Sample Certificate of Liability Insurance~49.pdf

This is a Sample Certificate of Liability Insurance document for the Illinois Department of Natural Resources (IDNR) related to agricultural farming services on state-owned property. The certificate outlines insurance policy requirements that contractors must maintain, including documentation of policy numbers, start dates, and end dates across multiple coverage types. The document specifies that IDNR must be listed as an additional insured on the liability policies, and it establishes minimum coverage amounts required by law and by contract requirements. The certificate is intended for informational purposes and does not supersede the requirements of any executed farm lease agreement.

The document notes that contractual terms of an executed farm lease between the tenant farmer and IDNR control over the certificate requirements. This document serves as a template to ensure contractors demonstrate adequate liability coverage before commencing agricultural operations on IDNR property. The insurance requirements must be completed in full, with notation required even if certain coverage types are not applicable. Additional coverage and information beyond the minimum requirements may be included as specified in individual contract terms.