Netherlands

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

Clinical Trial Application	Oman Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes, in most cases. Some ECs may accept the Master policy as evidence of coverage
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) • Signed and completed Hold Harmless Agreement (to be provided separately by ABD Life Science team) • Copy of the entity’s Commercial Register showing evidence that local company/entity is policy holder - Oman requires a local company/entity to be the policy holder. - Anti-Money Laundering regulations for Oman require that carriers provide evidence the policy holder is a registered company/entity in Oman – a copy of the entity’s Commercial Register - No refund for policy cancellation