Sample Certificate of Liability Insurance~69.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 - Denmark Unit Farm Lease contract opportunity (27AL2381). The certificate template outlines the insurance documentation requirements that prospective bidders and contractors must submit as part of their bid response. The document includes designated fields for policy numbers, start dates, and end dates across multiple insurance policies, with specific notation requirements for completing all sections regardless of applicability.

The certificate requires that IDNR be listed as an additional insured on the liability insurance policy, with minimum coverage amounts to be specified based on legal requirements and minimum contract requirements. The document includes several instructional notes indicating that certain boxes must be completed and that minimum amounts required by law, if applicable, must be included. Importantly, the certificate explicitly states that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease agreement, with the contractual terms of the executed farm lease between the tenant farmer and IDNR controlling all obligations.