CN-370000-LE807-2I70082S.pdf
PDF 130 KB Posted
- Contract number
- LE807
- Issued by
- Florida
About this file
Work Authorization Summary
This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection (FWDEP), Office of Emergency Response (OER), authorizing emergency response services for a sunken vessel incident. The contractor is ACT under Contract #LE807, with Lauren Johnson serving as the departmental representative and Rebecca George as the On-Scene Coordinator. The incident occurred on June 11, 2023, at 3361 SR 84 WB SED in Davie, Broward County, Florida, involving the sunken vessel Rebecca George.
The authorized work encompasses spill response and stinging of fuel tanks to address 2,500 gallons of diesel fuel. The contractor's services include a supervisor, recovery technician, equipment operator, response truck, vacuum truck, 55-gallon drums, and PPE Level D equipment. The authorization includes pre-approved contractor costs of $89,463.22 (Divecom at $85,203.07 plus 5% markup) and disposal costs of $811.13 (Raider at $787.50 plus 3% markup), with a total not-to-exceed estimate amount of $8,510.00. Funding is allocated from Project No. LE807, Organization Code 3704 0100 000, Object Code 131545, Fund 0990001, Category/Year 101492, with the WAF approved on April 19, 2024.
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Text version
OER_13 (Effective 7-01-2017)
Florida Department of Environmental Protection
Office of Emergency Response
WORK AUTHORIZATION FORM
Required Signatures: Adobe Signature or Original Ink Supplemental WAF
Contractor: ____________________________________ DEP Incident # ______________________ Contract #: ___________ Rep: ____________________ Incident Date _______________________ Site Name: ____________________________________ OSC: ______________________________ Location: ______________________________________ Phone: Office______________________ City: __________________County: _________________ Cell ________________________
Description of Work: Respond Immediately Call OSC to set date/time__________________________________
Spill Response Overpack Drums Transport drums to TSA Abandoned Drum:
Remove Soil Sampling Transport Drums to TSDF Analysis of samples collected by OER
Other:
Suspected Materials, and amounts: _____________________________________________________________________________________
Level of Effort: (Check all that apply) Use Subcontractor per OSC
Personnel Vehicles Equipment
Supervisor: ____ Response Truck Overpack Drums: Visqueen
Recovery Tech: ____ Straight Truck 55-gal. Drums: Roll-off Containers: ___________
Field Chemist: ____ Vacuum Truck Sampling Gear EPA Level 1 Vapor Detector
Equip. Oper.: ____ Pickup or Van Sampling Gear EPA Level 2 PPE Level: __________________
Other: ____________ Backhoe or Similar Other: ________________ MOT
Contract Rate: ____________
Comments: ___________________________________________________________________________________________________________
Analytical & Disposal Arrangements: (analytical will usually be listed on Chain-of-Custody or other form)
Via Contractor Via Subcontractor Other: __________________________
Profile Wastes as:
Work Assignment Type: fixed price Not to Exceed estimate amount: $___________________________
Funding Information: (information provided by OER budget rep., budget rep to sign after WAF executed, but prior to transmittal to F&A)
Project No.
Organization Code
EO
Object Code
Fund
Category/Yr
Amount
Approved:
DEP Representative: __________________________ Signature: _______________________________ Date: __________________
Contractor Rep: __________________________ Signature: ___________________________________ Date: __________________
OER Budget Rep: __________________________ Signature: __________________________________ Date: __________________
Deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation reviewed and/or provided and that the documentation submitted is complete, accurate, and submitted timely
ACT 2023-2I-70082
LE807 Lauren Johnson 6/11/2023
Ft Lauderdale Sunken Vessel Rebecca George
3361 SR 84 WB SED
Davie Broward 561-846-1683
2,500 gallons of diesel
D
Divecom $85,203.07 + 5% mark-up = $89,463.22 pre-approved and noted on the DEP Daily. Disposal - Raider $787.50 + 3% = $811.13 pre-approved and notated on the DEP Daily.
8,510.00
LE807 3704 0100 000 FC 131545 0990001 101492 8,510 00
Melissa Woehle 4/19/2024
Lauren Johnson 4/19/24
Vickie Koenig 4/19/2024
Samuel Graves
Stinging of fuel tanks
Vickie Koenig Digitally signed by Vickie Koenig Date: 2024.04.19 13:34:35 -04'00'
Lauren Johnson Digitally signed by Lauren Johnson Date: 2024.04.19 14:08:47 -04'00'
Melissa Woehle Digitally signed by Melissa Woehle Date: 2024.04.19 13:02:27 -04'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2024.04.19 13:11:28 -04'00'
File details come from the government source that posted it. Updated .