Sample Certificate of Liability Insurance~71.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 bid opportunity. The certificate template outlines the required insurance documentation that bidders and contractors must provide as part of their contractual obligations. The document specifies fields for multiple policy numbers, start dates, and end dates to accommodate various coverage types. Key requirements include designation of IDNR as an additional insured party and compliance with minimum coverage amounts as established by law and contract specifications. The certificate serves as proof of adequate insurance protection for agricultural farming services to be performed on state-owned property.

The document emphasizes that the Certificate of Liability Insurance is provided 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 document itself. Bidders are required to ensure that all applicable boxes are completed on the certificate, including mandatory fields, even if the response is negative. The minimum insurance amounts required must be clearly identified, with additional coverage or information available beyond the baseline contractual requirements.