Sample Certificate of Liability Insurance~50.pdf

This is a Sample Certificate of Liability Insurance document prepared by the Illinois Department of Natural Resources (IDNR) in connection with agricultural farming services on state-owned property within the Jim Edgar Panther Creek State Fish & Wildlife Area. The certificate template establishes the required insurance documentation format that bidders and contractors must provide as part of their contract compliance. The document includes designated fields for multiple policy numbers, start dates, and end dates, allowing contractors to detail their coverage across various insurance policies. The certificate serves as proof of insurance maintenance throughout the contract term and must be completed in full, even if certain coverages do not apply to the specific contract.

The certificate template requires IDNR to be listed as an additional insured on the contractor's liability insurance policy to meet the minimum contract requirements specified in the related farm lease agreement. The document explicitly notes that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease, with the contractual terms of the executed lease between the tenant farmer and IDNR controlling all obligations. Contractors must maintain the minimum amounts of coverage as required by law and any additional coverage specified in their particular contract. The document emphasizes the importance of proper documentation to ensure compliance with state requirements for agricultural service contracts.