CN-370000-LE706-2C-56850.pdf

This Work Authorization Form (WAF) is issued by the Florida Department of Environmental Protection, Office of Emergency Response, for incident response services at the Hollywood Beach site in Broward County. The contractor is CBI Berry, Incorporated, operating under Contract #LE-708, with Daniel Forehand designated as the authorized representative. The incident, identified as DEP Incident #2015-20-96860, occurred on 11/28/2016 and involves oversight and coordination of emergency environmental response activities.

The work scope involves transportation of two abandoned drums containing suspected gasoline (2.35 gallons) to both the TSA and TSDF facilities, with the OER conducting drum profiling and disposal coordination. The work assignment is fixed-price with an estimated amount of $400.00, authorized under OPA-90 reimbursement provisions. Funding is allocated from Project Number LE 706, Organization Code 3704010000, with Object Code 189900 and Fund Category 102577. The authorization was approved on 11/28/2016 and signed by Jeremy Vincenti (OSC), with subsequent contractor and budget representative signatures dated 12/28/2016 and 11/30/2016 respectively.