Sample Certificate of Liability Insurance~72.pdf

This is a Sample Certificate of Liability Insurance document provided by the Illinois Department of Natural Resources (IDNR) for use in conjunction with a farm lease agreement at Pyramid State Park's Denmark Unit. The certificate serves as a template for contractors to demonstrate required insurance coverage and establishes the minimum insurance requirements that must be maintained throughout the lease term. The document requires completion of all applicable fields, including policy numbers, start dates, and end dates for liability coverage. IDNR must be listed as an additional insured on the certificate, and specific minimum coverage amounts are mandated as contract requirements, with additional coverage permitted as needed.

The certificate explicitly notes that it is intended for informational purposes only and does not supersede the requirements of any executed farm lease agreement. The contractual terms of the executed farm lease between the tenant farmer and IDNR control all obligations and requirements. This document functions as a standardized proof of insurance that bidders and contractors must provide to demonstrate compliance with the state's insurance requirements prior to commencing agricultural farming services on state-owned property within the park.