Sample Certificate of Liability Insurance~48.pdf

This is a Sample Certificate of Liability Insurance document provided by the Illinois Department of Natural Resources (IDNR) in connection with a farm lease opportunity for the Jim Edgar Panther Creek State Fish & Wildlife Area. The certificate template outlines the insurance documentation requirements that contractors must submit as part of their bidding and contract execution process. The document specifies fields for policy numbers, start dates, and end dates across multiple insurance policies, indicating that bidders must provide comprehensive coverage documentation to support their contract proposals.

The certificate requires that IDNR be listed as an additional insured party on the liability insurance policies. The document establishes minimum coverage amounts as required by applicable law and contractual minimums, with notation that additional coverage or information may be included beyond these baseline requirements. The document explicitly states that it is for informational purposes only and does not supersede the requirements of any executed farm lease agreement, with the contractual terms of the final lease between the tenant farmer and IDNR controlling all obligations and requirements.