Nigeria

Clinical Trial Application	Nigeria Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes. It is recommended that Sponsor use an experienced or local CRO in Nigeria
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	Process is SLOW in Nigeria. Please allow for additional time. Submission should be made at least one month before documents are required • Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO details (Contact Person Name, Address, Telephone Number and E-mail Address) • Completed, signed and dated Clinical Trial Proposal form (To be provided separately) • Provide completed Anti-Money Laundering document which is required (To be provided separately) - Regulatory Approval (RA) from the National Agency for Food & Drugs Administration and Control (NAFDAC), which can be provided after release of the policy documents, but is absolutely required unless the Sponsor does not have approval at the time of submission - Nigeria requires a local quotation so the premium will be subject to change by the local Nigerian office - Nigeria is a cash before cover country, which means Policy documents only released after premium payment received by the carrier; Sponsor pays the Carrier directly once invoice is provided and Carrier will confirm receipt of funds - No refunds for policy cancellation

Clinical Trial Application	Mexico Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	THE PROCESS IN MEXICO IS SLOW. PLEASE ALLOW UP TO TWO MONTHS FOR DOCUMENTS TO BE PROCESSED. Please provide all documentation outlined below otherwise the process is further delayed. PLEASE PROVIDE THE FOLLOWING INFORMATION • Clinical Trial Quote Request • Protocol and Informed Consent Form in English and Spanish • Protocol Title in Spanish • The following documents to be provided by the Sponsor: (i) Copy ID of the legal representative of the Sponsor (this should be the same as the person completing the form) (ii) Proof of address of the sponsor (not older than 3 months) (iii) Document confirming the legal establishment of the sponsor ---> Legal representative details of the Sponsor in Mexico Note the Legal Representative will be responsible for providing the following documents: (i) Copy of the Memorandum of Association registered upon the Property & Commerce Public registry (ii) Copy of the Fiscal Identification Schedule (RFC) (iii) Copy of an Official Identification and Notary’s Testimony of the local CRO (iv) Copy of a Domicile Voucher