Ukraine

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

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