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rail and drive pass to drive in italy from Cinque Terre to Rome

Has anyone rented a car using the rail and drive pass. We are planning on driving from La Spezia to Rome via pisa.
Is this safe? Also we will driving with our 22 month old baby...are the car seat rentals expensive?
Do you have to pay additionaly for cdw?
Please advise
Thanks !
Mala

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