Nicaragua

Clinical Trial Application	n/a
Mandated Coverage	No
Standard Limits	Provided by US Master Product Liability policy
Tail Coverage	n/a
Data Required to Quote	Please submit an email request to our certificate team requesting a certificate at: techcertrequest@newfront.com and CC your Newfront Team. Include the following in your email: o Include in your email the following: RE: Protocol #, Country o Attach the Protocol and Informed Consent Form (ICF) documents, if not already provided to Newfront

Clinical Trial Application	Netherlands Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes. www.ccmo.nl/en/insurance
Standard Limits	450.000 €/patient 3.500.000 €/protocol Effective July 1, 2015, new limits required are: 650.000 €/patient 5.000.000 €/protocol
Tail Coverage	4 years from the end of patient treatment
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Dutch - There are TWO insurance requirements. - Local admitted clinical trial insurance satisfies the G1 patient indemnity insurance requirement according to WMO - The G2 is the liability insurance of Sponsor, which can be covered via a global product liability policy - Therefore to satisfy G2, if the Sponsor has a Master Product Liability policy through Newfront, Newfront can provide a certificate