Sample Certificate of Liability Insurance~1.pdf

This document is a Sample Certificate of Liability Insurance issued by an insurance broker for a Tenant Farmer, with the Illinois Department of Natural Resources (IDNR) as the certificate holder. The certificate is an informational document demonstrating insurance coverage for a potential contract or lease agreement, specifically related to farm leasing. The form outlines various insurance policy details, including commercial general liability coverage with a $1,000,000 per occurrence limit and a $2,000,000 general aggregate limit.

The insurance certificate indicates minimum contract requirements for liability coverage, with specific provisions for commercial general liability and automobile liability. The document explicitly states that it does not supersede the requirements of an executed farm lease and is intended for informational purposes only, with the actual terms to be controlled by the IDNR. The policy appears to be a standard ACORD form (version 25, dated 2016/03), providing a template for insurance verification that can be used to demonstrate financial responsibility and risk management for agricultural land use or leasing arrangements.