CN-370000-LE681-4I-61763.pdf

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Attached to
Master Agreement FL|2009|LE681|0ea538e219615681286fe558395fed89
Contract number
LE681
Issued by
Florida

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Work Authorization Form Summary

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response, for emergency spill response services. The document authorizes ACT, Inc. (Contract #LE881) to respond to an incident occurring on October 13, 2018, in Zolfo Springs, Hardee County, Florida. The incident involved a 20-gallon gasoline spill from an uninsured private pickup truck into a ditch and surrounding soil. The responsible OSC (On-Scene Coordinator) is Domenic LeloBarone, with Jason Huffman serving as the contractor's representative.

The work authorization authorizes immediate spill response and soil removal services with an estimated not-to-exceed amount of $6,000.00. ACT, Inc. is authorized to deploy one supervisor, one recovery technician, and one equipment operator, utilizing a response truck, pickup van, and backhoe or similar equipment. The work is classified as a fixed-price engagement. The contaminated soils resulting from the spill response are to be profiled and disposed of as gasoline-contaminated materials through the contractor. Funding is provided through FDEP's budget code 31F1C1-FC-13-1306-06, and the WAF was approved on November 8, 2018, with subsequent authorization signatures dated through March 25, 2019.

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