Sample Certificate of Liability Insurance~24.pdf

PDF 812 KB Posted

Attached to
25AL2213 Edward R. Madigan S. P. - Farm Lease
Solicitation number
25-422DNR-REALT-B-44819
Issued by
Livingston County, Illinois

About this file

This document is a sample certificate of liability insurance related to a state and local contract opportunity. The certificate shows the policy number, start and end dates, and indicates that the IDNR (Illinois Department of Natural Resources) should be listed as an additional insured. The minimum contract requirement for liability coverage is also provided. The document specifies that it does not supersede the requirements of any executed farm lease and is intended for informational purposes only, with the contractual terms of an executed farm lease between the tenant farmer and the IDNR controlling.

The document does not provide details on the specific products or services requested, project overviews, item quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract including any renewal options. Additionally, it does not include information on pricing terms, set asides, incumbents, current environment, funding requirements and sources, or any other salient details beyond the liability insurance requirements.

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Text version

SAMPLE CERTIFICATE OF LIABILITY INSURANCE.

POLICY NUMBER START

DATE

END DATE

POLICY NUMBER START

DATE

END DATE

POLICY NUMBER

(IF APPLICABLE)

START

DATE

END DATE

nicole.thomas Line nicole.thomas Text Box This box MUST be completed, even if the response is "N".

nicole.thomas Text Box Minimum amount required by law, if applicable.

nicole.thomas Line nicole.thomas Line nicole.thomas Line nicole.thomas Text Box IDNR should be listed as additional insured.

nicole.thomas Line nicole.thomas Line nicole.thomas Text Box Minimum contract requirement. Additional coverage/info may be included.

nicole.thomas Line nicole.thomas Line nicole.thomas Line nicole.thomas Text Box This document does not supersede the requirements of any executed farm lease. This document is intended for informational purposes only. Contractual terms of an executed farm lease between the tenant farmer and the IDNR control.

mike.chandler Highlight mike.chandler Highlight mike.chandler Highlight

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