Sample Certificate of Liability Insurance~83.pdf

This is a Sample Certificate of Liability Insurance document for the Illinois Department of Natural Resources (IDNR) related to the Sangchris Lake State Park Farm Lease contract opportunity (27AL2217). The certificate serves as a template for contractors to provide proof of insurance coverage and must include multiple policy numbers with corresponding start and end dates. The document specifies that certain sections must be completed regardless of applicability, and that the IDNR must be listed as an additional insured on the contractor's policy.

The certificate establishes minimum insurance requirements as mandated by law and contractual obligations, with additional coverage and information potentially required based on specific contract needs. Notably, the document includes a disclaimer stating 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 actual executed farm lease between the tenant farmer and IDNR control all insurance requirements and obligations, making this template subject to modification based on final contract specifications.