CN-370000-LE808-2C-71577.pdf
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- Contract number
- LE808
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response. The document authorizes emergency response work for a sunken vessel incident located at 25 South Coastal Way in Jupiter, Florida (Palm Beach County). The contractor is AOTC (Alpha Omega Technical Consulting), represented by Kirk Kraus, under Contract LE808. The incident was reported on October 5, 2024, with DEP Incident #2024-2C-71577, and the On-Scene Coordinator is Joseph Deluna.
The work authorization authorizes immediate spill response activities with a fixed-price contract amount of $25,000. The level of effort includes two recovery technicians, one equipment operator, and deployment of a response truck, vacuum truck, and 55-gallon drums for containment. Analytical and disposal arrangements will be handled via the contractor. The work is funded through the State of Florida's emergency response budget under Project LE 808, Organization Code 3704 0100 000, Object Code 131545, Fund 099001, and Cost Category 101492. All required signatures were obtained between October 5-10, 2024, from the DEP Representative (Joseph Deluna), Contractor Representative (Kirk Kraus), and OER Budget Representative (Vickie Koenig).
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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 2024-2C-71577
LE808 Kirk Kraus 10/05/2024
Jupiter Sunken Vessel Joseph Deluna
25 South Coastal Way 561-681-6767
Jupiter Palm Beach 954-658-8020
25000
LE 808 3704 0100 000 FC 131545 099001 101492 25,000 00
Joseph Deluna 10/05/2024
Kirk Kraus 10/9/2024
Vickie Koenig 10/10/2024
Samuel Graves
Vickie Koenig Digitally signed by Vickie Koenig Date: 2024.10.10 12:59:58 -04'00' kirk kraus Digitally signed by kirk kraus DN: cn=kirk kraus, o=Alpha Omega, ou, email=kkraus@a-otc.com, c=US Date: 2024.10.09 10:29:14 -04'00'
Joseph De Luna Emergency Responder
Digitally signed by Joseph De Luna Emergency Responder Date: 2024.10.05 17:06:57 -04'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2024.10.10 12:46:52 -04'00'
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