The URL can be used to link to this page

Home My Public Portal AboutPRR 20-2792 Renee Basel From:NALIDA FRANCOIS <francoisnalida@yahoo.com> Sent:Wednesday, May 13, 2020 1:17 PM To:Renee Basel Subject:The Full Crash Report Attachments:case # 20-0861.pdf \[NOTICE: This message originated outside of the Town of Gulfstream -- DO NOT CLICK on links or open attachments unless you are sure the content is safe.\] Hi, this is Nalida Francois. I am attaching the Driver’s Exchange for my recent accident in Gulf Stream. Please if you can email me the Florida Traffic Crash Report, for case number #20-0861 happening on May 9, 2020. I will email you the Sworn Statement for Traffic Report Information in a few minutes. Thank you Nalida Francois (561) 388-9336 CONFIDENTIALITY NOTICE -- This email is intended only for the person(s) named in the message header. Unless otherwise indicated, it contains information that is confidential, privileged and/or exempt from disclosure under applicable law. If you have received this message in error, please notify the sender of the error and delete the message. Thank you. 1 0 ;2,C)— Law-Enforcement (Optional) Short Form Report REPORTING AGENCY CASE NUMBER Driver Report of Traffic Crash _� ®�� p DATE OF CRASH TIME OF CRASH AM PM r�" Driver Exchange of Information qt�p /U� 0 COU F CRASH PLACE OR CIT! Check if Wit Yi City CRASH OCCURRED ON STS EET, RD, HJ(i ap�^ s J(z G -'..,ii AT STREET ADDRESS # OR FEET MILES N S E W AT/ FROM INTERSECTION WITH STREET, ROAD, HIGHWAY OR FROM MILEPOST# 7F] LlF] SECTION ONE ® VEHICLE NON -MOTORIST (optional) EMAIL OWNER/DRIVER -46A— YEAR M41E;Chevy, Ford, Etc.) VEHICLE BO dl T "i 7rV�lAre[E'LiCEhSE NUMB SIAIL�� INSURANCE COMPANY INIfURANCE POyyICY��NUMBI y U n /� CJ n V e1 d�y�,�V NA N�E OF VEHI E OW E (Ch k if sa a as Driver) R T ADDRESS (Number angrStreetj CITY AND STATE ZIP CODE 5A427-- 71)7f,41nl� NAME OF DRIVE (T aFrom Driver Li se)/ NO OTORI CURR T AD RES�S(Number and Street) "CITY AND STATE ZIP CODE _ - PC r kr DRIVER LISTASTA DL TYPE DRIVER/NONMOTORIST HOME PHONE D R NONM T RIS B E S H E SEX DATE OF BIRTH -66 � l/ Area Code Ar Code _ ��) NAME OF PASSENGERr RENTADQRESS umbe nd Street) CITY AP TATE Ili -r NAME OF PASSENGER CUR ADDRESS (NumbStreet) IT A STATE, E 3 SECTION TWO [;L VEHICLE ) NON -MOTORIST (optional) EMAIL OWNER/DRIVER MAK( Itc. VLEBO—DY—TYP—ECa—r,F—utc.)VryCLLf hER STA Ie 4��4u7 ' r INS AN E CO ANY AN E P ICY NU WV ��OZ N VEHICLEOWNER CeckifsamDe)CURRENT ADDRESS( um anreet) CITY AND STATE ZIP CODE L� J/ NAME OF,�DR ( From Driver License)/NON-MOTORIST QCU/RRENT ADD SS (N%tuber and Street) AN ATE I CODE DRIVER LIC NSE NUMBER STATE DL TYP D W / 0 IST H N- DRIVER/ - NMOTORIST USINESS PHONE SE DATE OF BIRTH I ` Area Code NAME OF PASSENGER CURRENT ADDRESS (Number and Street) CITY AND STATE ZIP CODE �r NAME OF PASSENGER CURRENT ADDRESS (Number and Street) CITY AND STATE ZIP CODE N THREE VEHICLE ) NON -MOTORIST (optional) EMAIL OWNER/DRIVER YEAR MA Ford, Etc.) VEHICLE BODY TYPE (Car, Truck, Etc.) VEHICLE LICENSE NUMBER (STATE VIN INSURANCE COMPANY INSURANCE POLICY NUMBER NAME OF VEHICLE OWNER (Check if same as Driver) CUR RESS (Number and Street) CITY AND STATE ZIP CODE NAME OF DRIVER (Take From Driver License)/ NON -MOTORIST CURRENT ADDRESS (Number and S r CITY AND STATE ZIP CODE DRIVER LICENSE NUMBER STATE DL TYPE DRIVER/NONMOTORIST HOME PHONE DRIVER/NON MOTORIST DSMI SS PHONE (SEX DATE OF BIRTH Area Code Area Code NAME OF PASSENGER CURRENT ADDRESS (Number and Street) CITY AND STATE ZIP CODE NAME OF PASSENGER CURRENT ADDRESS (Number and Street) CITY AND STATE ZIP C06F:::� WITNESSE90L (1)NA rr C N Al)bl i V INVESTIGATOR INVEST( ATOR g& Sri TUREm CITY AND STATE ZIPCOD CURRIERF�SS CITY AND STATE ZIP CODE ID/BADGE NUM ER D EPARTM � FH❑P SOLI ❑O PD ,OT❑HER SIGNATURE OF DRIVER MAKING REPORT DATE YOU MUST READ AND COMPLY WITH THE INSTRUCTIONS ON THE BACK OF THIS FORM HSMV 90011 S �O FURTHER ACTION REQUIRED BY YOU; REPORT COMPLETED BY LAW ENFORCEMENT AGENCY Renee Basel From:NALIDA FRANCOIS <francoisnalida@yahoo.com> Sent:Wednesday, May 13, 2020 1:29 PM To:Renee Basel Subject:Crash report request form Attachments:20200513132343969.pdf \[NOTICE: This message originated outside of the Town of Gulfstream -- DO NOT CLICK on links or open attachments unless you are sure the content is safe.\] I’m attaching the Crash Report request form for case #20-0861. Please forward the Crash Report to me at: Francoisnalida@yahoo.com Thank you- Nalida Francois (561) 388 9336 CONFIDENTIALITY NOTICE -- This email is intended only for the person(s) named in the message header. Unless otherwise indicated, it contains information that is confidential, privileged and/or exempt from disclosure under applicable law. If you have received this message in error, please notify the sender of the error and delete the message. Thank you. 1 SWORN STATEMENT FOR TRAFFIC CRASH REPORT INFORMATION Motor vehicle crash information is confidential and exempt from disclosure for a period of 60 days after the date the crash report is filed 316.066(3) (c) Florida Statutes (2003). Obtaining confidential information by someone who knows they are entitled to do so is felony violation. the The undersigned states the he/she or the organization they represent qualify for immediate disclosure of the crash report according to the exemption checked below and does swear or affirm that information contained in a crash report made confidential by statute will not be used for any commercial solicitation, during the period of the time that the information remains confidential. IN] I am a parry involved in the crash. I am a legal representative to a parry in the crash: Fla. Bar No._ Or Immediate Relative (relation) Or written Authority from immediate relative, copy attached. I am a licensed insurance agent to a party involved in the crash, which they applied for insurance coverage, Fla. License No. ❑ I am a person under contract to provide claims or underwriting information to qualifying insurance company, identified as: ❑ I am a prosecuting authority, Fla. Bar No. ❑ I represent a radio or television station licensed by the FCC or newspaper qualified to publish legal notices or a free newspaper of general circulation, which qualifies under the their insurer or insurers to statutes, Name of Radio/Television Station. Newspaper. ❑ I presented a State of Federal Agencyf that is authorized by AWCo 1 Printed Name Agency/Business Represented law to have to these reports. State of Florida, County of 0 CRAIG Comm. 4y wA ted City, State, Zip Code 0 day of 2 awn or Produce Identification 1 Certify Law Enforcement 19, 2021 Jr Or Correctional Officer identification, proof of status or identification that demonstrates qualifications to access this information were reviewed by , agency employee, on this day of 200 . HSM V-94010(Rev. 09/04) TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail May 13, 2020 Nalida Francois [mail to: francoisnalida@yahoo.com] Re: GS #2792 (Crash Report 20-0861) Requesting crash report 20-0861. Dear Nalida Francois [mail to: francoisnalida@yahoo.com]: The Town of Gulf Stream has received your public records request dated May 13, 2020. You should be able to view your original request and response at the following link, as of July 13, 2020, because this record is confidential and exempt from disclosure for a period of 60 days after the crash report is filed per Florida Statute 316.066(2)(a): http://www2.gulf-stream.org/weblink/0/doc/171069/Page1.aspx The police crash report you requested is attached to this e-mail. We consider this request closed. Sincerely, Reneé Rowan Basel As requested by Rita Taylor Town Clerk, Custodian of the Records Gulf Stream Police Department ® 246 Sea Road RA. Gulf Stream, FL 33483 Phone: (561) 278-8611 Fax: (561) 276-2528 Page 1 of 3 NON CRIMINAL OFFENSE REPORT Incident Type: TRAFFIC COMPLAINT Location of Incident: 23 N. HIDDEN HARBOUR DR. Name: WILLIAM RING Race: GULF STREAM FL 33483 Type of Premises: HIGHWAY/ROADWAY Time of Call: 1137 Time of Arrival: 1141 Time Completed: 1233 Officer Injured: NO Date/Time Reported: 05/09/2020 11:34 Occurred From: 05/09/2020 10:30 Domestic: NO Juvenile Involved: NO Reporting Officer: OFC. RAMON BATISTA Name: NALIDA FRANCOIS Race: BLACK Date of Birth: 07/12/1987 Juvenile: NO Home Address: 910 ASBURY WAY BOYNTON BEACH FL 33426 Name: WILLIAM RING Race: WHITE Occupation: PROJECT MGR./ATTORNEY Home Address: 821 S.W. 11 AVE. Home Address: FORT LAUDERDALE FL 33315 Business Address: 1286 W. NEWPORT CENTER DR. DEERFIELD BEACH FL 33442 Business Name: O'BOYLE RESIDENCE/THE O'BOYLE LAW FIRM, P.C. Name: CLIVE ANTHONY LAWRENCE Race: BLACK Date of Birth: 09/24/1978 Occupation: CONSTRUCTION Home Address: 1423 N.W. 12 ST. FORT LAUDERDALE FL 33311 Business Name: BRINCO CONTRACTOR Zone Processed By: 3 Complaint Number: 20-0861 OFC. BATISTA Other Units Notified: SGT. B. O'DONNELL Officer Killed/Assaulted: NO To: 05/09/2020 10:30 VICTIM Sex: FEMALE Cell Phone: (561) 388-9336 Driver's License: F652620877520 FL Injury: NO OTHER Sex: MALE Employed: YES Cell Phone: (954) 328-4383 Business Phone: (954) 570-3510 WITNESS Sex: MALE Employed: YES Cell Phone: (754) 249-2433 Business Phone: (954) 246-0487 Driver's License: L652101783440 FL Page L of S Code: TRAFFIC CRASH Vehicle Make: NISSAN Vehicle Type: SUV Vehicle Color: BLACK/BLACK License Year: 2020 Vehicle Towed: NO Entered NCIC: NO Code: TRAFFIC CRASH Vehicle Make: NISSAN Vehicle Type: OTHER Vehicle Color: GREEN/GREEN Vehicle Towed: NO Entered NCIC: NO Injury: NO VEHICLE Owner's Name: NALIDA FRANCOIS Vehicle Model: ROGUE Vehicle VIN: 5N1AT2MT4JC776638 Vehicle License #: HQXT17 l:ompiamt Number: Vehicle Year: 2018 License State: FL Vehicle Insured: YES Insurance Company: STATE FARM/E902410-DO4-59D4-09785 VEHICLE Owner's Name: SUNBELT RENTALS AERIAL Vehicle Model: MAXI Vehicle Year: 2019 Vehicle VIN: IN4AA6AVOKC368927 Vehicle License #: N/A Insurance Company: UNKNOWN INCIDENT SUMMARY Vehicle Insured: UNK 111'afrffin ON 05/09/20 AT 1137 HOURS, WE RESPONDED TO 23 N. HIDDEN HARBOUR DR. REFERENCE A TRAFFIC CRASH AT THIS CONSTRUCTION SITE. UPON ARRIVAL AT 1141 HOURS INVESTIGATION REVEALED THE FOLLOWING. THE CRASH OCCURRED ON A PRIVATE ROAD THAT RUNS EAST/WEST ALONG THE NORTH PERIMETER OF 23 N. HIDDEN HARBOUR. ON 05/09/20 AT APPROXIMATELY 1030 HOURS THE COMPLAINANT, NALIDA FRANCOIS WHO WAS MAKING A FOOD DELIVERY TO THE AREA, WAS DRIVING HER NISSAN ROGUE, LISTED IN ABOVE VEHICLE SECTION, WESTBOUND ON N. HIDDEN HARBOUR DR. SHE WAS THE SOLE OCCUPANT OF THE VEHICLE. FRANCOIS SAW THE ROAD NARROWING AS SHE APPROACHED A SUNBELT RENTAL AERIAL BOOM, LISTED IN ABOVE VEHICLE SECTION, PARKED ON THE ROADWAY BLOCKING THE EASTBOUND LANE AND PART OF THE WESTBOUND LANE, ALONG THE NORTH SIDE PERIMETER OF 23 N. HIDDEN HARBOUR DR. SHE STOPPED BEFORE ARRIVING AT THE BOOM AND WAS THEN DIRECTED BY A CONSTRUCTION WORKER, LATER IDENTIFIED AS CLIVE ANTHONY LAWRENCE, TO CONTINUE TRAVELING WEST THROUGH THE SPACE BETWEEN THE BOOM BASE (SUPPORTED BY FOUR TIRES), A PILE OF PAVERS AND A ROW OF TREES ON THE NORTH SIDE OF THE ROADWAY. FRANCOIS TOLD LAWRENCE THAT SHE DIDN'T THINK HER VEHICLE WOULD FIT THROUGH THE SPACE, BUT LAWRENCE TOLD HER THAT IT WOULD FIT SO SHE CONTINUED DRIVING WEST AT A VERY SLOW SPEED. THE LOWER HALF OF HER VEHICLE'S DRIVER'S DOOR THEN STRUCK ONE OF THE TIRES OF THE BOOM. THE TIRE STRUCK WAS THE TIRE LOCATED ON THE WEST SIDE OF THE TWO TIRES LOCATED ON THE NORTH SIDE OF THE BOOM BASE. UPON REALIZING THAT HER VEHICLE STRUCK SOMETHING, FRANCOIS BEGAN DRIVING HER VEHICLE BACKWARDS IN AN ATTEMPT TO AVOID FURTHER DAMAGE. AT THAT TIME HER VEHICLE'S DRIVER'S DOOR AND THE SAME BOOM'S TIRE COLLIDED AGAIN. SHE CONTINUED BACKING UNTIL HER VEHICLE WAS NO LONGER NEXT TO THE BOOM AND THEN STOPPED. FRANCOIS SAW MINOR DAMAGE TO THE LOWER HALF OF HER VEHICLE'S DRIVER'S DOOR AND THEN MET WITH THE CONSTRUCTION SITE PROJECT MANAGER WILLIAM RING, TO EXPLAIN WHAT HAPPENED. FRANCOIS SAID THAT RING TOLD HER NOT TO CONTACT POLICE AND TO GO TO A NISSAN DEALER TO GET AN ESTIMATE AS "WE WILL BE PAYING FOR THE DAMAGE TO YOUR VEHICLE". FRANCOIS THEN LEFT THE SCENE SINCE THE PARTIES WERE GOING TO SETTLE IT AMONGST THEMSELVES, BUT RETURNED ABOUT AN HOUR LATER FOR DOCUMENTATION PURPOSES. FRANCOIS SPOKE TO HER PERSONAL ATTORNEY WHO HAD ADVISED HER TO FILE A POLICE REPORT TO DOCUMENT THIS INCIDENT. THIS TRAFFIC COMPLAINT INCIDENT REPORT WAS PREPARED PER HER REQUEST. FRANCOIS PLANS ON GETTING AN ESTIMATE FOR THE DAMAGE AND THEN CONTACTING RING TO GET HER VEHICLE FIXED. SGT. O'DONNELL INTERVIEWED LAWRENCE REFERENCE THIS INCIDENT AND LAWRENCE GAVE THE SAME ACCOUNT OF WHAT HAD OCCURRED AS STATED BY FRANCOIS. I MET WITH RING, WHO STATED THAT HE HAD NOT SEEN THE CRASH, AND HE POINTED OUT THE DAMAGE TO THE BOOM'S TIRE. TWO SECTIONS OF THE TIRE HAD BEEN DAMAGED/SLIT AS A RESULT OF THE CRASH. THE THMS WERE NOT FLAT OR LOSING AIR. RING HAD RENTED THE AERIAL BOOM FROM SUNBELT RENTALS TO HAVE WORK PERFORMED AT THE PROPERTY WHICH IS BEING RENOVATED. AT THE TIME THIS REPORT WAS PREPARED THE COSTS TO REPAIR FRANCOIS' VEHICLE AND THE BOOM'S Yage 3 of 3 Complamt Number: 2U-UM61 THLE ARE UNDETERMINED. SGT. O'DONNELL TOOK SEVEN PHOTOGRAPHS TO DOCUMENT THE DAMAGE IN THIS INCIDENT. THE PHOTOGRAPH'S HAVE BEEN MADE PART OF THIS REPORT. THIS CASE IS CLOSED PENDING NO FURTHER ACTION. END OF REPORT. E t, .W is SUNBELT RENTALS 1-800 NO Sweat (667-9328) le 7W tir `` ',, .iif►► . r Ci i Iv ..� •' ^�� ,tom i r � 003070 SIN if, a