Sample Certificate of Liability Insurance~61.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 contract opportunity. The certificate template outlines the required insurance documentation that bidders and contractors must submit as part of their proposal or contract execution. The document includes fields for multiple policy numbers with corresponding start and end dates, establishing the framework for proof of adequate insurance coverage throughout the contract period.

The certificate requires that IDNR be listed as an additional insured party on all liability policies. The document specifies minimum coverage amounts required by law and establishes minimum contract requirements for additional coverage; however, the sample indicates that specific coverage amounts and additional requirements should be detailed in the actual executed farm lease agreement. The document notes that it serves informational purposes only and that the contractual terms of the executed farm lease between the tenant farmer and IDNR supersede this template. Contractors must complete all required fields in the certificate, even if the response to a particular requirement is negative or not applicable.