0 111 Windows or windshield Traff .Conirol,DeviceType ,Device Status' ❑112Mimrs 0 113 Wipers 0 114 Truck cou tin ,trailer . `.Check afha!apply. Use above codes. ❑115 Fue system ❑116 Cruise control hitch,or safety chains ©000 None ❑198 Otht:r ❑100 Flashing traffic control signal ❑101 Traffic control signal ❑999 Unknown 0 102 Stop sign Trafficway Description l 200 Roadway Surface I 101 ❑103 Yield sign 100 One-wayirafficway 100 Concrete ❑104 Slow orwaming sign 200 Two-way,not divided 101 Asphalt 201 Two-way,notdivided,with a continuous left turn lane 102 Gravel ❑ 105 Person(officer,flagman,crossing guard) 300 Two-way,divided,unprotected(painted>4 feet)median 103 Dirt ❑ 106 School zone sign/device 400 Two-way,divided,positive cable barrier 198 Other 401 Two-way,divided,positive concrete barrier 0 107 Pedestrian signal 498 Two-way,divided,other type of positive barrier 999 Unknown 0 108 No passing signal 999 Unknown 0 109 Words or symbols painted on roadway Roadway Grade 100 Roadway Alignment 100 0 110 Traffic lanes marked 100 Level 999 Unknown 100 Straight 101 Hillcrest 200 Curve left 0 111 Railway crossing with gate and signals 102 Uphill 201 Curve right 103.Downhil 299 Curve,direction unknown ❑112 Railway crossing with flashing signals only 104 Sag(bo om) 999 Unknown 0 113 Railway crossing with crossbuck only Total#of Lanes Posted Speed Limit '❑198 Other. 2 Use the posted speed limit that applied 55 []999 Unknown to this vehicle at the time of the crash. MOTOR VEHICLE EVENTS Sequence of Events 1 204 2 3 4 5 6 7 8 9 10 Most Harr lful Event 204 Non-Collision Collision with Non-Fixed Object Collision with Fixed Object Unknown 100 Overturn[rollover 200 Pedestrian 300 Impact attenuator/crash cushion 318 Fence 999 Unknown 101 Firelexp:csion 201 Pedalcycle 301 Bridge overhead structure 319 Mailbox 102 Immersion,full or partial 202 Other non-motorist 302 Bridge pier orsupport 320 Building 103 Jackknlf: 203 Railway vehicle(train,engine) 303 Bridge rail 398 Olherfixed object 104 Cargolec;uipment loss or shift 204 Animal(live) 304 Cable barrier 105 Equipment failure 205 Motor vehicle in transport 305 Culvert If 198,298,or 398 is used,describe below: (blown ti e,brake failure,etc.) 206 Parked motor vehicle 306 Curb 106 Separa6.in of units 207 Falling/shifting cargo or 307 Ditch 107 Ran off nadway right anything set in motion by motor vehicle- 308 Embankment 108 Ran off r radway left 208 Work zone/maintenance equipment 309 Guardrail face 109 Delibera ely crossed median 298 Other non-fixed object 310 Guardrail end 110 Unintent orally crossed median 311 Concrete traffic barrier 111 Crossed:enteriine 312 Other traffic barrier 112 Downhill vnaway 313 Tree(standing) 113 Fellfjumf sd from motor vehicle 314Utility potefight support 114 Reenteri groadway 315 Traffic sign support 115 Object tt own or fallen on or near motor vehicle 316 Traffic signal support 198 Other no i-collision 317 Other post,pole,or supportCRASH REPORT-MOTOR VEHICLE CIRCUMSTANCES AND EVENTS( Motor Vehicle# ARKANSAS MOTOR VEHICLE CRASH REPORT Page I 5 I of I 8 I 1 DRIVER INFORMATION Crash Report# 22-816 DRIVER INFORMATION Name J Unknown Date of Birth/Age Sex Q Male Race 100 PERRY DANIEL ALLEN 01/14/1967 0 Female 100 White/Caucasian 01Last First Middle sutra Age:55 CI Unknown 102 BHlspan Aocan-American Address D Unknown 103 Asian/Pacific Islander 2735 SHADY BROOK LN VAN BUREN AR 72956 198 Other 198O Indian street ci State Postal Code 999 Unknown DRIVER LICENSE INFORMATION License.Status 100 License Number Restrictions on License cneckeduetappry. Restrictions'Violated Check all fhatapply- 000 Not livens rd 919352501 100 Valid licer se Q 000 None El 000 None 200 SuspendE i License State License Class ❑100 Wilh licensed adult 0 100 With licensed adult 201 Revoked 202 Expired AR D ❑101 Corrective lenses ❑ 101 Corrective lenses 203 Cancelled or denied _ Is Commercial Driver License? 204 Dlsqualifir d ❑ 102 Mechanical aid 0 102 Mechanical aid - 0 Yes Q No 999 Unknown 0 103 Prosthetic aid ❑103 Prosthetic aid Endorsemt nts on License Endorsements Violated Check all that a ply. Check all that apply. ❑104 Automatic transmission 0 104 Automatic transmission Q 000 None Q 000 None ❑105 Outside mirror 0 105 Outside mirror ❑100 Doubt/triple trailers 0 100 Double/triple trailers 0 106 Daylight only 0 106 Daylight only ❑101 Passe lger ❑101 Passenger 0 107 Class B or C with passengers and class D 0 lo7 Class B or C with passengers and class D ❑102 Tank i ehicle 0 102 Tank vehicle 0 108 Class C only with passengers 0 108 Class C only with passengers ❑103 Hazer ious materials ❑ 103 Hazardous materials ❑109 Vehicles without airbrakes 0 109 Vehicles without airbrakes 0 104 Tank 1 chicle&hazardous materials 0 104 Tank vehicle&hazardous materials ❑110 Interlock device ❑110 Interlock device ❑105 Schoo ❑105 School 0 111 School,church,or transit bus ❑111 School,church,or transit bus ❑106 Motors isle 0 106 Motorcycle ❑ 112 Class D only with passengers ❑112 Class D only with passengers ❑107 Motor iriven cycle ❑107 Motor driven cycle 0 113 Diesel fuel,fertilizer only 0 113 Diesel fuel,fertilizer only 10B Valid'ilhout photo 0 108 Valid without photo ❑114 Seasonal farm service vehicle ❑114 Seasonal farm service vehicle ❑ 198 Other describe below) 0 198 Other(describe below) 0 198 Other(describe below) 0 198 Other(describe below) DRIVER SEATING AND SAFETY INFORMATION Seating Poi ition 110 Restraint Systems Used 100 Motorcycle Helmet Usage 000 000 None used-motor vehicle occupant 000 No helmet worn Standard 1'ehicie Seats Other Seating Positions 100 Shoulder and lap belt used 100 DOT-compliant Front 800 Sleeper section of cab(truck) 101 Shoulder belt only used motorcycle helmet worn 801 Passengersection of bus 102 Lap belt only used 101 Non-DOT-compliant Row Left ;Middle Right Other103 Restraint used-type unknown motorcycle helmet:wom 802 Enclosed passenger/cargo area 1 110 120 130 180 803 Unenclosed passenger/cargo area 104 Child restraint system-forward facing 102 Helmet worn, 804 Passenger/cargo 105 Child restraint system-rear facing unknown if DOT-compliant ra o area, 2 210 220 230 280 9 106 Booster seat 999 Unknown if helmet worn unknown if enclosed 107 Child restraint- a unknown 3 310 320 330 380 805 Trailing unit 198 Other type Eye Protection Usage 4 410 420 430 480 805 Riding on motor vehicle exterior 0 Yes Unknown 970 Not applicable L(No 5 510 520 530 580 999 Unknown 999 Unknown 0 Unknown Air Bags Deployed Ejection 000 Extrication l 000 Bus Seatinc Position Check all that apply 000 Not ejected 000 Not extricated RI 000 Not deployed 100 Ejected,partially 100 Extricated (Complete if ec t was selected far Seating Position above.) 101 Ejected,totally 999 Unknown Front 0 100 Deployed:front 970 Not applicable Di ver 0 101 Deployed:side 999 Unknown IA 'B 1C 1D 1E 1F ❑ 102 Deployed:curtain Ejection Path 000 2A :B 2C 2D 2E 2F ❑198 Deployed:other 000 Not ejected 970 Not applicable 3A ;B 3C 3D 3E 3F 100 Side door opening 999 Unknown 4A ,B 4C 4D 4E 4F 0 970 Not applicable 101 Side window 102 Windshield 5A l 9 5C u. ':'` 5D 5E 5F 0 999 Unknown 103 Back window 104 Backdoor/tailgate opening .. 105 Roof opening(sun roof, • convertible top down) • 106 Roof(convertible top up) 198 Other(e.g.,back of pickup truck, ##A #'B ##C ##D ##E OF tom-off roof,car cut In hall) ' .- - • ' ' CRASH REPORT,DRIVER INFORMATION Moto•Vehicle# ARKANSAS MOTOR VEHICLE CRASH REPORT Page 16 1 of 18 1 1 DRIVER INFORMATION Crash Report# 22-816 MEDICAL INFORMATION Injury Status 5 Type of Medical Transportation 000 EMS Notified EMS Arrived 1(K)Fatal in my 000 Not transported 2(A)Suspected serious injury 100 EMS air Dale Time Dale Time 3(B)Suspected minor injury 101 EMS ground Transported to Medical Facility By 4(C)Possible injury 102 Law enforcement 5(0)No app 3rent injury 196 Other Trauma B Ind# Medical Facility Transported To 199 Transported,but method unknown 999 Unknown if.trans.orted DRIVER CONDITION AND CIRCUMSTANCES Condition at Time of Crash Driver Distracted By 000 Driver Vision Obscured By 000 Check all that epply: 000 Appi runllynormal 000 Not distracted -00D No obstruction noted 106 Not in-transport motorvehicle 100 Manually operating an electronic 100 Rain,snow,fog,smoke,sand,or dust (parked,working) ❑100 Phyr catty impaired communication device(texting,typing,dialing) 101 Reflected glare,bright sunlight, 107 Splash or spray of passing vehicle ❑101 Erna Tonal(depressed,angry,disturbed,etc.) 101 Talking on hands-free electronic device or headlights 108 Inadequate defrost or defog system ❑102 III(si;k)or fainted 102 Talking on hand-held electronic device 102 Curve,hill,or other roadway 109 Inadequate-vehicle lighting system ❑103 Asle p or fatigued 103 Other activity with an electronic device design feature 110 Obstruction Interior to the vehicle 104 Passenger 103 Building,billboard,or other structure 111 External mirrors, ❑104 UndE r the influence of medication or drugs 980 Other distraction inside the vehicle 104 Trees,crops,or vegetation 112 Broken or Improperly cleaned windshield ❑105 UndE r the influence of alcohol 981 Other distraction outside the vehicle 105 In-transport motor vehicle 113 Obstructing angles on vehicle ❑198 011ie 999 Unknown if distracted (including load) 199 Vision obscured-no details 11980 or 981,describe below: 980 Other visual obstruction(describe below) ❑999 UnkrDwn __ Driver Su:pected Alcohol Test Type Given 000 Alcohol Test Result Status 970 Blood Alcohol Content Speeding Related 000 of Alcohol Usage 000 No test given 100 Results pending 000 Not speeding 001 Test refused 101 Results received 100 Racing ❑Yes 100 Blood test 970 Not applicable 101 Exceeded speed limit 101 Breath test 999 Unknown 102 Too fast for conditions RI No 102 Urine test 999 Unknown 198 Other type of test ❑Unkno,in ❑Result received from 999 Unknown if tested Crime Lab Driver Suspected Drug Test Type Given 000 Drug Test Results ❑Result received from Crime Lab Citations of Drug Usage 000 No test given Pending/Negative Not Applicable/Unknown Citatrori# Charges: 001 Test refused 0 000 Results negative ❑Yes 100 Blood test 9 [.�(970 Not applicable 101 Urine test 0 100 Results pending CI999 Unknown 0 No 102 Both blood and urine tests Positive Results(check all that apply) ❑Unknown 198 Other type of test 0 200 Amphetamines 0 206 Methamphetamines ❑201 Barbiturates ❑207 Opiates 999 Unknown if tested 0 202 Benzodiazepines ❑208 Oxycodone ❑203 Cannabinoids 0 209 Propoxyphene 0 204 Cocaine 0 210 Phencyclidine(PCP) 0 205 Methadone ❑298 Other positive result(describe below) • DRIVER ACTIONS AT TIME OF CRASH Check all t at apply: El 000 No contributing action Cl 999 Unknown Disregard ad Traffic Signs or Controls Improper Maneuver Other Actions ❑100 Dis egarded red light ❑300 Improper right turn 0 600 Impeding traffic ❑101 Dis egarded other traffic signal ❑301 Improper left turn 0 601 Ran off roadway 0 102 Dis egarded stop sign 0 302 Improper U-turn ❑602 Crowded off roadway ❑103 Dis egarded yield sign 0 303 Improper backing 0 603 Crossing median ❑104 Dis egarded other traffic sign 0 304 Improper passing ❑604 Failed to yield right-of-way ❑105 Dis egarded other road markings 0 305 Improper lane change 0 605 Failed to keep In proper lane ❑106 Dis egarded officer or flagman 0 308 Improperly parked ❑606 Wrong side of road Swerved c r Avoided Improper Use of Lights or Signals ❑607 Wrong way ❑200 Sw rued or avoided due to wind ❑400 Driving without lights ❑608 Followed too closely ❑201 Svb rued or avoided due to slippery surface 0 401 Failed to dim headlights 0 609 Cutting in ❑202 Sw+rued or avoided due to motor vehicle 0 402 Failed to or improper signal 0 610 Over-correcting or over-steering ❑203 Swt rued or avoided due to non-motorist in roadway Unsafe Operation 0 980 O her contributing action(describe below) ❑204 Swi rued or avoided due to object in roadway 500n 0 205 Swi rued or avoided due to animal in roadway ElReckless operation 0 501 Aggressivea operation ❑502 Inattentive,careless,negligent,or erratic operation ❑503 Under the influence of alcohol ❑504 Under the Influence of drugs CRASH REPORT-DRIVER CONDITION AND CIRCUMSTANCES ARKANSAS MOTOR VEHICLE CRASH REPORT rage I r I or L J NARRATIVE Crash Report# 22-816 On 3-4-22 I was dispatched to hw_y 59 and H street fora vehicle versus.deer accident. Once on scene contact was made with Daniel Perry who stated he was traveling North on Hwy 59 when two deer ran into the road__ strikin phis vehicle. His vehicle is a,Van buret po lice SUV: The vehicle was disabled due to the damage to the front area of the vehicle. Both deer were deceased. _ CRASH.REPORT-NARRATIVE .gene# ARKANSAS MOTOR VEHICLE CRASH REPORT Page of 18 1 DIAGRAM Crash Report# 22-816 Animal Crash - Diagram No Required • • • ." _ - .. ... CRASH REPORT-:DIAGRAM �t. • tr 9. • • • r.. y,.�; .-s( "✓ika''`'�of eYt _ • to 3/16/22, 10:35 AM Municipal Vehicle Program /fit .' 1 (\,.,___ MUNICIPAL VEHICLE PROGRAM Home I Policy I Claims I Contact I Help I Logout Vehicle Delete Confirmation Request# 220316103536102 Account: 3770 Vehicle Search Vehicle: 2011 Ford Expedition Vin5: 29061 Reported Value: $9500.00 Effective Date: 2021 -04-02 Insured Id: Police Your request is pending approval. Please print this page for your records. Contact the MVP staff if you do not receive an endorsement within two weeks. Submit corrections via email or phone. DO NOT enter another request for the same vehicle. https://webservices.arml.org/mvp/wdr510.cgi 1/2