CN-370000-LE680-4I-63675.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, for NRC Gulf Environmental Services, Inc. under Contract #LE880. The authorization is for emergency response work related to an incident (DEP Incident #63875) dated July 29, 2019, with work to be performed at Mile Marker 163 I-10 Eastbound in Tallahassee, Leon County, Florida. The Incident Commander is Heather A. Perkins, with Gary Jones serving as the Contractor Representative.

The scope of work includes removal of soil and disposal of asphalt tar material, with immediate response required and authorization for the contractor to coordinate scheduling with the Office of Emergency Response. The work authorization utilizes a fixed-price arrangement not to exceed $8,500 and is charged to Fund 01042, Category 10142 with an estimated amount of $5,500. Personnel authorized include a supervisor, recovery technician, and equipment operator, with equipment allocation for a response truck, backhoe or similar vehicle, visqueen, roll-off containers, and absorbent/sled sluer materials. Analytical and disposal arrangements are to be handled via the contractor. The authorization was approved on July 31, 2019, with subsequent signatures from the DEP Representative (July 31, 2019), Contractor Representative (August 5, 2019), and OER Budget Representative (August 16, 2019).