Sample Certificate of Liability Insurance~29.pdf
PDF 812 KB Posted
- Attached to
- 25AL2086 Kidd Lake Natural Area - Farm Lease
- Solicitation number
- 25-422DNR-REALT-B-44627
- Issued by
- Madison County, Chicago City, Illinois
About this file
This document appears to be a sample Certificate of Liability Insurance related to a state or local government contract opportunity. The certificate identifies the policy number, start and end dates, and indicates that the state agency, IDNR, should be listed as an additional insured. The minimum contract requirement for liability coverage is also specified. This document is intended for informational purposes only, and the contractual terms of any executed farm lease between the tenant farmer and IDNR would take precedence.
The document does not provide additional details about the specific contract opportunity, such as the products or services requested, project overviews, response dates, award information, or contract term. Pricing terms, set asides, funding sources, and other salient information are also not included in this sample Certificate of Liability Insurance.
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Other files
| File | Type | Posted |
|---|---|---|
| Vendor Disclosures - Formly Forms A~28.docx | DOCX document | |
| 25AL2086 Kidd Lake SNA Farm Lease Pre-Bid Conference Information~1.docx | DOCX document | |
| IL State Board of Elections Registration Manual~71.pdf | ||
| IPG Active Registered Vendor Disclosure -Formerly Forms B~70.docx | DOCX document | |
| 25AL2086 Kidd Lake SNA Farm Lease Addendum 1.docx | DOCX document | |
| 25AL2086 Kidd Lake SNA Farm Lease IFB~1.docx | DOCX document | |
| 25AL2086 Kidd Lake Attachments A thru J.pdf |
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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.
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File details come from the government source that posted it. Updated .