CN-370000-LE706-2C-64672.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes work for Cliff Berry Inc., operating under Contract LS-706 with representative John Ketsor. The authorization pertains to an incident (DEP Incident #2018-ZC-64972) that occurred on November 24, 2019, in June Beach, Palm Beach County, at 1808 Webassee Beach Road. The contact for the incident is Kenion Brown.

The work authorization covers emergency response services including immediate response to address an abandoned drum containing approximately 20-25 gallons of gasoline. The scope of work specifies transport of drums to TSDF (Treatment, Storage, and Disposal Facility) with one response truck and one nested container as equipment. The work is assigned on a fixed-price basis with a not-to-exceed estimate of $2,000.00. Analytical and disposal arrangements will be managed via contractor. Funding is allocated from Project No. LE-1016, Organization Code 3104-01.00000, with an Object Code of 139900 and Fund Category 212-001, totaling $2,000.00. The authorization was approved on 11/26/2019 and signed by DEP Representative Kenion Brown, Contractor Representative Sarah Harmon, and OER Budget Representative Kristin Gousse.