Sample Certificate of Liability Insurance~85.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 Sam Dale Lake State Fish and Wildlife Area Farm Lease opportunity. The certificate serves as a template for contractors to document their insurance coverage and must be completed in full, even if certain coverage types are not applicable. The document requires contractors to list three separate policies with corresponding policy numbers, start dates, and end dates. The IDNR must be named as an additional insured on the certificate, and the document establishes minimum insurance requirements that align with state law and specific contract requirements. The certificate is intended for informational purposes only and does not supersede the actual terms and conditions outlined in the executed farm lease agreement between the tenant farmer and IDNR.

The document emphasizes that contractors must meet minimum coverage amounts as required by applicable law and contract specifications, with provisions for additional coverage or information as needed. Notably, the certificate clarifies that it is subordinate to any executed farm lease agreement, meaning the contractual terms between the tenant farmer and IDNR will control over this template. This insurance documentation requirement ensures that all agricultural farming services contractors operating on state-owned property maintain adequate liability protection and provide proof of insurance coverage prior to commencing work.