Sample Certificate of Liability Insurance~55.pdf

This is a Sample Certificate of Liability Insurance document issued by the Illinois Department of Natural Resources (IDNR) for use in connection with the Big Bend State Fish and Wildlife Area Farm Lease contract opportunity. The certificate template outlines the required insurance documentation that bidders and contractors must provide as a condition of contract execution. The document specifies fields for multiple policy numbers with corresponding start and end dates, establishing the framework for demonstrating adequate insurance coverage throughout the contract period.

The certificate requires contractors to maintain liability insurance with IDNR listed as an additional insured party, with minimum coverage amounts meeting both statutory requirements and specific contract minimums. The document includes annotated text boxes highlighting critical completion requirements and specifying that all sections must be completed regardless of applicability. The sample certificate is provided for informational purposes only and does not supersede the terms and conditions of the executed farm lease agreement between the tenant farmer and IDNR. Contractors should note that the actual contractual requirements governing the farming services on the IDNR-owned property are contained within the executed lease document itself.