CN-370000-LE811-4I-70991.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes emergency response work for contractor Cliff Berry Inc. (CBI) under contract LE7811, with the work to be performed at Geraci Road and Crystal Lake Road in Lutz, Hillsborough County. The responsible representative is Jon Belcher, with approval signatures from DEP Representative Jon Belcher, Contractor Representative Jon Sandora, and OER Budget Representative Vickie Young, dated July 15, 2024.

The work authorization covers immediate response activities related to two abandoned drums containing approximately 55 gallons of unknown suspension, paint thinner, and used oil (no more than 25% full). The scope includes overpack drums and providing a response truck and overpack drum equipment. The work is classified as fixed price with a not-to-exceed estimate amount of $1,802.09. Funding is allocated from Project No. LE7811, Organization Code 3104.0100.0600, with Finance Code 13, Object Code 1S4S, Fund 089.0001, and Category/Year 109517 for the total authorized amount of $1,802.00. The authorization references DEP Incident #2024-4170991, with the incident date of March 18, 2024.