CN-370000-LE811-3I-72625.pdf
PDF 160 KB Posted
- Contract number
- LE811
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13, effective July 1, 2017) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The form authorizes work under Contract LE811 with Cliff Berry Inc., a contractor, for incident response operations related to DEP Incident #2025-3I-72625. The work is located at 2650 Gretchen Avenue, Lehigh Acres, Lee County, Florida. Key personnel include Bill Reasoner as the DEP representative, Dave Glen as the On-Scene Coordinator, and William Reasoner as the contractor representative.
The work authorization covers the transfer of 250 gallons of used oil from an abandoned tote into five poly drums and subsequent transport to an approved disposal facility, with removal and disposal of the empty tote. The work assignment is fixed price at $1,700.00, with no option for "Not to Exceed" estimate adjustments. The contractor will provide one supervisor and one pickup or van vehicle. Funding is sourced from Project LE811, Organization Code 3704 0100 000, with Fund 131545, Object Code 099001, and Category/Year 102577. The work was authorized on April 23, 2025, with final approval signatures completed by June 16, 2025.
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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
Cliff Berry Inc. 2025-3I-72625
LE811 Bill Reasoner 4/23/2025
2650 Gretchen Ave. Dave Glen
2650 Gretchen Ave. 239-633-5441
Lehigh Acres Lee 239-3-5441
Dave Glen 239-633-5441
250 gallon tote filled with used oil.
D
Abandoned 250 Gallon tote, off-load into poly drums (qty 5), and transport for disposal at approved site. Remove empty tote and dispose.
1,700.00
LE 811 3704 0100 000 FL 131545 099001 102577 1,700 00
Dave Glen 4/23/2025
William Reasoner
Vickie Koenig 6/16/2025
Samuel Graves
✔ Used oil
Transfer used oil from tote to drums, then transport for disposal.
✔ 1 Tote
Vickie Koenig Digitally signed by Vickie Koenig Date: 2025.06.16 08:54:05 -04'00'
William Reasoner Digitally signed by William Reasoner Date: 2025.06.04 11:06:30 -04'00'
David Glen Digitally signed by David Glen Date: 2025.04.23 10:35:44 -04'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2025.06.16 08:58:11 -04'00'
File details come from the government source that posted it. Updated .