CN-370000-LE808-2C-70738.pdf
PDF 161 KB Posted
- Contract number
- LE808
- Issued by
- Florida
About this file
This Work Authorization Form (OER_13) is issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes emergency response services between AOTC (Alpha Omega Technical Consultants), identified as the contractor, and the state of Florida. The authorization references Contract #LE808, with Kirk Kraus serving as the contractor representative and Joseph Deluna as the On-Scene Coordinator for DEP.
The work authorization covers spill response services for a petroleum release incident at the St Lucie River in Stuart, Florida (Martin County), dated December 27, 2023. The scope of work includes immediate response with personnel (1 Supervisor and 2 Recovery Technicians), vehicles (Emergency Response trailer and boat), and equipment for emergency response and recovery operations. The authorization is structured as a fixed-price work order with a not-to-exceed amount of $13,000.00. Funding is sourced from Project No. LE 808, Organization Code 3704 0100 000, with the amount charged to Fund Category/Year 101492. All required signatures from the DEP Representative (Joseph Deluna), Contractor Representative (Kirk Kraus), and OER Budget Representative (Vickie Koenig) were executed between February 9 and February 20, 2024, authorizing the work to proceed.
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Text version
OER_13 (Effective 7-01-2017)
Florida Department of Environmental Protection
Office of Emergency Response
WORK AUTHORIZATION FORM
Required Signatures: Adobe Signature or Original Ink Supplemental WAF
Contractor: ____________________________________ DEP Incident # ______________________ Contract #: ___________ Rep: ____________________ Incident Date _______________________ Site Name: ____________________________________ OSC: ______________________________ Location: ______________________________________ Phone: Office______________________ City: __________________County: _________________ Cell ________________________
Description of Work: Respond Immediately Call OSC to set date/time__________________________________
Spill Response Overpack Drums Transport drums to TSA Abandoned Drum:
Remove Soil Sampling Transport Drums to TSDF Analysis of samples collected by OER
Other:
Suspected Materials, and amounts: _____________________________________________________________________________________
Level of Effort: (Check all that apply) Use Subcontractor per OSC
Personnel Vehicles Equipment
Supervisor: ____ Response Truck Overpack Drums: Visqueen
Recovery Tech: ____ Straight Truck 55-gal. Drums: Roll-off Containers: ___________
Field Chemist: ____ Vacuum Truck Sampling Gear EPA Level 1 Vapor Detector
Equip. Oper.: ____ Pickup or Van Sampling Gear EPA Level 2 PPE Level: __________________
Other: ____________ Backhoe or Similar Other: ________________ MOT
Contract Rate: ____________
Comments: ___________________________________________________________________________________________________________
Analytical & Disposal Arrangements: (analytical will usually be listed on Chain-of-Custody or other form)
Via Contractor Via Subcontractor Other: __________________________
Profile Wastes as:
Work Assignment Type: fixed price Not to Exceed estimate amount: $___________________________
Funding Information: (information provided by OER budget rep., budget rep to sign after WAF executed, but prior to transmittal to F&A)
Project No. Organization Code EO Object Code Fund Category/Yr Amount
Approved:
DEP Representative: __________________________ Signature: _______________________________ Date: __________________
Contractor Rep: __________________________ Signature: ___________________________________ Date: __________________
OER Budget Rep: __________________________ Signature: __________________________________ Date: __________________
Deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation reviewed and/or provided and that the documentation submitted is complete, accurate, and submitted timely
AOTC 2023-2C-70738
LE808 Kirk Kraus 12/27/2023
ST Lucie River Petroleum Release Joseph Deluna
2175 SW Locks Rd 561-681-6767
Stuart Martin 954-658-8020
1 Diver
Emergency Response trailer , Boat
13000
LE 808 3704 0100 000 FC 131545 0990001 101492 $13,000 00
Joseph Deluna 2/09/2024
Kirk KRaus 02/09/2024
Vickie Koenig 2/20/2024
Samuel Graves
Vickie Koenig Digitally signed by Vickie Koenig Date: 2024.02.20 12:14:35 -05'00' kirk kraus Digitally signed by kirk kraus DN: cn=kirk kraus, o=Alpha Omega, ou, email=kkraus@a-otc.com, c=US Date: 2024.02.09 22:28:19 -05'00'
Joseph Deluna Digitally signed by Joseph Deluna Date: 2024.02.09 17:57:13 -05'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2024.02.20 12:08:16 -05'00'
File details come from the government source that posted it. Updated .