Haiti

Clinical Trial Application	Haiti Clinical Trial Quote Request
Mandated Coverage	n/a
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) and NIF (Haitian Tax ID #) • No refund for policy cancellation

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