CN-370000-LE807-3I-70079.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response for contractor AGT under Contract #LE807. The work is being performed at 2981 Pine Island Road in Cape Coral, Lee County, Florida, in response to DEP Incident #2023-31-70078. The authorized representative is Lauren Johnson, with Dave Glen serving as the On-Scene Coordinator. The form was approved on June 2, 2023, and signed by DEP Representative Dave Glen and Contractor Representative Lauren Johnson.

The authorization covers spill response and soil removal services related to approximately 8 gallons of diesel contamination. The scope of work includes immediate response activities, sampling, disposal of impacted soil, and coordination with the On-Scene Coordinator for scheduling. The level of effort encompasses equipment operator and scientist personnel, response and backhoe vehicles, vapor detection equipment, and PPE Level D protection. The work is assigned as a fixed-price task not to exceed $5,750.00, funded through Project No. LE807 using Organization Code 2704010000, EO FC, Object Code 13545, Fund 0991001, and Category/Year 01492. The authorization was executed on August 6, 2023, with final budget approval documented on August 24, 2023.