Brush Management Right of Entry Application
Permittee information
First Name
Required
Last Name
Required
Address
Required
City - State - Zip Code
Required
Phone Number
Required
Fax Number
E-mail
Request details
Proposed Start Date
Required
Location (proposed ingress and egress points, vehicle or foot access?)
Required
Description of Project
Required
Not applicable
Environmental Permitting
Not applicable
Special Restrictions
Are you hiring a contractor?
Are you hiring a contractor?
Yes
Are you hiring a contractor?
No
Contractor Information
Contractor Name
Required
Address
Required
City - State - Zip Code
Required
Phone Number
Required
Fax Number
*All contractors must be licensed in the State of California. Prior to contractors conducting brush management on City property, Permittee shall deliver to Open Space Brush Management Program Manager a current certificate of insurance providing coverage for bodily injury, including death, personal injury and property damage with limits of at least One Million Dollars ($1,000,000) per occurrence, subject to an annual aggregate of Two Million Dollars ($2,000,000). Said insurance policy shall be primary and non contributory. "The City of San Diego, its elected officials, officers, employees, representatives and agents" shall be named as additional insureds in all policies. This section shall not apply if contractor performing work is the State of California.
I have read and understand these terms.
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