Sample Certificate of Liability Insurance~63.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 Pyramid State Park - Denmark Unit Farm Lease opportunity. The certificate template establishes the required insurance documentation format that bidders and contractors must provide as part of their contractual obligations. The document includes designated fields for policy numbers, start dates, and end dates across multiple insurance policies, with specific notation requirements and completion mandates that must be fulfilled regardless of applicability.

The document specifies that IDNR must be listed as an additional insured on the certificate and establishes minimum coverage requirements as dictated by law and contract terms. A critical disclaimer states that the certificate is intended for informational purposes only and does not supersede the requirements of any executed farm lease agreement, with contractual terms of an executed farm lease between the tenant farmer and IDNR controlling all provisions. The template includes annotations indicating that certain fields represent minimum amounts required by law and that additional coverage information may be included beyond the minimum contract requirements.