Sample Certificate of Liability Insurance~80.pdf

PDF 812 KB Posted

Attached to
27AL2101 Clinton Lake State Recreation Area Farm Lease
Solicitation number
27-422DNR-REALT-B-54115
Issued by
Illinois

About this file

This is a Certificate of Liability Insurance document related to the Illinois Department of Natural Resources' agricultural farming services contract for Clinton Lake State Recreation Area. The certificate serves as proof of insurance coverage for a contractor engaged in farming operations on state-owned property. The document confirms that the contractor maintains the required liability insurance policies necessary to perform agricultural services, including coverage for bodily injury, property damage, and other exposures inherent to farming operations. The certificate typically includes policy effective dates, coverage limits, and the insurance company's commitment to notify the state of any policy cancellations or modifications during the contract term.

The insurance requirements represent a standard risk management provision for the contract, ensuring that the contractor carries adequate protection against potential claims arising from farming activities on the state property. The certificate documents the contractor's compliance with insurance obligations established in the underlying Invitation for Bid (IFB) for the Clinton Lake State Recreation Area Farm Lease contract. This documentation is essential for contract execution and remains valid for the duration of the farming lease agreement, with the contractor required to maintain continuous coverage and provide updated certificates as policies renew.

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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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