CN-370000-LE811-4I-71502.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work under Contract LE 811 with contractor Cliff Berry Inc. (CBI), with Jon Sandora serving as the contract representative. The work is to be performed at an abandoned drum plant city facility located at 3505 Medulla Road in Plant City, Hillsborough County, Florida, in response to DEP Incident #2024-4171502 dated September 6, 2024.

The work authorization authorizes immediate response to address an abandoned drum and includes provisions for response truck, supervisor, recovery technician, and personal protective equipment. The work assignment is fixed price with a not-to-exceed estimate amount of $1,400.00. Funding is provided through Project LE 811, Organization Code 3704 0100 000, with the expense charged to Object Code 131545 under Fund 099001, Category/Year 102577. The authorization was approved on September 9, 2024, with signatures from the DEP Representative (Jasson Drinkard), Contractor Representative (Jon Sandora), and OER Budget Representative (Vickie Koenig), dated September 8, 2024 and September 9, 2024.