<table border="0" cellpadding="0" cellspacing="0" width="213" style="width: 160pt;">
 <colgroup><col width="128" style="mso-width-source:userset;mso-width-alt:4681;width:96pt">
 <col width="85" style="mso-width-source:userset;mso-width-alt:3108;width:64pt">
 </colgroup><tbody><tr height="34" style="mso-height-source:userset;height:25.5pt">
  <td height="34" class="xl67" width="128" style="text-align: center; height: 25.5pt; width: 96pt;"><b>Coberturas</b></td>
  <td class="xl68" width="85" style="text-align: center; border-left: none; width: 64pt;"><b>Sumas Aseguradas USD.</b></td>
 </tr>
 <tr height="21" style="height:15.75pt">
  <td height="21" class="xl66" style="height:15.75pt;border-top:none"><b>RCV Básica</b>
  Personas</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0,40 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">RCV Básica
  Cosas</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0,50 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">Exceso de
  Limite</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 5.000,00 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">Defensa Penal</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 800,00 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl69" style="height:15.0pt;border-top:none"><b>APOV</b></td>
  <td class="xl70" style="border-top:none">&nbsp;</td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">Muerte</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 550,00 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">Invalidez</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 550,00 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">Gastos Médicos</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 165,00 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none">Gastos de
  Entierro</td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 550,00 </td>
 </tr>
 <tr height="20" style="height:15.0pt">
  <td height="20" class="xl66" style="height:15.0pt;border-top:none"><b>Club Arys Plus</b></td>
  <td class="xl65" style="border-top:none;border-left:none">&nbsp;</td>
 </tr></tbody></table>