CN-370000-LE811-3C-71828.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work under Contract LE811 with Cliff Berry Inc., with Aiden Tellier serving as the representative. The authorization is associated with DEP Incident #2024-3C-71828, dated December 9, 2024, and is managed by Sam Walch at the Office of Emergency Services.

The work authorization covers immediate response and recovery from a canal incident at 4533 Culleen Street, Port Charlotte, involving suspected petroleum and petroleum/freshwater contamination. The scope of work includes deploying one response truck, one recovery technician, and one supervisor equipped with PPE Level D and sampling gear EPA Level 2. The work involves profiling oily water waste for disposal. The fixed-price authorization does not exceed $1,500, funded through Project Number LE811 using Organization Code 3704 0100 000, Fund Object Code 131545, and Accounting Category 102577. The document was approved and signed on December 11, 2024, by DEP Representative Sam Walch, Contractor Representative Aiden Tellier, and OER Budget Representative Vickie Koenig.