Sample Certificate of Liability Insurance~53.pdf

This is a Sample Certificate of Liability Insurance document provided by the Illinois Department of Natural Resources (IDNR) for the Pyramid State Park - Captain Unit Farm Lease bidding process. The certificate template outlines insurance policy requirements that contractors must furnish as part of their bid submission. The document requires completion of multiple policy fields including policy numbers, start dates, and end dates for coverage. Key requirements include listing the IDNR as an additional insured on the policy and meeting minimum coverage amounts as specified in the contract requirements. The document explicitly states that it serves for informational purposes only and does not supersede the terms of any executed farm lease agreement between the tenant farmer and IDNR.

The certificate template indicates that contractors must maintain minimum insurance amounts as required by law and by contract specifications, with specific coverage details to be outlined in the Invitation for Bid documentation. Contractors are required to complete all sections of the certificate, even if responding in the negative to certain coverage options. The template notes that additional coverage or supplementary information may be included beyond the minimum contract requirements. This document functions as a standardized form to ensure compliance with insurance obligations prior to executing any farm lease agreement for agricultural farming services on state-owned property.