<table style="width: 160pt;" width="213" cellspacing="0" cellpadding="0" border="0">
 <colgroup><col style="mso-width-source:userset;mso-width-alt:4681;width:96pt" width="128">
 <col style="mso-width-source:userset;mso-width-alt:3108;width:64pt" width="85">
 </colgroup><tbody><tr style="mso-height-source:userset;height:25.5pt" height="34">
  <td class="xl65" style="height:25.5pt;width:96pt" width="128" height="34"><b>Coberturas</b></td>
  <td class="xl66" style="text-align: center; border-left: none; width: 64pt;" width="85"><b>Sumas Aseguradas USD.</b></td>
 </tr>
 <tr style="height:15.75pt" height="21">
  <td class="xl64" style="height:15.75pt;border-top:none" height="21"><b>RCV Básica</b>
  Personas</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0,40 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">RCV Básica
  Cosas</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0,50 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">Exceso de
  Limite</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1.000,00 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">Defensa Penal</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 500,00 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl67" style="height:15.0pt;border-top:none" height="20"><b>APOV</b></td>
  <td class="xl68" style="border-top:none">&nbsp;</td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">Muerte</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 350,00 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">Invalidez</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 350,00 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">Gastos Médicos</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 105,00 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20">Gastos de
  Entierro</td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 350,00 </td>
 </tr>
 <tr style="height:15.0pt" height="20">
  <td class="xl64" style="height:15.0pt;border-top:none" height="20"><b>Club Arys Básico</b></td>
  <td class="xl63" style="border-top:none;border-left:none">&nbsp;</td>
 </tr></tbody></table>