Sample Certificate of Liability Insurance~54.pdf

This is a Sample Certificate of Liability Insurance document provided by the Illinois Department of Natural Resources (IDNR) for use in connection with the Pere Marquette State Park Farm Lease bidding process. The certificate template outlines the required insurance documentation that bidders and contractors must provide as a condition of the contract. The document includes sections for multiple policy numbers with corresponding start and end dates, establishing a structured format for contractors to demonstrate their insurance coverage.

The certificate requires IDNR to be listed as an additional insured party on the liability insurance policy, with minimum coverage amounts as specified by applicable state law and contract requirements. The document explicitly states that it serves informational purposes only and does not supersede the requirements of any executed farm lease agreement, with the contractual terms of the actual lease between the tenant farmer and IDNR controlling all provisions. The form includes notation areas for policy details and is designed to ensure contractors maintain adequate liability protection throughout the term of their engagement with the state agency.