Sample Certificate of Liability Insurance~65.pdf

This is a sample certificate of liability insurance document provided by the Illinois Department of Natural Resources (IDNR) for use in connection with the Pyramid State Park East Conant Unit Farm Lease contract opportunity. The document serves as a template for contractors to submit proof of liability insurance coverage and includes three sections for listing separate insurance policies with corresponding policy numbers, start dates, and end dates. The certificate requires completion of all fields, even if the response indicates no additional coverage, and mandates that IDNR be listed as an additional insured on the policies. The document explicitly notes that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease agreement.

The insurance requirements outlined in this certificate represent minimum contract requirements, with the document indicating that additional coverage or information may be included beyond what is specified. Notably, the certificate clarifies that the contractual terms of an executed farm lease between the tenant farmer and IDNR control any provisions in this document. This template is designed to ensure that contractors bidding on agricultural farming services at Pyramid State Park maintain adequate liability insurance protection as a condition of contract performance.