Sample Certificate of Liability Insurance~52.pdf

This is a Sample Certificate of Liability Insurance document prepared by the Illinois Department of Natural Resources (IDNR) for use in connection with agricultural farm lease agreements on state-owned property. The certificate template outlines the insurance documentation requirements that contractors must provide, including policy numbers, start dates, and end dates for multiple lines of coverage. The document specifies that IDNR must be listed as an additional insured on the liability insurance policies and establishes minimum coverage amounts required by law and contract. Notably, the certificate includes a disclaimer stating that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease, with contractual terms of the actual lease agreement between the tenant farmer and IDNR taking precedence.

The insurance requirements outlined in this sample certificate represent a standard contractual safeguard for state-owned agricultural operations. All required fields must be completed, even if the response indicates no coverage in a particular area, and the document emphasizes the importance of meeting both statutory minimum insurance requirements and contract-specific coverage obligations. The certificate serves as verification that contractors maintain adequate liability protection during the term of their farm lease operations on IDNR property.