Guatemala

Clinical Trial Application	Guatemala Clinical Trial Quote Request Guatemala IVE Formulario
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 and Spanish • Protocol Title in Spanish • Local Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) • Guatemala IVE Formulario must be completed by a Guatemalan entity/local legal representative • No refund for policy cancellation

Clinical Trial Application	Albania Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Unknown. Please confirm with your CRO
Standard Limits	50.000 €/patient 1.000.000 €/protocol 1.000.000 €/period of insurance
Tail Coverage	18 Months
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Site List in English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code Advise if an original copy of the Policy is required for Sponsor's files. Payment to be made directly by Sponsor within 14 days of receiving the Policy. Only a Policy is provided. No certificate. No refund for policy cancellation