Sample Certificate of Liability Insurance~41.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 that provides details about insurance coverage for a tenant farmer, with the IDNR listed as the certificate holder. The form outlines various insurance policy types, including Commercial General Liability with a policy limit of $1,000,000 per occurrence and a $2,000,000 general aggregate limit.

The insurance certificate covers key liability protections, including commercial general liability and automobile liability. The document specifically notes that it is intended for informational purposes only and does not supersede the requirements of an executed farm lease between the tenant farmer and the IDNR. Important details include marked coverage for occurrence-based policies, with spaces for multiple insurers, policy numbers, and effective dates. The certificate emphasizes that it is issued as a matter of information only and does not affirmatively confer rights upon the certificate holder, serving primarily as a proof of insurance coverage.