Ecuador

Ecuador

Ecuador

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"

United Kingdom

United Kingdom

Clinical Trial Application

United Kingdom Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

No

Standard Limits

Provided by US Master Product Liability policy, if the US policy limit is the equivalent of 5,000,000 GBP

Tail Coverage

n/a

Data Required to Quote

If local admitted insurance required, the following is needed:
• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English