Iowa State Patrol: Department of Public Safety
Minimal Crash Report:

 Case Number:  2021004703  Type:  Personal Injury  County:  36
 Crash Date:  20210224  Time:  1445
 Location:  I-29SB 1,80MM
 
 Vehicle 1 Year:  2018  Make:  VOLV  Type:  SEMI
 Towed By:  BENEFIEL'S
 Driver Name:  RAFKAT,MAKALIM  Age:  34
 City & State of Residence:  HOLLYWOOD, FL
 
 Vehicle 2 Year:  2015  Make:  CHEV  Type:  TAHOE
 Towed By:  BENEFIEL'S
 Driver Name:  FOX,THERESA ANN  Age:  56
 City & State of Residence:  ANKENY, IA
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  FOX,THERESA ANN  Age:  56
 City & State of Residence:  ANKENY, IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  GRAPE MEMORIAL HOSP  Transported By:  HAMBURG RESCUE
 
 Injury 2 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 3 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 4 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 5 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 6 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Motor Carrier Info (IF Large truck is involved)
 Name of Carrier:  NORTHERN SAINT
 DOT or MCC #:  3461715
 City & State of Carrier:  DENVER, CO  Hazmat Involved?:  No
 
 Summary:  
    VEH1 SB IN RIGHT LANE OF I29SB NEAR EXIT1 OVERPASS,VEH2 SB IN RIGHT LANE
OF I29SB NEAR EXIT1 OVERPASS;VEH2 PROVIDING TRAFFIC CONTROL FOR DOT HWY
REPAIR CREW;VEH2 TRAVELING SLOWLY W/REAR EMERGENCY LIGHTS ACTIVATED &
ARROW STICK FOR TRAFFIC TO MERGE LEFT UPON APPROACH; VEH1 FAILED TO MERGE
LEFT & COLLIDED W/REAR OF VEH2 CAUSING VEH2 TO LEAVE THE ROADWAY TO THE
RIGHT AND ROLL, COMING TO REST ON ITS WHEELS;ADDITIONAL ASSISTANCE FROM
 
 Officer Name:  TROOPER CAMPBELL #467  Post:  03
 Assisted By:  ISP#55 & #478,MVE#T3


Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504