Sample Certificate of Liability Insurance~5.pdf

PDF 812 KB Posted

Attached to
25AL2341 Siloam Springs S. P. -Buckhorn Unit - Farm Lease
Solicitation number
25-422DNR-REALT-B-44659
Issued by
Calhoun County, Chicago City, Illinois

About this file

This document is a sample Certificate of Liability Insurance related to a state and local contract opportunity. The certificate indicates that the minimum liability insurance coverage required is listed, and the Illinois Department of Natural Resources (IDNR) should be listed as an additional insured. The minimum contract requirement is also provided, but additional coverage or information may be included. The document specifies that it does not supersede the requirements of any executed farm lease, and it is intended for informational purposes only, as the contractual terms of an executed farm lease between the tenant farmer and the IDNR control.

The document does not provide any details about the specific contract opportunity, such as the products or services requested, project overviews, item quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract including any renewal options. Additionally, there is no information about pricing terms, set asides, incumbents, current environment, funding requirements and sources, amounts and sources, or any other salient information.

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Text version

SAMPLE CERTIFICATE OF LIABILITY INSURANCE.

POLICY NUMBER START

DATE

END DATE

POLICY NUMBER START

DATE

END DATE

POLICY NUMBER

(IF APPLICABLE)

START

DATE

END DATE

nicole.thomas Line nicole.thomas Text Box This box MUST be completed, even if the response is "N".

nicole.thomas Text Box Minimum amount required by law, if applicable.

nicole.thomas Line nicole.thomas Line nicole.thomas Line nicole.thomas Text Box IDNR should be listed as additional insured.

nicole.thomas Line nicole.thomas Line nicole.thomas Text Box Minimum contract requirement. Additional coverage/info may be included.

nicole.thomas Line nicole.thomas Line nicole.thomas Line nicole.thomas Text Box This document does not supersede the requirements of any executed farm lease. This document is intended for informational purposes only. Contractual terms of an executed farm lease between the tenant farmer and the IDNR control.

mike.chandler Highlight mike.chandler Highlight mike.chandler Highlight

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