Sample Certificate of Liability Insurance~51.pdf

This is a Sample Certificate of Liability Insurance document issued 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 establishes the insurance documentation requirements that bidders and potential contractors must provide as part of their participation in agricultural farming services on state-owned property. The document requires completion of policy information including policy numbers, start dates, and end dates across multiple insurance coverages. The IDNR must be listed as an additional insured on the certificate, and the document specifies minimum coverage amounts required by law as well as minimum contract requirements, with provisions for additional coverage or information to be included as needed.

The certificate serves as an informational document and does not supersede the actual requirements of any executed farm lease agreement. The contractual terms of an executed farm lease between the tenant farmer and the IDNR control over the requirements shown in this sample certificate. This document establishes the insurance compliance framework that vendors must satisfy when submitting bids for the agricultural farming services contract, ensuring adequate liability protection for the state agency during the lease term.