<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="213" style="width: 160pt;">
 <tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:25.5pt">
  <td width="128" style="width:96.0pt;padding:0cm 0cm 0cm 0cm;height:25.5pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Coberturas</span></b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:
  &quot;Times New Roman&quot;;mso-fareast-language:ES-VE"><o:p></o:p></span></p>
  </td>
  <td width="85" style="width:64.0pt;padding:0cm 0cm 0cm 0cm;height:25.5pt">
  <p class="MsoNormal" align="center" style="margin-bottom:0cm;margin-bottom:.0001pt;
  text-align:center;line-height:normal"><b><span style="font-size:12.0pt;
  font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;
  mso-fareast-language:ES-VE">Sumas Aseguradas USD.</span></b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:
  &quot;Times New Roman&quot;;mso-fareast-language:ES-VE"><o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:1;height:15.75pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.75pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">RCV
  Básica</span></b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;Personas<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.75pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  0,40<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:2;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">RCV
  Básica Cosas<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  0,50<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:3;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Exceso
  de Limite<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  1.000,00<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:4;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Defensa
  Penal<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  500,00<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:5;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">APOV</span></b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:
  &quot;Times New Roman&quot;;mso-fareast-language:ES-VE"><o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:6;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Muerte<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  350,00<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:7;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Invalidez<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  350,00<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:8;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Gastos
  Médicos<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  105,00<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:9;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Gastos
  de Entierro<o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  350,00<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:10;mso-yfti-lastrow:yes;height:15.0pt">
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt">
  <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height:
  normal"><b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE">Club
  Arys Básico</span></b><span style="font-size:12.0pt;font-family:&quot;Segoe UI&quot;,&quot;sans-serif&quot;;
  mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-VE"><o:p></o:p></span></p>
  </td>
  <td style="padding:0cm 0cm 0cm 0cm;height:15.0pt"></td>
 </tr>
</tbody></table>