Sample Certificate of Liability Insurance~47.pdf

This is a Sample Certificate of Liability Insurance document prepared by the Illinois Department of Natural Resources (IDNR) for use in connection with farm lease agreements on state-owned property. The certificate template outlines the required insurance documentation that contractors must provide, including sections for multiple policy numbers with corresponding start and end dates. The document specifies that all fields must be completed, even if the response is negative, and establishes that IDNR must be listed as an additional insured on the policies. The certificate includes space for documenting minimum amounts required by law as well as minimum contract requirements, with notation that additional coverage information may be included as needed.

The document explicitly states that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease agreement. The certificate serves as a standardized template to ensure that tenant farmers bidding on IDNR agricultural contracts demonstrate adequate liability insurance coverage before commencing work on state property. All contractual terms and insurance requirements are governed by the executed farm lease between the tenant farmer and IDNR, making this certificate a compliance verification tool rather than a standalone contractual document.