Sample Certificate of Liability Insurance~77.pdf
PDF 812 KB Posted
- Solicitation number
- 27-422DNR-REALT-B-54119
- Issued by
- Illinois
About this file
This Certificate of Liability Insurance document pertains to the Illinois Department of Natural Resources' agricultural farming services contract for Black Crown Marsh State Natural Area at Moraine Hills State Park. The certificate serves as proof of insurance coverage required from bidders and potential contractors undertaking farming operations on state-owned property. The document establishes the insurance obligations and coverage thresholds that contractors must maintain throughout the contract period to protect the state and demonstrate financial responsibility for agricultural operations, equipment use, and associated liabilities on the designated acreage.
The certificate of liability insurance specifies the minimum coverage amounts, types of insurance required, and the named insured parties for the contract. Contractors must provide evidence of appropriate general liability, property damage, and other relevant insurance coverage as outlined in the underlying Invitation for Bid documentation. The insurance requirements ensure contractor accountability and provide the Illinois Department of Natural Resources with adequate protection during the lease period for farming operations at Black Crown Marsh.
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Text version
SAMPLE CERTIFICATE OF LIABILITY INSURANCE.
POLICY NUMBER START
DATE
END DATE
POLICY NUMBER START
DATE
END DATE
POLICY NUMBER
(IF APPLICABLE)
START
DATE
END DATE
nicole.thomas Line nicole.thomas Text Box This box MUST be completed, even if the response is "N".
nicole.thomas Text Box Minimum amount required by law, if applicable.
nicole.thomas Line nicole.thomas Line nicole.thomas Line nicole.thomas Text Box IDNR should be listed as additional insured.
nicole.thomas Line nicole.thomas Line nicole.thomas Text Box Minimum contract requirement. Additional coverage/info may be included.
nicole.thomas Line nicole.thomas Line nicole.thomas Line nicole.thomas Text Box This document does not supersede the requirements of any executed farm lease. This document is intended for informational purposes only. Contractual terms of an executed farm lease between the tenant farmer and the IDNR control.
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