CN-370000-LE811-7C-70270.pdf

This Work Authorization Form (WAF) is issued by the Florida Department of Environmental Protection, Office of Emergency Response, for services provided by Cliff Berry Inc. under Contract LE811. The authorization is associated with DEP Incident #2023-7C-70270 dated August 22, 2023, at the site located at 6166 South HWY A1A in Melbourne Beach, Brevard County, Florida. The incident is managed by OSC Jimi Rucker, with oversight coordination through the Office of Emergency Response.

The work scope involves the immediate response to an abandoned petroleum drum containing approximately 15 gallons of material. The contractor is authorized to mobilize on 5/23/2023 as directed by the OSC. The work assignment is structured as a fixed-price contract with a not-to-exceed estimate amount of $1,115. Funding is allocated from Project LE811 under Organization Code 3T041010000, with the expense charged to Fund D9F001, Category/Yr 1025-77, in the amount of $1,115.02. The authorization includes use of subcontractors as needed per OSC direction, with the contract rate designated for "mobe & disposal." Approval signatures are provided by Samuel Graves (DEP Representative), Jimi Rucker (Signature authority), Mark Groothouse (Contractor Representative), and Amanda Landtree (OER Budget Representative), with execution dated September 22, 2023.