CN-370000-LE811-4I-70005.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work to be performed by Cliff Berry Inc. (CBI) under Contract LE811, with Jon Sandore designated as the representative. The work is located at N Rome Rd and Terra Mar Dr in Tampa, Hillsborough County, Florida, and is associated with DEP Incident #2023-3729, dated 5/5/2023, with incident contact Jan Belcher.

The work authorization covers an emergency response to handle a suspected oil/water mixture totaling 1/3 full, 55-gallon drums. The scope includes immediate response with one abandoned drum to be addressed. Personnel and resources authorized include a supervisor and recovery technician, a response truck, and subcontractor utilization as directed by the Office of Emergency Response. The work is assigned as a fixed-price contract with a not-to-exceed estimate amount of $1,100. Analytical and disposal arrangements will be handled via contractor. Funding is allocated from Project LE811, Organization Code 3740401 00030, under EO FC, Object Code 131545, Fund 2(2-001), and Category/Year 101492, with an approved amount of $1,100. The work authorization was executed on 5/5/23 with signatures from the DEP Representative, Contractor Representative, and OER Budget Representative.