CN-370000-LE811-4C70856S.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes emergency response work for an incident (2024-4C-70856) at Bay Aristocrat Village in Clearwater, Pinellas County, Florida. The contractor is Cliff Berry Inc. (CBI), with Jon Sandro serving as the contract representative. The work is being coordinated through the Office of Emergency Response, with Jon Belcher as the designated OSC (On-Scene Coordinator).

The authorization covers immediate response activities for an abandoned drum containing approximately 30-40 gallons of seawater and release agent mix. The scope of work includes deployment of a response truck and overpack drums, with one recovery technician assigned to the project. Equipment specified includes overpack drums and PPE Level D protection. The work is authorized under a fixed-price contract with an estimated cost not to exceed $1,300. Funding is allocated from Project LE811, Organization Code 3704 0100 000, with the amount of $1,300 charged to Fund 0990001, Category/Year 102577. The work authorization was executed on February 14, 2024, with approvals from Samuel Graves (DEP Representative), Jon Sandro (Contractor Representative), and Vickie Koenig (OER Budget Representative).