CN-370000-LE807-3I67842.pdf

This is a Work Authorization Form (Supplemental WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work performed by AGT (contractor) under Contract #LE-607, issued on July 7, 2021, in response to DEP Incident #2021-9147942 at SR-70 & Lightsey Ranch Road in Lake Placid, Highlands County, Florida. The authorization is signed by DEP Representative Heidi Hoffmann and Contractor Representative Jason Ruffman, with approval dated August 11, 2021.

The work authorization covers soil removal and immediate response activities related to a diesel spill of approximately 60 gallons into soil with previously removed surface water. The scope includes personnel (recovery technician and other staff), vehicles (response truck and backhoe), and equipment (roll-off containers, vapor detector, PPE, and MOT). The fixed-price work assignment carries a not-to-exceed estimate of $18,500, with funding sourced from Project No. LE807, Organization Code 27-04-01-00000, BO F&J, Object Code 34900-09, Fund 001, and Category/Year 10-049/2b. The analytical and disposal arrangements are managed via contractor, with waste profiling as needed. This supplemental authorization is contingent upon prior site assessment and full cleanup completion.