Railroad Protective Liability Insurance
1. Please complete and submit this
online application for a free, no-obligation quote.
2. Please be sure to provide all
required information in order to receive a quotation.
PDF Application (Fillable)
indicates required information)
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share your email address.
Insured (Railroad) Information
Proposed Expiration Date:
End of the contract term, up to 2 years.
Name (work being
performed for) and address if Government Authority / Other
Does the project involve only overhead
lines and/or wire work?:
If other types of construction are involved,
then answer "No".
Does the project involve only underground
underground pipe work?
Description of Work to be Performed:
location/proximity to railroad tracks.
Description of Work to be Performed Within 50 Feet of Tracks:
Contractor's Specific Work.
< select state >
District of Columbia
Be as detailed
as possible - mile marker, cross road, etc.
Where is the Work in Relation to the
Check All That Apply
Does the Project or Named Insured's
Operations Involve Any of the Following?
Underground construction such as subways or mines
Does not apply to underground pipe.
All That Apply
Requested Policy Limits:
< select >
$1,000,000 / $3,000,000
$2,000,000 / $6,000,000
$5,000,000 / $10,000,000
< select >
$1,000,000 Occurrence / $1,000,000 Aggregate
$1,000,000 Occurrence / $2,000,000 Aggregate
< select >
Greater than 5,000,000
Will a project contract, including a hold harmless
assigned by the designated contractor?
Will the railroad be named as an additional insured on
the contractor’s GL policy?
Will the contractual exclusion for the work within 50
feet of the railroad property be deleted on the contractor’s general
liability and umbrella policies?
be assigned to the project?
Please carefully review the
Terms and Conditions below:
read all exclusions indicated on quotation.
The quotation received is not
binding on the Insurer in any way.
clicking 'Submit Application' you are not
agreeing to purchase coverage. Via email, you will
receive a free, no-obligation insurance quotation.
that once coverage is bound, the policy cannot be cancelled.
quotation will be based solely on the coverages and limits selected
on this application.
The carrier reserves the right to refuse any binder
for ineligible exposures including but not limited to any erroneous,
incomplete, or inaccurate applications.
Please ask your Supple-Merrill &
Driscoll, Inc. representative to explain coverage details,
exclusions, limits or other provisions of any insurance policy.
Type your name below, to indicate
that you have read
and accepted the Terms and Conditions above:
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