Sample Certificate of Liability Insurance~64.pdf

This is a Sample Certificate of Liability Insurance document prepared by the Illinois Department of Natural Resources (IDNR) for use in connection with farm lease agreements on state-owned property. The certificate template outlines the required insurance documentation that must be submitted by prospective bidders and lessees for agricultural farming services. The document specifies fields for policy numbers, start dates, and end dates across multiple insurance policies, with particular emphasis on ensuring all required boxes are completed regardless of applicability. The certificate serves as proof of insurance coverage meeting minimum statutory requirements and IDNR-specific contract requirements, with the IDNR designated as an additional insured party on the policies.

The document explicitly states that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease agreement. All contractual terms between the tenant farmer and IDNR are governed by the executed farm lease itself, not this sample certificate. This certificate of liability insurance requirement applies to the Pyramid State Park - East Conant Unit Farm Lease bid opportunity (27AL2332) managed by the Illinois Department of Natural Resources, which seeks bids for agricultural farming services on state-owned property within Pyramid State Park.