New York State Police, Trooper Jason J. Lewis Letter of Censure, 2009
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TB-lSA PREVENTABLE TROOP VEHICLE ACCIDENT-REPORT OF ADJUDICATION (8/07) VAN DATE OF ACCIDENT/INCIDENT 08247 05/27/2009 TIME OF ACCIDENT/INCIDENT VEHICLE PLATE NUMBER J12:lS A.M. J2FS DRIVER'S NAME (FIRST, MI, LAST) jJa~on J. Lewis . SHIELD NUMBER STATION ORIGINAL FILE 3# 3020 SP Monroe AMSPW37000020 I. Type(s) OF Adjudication 01 - Clinical Phase 02 - Instruction - Troop Safety Officer or Traffic Supervisor 03 - EVOC assignment 04 - NO disciplinary action ~ /5 - Counselling ------/;,L 06 - Censure 07 - Vacation Days (number) _ _ __ 08 - Probation 09 - Suspension without pay 10 - Termination 11 - Other (specify) _ _ _ _ _ _ _ _ __ II. Date of Adjudication APPROVED BY RANK DATE NEW YORK STATE POLICE MEMORANDUM Troop F Station Middletown Date To: Colonel John P. Melville, Field Commander Attn: Major, Division Traffic From: Major Edward Raso, Troop Commander Subject: TROOP CAR ACCIDENT- 5/27/09 TPR. JASON J. LEWIS, SP MONROE September 10, 2009 Reference is made to the previously-submitted repo1i regarding the above subject. On September 10, 2009, Trooper Lewis appeared before me and executed his consent to have me adjudicate this matter at Troop level. Pursuant to Rule 3 of the New York State Police Administrative Manual, I have detennined that he receive a letter of censure for his actions. Attached is a copy of the letter of censure and consent waiver. This matter is closed. Attach. HARRY J. CORBITT SUl'ERl1"TE"WENT i\lAJOR EDWARD RASO TROOP COl\11\1AND£R ST ATE OF NEW YORK NEW YORK STATE POLICE TROOP "F" HEADQUARTERS 55 CRYSTAL RUN ROAD MIDDLETOWN, NY 10941 (845) 344-5300 September 10, 2009 Trooper Jason J. Lewis New York State Police Monroe, New York LETTER OF CENSURE Dear Trooper Lewis: On May 27, 2009 you were operating your assigned Division vehicle when you were involved in a troop car accident. This accident has been reviewed at Troop Headquarters and it\\ as detennined to have been preventable on your part. On September 10, 2009 you appeared before me, executed a waiver, and requested that I adjudicate the disciplinary action. The accident occurred as you were entering Interstate 84. As you merged into the driving lane, your Division vehicle made contact with another vehicle. Minor damage was incurred. As a professional driver, you are expected to drive more carefully. It is my decision that you receive a letter of censure for your actions. I trust that you \vill drive more cautiously in the future. Edward Raso Major Troop Commander NEW YORK STATE POLICE MEMORANDUM TROOP F STATION Monroe DATE To: Major Edward Raso, Troop Commander From: Trooper Jason Lewis Subject: DISCIPLINARY ACTION July 19, 2009 '6,~ I hereby consent to have the above-captioned investigation adjudicated by the Troop Commander under the provisions of Article 3, Disciplinary Action of the New York State Police Manual. I waive the following: 1. The right to have this matter disposed of by the Superintendent or by a formal hearing. 2. Any right to appeal from the Troop Commander's adjudication which may be a determination of unfounded or, upon a finding of guilty, the imposition of: a. A Letter of Censure and/or b. An intra-troop transfer, with my consent and/or c. A fine to be expressed in the loss of no more than five vacation days to be worked by the member with no additional compensation or overtime and/or d. A period of probation not exceeding 90 days which probation must be for a definite period of time and must include conditions of probation which, if violated, could subject me, without the right of a fmther inquiry or a hearing, to the imposition of any one or more of the penalties that can be imposed by the Troop Commander, and/or an intra-troop transfer, without my consent. ' TB~l 8 (l /0~) NEW YORK STATE POLICE ' DIVISION VEHICLE ACCIDENT/INCIDENT COVER PAGE OPERATOR OF SP VEHI CLE: (TRAFFIC SECTION COMPLETE) Received At Traffic : Reviewed By: ~ 7 '¥ JP~ j;;2:tla1 (Date) Lj L.. e~: s ~~~Cl,::::,, 6b~'f""=tVan License ~ ~ · ~~±es No I os-}3,1 /Cft ~ Troop (FLEET MANAGEMENT COMPLETE) Received From Traffic: (D/A) REPAIR INFORMATION: su<,, ii o-ooq F-000'{ Order Number: (Date) 2;b,9lo ----- Amount : $ Ot[°'C\ lD9 Case Closed : Initials: @ Date Paid : (Date) Forwarded From Fleet To Records : Returned To Service Date: I oil o4lC8 Estimates : olo( o, (09 7bl. I 3 (1) $ (Date) (2) $ TOT Attorney Gen eral: Nit / (Da te) , / (3) ,~ $ INSURANCE INFORMATION: MISCELLANEOUS: Check Number: ~v/ Amount: $ \ Date Of Check: / t...,; ~ ti = u = ...... t...,; Date ....... ....... ceived: \oC p l X UF BCI RCN Number : NP I I AUG O5 2009 FILED BY I c : \f1les\wp\spforms\tb\tbl8 Qqo'J-SD~~ ~ \1q - NEW YORK STATE POLICE MEMORANDUM TROOP F STATION DATE June 26, 2009 TO: Deputy Superintendent John P. Melville, Field Command Attn: Major, Division Traffic FROM: Major Edward Raso, Troop Cornman~ SUBJECT: TROOP CAR ACCIDENT - 5/27/09 TPR. JASON J. LEWIS, SP MONROE Middletown Reference is made to the attached self-explanatory investigative report regarding the above subject. I have reviewed this accident and it is my opinion that it was preventable. Member has consented to adjudication by the Troop Commander under the provisions of Article 3, Disciplinary Action, Rules of the New York State Police. Results of the adjudication will be forwarded to you upon completion of same. Attach. NEW YORK STATE POLICE MEMORANDUM TROOP F STATION DATE June 26, 2009 TO: Major Edward Raso, Troop Commander FROM: T/Sergeant Scott Mohl, Troop Traffic Supervisor~ SUBJECT: TROOP CAR ACCIDENT- 5/27/09 TPR. JASON J. LEWIS, SP MONROE Middletown Reference is made to the attached self-explanatory investigative report regarding the above subject. I have reviewed this accident and it is my opinion that it was preventable. The primary cause of this accident was unsafe lane change. Attach. ) Genl. 7 NEW YORK STATE POLICE MEMORANDUM Troop_F_Station SP Monroe Date _ _ ___,J,_,u00n,,,e:...,2::e3:.1.,,,_20"'0""9'-- TO: Major Edward id.,Troop Commander, Troop F FROM: Captain Stephtvs, Zone Commander, Zone 2 SUBJECT: DIVISION VEHICLE PDAA- 2F5 TROOPER JASON J. LEWIS - SP MONROE - EOD 5/19/02 Reference is made to the AMS Message# AMSPW3 7000020, SP Middletown, dated May 27, 2009, and the attached Genl. 84 Investigation Report of Zone Sergeant DAVID G. SCOTT dated May 27, 2009, regarding above subject matter. I have reviewed the attached two-car property damage accident report submitted by Zone Sergeant SCOTT and concur with his findings. On May 27, 2009, Trooper JASON J. LEWIS was operating non-video equipped marked Division vehicle 2F5 with emergency lights and siren activated, along with Trooper DESMOND LEWIN as the passenger. Trooper LEWIS entered Interstate 84 westbound from State Route 17 westbound in the Town of Wallkill, Orange County. As Trooper LEWIS merged into the driving lane, he made contact with the front, right fender of another vehicle. Troopers LEWIS and LEWIN were wearing their seatbelts and uninjured. The damage sustained to 2F5 consisted of a broken tail light and a scratch on the fender. Investigation has concluded that the culpability for this accident lies solely upon the actions of Trooper LEWIS and could have only been prevented by him. It is recommended this accident be classified as "preventable" on the part of Trooper LEWIS and further administrative action be considered. Attachment 1 Genl. 7 NEW YORK STATE POLICE MEMORANDUM SP Monroe Troop_f_Station Date June 18. 2009 To: Major Edward Raso, Troop Commander, Troop F From: Zone Sergeant David G. Scott Subject: DIVISION VEHICLE/TWO CAR PDAA 2F5 TROOPER JASON J. LEWIS/SP MONROE ~ Reference: AMSPW37000020, SP Middletown, dated May 27, 2009. Genl. 84 Investigation Report of Sergeant DAVID G. SCOTT, dated May 27, 2009, same subject. On May 27, 2009 at 12:15 AM, Trooper JASON J. LEWIS (EOD 05/19/2002 SP Monroe) was operating marked Division vehicle 2F5 with Trooper DESMOND LEWIN (EOD 4/21/08 SP Monroe) as the passenger. The Troopers were en route to a home invasion robbery/shooting in the Town of Deerpark. Trooper LEWIS entered 1-84 westbound via St Rt 17 westbound at exit 121W in heavy rain. His emergency lights and siren were activated as he rounded the entrance ramp to 1-84. He observed a tractor-trailer westbound on 1-84 in the driving lane, however he lost sight of that vehicle at the end of the ramp. As Trooper LEWIS merged onto 1-84, the driver's side rear of 2F5 made slight contact with the passenger side, front comer of the tractor-trailer. Both vehicles stopped on the shoulder and Trooper LEWIS verified that there were no injuries. Investigation into the collision revealed that the culpability lie with Trooper LEWIS, the operator of 2FS. The damage to both vehicles was relatively minor. The accident is classified as "preventable" on the part of Trooper LEWIS. It is recommended that this matter be closed by investigation. New York State Police Investigation Report GE.NL-84 REV b1/9BE F SP Monroe A 1~hs1w,~ State Zlp CrrN 15. Case No. j 10A. Occupation I'F3s13Iiv CODE p2.05272009 Date Occurred: From -To - 1-!i: C!Ja!acte~ of Ca;>e. 10B.Bus.Phone 11)1" County ranae £,M19c.o- Specific Location N ""!Wallkill T 14. Owner If other than Complainant ~me Occurred: Fromffo l~z~f§".&.~ 113. Date Rotted 05272 09 12:15 AM - l)Weathec Address - .. l) 9.Phone County Address I 118. C-T-V C 3A. TZS 7.DOB Apt 0 8. Street# Name M p 10. Employer L l;JJ 3. Station 6. Complainant Name (Last, First, Middle) t-1 C I~11fS 14. 09-38 Case No. 2. Station 1. Trobp l) ClearO Cloudv@Raln Foo 1!i. :, : r.ode 1~g~~~o, 11. counts 1 l) ,() Sleet Snow A sE D A T A. Crim. Misch.JM) Stole~~Wr Used in rime Recovered l 1, Qty Description Code Cod~: 20. P-1 P• Msg ci-i r:5 ........~., Otheitb I em,. Evidence~.\EJ Genl. 2 lA c, 21 M,<,~1',':'ry 0 ID - Serial Number R 0 p E' R T y ~ V E H 0 0 D .q C u Stolen OTHER (Specify) 0 Used in Crin,e Revolver 0~1 0 I1do8 1'21? I8etrci\~~\lic 9:il".IGD 0 isuspect Recovere_d 0 0 · Iv~.8.HP71V38X104891 Lawful Surrender 0 Unlawful Po~s. • Ostolen ICAL-GA D. Make - Type Model E A QPistol s Ser. No. p QRifle (j, Oshotgun ~ Finish I Blue 0 .i-1 Qother P SilverO 24. Acc. M,J y;;cc. Non M,J F'&F8~ ~ ~ , 08247 mlo/37445 23. W-1 W; E L)_Used In Crime ~ Qcnm. Misch:, V-1 Q Loaded Q Other (Specify) Kind of Document f Q Unloaded otCapacity '' * " " Yes ~ 0 Stolen M.J - Keys in Ignition Recovered - Running Condition Q ():,thee (Specify) Name of Owner or Licensee Address I Rds Fired Lie. No. Unexpended Rounds County of Issue Date of Issue Name of Receiver l()~Acct.lJlnsuff Fund0Accl Closed Identifiable Doc. No. Bank Drawn On - Address Photo-Suspect I IDoc Amount '61.13 D V-1: Driver's Rear Tail Linh! Assemblv ''-2: Passenoer Front Quarteroanel hole & scratches '" i~__'. Property ~ Yes Name of Insurer ll; INS.OR Insured? No V-1 Self Insured State of New York Disposition No. Date l u . 28. D \/-1 n~ '>7 '>nnn V-2 n,; ?7 ?nna IAmt. Insurance 7Tota1Value 761.13 FULL -" ,, @; ff;~ n~;..,,,, ... ,f,.,..m ,,.. ... ,,,, ... ,,,, o "a ~ m Driven from scene ~ I s· p 0 29. w WT,1 ·1~ T N :E s $\, 0 0 0 0 Money, Property or Service Obtained E 25. Describe or List Physical Damage or Any Other Loss A n Forger, No Ye, Name of Maker. ID or Address Given M Joe Date No 0 0 Name (Last, Rrst, Middle)-Address Age DOB ~ .....A. Report Date 05 27 09 New York State Police Investigation Report CODE: Assault ~'A Ho!'!ilctde =,H su.i~lde = S Atte.;:;~ed Stiicl!1e =. ~:i .8_1 · ::,t,;; Code As N~u.ral Death:: Ni>'·• Name {last, First. Middle) - - - - -~ - ~ Age Sex D08 ospital and/or Physician Nature of Injuries ?!~ S-2 Jfil Nat~;~ ;;r Accident Vlcti!fl. = AV' Otiiir = o (S~ify). Address 31f b--""="'- :----,=----,-,-..,,.--c=--,--------- - - - - - - + - - - - - - ---------- - - -- - -----,r.:-.,-,--c=-.,.-----, ate of Death ,;if; Code i; \ { Date of Death Sex Age Sex Age Hospltal and/or Physician Coroner or Medical Examiner Name (Last First. Middle) Palhologlst Address Hospital and/or Physician Nab.ire of Injuries ,..Al Pathologist Address Injuries · c/; Date of Death ,]ff, S-3 • Code ,j 1/:YQNo Q roner or Med"tcal Examiner Autops Yes Coroner or Medical Examiner Palhologlsl M .~ M I I T-7 ~~i THle No. ·'.JIt: :, , Raoe Hl Wt Hair Eyes Crime unty Judge - Name - Address - liUe No Q bli-~1-e.. No-.--.,Ra----c:o- ~HL,----,.,Wt--..,.H-ai,... r --,,,,Ey_e_s--.,Cr'""',...e im________________________-------------------''--------------!1------- - - - - - --+--'-'--'="'--c.;.c.-'="-I :!;~Q,jli ,:if15. udgo - Name - Address - Title Lie. No. ame{s)of Lleensee{s) The Presence or absence or any individual factor is indicated by checking Yes or No Yes Identification/ Description Of Suspect Vehicle Q Q Significant Physical Evidence Q Witness lo Crime 1. Genl. 7- Tr:>r. Lewis No Property Traceable/ !dentifiable Yes Q Q No Distinctive I Significant MO Yes Q No Significant Community Interest No QNo 8. Estimate of Re airs 2. Genl. 7-T r. Lewin 3. Genl. 4- Mr. Howlett 4. Genl. 34D & Photo ra hs :'u/ :;itili ···.:e~; 5. AMS #AMSPW37000020 6 . MV- 104A ,l i 7. MV-104L Witnesses Victims Titles Wanted Shleld No. 43BCaseNo. Aj>pn:ived GENL-84b REV 11/97E NEW YORK STATE POLICE CONTINUATION SHEET I TROOP F SP Monroe COMPLAINANT - LAST1 FIRST, MIDDLE (Complainant (L,F.M)) . PAGE1 I CASE NUMBER (Case Number} 09-38 , BOX 22 VEHICLE (CONTINUED) V-2 Description- Make/Freightliner YR/2007 Reg. No./920999. State/ME Color/White Body Model/Unknown Vin/lFUJBBCKl 7LX28497 BOX #26 INSURANCJ; (CONTINUED) V-2 Insured by: Contin~ntal ~asualty Co. Policy: 0-1080826304 1. On May 27, 2009 Trooper JASON J. LEWIS (EOD 05/19/2002 SP Monroe) advised ZJSgl DAVID G. SCOTT that he had been involved in a minor property damage collision with Division Vehicle 2F5 while entering I-84 in the Town of Wallkill. Zone 2 Commander, Captain STEPHEN NEVINS was advised and assigned Sergeant SCOTT to investigate. 2. On May 27, 2009 I interviewed Tpr. LEWIS who stated that he was heading to a home invasion robbecy/shooting in the Town of Deerpark at approximately 12:15am. He was operating Division Vehicle 2F5 with Trooper DESMOND LEWIN (EOD 04/21/2008 SP Monroe) as the passenger. Trooper LEWIS activated the emergency lights and siren and entered 1-84 westbound from St Rt 17 westbound via exit 121 W. As he enlered 1-84, he drove through a period of very heavy rain. Trooper LEWIS stated that he observed a tractor-trailer traveling west on 1-84 as he rounded the entrance ramp and that it appeared to be in the driving Jane of the highway. Prior to mer~ng onto 1-84, he did not see the tractortrailer in his rear view mirror and entered the lane of travel. He immediately felt a tap on the rear of 2F5. Trooper LEWIS pulled to the shoulder and the tractor-trailer did as well. Upon inspection, Trooper LEWIS observed a small hole in the driver's side tail light of2FS. He interviewed the driver of the tractor-trailer and determined that there were no injuries. His statements were reduc~d to writing on a Genl. 7 and are attached as.Enclosure #1. 3. On May 27, 2009 I interviewed Trooper DESMOND LEWIN. His account of the incident supports that of Trooper LEWIS, except that Trooper LEWIN' WilS looking out of the passenger side window and did not see the tractor-trailer. He stated that he' was not injured. Trooper LEWIN'S statements were reduced to writing on a Geni 7 and are attached as Enclosure #2. 4. On May 27, 2009 I interviewed Mr. BERNARD A. HOWLETT (DOB al the scene. He stated that he was heading west on I-84 at about 12:15 am and observed a State Trooper. with the emergency lights on entering the highway from an entrance ramp on his right side. Mr. HOWLETT stated that it was a long entrance ramp and he observed the Trooper from a great distance. He was able to move from the driving lane to the passing lane and reduced his speed to allow the Trooper to merge. He didn't see the Trooper actually enter 1-84, as the Trooper came off the ramp either next to or behind his tractor-trailer. The Trooper came up on his right and either attempted to get in front of the truck or drifted into his lane. He heard an impact and pulled off _the road, in front of the Trooper. Mr. HOWLETT was not injured and there is only minor damage to his vehicle. Mr. HOWLETT'S statements were reduced to· writing on a Genl: 4 and ar~ attached as Enclosure #3. 5. On May 27, 2009 I examined and photographed the damage to both vehicles. 2F5 had a broken driver's side tail light, while the tractor-trailer had some scratches and a small hole in the passenger side, front quarter panel. The description of the accident as reported by Trooper LEWIS, Trooper LEWIN and Mr. HOWLETT, appeared to be consistent with the scene and the damage to the vehicles. There were no independent witnesses identified and no other physical evidence was located at the scene. The scene consisted of two westbound lanes of travel on 1-84 with one merge lane on the north side of the roadway that emanated from St Rt 17 at exit 121 W. The photographs and Genl. 34D are attached as Enclosure #4. ~ ' 7. On May 27, 2009 I prepared and sent AMS# AMSPW37000020 from SP Middletown. A copy is attached as Enclosure #5. On May 27, 2009 I prepared an MV-104 A. A copy is attached as Enclosure #6. 8. On May 27, 2009 I prepared an MV-104L. A copy is attached as Enclosure #7. 9. On May 27, 2009 the Troop F AMI obtained a repair estimate for 2F5 from T&C Auto Body, 770 Rt 17M, Middletown, NY I 0940. The total estimate of repair is $761.13. A copy of said estimate is attached as Enclosure #8. 10. Closed by Investigation. 6. I· Genl. 7 NEW YORK STATE POLICE MEMORANDUM Troop_f_Station MONROE Date_ _ _-----'M='-'A,_,_Y___,3"-'0'-'-1-=2'-"0-=0-=-9 To: ·Major Edward Raso, Troop Commander, Troop F From: Trooper Jason J L e w i s · ~ Subject: DAMAGE TO DIVISION VEHICLE Writer was advised by Zone Sergeant DAVID SCOTT to submit a memorandum regarding DAMAGE TO DIVISION VEHICLE 2F5. On May 27, 2009 at approximately 12:15am, I was operating marked unit 2F5 with TROOPER DESMOND LEWIN as the passenger, en route to a home invasion/shooting in the Town of Deerpark. The emergency lights and siren in 2F5 were activated. While en route fo said location there was an extreme down pour of rain. I proceeded to exit State Route! 7 west at exit 121 wonto Interstate 84 westbound. While on the entrance ramp to I-84, I observed a tractor trailer travelling west bound in the driving lane. Prior to merging into the driving lane I looked into my rear view mirror and did not see any vehicles. As I then merged into the driving lane I felt a tap on the rear of2F5. I pulled over onto the shoulder as did the tractor trailer. The only damage I observed on 2F5 was the driver's side tail light which had a small 2-3 inch hole in the tail light. Both myself and Tpr Lewin had no injuries. I then approached the tractor trailer and· spolce to the operator who also had no injuries. I then contacted Z/Sgt Scott who responded to scene. Genl. 7 NEW YORK STATE POLICE MEMORANDUM Troop F Station Date SP MONROE May 30. 2009 To: Major Edward Raso, Troop Commander, Troop F From: Trooper Desmond L. Lewin Subject: DAMAGE TO DIVISION VEIDCLE ~!)./ I was instructed by Zone /Sgt DAVID SCOTT to submit a memorandum regarding DANAGE TO DMSION VEIDCLE 2F5. On Wednesday May 27, 2009 Trooper JASON LEWIS and I were working a 2shift tour of duty out of SP Monroe in marked unit 2F5. Trooper LEWIS was the driver and I was the passenger in said vehicle. We were en route to assist SP Middletown with a home invasion/shooting in the Town of Deer Park. Wbile en route to said location Trooper LEWIS exited State Route 17 at exit 121 west onto Interstate 84. I was looking out the passenger side window when I felt a slight bump in the back of2F5. Trooper LEWIS pulled over onto the shoulder and a white tractor trailer also stopped in front of2F5. I exited the vehicle and observed a small crack on the drive side tail light. No injuries were sustained during the accident. Trooper LEWIS then contacted Zone Sergeant SCOTT who responded to the accident scene. ~ GENL-4' (03105) . SUPPORTING DEPOSITION (CPL § 100.20') PAGE OF THE PEOPLE OF THE STATE OF NEW YORK -vs. DEFENDANT(S) LOCATION OF INCIDENT: LOCATION OF DEPOSITION: STATE OF NEW YORK - - - - - - - -COURT COUNTY OF _ C) c,___/l_~_ ~_O_ _ __ __ STATE OF NEW YORK COUNTY OF OF _.O~~--'-~-=--..b, c.,,...-:; ,_'=---- - - -(A./A-<-t-1<..JL.(__ OF I I TI~ at STARTE~ Lt'LO~ NOTICE (Penal Law§ 210.45) In a written instrument, any person who knowingly makes a false statement which such person does not believe to be true has committed a crime under the laws of the state of New York ·punishable as a Class A Misdemeanor. Affirmed under penalty of perjury this 'J-1 nf ff;f _ °'J___ i, t,l){}f day ot ___ ~ ~ (SIGNATURE OF DEPON i!NT ) - OR-U • Subscribed and Sworn to before me TIME ENDED: this -need -- swcm - • Tl\19 10ml be 3 New York State Police day of - ------ IO only - n specifically required by lhe court Oor, o 1 r"IDl~ lld 111 . yo~ --- n-- - A l"l""\n,, INSTRUCTIONS: PJGITAL'PHOTO' RECORD . s,. #lft},..Jflo~ o</-:--';r8 INVES~l'Jsil,; MEMBER , - .i)Jtl//1.J 77-:U;":DENT .:Z.F-~ DAT$/z. 7 I ID~~# /4 9 I ./ rco,;;- TIME I ,o .)c,r;~;?.,R .; jf/1J / 1 LeiJt5 VEHICLE IS) OPERATOR• GENERAL DESCRIPTION OF SCENE ~Dr1F DRAw IMAGE# · I CAMERA c/ I PAGE#. · CAMERA 1Jfl1V6A• · OF P,1s5 -.:11:J,t;. /'Jl'>e,:.. fife,_, C-~ ..w._j_ /#fj - ~1 D ~ 924?79 ,, 114,3. - 92.0999 - r ,.., ;t_oon~ , !i - 1a' 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 .36 37 38 DATE OF BIRTH I_ ~RINT X'S □ RETAIN I. ~ I M I T T E D : (Chock ~me) . o,ovo □FLOPPY De-MAIL OoTHeR CAMERA PHOTOIM DESCRIPTION: 39 40 41 Qt.f>C!Q9 /,?,.. ;;;- . ~ ul' ,..,,. l)r ~ · IMAGE# oF ;z_c< Vf' K' -rA/t.,, • • ~ ,,,>~ OsuRN ro co1ovo DATE su.~MITTED TO 10 SECTION 1/-,AfL r- , nc,; 17,/11 (/6/l 'oc r,,~. 1rAF I ACTION REQUESTED M~X 1/ DE~CRIPTION: PHOTO ID# 1 2 3 4 5 6 7 8 I 1~'6' ,. Tllit.&'l- . t),u:O.~"":J.€. .I COMPLAIN/-U',IT • IMAGE TYPE OR FILE FORMAT I 1 z~;"jij,";,_ /2.."U).._ P~HE~•s~ ~:FRt/CATIV I./ TPJ.. JA-5t>0 7 F5 -r'T/MQolL :ii-<{ • Print or typo all entrle11 STATION AND CASE NUMBER . -z:. " • Complete a separare tonn tor eat:/J tnvesttga11on rec~raea on a1g1ra1 mea,a , 42 43 44 45· 46 47 48 49 50 51 52 53 ' ., 54 - - . ' 55 56 5? 58 59 •60' 61 .62 63 q4 65 66 67 68 69 70 71 72 73 74 75 76 •. - ' - , . , 05/.27/2009 Monroe 09-38 AMS-TCA 2-Car PDAA-Tpr. Jason J. Lewis - 2F5 105 3824.JPG 5/27/2009 1: 19:43 AM 105_3825.JPG 5/27/2009 1 :20: 11 AM 105_3826.JPG 5/27/2009 ·1:20:28 AM 105_3827.JPG 5/27/2009 1:22:29 AM .. . 05/,_27/2009 Monroe 09-38 AMS-TCA 2-Car PDAA-Tpr. Jason J. Lewis - 2F5 105 3828.JPG 5/27/2009 1:22:43 AM 105 3829 .J PG 5/27/2009 1 :22:53 AM 105 3830.JPG 5/27/2009 1:23:08 AM 105 3831 .JPG 5/27/2009 1:23:32 AM Administrative Message Report · Prlnt\Run Date 05/27/2009 I AJIJ)S# AR/ISP~370Ql)020 ___ . ____________ _;.,_,____ Date\Time Reported\Discovered Agency ORI' 05/27/2009 00:15 -=------- -~-~"-'---~--: ..;..al TZS F221 NYSP MIDDLETOWN Message DIVISION VEHICLE - PDM Investigated By Units Responded Z/SGT DAVID G. SCOTT UF . .L t!'= · Photos YES Videotape NO rr - a~·t-:-iv.e- ~- ~ - - -- - - - - -- - -- - -- -- - - - - - -- -- ~ ~ --~ry a · ,_ TPR JASON LEWIS WAS OPERATING 2F5 (V-1) W ITH TPR. DESMOND LEWIN AS THE PASSENGER IN HEAVY RAIN. THE TROOPERS ENTERED 1-84 WESTBOUND FROM ST RT 17 WESTBOUND WITH EMERGENCY LIGHTS AND SIREN ACTIVATED, EN ROUTE TO A HOME INVASION ROBBERY/SHOOTING IN THE TOWN OF DEERPARK. V-2 WAS A 2007 FREIGHTLINER WITH TRAILER. V-2 WAS TRAVELING IN THE RIGHT LANE OF 1-84 WESTBOUND WHEN THE OPERATOR OBSERVED 2F5 ROUND THE CURVED ENTRANCE RAMP AHEAD. V-2 MOVED TO THE LEFT LANE AND SLOWED TO YIELD TO THE TROOP CAR. 2F5 MERGED INTO THE DRIVING LANE OF 1-84 AND UPON PASSING V-2 ON THE RIGHT SIDE,. MA0E CONTACT WITH THE FRONT, RIGHT FENDER OF V-2. MINOR DAMAGE TO BOTH VEHICLES. LT. FRANK KEYSER ADVISED. # Vehicles # Injured 2 0 # Deceased 0 Apparent Cause FAILED TO KEEP RIGHT County CfTNName ORANGE WALLKILL, TOWN bF - 3666 Location\ Street Name \ Mile Post Marker 1-84 W/B MM.19.0 Road Conditions Weather Conditions 3- RAIN 2 - WET Description of Damage V-1 BROKEN TAIL LIGHT; V-2 SCRATCH ON FENDER Criminal Action NONE Sent Date \ Sent Time 05/27/2009 03:09 Sent By Scott D Notification ZONE [ruiv'er 'lnformatio~; 001 Driver Name Gender M LEWIS, JASON J Address 1220 W ASHINGTON AVE City ALBANY License State State NY Chemical Test NO Driver Charged NO Zip 12226 Violations Driver Member? YES Member Rank Date of .Entry TROOPER 05/19/2002 Name (exactly as printed on r~gistration) NYSP, Page 1 of 2 Member Shield 3020 Member Shift 2 -~ddress 1220 WASHINGTON AVE City State Zip ALBANY NY 12226 ' lnsurar.:ice Company and Code 994 - GOVERNMENT OWNED : Qleblcle Information 001 · Lic~nse Plate # State POLICE . •. NY 'Make 2008 VIN# 2FAHP71V38X104891 FORD Van#· Mileage 37445 08247 Front Airbags Deployed Side Airbags Deployed Fire Suppression Deployed NO NO YES. School Bus Comm. Veh. NYSPVeh. Equipment Damage 1 , c' .. Vehicle Year NO NO NO Equipment Damage Oescri~tlon NO . ,Vlolaticms Member Rank Driver Member.7 Date of Entry ·Member Shield Member Shift NO [Owner lnfor.mation .P02 ,/ · • \: Name (exactly as printed on registration) PENSKE THUCI( LEASING CO L, Address RT 10 GREEN HILLS BX 405. City State Zip READING PA 19603 Insurance Company and Code· 989- OUT OF STATE INS CO- ITP [Vefiicle 1Mormati6n 002 License Plate# State 920999 ME Vehicle Year 2007 Equipment Damage VIN# FRHT Mileage Van# School Bus Comm. Veh. NYSPVeh. Make I NO YES NO NO ·• Front Airbags Deployed Side Airbags Deployed . Fi~e Suppression Deployed ,Equipment Damage Description Page 2 of2 NO, NO NO Page l of 2 Pages New York State Department of Motor Vehicles Local Codes POLICE ACCIDENT REPORT 3030528 MV-104A (3/04) SPPZ81000007 □ MENDED REPORT MOitary Time No. or No. Injured No. Kilted Not Investigated at Scene Vetiides 00:35 2 0 0 □ Lefl Scene D ~ld~~i·R~~;~Wd;d··· □Y T □ PEDESTRIAN Police Photos 181Yes □ OTHER PEDESTRIAN Slate of Lie. Slate of Uc. NY JASON ME BERNARD A J Addre$S (lnelude Number and Stroot) 369 20 □ No Apt.No. NININGER RD Slate Zip Code 10950 NY Unlicense<f □ □ bOR Sex Sex C pt.No. State LP , az. Mat. Code Apt.No. RT 10 GREEN .HILLS BX 405 ,ty or Zip Code 12226 NY C Atld~ss (Include Number and Stteel) e 0\\11 Slate READING Ins. Code PA P1a1e, Number 994 Stale of Reg. Vehftle Year 920999 ME Make 007 FRHT licket/Arrest Number(s) Violation Sectlon(s) Violation Sedion(s) VEHICLE DAMAGE CODING: 1-13 SEE DIAGRAM ON RIGHT. 14. UNDERCARRIAGE 17, DEMOLISHED 15. TRAILER 18. NO DAMAGE 16. OVERTURNED 19.0THER 9. IZ Reference Marner - ....- Coordinates (if available) Place Where Accident Occurred; Lattitude/Northing: Count)'. ORANGE 4588739 Road on which accident occurred ......--+---1 Longitude/Easting: 552710 012 181 •• II at 1) intersecting street Cost of repairs to any one vehicle will be more than S1000. Unknown/Unable to detemtine Yes □ City ST □ Village 181 Town D No or WALLKILL I;.;..._8_4______-:=-.,-...,-,...,....-,-..,,,,-,,.,.,..,.,.,..,.,.,.,...--------cROllle Number or Slreel Name) EXIT 4 W/B ENT RAMP RT 17 □N □ s >~t -miles - - DE ••~ D OW of (Roule Number or Street Name) fMilepost, Nearest lntetSedlng Rou1e Number or Street Name) Accident Description/Offteer's notes THE ACCIDENT OCCURRED IN A POLICE VEHICLE OWNED/OPERATED BY THE NEW YORK STATE POLICE WHILE RESPONDING TO AN EMERGENCY. V-1 WAS A MARKED STATE POLICE CAR, TRAVELING WITH EMERGENCY LIGHTS AND SIRENS ACTIVATED. V-1 ENTERED I-84 WESTBOUND FROM THE ST RT 17 WESTBOUND EXIT 4W RAMP IN HEAVY RAIN. V-1 MERGED INTO THE DRIVING LANE AND MADE CONTACT WITH V-2. N •Page 2 of 2 New York State Department of Motor Vehicles Pages POLICE ACCIDENT REPORT Local Codes 3030528 SPPZB1000007 MV-104A (3/04) □ MENDED REPORT 1-"'cc!e'S!!'e!"""''"''-------lDay of Week Month s Day Year 27 2009 Wednesday Military Time 00,35 No. pf Vehicles 2 No. Injured 0 No. Killed Not Investigated at Scene □ 0 A~id~~f-F{~~~-;t-~ci~d--- □- Left Scene [] Police Photos r8l Yes O No New York State Department of Motor Vehicles REPORT OF MOTOR VEHICLE ACCIDENT POLICE LINE OF DUTY ACCIDENT □ Page 1 Precinct of 1 AMENDED REPORT Pages F2ll IMPORTANT: If you are the officer In charge, complete and sign this form, and attach it to the MV-104A or MV-104AN. Local Accident Number 3030528 SPPZ81000007 Accident Date 5 / 27 Month Day I County Accident Time In 2009 Military Year ITim.,. 00 : 35 ORANGE NAMES OF DRIVERS: (Please Print or Type) '. s:~;.·m·:~ i ~ ~ First'_:· Last- :. . M.I~ s.taJe~;£:t~~·.'~:' ;o.~::~~fr ·;N~~:er ·. P~'if: '. 'License ·, state · .L?~1r:f i::.'· ,. Nurpb~t·:. VEH1 181 LEWIS JASON J NY POLICE NY HOWLETT BERNARD A ME 920999 MB VEH2 □ VEH3 VEH4 VEH5 VEH6 Pursuant to Section 605 of the New York State Vehicle and Traffic Law, the attached Police Accident Report is also the motorist report for vehicle number(s) ____1_ _ __ * Pursuant to Section 605(a)(4) of the Vehicle and Traffic Law, check only the box for each police officer operating a police vehicle (as defined by V & T Section 132-a)durlng emergency operation (as defined by V&T Section 114-b) when the accident occurred. Date 6/22/2009 16:21 MV-104L (4/07) Signature of Owner of Police Vehicle/Police Agency Representative -r;, :.S-c.::;r: _s,/,;• .,.;:.,'~ www.nysdmv.com NCIC# 13502 ' ' Job Number: 05/27/2009 at 01:39 PM 2479 T & C AU'I'O E!ODY, INC. License J:7000221 Federal ID #:061202813 770 RT. 17 M PO BOX 2164 MIDDLETOWN, NY 10940 (845) 343-3443 Fax: (845) 342-4330 PRELIMINARY ESTIMATE written By: Courtney TAVA fIA-941110 Adjuster: Insured: New York State Owner: New York State Address: 55 Crystal Run Middletown, NY Other: (845)344-5300 Police 2F5 Police 2F5 Rd 10941 Cl.aim# Policy# Deductible: Date of Loss: Type of Loss: Point of Impact: Business: Inspect T & C AUTO BODY, INC. Location: 770 RT. 17 M PO BOX 2164 MIDDLETOWN, NY 10940 Insurance Company: (845) 343-3443 Days to Repair 2008 FORD CROWN VICTORIA POLICE 8-4,6L-FI 40 SED Blue VIN: 2FAHP7lV38Xl04891 Lie: 2F5 NY Prod Date: Air Conditioning Rear Defogger Body Side Moldings Dual Mirrors Power Steering Power Brakes Power Locks Power Driver Seat AM Radio FM Radio Search/Seek Anti-Lock Brakes (4) Passenger Air Bag 4 Wheel Disc Brakes Bucket Seats Automatic Transmission Int: odometer: 37534 Tilt Wheel Clear Coat Paint Power Windows Power Mirrors Stereo Driver Air Bag Cloth Seats Overdrive ----------------~-------------------~-----------------------------------------PAINT QTY EXT. PRICE LABOR DESCRIPTION OP. NO. --------------------~---------------------------------------------------------REAR BUMPER 1 o.o 0.5 Rpr Bumeer cover (Buff time) 2* 3 4 5 6* 7 8# 9# 10# ll# REAR LAMPS Repl LT Tail lamp assy solid red black molding QUARTER PANEL Rpr LT Quarter panel w/o antenna ho Add for Clear Coat Repl LT Qtr Stripe & remove old R&I LT Qtr Antena Repl Corr is ion Protection Car Cover 1 1 134.83 0.6 2.5 l l.O 0.5 55.00 0.2 1 1 5.00 2.6 0.3 o.s Ub/ I 1/t!UUtl • U I: IJj l"i'\1\ ..' Job Number: 05/27/2009 at 01:39 PM 2479 PRELIMINARY ESTIMATE 2008 FORD CROWN VICTORIA POLICE 8-4.6L-FI 4D SEO Blue Int: ------------------------------------------------------------------------------PAINT QTY EXT. PRICE LABOR OP, DESCRIPTION NO. ------------------------------------------------------------------------------l 2.50 Hazardous Waste 12# ------------------------------------~-----------------------------------------4.6 4.l Subtotals ==> 197.33 Parts Sody Labor Paint Labor Paint Supplies 4.1 hrs 4.6 hrs 4.6 hrs @ $ @ $ @ $ 197.33 205.00 230,00 128,80 50.00/hr 50.00/hr 28.00/hr SUBTOTAL $ 761.13 GRAND TOTAL $ 761.13 ADJUSTMENTS: Deductible 0.00 CUSTOMER PAY INSURANCE PAY $ 0. 00 S 761.13 ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR COMMERCIAL INSURANCE OR A STATEMENT OF CLAIM FOR ANY COMMERCIAL OR PERSONAL INSURANCE BENEFITS CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, AND ANY PERSON WHO, IN CONNECTION WITH SUCH APPLICATION OR CLAIM, KNOWINGLY MAKES OR KNOWINGLY ASSISTS, ABETS, SOLICITS OR CONSPIRES WITH ANOTHER TO MAKE A FALSE REPORT OF THE THEFT, DESTRUCTION, DAMAGE OR CONVERSION OF ANY MOTOR VEHICLE TO A LAW ENFORCEMENT AGENCY, THE DEPARTMENT OF MOTOR VEHICLES OR AN INSURANCE COMPANY, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME, AND SHALL ALSO BE SUBJECT TO A CIVIL PENALTY NOT TO EXCEED FIVE THOUSAND DOLLARS AND THE VALUE OF THE SUBJECT MOTOR VEHICLE OR STATED CLAIM FOR EACH VIOLATION. You are entitled to the return of all replaced parts, except warranty and exchange parts, buc you must ask for them in writing before any work is done. If you authorize work by phone, the shop must keep any replaced parts, and make them available when you pick up the vehicle. 2