Railroad Passenger Car Alliance

2022 INLAND MARINE / ROLLING STOCK
INSURANCE APPLICATION

SELECT DATE OF APPLICATION >>>
  Quarter 1 - 2022
02/21-05/20    
  Quarter 2 - 2022
05/21-08/20    
  Quarter 3 - 2022
08/21-11/20    
  Quarter 4 - 2022
11/21-02/20    
COMPANY NAME AGENT
CONTACT NAME
CONTACT EMAIL
PHONE #1 PHONE #2 FAX
MAILING ADDRESS
CITY STATE ZIP
ANY LOSSES IN THE PAST 5 YEARS? YES NO
TOTAL # OF OWNED RAILCARS TOTAL # RAILCARS ON THIS APPLICATION
Please Note: Only static locomotives eligible. This policy requires physical damage on all owned railcars/locomotives. If you wish to exclude coverage for certain railcars/locomotives, you must include a written statement explaining the reason. Hanover’s underwriter must authorize exclusion.
 
COVERED PROPERTY LISTING
TYPE OF PROPERTY REPORTING MARK / # / NAME PROPERTY VALUE CONTENT VALUE
#1
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#2
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#3
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#4
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#5
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#6
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#7
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#8
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#9
Year, Make, Model, Condition
Storage Address (Street, City, State, ZIP)
#10
Year, Make, Model, Condition

Storage Address (Street, City, State, ZIP)
TOTALS FROM ABOVE $0.00 $0.00
TOTAL PREMIUM DUE $0.00
LOSS PAYEE
#1 Name: Property Listing (1-10)
Mailing Address
(Street, City, State, ZIP)
Email:
#2 Name: Property Listing (1-10)
Mailing Address
(Street, City, State, ZIP)
Email:
#3 Name: Property Listing (1-10)
Mailing Address
(Street, City, State, ZIP)
Email:
TOTAL PREMIUM DUE $0.00
If you are ready to submit this form, type your name in the box below then click SUBMIT
Please Note: Coverage cannot be bound until the completed application and rating are approved by the underwriter. Full payment must accompany the application. You must be a member of RPCA to participate in the insurance program. RPCA membership certificate is required. No refunds on premiums paid if insured cancels policy.
Policy Information for Inland Marine / Rolling Stock ONLY
If certificate holders are required, please fill out the additional form titled RPCA Inland Marine Certificate Holders. Please indicate if they require Additional Insured or Loss Payee status. [ Additional Insured implies they have ownership in your railcar. Loss Payee is normally given when you have a lien/loan on the railcar/locomotive. If either apply, please indicate which railcars are involved.]
What is inland marine/rolling stock coverage?
1st party coverage for damage to your railcar caused by covered perils such as collision, overturn, derailment, fire, vandalism windstorm, etc... Coverage is available without purchasing liability insurance.
What is included and what limits apply?
     Carrier    Hanover Insurance Company (A.M. Best rating - A)
     Valuation    Actual Cash Value
     Deductibles   
          Flat Wheel: $2,500 per occurrence
          Flood / Earth Quake: $10,000 per occurrence
          All Other: $1,000 per occurrence
     Limits   
          Policy Catastrophe Limit of Liability - $10,000,000 any one occurrence
          $1,000,000 Maximum Any One Member, all railcars and related contents combined.
          **Values exceeding member limits can be submitted for underwriter approval.
          **The limit shown on the certificate is the individual member’s limit. It is not subject to claims
          filed by other RPCA members if separate occurrences are involved.
Additional Coverage:
Newly Acquired Property
Add’l Debris Removal Expense
Fire Protective Systems
Flat Wheel Coverage
Up to $250,000
Up to $75,000
Up to $75,000
 
Fire Department Service Charge
Pollutant Clean-up & Removal
Rerailment Expense
Valuable Papers & Records
Up to $25,000
Up to $25,000
Up to $25,000
Up to $50,000
Pro-rated premiums (month/date/current term year): $75.00 minimum premium applies
02/21/22 - 05/20/22
05/21/22 - 08/20/22
@ $0.661 per $100
@ $0.525 per $100
08/21/22 - 11/20/22
11/21/22 - 02/20/23
@ $0.392 per $100
@ $0.258 per $100
Who do I contact in the event of a claim?
Please report all claims direct to United Shortline Insurance Services, Inc.
(800) 247-2085