Sample Certificate of Liability Insurance~57.pdf

This is a Sample Certificate of Liability Insurance document prepared by the Illinois Department of Natural Resources (IDNR) for use in connection with the Rock Cut State Park Farm Lease agricultural services contract. The certificate template outlines the required insurance documentation that bidders and contractors must provide as part of their bid submission and contract execution. The document includes fields for multiple policy numbers with corresponding start and end dates, establishing a standardized format for contractors to document their insurance coverage. The certificate specifies that certain boxes must be completed regardless of applicability, and it explicitly requires that IDNR be listed as an additional insured on the contractor's liability insurance policy.

The document emphasizes that the certificate serves informational purposes only and does not supersede the actual requirements of any executed farm lease agreement. The specific insurance requirements and minimum coverage amounts are tied to contract requirements, with a note that additional coverage or information may be included as necessary. The document clarifies that the contractual terms of an executed farm lease between the tenant farmer and IDNR control the relationship and obligations, rather than this sample certificate alone. This template ensures that all contractors bidding on the Rock Cut State Park Farm Lease maintain appropriate liability insurance protection and maintain IDNR as an additional insured party throughout the term of their agreement.