CN-370000-LE807-2I66507C.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated October 27, 2020. The document authorizes work to be performed by ACT Environmental & Infrastructure, Inc. under Contract LE-807 in response to a DEP incident (2020-21-66070C) that occurred on October 27, 2020 in Miami-Dade County. The work site is located at NW 71st Street and NW 77th Court in Medley, Florida. The authorizing officer is Kenton Brown, with Ashley Shive serving as the contractor representative and Kristin Gousse as the OER budget representative.

The work authorization authorizes the contractor to respond immediately to address suspected waste oil, with a contract rate of $150.00 per hour for a pickup or van vehicle. The work is assigned as a fixed-price task not to exceed an estimate amount of $2,320.00. Funding for this work is drawn from Project LE807, Organization Code 37040100000, EO FC, Object Code 139900, Fund 099001, Category/Year 101492, in the amount of $300. The contractor is authorized to utilize supervisor-level personnel and equipment including a pickup or van for the emergency response. The deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation is complete, accurate, and submitted timely.