Sample Certificate of Liability Insurance~59.pdf

This is a Sample Certificate of Liability Insurance template provided by the Illinois Department of Natural Resources (IDNR) for use in connection with the Mount Vernon Game Propagation Center Farm Lease opportunity. The certificate serves as documentation that a contractor maintains adequate insurance coverage as required by the state. The template includes fields for multiple policy numbers with corresponding start and end dates, and contains instructional notes indicating that certain sections must be completed regardless of applicability. The document specifies that IDNR must be listed as an additional insured on the policy and references minimum contract requirements for coverage amounts.

The certificate is intended for informational purposes and does not supersede the requirements of any executed farm lease agreement between the tenant farmer and IDNR. The document clarifies that contractual terms of the executed farm lease control over the information contained in the certificate. Bidders responding to the farm lease opportunity must provide proof of liability insurance in accordance with this template, meeting both the minimum amounts required by applicable law and the specific coverage minimums established as contract requirements.