1. Contractor Name Required
   
2. AddressRequired
   
3. City - State - Zip Code Required
   
4. Phone Number Required
   
5. 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.
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