Costa Rica

Clinical Trial Application	Costa Rica Clinical Trial Quote Request
Mandated Coverage	Unknown. Please confirm with your CRO.
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol title in Spanish • Legal Representative in Costa Rica or Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address) No refund for policy cancellation

Clinical Trial Application	South Africa Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	No, but may be required by EC
Standard Limits	Provided by US Master Product Liability policy
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English