<table border="0" cellpadding="0" cellspacing="0" width="443" style="width: 332pt;"><colgroup><col width="287" style="width: 215pt;"><col width="156" style="width: 117pt;"></colgroup><tbody><tr height="21" style="height: 15.6pt;"><td height="21" class="xl69" width="287" style="height: 15.6pt; width: 215pt;"><p><b>Cobertura</b></p></td><td class="xl69" width="156" style="border-left: none; width: 117pt;"><b>Suma Asegurada USD</b>.</td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Exceso de límites&nbsp;</td><td class="xl64" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 2.000,00</td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Defensa Penal</td><td class="xl64" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;600,00</td></tr><tr height="19" style="height: 14.4pt;"><td colspan="2" height="19" class="xl66" style="border-right: 0.5pt solid black; height: 14.4pt;"><b>Accidentes Personales Ocupantes de Vehículo</b></td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Muerte accidental&nbsp;</td><td class="xl64" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;400,00</td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Invalidez total</td><td class="xl64" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;400,00</td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Gastos Médicos</td><td class="xl64" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;120,00</td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Gastos Funerarios</td><td class="xl64" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;400,00</td></tr><tr height="19" style="height: 14.4pt;"><td colspan="2" height="19" class="xl68" style="height: 14.4pt;"><b>RCV Basico</b></td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Daños a Cosas&nbsp;</td><td class="xl65" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Según Ley</td></tr><tr height="19" style="height: 14.4pt;"><td height="19" class="xl63" style="height: 14.4pt; border-top: none;">Daños a Personas&nbsp;</td><td class="xl65" style="border-top: none; border-left: none;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Según Ley</td></tr></tbody></table>