Sample Certificate of Liability Insurance~40.pdf

This document is a Sample Certificate of Liability Insurance for the Illinois Department of Natural Resources (IDNR), located in Springfield, Illinois. The certificate is an ACORD standard form designed to provide proof of insurance coverage for a tenant farmer, with specific details about insurance policies and coverage limits. The form indicates commercial general liability insurance with a policy occurrence limit of $1,000,000 and a general aggregate limit of $2,000,000.

The certificate serves as an informational document to demonstrate insurance coverage, with key stipulations that it does not supersede farm lease requirements and is intended solely for informational purposes between the tenant farmer and IDNR. The document highlights various insurance types including commercial general liability and automobile liability, with specific sections for policy numbers, coverage periods, and limits. Notable details include a minimum contract insurance requirement and a mandatory completion requirement for certain sections of the form, even if the response is "N/A". The certificate holder is explicitly listed as the Illinois Department of Natural Resources, with a cancellation provision that requires notice in accordance with policy provisions.