Peru

Clinical Trial Application	Peru Clinical Trial Quote Request
Mandated Coverage	No, but may be required by EC
Standard Limits	Provided by US Global Policy Between 2.000.000 and 5.000.000 USD/protocol for local admitted policy
Tail Coverage	Usually 2 years for local admitted policy
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Spanish • Sponsor Federal ID Number (Company Registration Number) or Sponsor's FEIN • No refund for policy cancellation The process is slower, please allow additional time for receipt of documentation. Typical turnaround is 1-2 weeks.

Clinical Trial Application	Ukraine Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes
Standard Limits	Limit per protocol = 10.000 USD x number of patients
Tail Coverage	3 years
Data Required to Quote	The process is SLOW. Please allow additional time for processing. Typically up to 3 weeks • Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Ukrainian • Certificate of Incorporation of Sponsor (for new Sponsors in Ukraine only) • Name and Title of Authorized Signatory who will countersign policy • Name of document which gives the Signatory the authorization to countersign the policy. (i.e. Charter, Power of Attorney, Resolution by the Board of Directors) - Ukraine requires payment and payment confirmation documentation PRIOR to release of certificate - No refund for policy cancellation - Original documents are not required to be delivered to the local CRO. Only require copy of the Certificate which is issued by the carrier once the premium has been received