Ecuador

Clinical Trial Application	Ecuador Clinical Trial Quote Request Ecuador Know Your Customer Form
Mandated Coverage	Yes
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 • Local Legal Representative/CRO details (Contact Person Name, Telephone Number and E-mail Address) and RUC number (Ecuadorian Tax ID) • No refund for policy cancellation - CRO or Local Legal Representative must provide the completed "Know Your Customer Form"

Clinical Trial Application	China Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	Unknown
Tail Coverage	3 months
Data Required to Quote	THE PROCESS TO ISSUE DOCUMENTS IS SLOW. China is a cash for cover country, meaning payment must be made PRIOR to the release of documentation. Please allow 2-3 weeks for documentation to be issued • Clinical Trial Quote Request Form • Protocol and Informed Consent in English • Protocol Title in Chinese • Legal Representative or Local CRO contact information (Contact Person Name, Address, Telephone Number and E-Mail Address). The Legal Representative is named on the Policy. The Sponsor is the Additional Insured • Provide the Business License of Sponsor • Provide the Business License pf Chinese CRO • Provide the ID Copy of representative of Chinese CRO • Premium payments are paid directly by the Sponsor to the carrier. No refund for policy cancellation • Only Policies are typically issued in China. If the EC requests a Certificate to be issued, the Insurer will provide