CITY CLERK'S DATE STAMP
CITY OF RIALTO
SANTO, CANES
LIABILITY
CITY OF RIALTO
CLAIM FOR DAMAGES
2025 JUL. - 7 P.12: 31
TO PERSON OR PROPERTY
1. Claims for death, Injury lo person, or to personal property must be filed not later than six (6) months after the occurrence (Gov. Code 5911.2).
2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code 5911.2). RETURN TO:
3.READ ENTIRE CLAIM FOR BEFORE FILING Rialto City Clerk's Office
4.ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Mail: 150 S. Palm Ave., Rialto, CA 92376 Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:
Veronica Casillas Lopez, Vienna Lopez and Vivyanna Lopez See Attachment A
FULL NAME DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO. -
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE See Attachment A
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above):
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: January 17,2025 TIME: _ 6:05 DAM DIPM
2. PLACE OF ACCIDENT (OCCURRENCE) BE SPECIFIG - Describe fully and (if applicable) locate on diagram on reverse side of this sheet.
Where appropriate, give street names and addresses, measurements and landmarks.
I-10 at Rancho Avenue, Rialto, California
3. HOW DID DAMAGE OR INJURY OCCUR?
See Attachment A
4. WERE POLICE AT THE SCENE? •YES •NO • WERE PARAMEDICS AT THE SCENE? DYES ONO
5. WHAT PARTICULAR ACT OR OMISSION DO YOU CLAIM CAUSED THE INJURY OR DAMAGES? Give the name of the city/town employee causing the injury or damage, if known.
See Attachment A
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective Injury or damage $ See Attachment A HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE:
Item/Date: Amount: $.
Item/Date: Amount: $
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $ See Attachment A ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date: Amount: $.
Item/Date: Amount: $_
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $.
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: See Attachment A NAME:
ADDRESS: ADDRESS: _
TELEPHONE: |) TELEPHONE: L)
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME: See Attachment A NAME:
ADDRESS: ADDRESS: _
TELEPHONE: |) TELEPHONE: | )
DATE: _TIME: DATE: TIME: DAM L PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
For all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate place of accident by "X* and by showing house numbers or distances to street corners. accident by "B-1" and the point of impact by "X*.
→ NOTE: IF THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT.
CITY OF
CURB
PARKWAY
SIDEWALK 31
HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS T HOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF; AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE /I CERTIFY LOR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNALURÉ OF CLAIMANT OR AGENT
Raffi H. Ohanian July 3, 2025
TYPE OR PRINT NAME DATE
Attorney for Claimant, Veronica Casillas Lopez
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150 S. PALM AVE., RIALTO, CÁ 92376 1 LAW OFFICES CITY OF RIALTO
THON BECK VANNI
2 CALLAHAN & O'CONNOR 2025 JUL -1 PH 12: 31
140 SOUTH LAKE AVENUE, SUITE 208
3 PASADENA, CALIFORNIA 91101-4904
Tel: 626-795-8333 / Fax: 626-449-9933 CITY CLERI
4 RAFFI H. OHANIAN, State Bar No. 251433
[email protected]
5 6 Attorneys for Claimant, VERONICA
CASILLAS LOPEZ
7 8 SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF SAN BERNARDINO
10 11 VERONICA CASILLAS LOPEZ, VIENNA
LOPEZ, a minor, VIVYANNA LOPEZ, a
12 minor ATTACHMENT A
13 Claimant, GOVERNMENT CLAIM FOR
14 DAMAGES PURSUANT TO
THON BECK VANNI CALLAHAN & O'CONNOR A PROFESSIONAL CORPORATION THE COMMONS 140 SOUTH LAKE AVENUE, SUITE 208 PASADENA, CALIFORNIA 91101-4904 626-795-8333 vS. GOVERNMENT CODE SECTIONS 905 15 AND 910, ET SEQ
STATE OF CALIFORNIA DEPARTMENT
16 OF TRANSPORTATION; CITY OF
RIALTO; COUNTY OF SAN
17 BERNARDINO,
18 Respondents.
19 20 Pursuant to provisions of Sections 905 and 910, et seq., of the California Government 21 Code, demand is hereby made by claimants VERONICA LOPEZ, VIENNA LOPEZ, a 22 minor, and VIVYANNA LOPEZ, a minor against the following:
23 24 STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION
25 CITY OF RIALTO
26 COUNTY OF SAN BERNARDINO
27 1/1
28 1/1
1 GOVERNMENT CLAIM FOR DAMAGES PURSUANT TO
GOVERNMENT CODE SECTIONS 905 AND 910, ET SEQ
1 Each claim is for an amount in excess of the minimum jurisdictional limits of the 2 Superior Court of the State of California.
3 In support of this claim, the following information is submitted:
4 5 1. CLAIMANT INFORMATION:
6 VERONICA CASILLAS LOPEZ (DOB: ), VIENNA LOPEZ (DOB:
7 ), and VIVYANNA LOPEZ (DOB: ),
8 Glendora, California 91740,
10 2. ADDRESS TO WHICH CLAIMANT WISHES CORRESPONDENCE TO BE 11 MAILED:
12 Raffi H. Ohanian, Esq., Thon Beck Vanni Callahan & O'Connor, 140 South Lake TION 13 California 91101-4904, 626-795-8333,
SUITE 91101-4 Avenue, Suite 208, Pasadena,
CORPORA
[email protected].
THON BECK VANNI CALLAHAN A PROFESSIONAL PASADENA,
140 SOUTH 16 3. DATE, TIME AND LOCATION OF THE DAMAGE OR INJURY:
17 January 17, 2025, 6:05 p.m., I-10 eastbound near Rancho Avenue, Rialto, California. 18 19 4. SUBJECT ACCIDENT / FACTUAL ALLEGATIONS:
20 On January 17, 2025, at approximately 6:05 p.m., decedent ERIC DANIEL LOPEZ 21 was traveling eastbound on the I-10 freeway near Rancho Avenue in Rialto, California. 22 At the same time, GESSELL GUADALUPE RODRIGUEZ was driving her 2018 Ford F150 23 westbound on the I-10 freeway near Rancho Avenue in Rialto, California. At the time this 24 government claim is being filed, the subject Traffic Crash Report is still pending and thus 25 claimants are lacking most significant facts from the investigation. 26 Based on information and belief, however, GESSELL GUADALUPE RODRIGUEZ 27 lost control of her vehicle for unknown reasons and went over the center median and 28 1/1
GOVERNMENT CLAIM FOR DAMAGES PURSUANT TO
GOVERNMENT CODE SECTIONS 905 AND 910, ET SEQ
1 directly into eastbound traffic on the 10 freeway, striking decedent ERIC DANIEL 2 LOPEZ's vehicle and killing him.
3 4 NATURE OF INJURIES:
5 Death of ERIC DANIEL LOPEZ (husband to VERONICA CASILLAS LOPEZ and 6 father to VIENNA LOPEZ and VIVYANNA LOPEZ).
8 6. WITNESSES, INVOLVED PARTIES, HOSPITAL AND DOCTORS:
9 At the time of filing this government claim, the Traffic Crash Report is not yet 10 finalized or complete, so claimants have limited information. What is known is 11 that the investigating officer is Nathaniel J. Alva, Badge 022931, with the 12 California Highway Patrol. Others unknown.
13 Decedent died due to blunt head trauma per the coroner, Sharon Wang, D.O.
ALIFORNIA 91101-4904
14 Witnesses are unknown but claimants produce the first 3 pages of the Traffic A PROFESSIONAL CORPORATION THE COMMONS 140 SOUTH LAKE AVENUE, SUITE 208 38 15 Crash Report which is only what is available at this time.
PASADENA, 16
17 AMOUNT OF DAMAGES CLAIMED:
18 The amount claimed for claimants are in excess of $25,000 for the wrongful death 19 of ERIC DANIEL LOPEZ as well as a survivorship action. Pursuant to Government 20 Code, Section 9120(f), "no dollar amount shall be included in this claim." This claim 21 will not be a limited civil case ($25,000 or less). The exact amount of said losses is 22 unknown at this time and will be stated according to proof, pursuant to Code of 23 Civil Procedure, Section 425.10.
24 25 8. GOVERNMENTAL ENTITIES ALLEGED TO BE AT FAULT:
26 STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION
27 CITY OF RIALTO
28 COUNTY OF SAN BERNARDINO
GOVERNMENT CLAIM FOR DAMAGES PURSUANT TO
GOVERNMENT CODE SECTIONS 905 AND 910, ET SEQ
1 NATURE OF CASE AND ALLEGATIONS:
2 On January 17, 2025, at approximately 6:05 p.m., decedent ERIC DANIEL LOPEZ 3 was traveling eastbound on the I-10 freeway near Rancho Avenue in Rialto, California. 4 At the same time, GESSELL GUADALUPE RODRIGUEZ was driving her 2018 Ford F150 5 westbound on the I-10 freeway near Rancho Avenue in Rialto, California. At the time this 6 government claim is being filed, the subject Traffic Crash Report is still pending and thus 7 claimants are lacking most significant facts from the investigation. 8 Based on information and belief, however, GESSELL GUADALUPE RODRIGUEZ lost control of her vehicle for unknown reasons and went over the center median and 10 directly into eastbound traffic on the 10 freeway, striking decedent ERIC DANIEL 11 LOPEZ's vehicle and killing him.
12 Defendants created and/or knew or should have known of the dangerous 13 condition of the "center divider" which divided eastbound and westbound traffic of the 14 10 freeway near Rancho Avenue. There should have been proper barriers, such as a THON BECK VANNI CALLAHAN & O'CONNOR A PROFESSIONAL CORPORATION THE COMMONS 140 SOUTH LAKE AVENUE, SUITE 208 PASADENA, CALIFORNIA 91101-4904 626-795-8333 15 median barrier to prevent vehicles from crossing over into opposite traffic. Instead, 16 present is a very low divider that does nothing to prevent vehicles from crossing over 17 into oncoming traffic.
18 The named entities above either owned, operated, maintained and/or controlled 19 the I-10 freeway near Rancho Avenue in the City of Rialto, County of San Bernardino. 20 The lack of a proper center divider/median barrier constituted a dangerous condition 21 pursuant to Government Code Section 835 at the time of decedent's death. Moreover, the 22 dangerous condition, which was a substantial factor in causing decedent's death, created 23 a reasonably foreseeable risk of injury or death, and that either (a) a negligent or 24 wrongful act or omission of an employee of the named entities within the scope of his or 25 her employment created the dangerous condition, or (b) they had actual or constructive 26 notice of the dangerous condition under Government Code Section 835.2 a sufficient time 27 prior to decedent's death to have taken measures to protect against the dangerous 28 condition.
GOVERNMENT CLAIM FOR DAMAGES PURSUANT TO
GOVERNMENT CODE SECTIONS 905 AND 910, ET SEQ
•
1 The subject property had various dangerous conditions existing thereon, 2 including, but not limited, to the following:
3 a) The subject barrier was improperly, dangerously, and defectively 4 designed, built, drafted, engineered, modified, planned, contracted, and/or 5 regulated;
6 b) The subject barrier lacked any or had insufficient and / or defective warning signs or other forms of warning to alert persons on the 10 freeway of the 8 dangers presented;
c) There was negligence by the entities named above and the agents 10 and/or employees in the ownership, control, maintenance, inspection, placement, 11 management, and modifications of and to the property of the center median. 12 Defendants are also vicariously liable for its independent contractor(s)' torts (Gov. 13 Code, §815.4), and is liable for nuisance (Civ. Code, §3479). 14 As stated above, the named entities above were on actual and certainly on THON BECK VANNI CALLAHAN & O'CONNOR A PROFESSIONAL CORPORATION THE COMMONS 140 SOUTH LAKE AVENUE, SUITE 208 PASADENA, CALIFORNIA 91101-4904 526-795-8333 15 constructive notice of the hazards presented by the very low to the ground center median 16 that does nothing to prevent vehicles from crossing over and suspect prior incident 17 similar to this case.
18 The specific identities of all employees are not known at this time and will likely 19 come to light during the course of litigation.
20 21 10. RESERVATION OF RIGHT TO AMEND AND/OR SUPPLEMENT CLAIM:
22 Claimants reserve the right to amend and/or supplement this Claim for Damages, 23 including asserting new theories of liability or causes of action, upon discovery of new 24 and/ or additional information or facts.
25 26 I declare under penalty of perjury under the laws of the State of California that the foregoing including any attachments, is true and correct. 28 1/1
5 GOVERNMENT CLAIM FOR DAMAGES PURSUANT TO
GOVERNMENT CODE SECTIONS 905 AND 910, ET SEQ
• • •
1 Executed this 3nd day of July 2025, at Pasadena, California. 2 3 THON BECK VANNI
CALLAHAN & O'CONNOR
4 A Professional Corporation
5 By:
6 RAFFI HOHAN
7 Attorneys for Claimants VERONICA
CASILLAS LOPEZ, VIENNA
8 LOPEZ, a minor, VIVYANNA
LOPEZ, a minor
9 10
13 THON BECK VANNI CALLAHAN & O'CONNOR A PROFESSION ORATION 140 SOUTH LAKE AVENUE, SUITE 208 PASADENA, CALIFORNIA 91101-4904 626-795-8333 = = 16 21
22 23
24 25
26 27
28 GOVERNMENT CLAIM FOR DAMAGES PURSUANT TO
GOVERNMENT CODE SECTIONS 905 AND 910, ET SEQ
DEPARTMENT OF CALFORNIA HIGHWAY PATROL Report Subject To Change TRAFFIC CRASH REPORT Page 1 of 37
CHP 555 Page 1 (Rev. 2-22) OPI 060
(SPECIAL. CONDITIONS KIT& RUN CITY JUDICIAL DISTRICT | LOCAL REPORT NUMBER FELONY
FATAL RIALTO SAN BERNARDINO SUPERIOR COURT SAN 9860-2025-00167 3 BERNARDINO FAMILY LAW
TUMBE HIT & RUA COUNTY REPORTING DISTRICT BEAT DAY OF WEEK TOW AWAY
ILLED MISDEMEAHOR
2 SAN BERNARDINO 103 SM TW TOS X|YES •INO
CRASH OCCURRED ON [CRASH TIME (2400) NOTIF. TIME (2400) NCIC # OFFICERID 00/172025 1805 01/17/2025 1811 9860 022931
1-10 WESTBOUND
AT INTERSECTION WITH STATE HAY REL DIGITAL MEDIA
OYES
X OR: [Distance] [Units] [Direction] of RANCHO AVENUE
SP CORONATES FOR LOCATION (LO. AN AREALS) OF INPACT A NOT LAF. LISAME AS LOCATION LONG.
Loc. AT. 34.068551 -117.341976
LONG. LONG. LONG.
NOT LAT. 20T AT.
PARTY DRIVER'S LICENSE NUMBER STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE/MODEL/COLOR LICENSE NUMBER STATE CA L 2018 FORD F150 WHI CA
DRIVER NAME (FIRST, MIDDLE, LAST)
* CESSELL GUADALUPE RODRIGUEZ OWNER'S NAME [X SAME AS DRIVER
PEDES STREET ADDRESS
OWNER'S ADDRESS SAME AS DRIVER
PARKED CITY/STATE/ZIP
VEHICLE
DISPOSITION OF VEHICLE ON ORDERS OF: [X OFFICER DRIVER •OTHER BICY- SEX THAIR EYES ]HEIGHT WEIGHT No BIRTHDATE Yor RACE BRN GRN 5'0" 120 PRIOR MECHANICAL DEFECTS: [X] NONE APPARENT REFER TO NARRATIVE OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
NONE VEHICLE TYPE DESCRIBE VEHICLE DAMAGE PICKUP TRUCK - TOP INSURANCE CARRIER POLICY NUMBER DUNK. • NONE • MINOR
ATOR 22
PENDING PENDING •MOD. L MAJOR X ROLL-OVER
DIR OF ON STREET OR HIGHWAY LANE
DOT.
TRAVEL
|1-10 WESTBOUND TCPIPSC- _ MCAIX
W
PARTY ORIVER'S LICENSE NUMBER STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE/MODEL/COLOR LICENSE NUMBER STATE 2 CA M G 2023 CHEV SILVERADO BLK CA
DRIVER NAME (FIRST, MIDDLE, LAST)
X DANIEL CLAY FOX OWNER'S NAME X SAME AS DRIVER
PEDES. STREET ADDRESS
TRIAN OWNER'S ADDRESS X SAME AS DRIVER
PARKED CITY/STATE/ZIP
VEHICLE
DISPOSITION OF VEHICLE ON ORDERS OF: DOFFICER DRIVER DOTHER BICY- SEX THAIR TEYES THEIGHT [WEIGHT RACE DRIVEN AWAY
CUST M BRN GRN 6'2' 350 H PRIOR MECHANICAL DEFECTS: X NONE APPARENT REFER TO NARRATIVE OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
NONE DESCRIBE VEHICLE DAMAGE PICKUP TRUCK - RIGHT
VEHICLE TYPE
•UNK. •NONE X MINOR
OPER- INSURANCE CARRIER POLICY NUMBER
ATOR
AMERICAN NATIONAL, 22 O MOD. MAJOR L ROLL-OVER
DIR OF ON STREET OR HIGHWAY LANE THRU TOTAL I SPEED
LANES LANES UMIT CA DOT.
TRAVEL
I-10 WESTBOUND 1 4 4 65 CAL-T TCPIPSC
STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR HAKE/MODEL/COLOR LICENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER
3 CA L G 2022 TESL MODEL 3 WHI CA
DRIVER NAME (FIRST, MIDDLE, LAST)
* ERIC DANIEL LOPEZ OWNER'S NAME IX SAME AS DRIVER
PEDES- STREET ADDRESS
TRIAN
OWNER'S ADDRESS I SAME AS DRIVER
PARKED! CITY/STATE/ZIP
VEHICLE
DISPOSITION OF VEHICLE ON ORDERS OF: X OFFICER DRIVER •OTHER BICY- SEX THAIR TEYES HEIGHT TWEIGHT BIRTHDATE Your RACE Mo.
GLIST PRIOR MECHANICAL DEFECTS:
BLK BRN 5'6" 170 H X NONE APPARENT ••REFER TO NARRATIVE OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
UNKNOWN UNKNOWN VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SEDAH -TOP •UNK. [NONE • MINOR
OPER- POLICY NUMBER
INSURANCE CARRIER 01
ATOR UNKNOWN UNKNOWN •MOD. [X] MAJOR D] ROLL-OVER
DIR OF LANE THRU TOTAL SPEET
TON STREET OR HIGHWAY LOT-
LANES I LANE:
TRAVEL 1-10 EASTBOUND
E 1 65 CAL-T TCPIPSC. _MCMX
PREPARER'S NAME DISPATCH NOTIFIED REVIEWER'S NAME DATE REVIEWED NATHANIEL J ALVA, 022931 [X] YES • NO • NIA
An Internationally Accredited Agency Destroy Previous Edillons TATE C: CALIFORNIA
EPARTMENT OF CALIFORNIA HIGHWAY PATROI Report Subject To Change TRAFFIC CRASH REPORT Page 2 of 37
CHP 555 Page 1 (Rev. 2-22) OPI 060
SPECIAL CONDITIONS CITY JUDICIAL DISTRICT LOCAL REPORT NUMBER
ELONY SAN BERNARDINO SUPERIOR COURT SAN
FATAL RIALTO BERNARDINO FAMILY LAW 9860-2025-00167
HT & RUN COUNTY REPORTING DISTRICT BEAT DAY OF WEEK T TOW AWAY
KILLED MISDEMEANCR
2 L SAN BERNARDINO 103 SM TW T@s X|YES •NO
CRASH TIME (2400) NOTIF. TIME (2400) INCIC # OFFICER ID CRASH OCCURRED ON NO. CRASH DATE EAR
01/17/2025 1805 01/17/2025 1811 9860 022931
1-10 WESTBOUND
STATE HWY REL DIGITAL MEDIA
AT INTERSECTION WITH
X oR: [Distance] [Units] [Direction] of RANCHO AVENUE
LOCATION GPS COORDINATES FOR LOCATION (LOC.) AND AREAS OF IMPACT (AO/) LISAME AS LOCATION LET UR SAREA TO MARINE LOND LONG.
LAT.
LOC.
34.068551 -117.341976
LONG. LONG. LONG.
АЗ LAT. 4
STATE CLASS AIR BAG [SAFETY EQUIP. VEH. YEAR MAKE/MODEL/COLOR LICENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER CA
4 CA L 2022 SCIO XD BLK 6MLN908
DRIVER| NAME (FIRST, MIDDLE, LAST)
* FAITH KATHERINE MANIGOS OWNER'S NAME
ORD MANGOS GAMES DRIVER
PEDES. STREET ADDRESS
OWNER'S ADDRESS I SAMEAS DRIVER
PARKED CITY/STATEZIP
VEHICLE DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER [X OTHER •DRIVER
BICY- SEX THAIR EYES THEIGHT WEIGHT RACE REGISTERED OWNER Ma BRTHDATE Your
BLK BRN 5'0" 123 A PRIOR MECHANICAL DEFECTS: IX NONE APPARENT REFER TO NARRATIVE OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
UNKNOWN UNKNOWN VEHICLE TYPE DESCRIBE VEHICLE DAMAGE
INSURANCE CARRIER POLICY NUMBER •UNK. • NONE L MINOR
ATOR 01
UNKNOWN UNKNOWN • MOD. X MAJOR • ROLL-OVER
DIR OF LANE T THRU T SPEED
TRAVEL ON STREET OR HIGHWAY LANES LIMIT CA DOT.
LANEs
2 4 65 CAL-T TCPIPSC _MC/IX
1-10 EASTBOUND STATE
STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE/MODELICOLOR LICENSE NUMBER
PARTY DRIVER'S LICENSE NUMBER
5 CA M G 2015 FORD EXPLORER WHI CA
DRIVER NAME (FIRST, MIDDLE, LAST)
OWNER'S NAME X SAME AS DRIVER
PET DELAINE REYES
STREET ADDRESS
THAN OWNER'S ADDRESS • SAME AS DRIVER
PARKED CITY/STATE/IF
VEHICLE
DISPOSITION OF VEHICLE ON ORDERS OF: X OFFICER [DRIVER MOTHER BICY- SEX THAIR EYES | HEIGHT WEIGHT RACE
T MORTHDATE YOR TRI-CITY TOWING - (909)884-9211
5'4" 140 H PRIOR MECHANICAL DEFECTS: X NONE APPARENT REFER TO NARRATIVE
F BRN BRN
OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
NONE VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SUV - TOP
INSURANCE CARRIER POLICY NUMBER DUNK. •NONE X MINOR
OPER.
MERCURY 07 •MOD. MAJOR LI ROLL-OVER
THRI TOTAL SPEED
DIR OF ON STREET OR HIGHWAY LANE CA. DOT.
ANE LANES UMIT
TRAVEL
E I-10 EASTBOUND 4 4 4 65 CAL-T TOPPSC. _MCMX
STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE/MODEL/COLOR LICENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER
CA M G 2015 TOYT ECHO SIL CA
DRIVER NAME (FIRST, MIDDLE, LAST)
* JOSE MANUEL PEREZ-HERNANDEZ OWNER'S NAME IX SAME AS DRIVER
PEDES- STREET ADDRESS
THAN OWNER'S ADDRESS IX SAME AS DRIVER
PARKED CITY/STATE/LIP
DISPOSITION OF VEHICLE ON ORDERS OF: IX|OFFICER DORIVER MOTHER
BICY- SEX THAIR TEYES HEIGHT TWEIGHT RACE FIRST CHOICE TOWING - CLIST 150 H PRIOR MECHANICAL DEFECTS: [X] NONE APPARENT ] REFER TO NARRATIVE M AUB BRN 5'6"
OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
NONE VEHICLE TYPE DESCRIBE VEHICLE DAMAGE
•UNK. NONE MINOR
OPER- INSURANCE CARRIER POLICY NUMBER 01
AT INTEGON NATIONAL. INS CO •MOD. [X] MAJOR ROLLOVER
LANE TOTAL SPEED
DIR OF ON STREET OR HIGHWAY I LANES CA DOT
TRAVEL
E I-10 EASTBOUND 4 65 CAL-T TCPIPSC.
DISPATCH NOTIFIED REVIEWER'S NAME DATE REVIEWED
PREPARER'S NAME
NATHANIEL J ALVA, 022931 [X] YES •NO
An Internationally Accredited Agency Destroy Previous Editions ..'
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL Report Subject To Change TRAFFIC CRASH REPORT Page 3 of 37
CHP 555 Page 1 (Rev. 2-22) OPI 060
CITY JUDICIAL DISTRICT | LOCAL REPORT NUMBER
SPECIAL. CONDITIONS JMBE
SAN BERNARDINO SUPERIOR COURT SAN
FATAL RIALTO BERNARDINO FAMILY LAW 9860-2025-00167
3 HT & RUN REPORTING DISTRICT BEAT DAY OF WEEK ] TOW AWAY
NUMBER COUNTY
KILED MUSDEMEANOR
2 SAN BERNARDINO 103 SM TW TOS X|YES •INO
CRASH OCCURRED ON CRASH DATE EAR [CRASH TIME (2400) NOTIF. TIME (2400) NCIC# OFFICER ID 01/17/2025 1805 01/17/2025 1811 9860 022931
I-10 WESTBOUND
STATE HWY REL DIGITAL MEDIA
AT INTERSECTION WITH DYES
[X] OR: [Distance] [Units] (Direction] of RANCHO AVENUE EYES NO SINGE GPS COORDINATES FOR LOCATION (LOC.) AND AREA(S) OF IMPACT (AOl) [SAME AS LOCATION LONG.
LAT. LONG.
LOC. -117.341976
34.068551
LAT. LONG. ГАО11 LAT. LONG. AGI LAT. LONG.
4 CLASS [SAFETY EQUIP. VEH, YEAR MAKE/MODEL/COLOR LICENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER STATE AIR BAG
7 CA M G 2013 HOND ACCORD WHI CA
DRIVER NAME (FIRST, MiDDLE, LAST)
X] ALBERTO CASTILLO OWNER'S NAME X SAME AS DRIVER
PEDES STREET ADDRESS
TRIAN OWNER'S ADDRESS L SAMEAS DRIVER
PARKED CITY/STATErIP
VEHICLE DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER
[DRIVER MOTHER
BiCY- SEXHAIR EYES THEIGHT WEIGHT RACE DRIVEN AWAY
M BRN BRN 5'7" 145 PRIOR MECHANICAL DEFECTS: X NONE APPARENT REFER TO NARRATIVE OTHER HOME PHONE BUSInESS PHONE VEHICLE IDENTIFICATION NUMBER:
NONE VEHICLE TYPE DESCRIBE VEHICLE DAMAGE
INSURANCE CARRIER POUCY NUMBER •UNK. [NONE [X] MINOR
01 ATOR INFINITY MOD. MAJOR ROLL-OVER
DIR OF LANE THRU TOTAL SPEED
TRAVEL ON STREET OR HIGHWAY LANES LANES LIMIT CA
I-10 EASTBOUND 4 CAL-T TCPIPSC.
TAIR BAG SAFETY EQUIP. VEH. YEAR MAKE/MODEL/COLOR UCENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER STATE CLASS
CA M G 2013 TOYT CAMRY GRY CA
8 DRIVER NAME (FIRST, MIDDLE, LAST)
* JOSE PORFIRIO GONZALEZ OWNER'S NAME X SAME AS DRIVER
PEDES. STREET ADDRESS
TERAN OWNER'S ADDRESS X SAME AS DRIVER
PARKED CITY/STATE/ZIP
VEHICLE
DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER DRIVER LOTHER
BICY- SEX THAIR (EYES THEIGHT WEIGHT RACE DRIVEN AWAY
5'11" 145 H PRIOR MECHANICAL DEFECTS: X NONE APPARENT REFER TO NARRATIVE
M BLK BRN
OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
NONE VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SEDAN - LEFT
•
•UNK. 7 NONE X MINOR
OPER. INSURANCE CARRIER POLICY NUMBER
01 L MOD. MAJOR L ROLL-OVER
AAAS
LANE THRU T TOTAL sPEED
DIR OF ON STREET OR HIGHWAY LANES LANES UMIT CA DOT-
TRAVEL
E I-I0 EASTBOUND 3 4 4 65 CAL-T TCP/PSC.
CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE/MODEL/COLOR LICENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER STATE
9 DRIVER NAME (FIRST, MIODLE, LAST)
OWNER'S NAME •SAME AS DRIVER
"PEDES- STREET ADDRESS
TRIAN OWNER'S ADDRESS •SAME AS DRIVER
DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER •DRIVER MOTHER BICY- sEX THAIR EYES THEIGHT WEIGHT RACE
CLIST PRIOR MECHANICAL DEFECTS: •NONE APPARENT REFER TO NARRATIVE OTHER HOME PHONE SUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
VEHICLE TYPE DESCRIBE VEHICLE DAMAGE
POLICY NUMBER LUNK. NONE MINOR
OPER- INSURANCE CARRIER
ATOR •MOD. MAJOR • ROLL-OVER
LANE TOTAL | SPEEI
DIR OF ONSTREET OR HIGHWAY LIMIT CA. DOT
LANEC
TRAVEL
CAL-T TCPIPSG_ _MCAIX.
DISPATCH NOTIFIED REVIEWER'S NAME DATE REVIEWED
PREPARER'S NAME
NATHANIEL J ALVA, 022931 X] YES • NO • NIA
An Internationally Accredited Agency Destroy Previous Editions Rialto, California 92376
150 South Palm Avenue
Rialto City Clerk's Office
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