40-17G/A 1 bondrider.txt FIDELITY BOND RIDER RIDER To be attached to and form part of Financial Institution Bond, Standard Form No.14, No. 480PB0536 in favor of Boulder Total Return Fund, Inc. It is agreed that: 1. The attached bond is amended by replacing that Item(s) on the Declarations Page corresponding to the item(s) indicated below with an "X": __ Item 2. Bond Period: from 12:01 a.m. on to 12:01 a.m. on (month, day, year) (month, day, year) __ Item 3. The Aggregate Liability of the Underwriter during the Bond Period shall be $ ___ Item 4. Subject to Sections 4 and 11 hereof, the Single Loss Limit of Liability is $2,175,000 and the Single Loss Deductible is $0 Provided, however, that if any amounts are inserted below opposite specified Insuring Agreements or Coverage, those amounts shall be controlling. Any amount set forth below shall be a part of and not in addition to amounts set forth above.
Amount applicable to: Single Loss Limit Single Loss Of Liability Deductible Insuring Agreement (D) -FORGERY OR ALTERATION $2,175,000 $0 Insuring Agreement (E) -SECURITIES $2,175,000 $0 Coverage on Partners (Form No.14 only) $ $ Optional Insuring Agreements and Coverages: (F) Counterfeit Currency $2,175,000 $0 Computer Systems Fraud $2,175,000 $0 (N)-Extortion $ $ Threats To Person $2,175,000 $0 Threats To Property $2,175,000 $0
2. This rider applies to loss sustained at any time but discovered after 12:01 a.m. on 02/19/2007 Accepted: By: /s/___________________________ . Attorney-in-Fact AMEND DECLARATIONS PAGE- DISCOVERY FORM FOR USE WITH FINANCIAL INSTITUTION BONDS, STANDARD FORMS NOS. 14, 15, 24 AND 25. ITEM 3 NOT TO BE CHANGED MID-TERM WITH THIS RIDER. INSURED SR6l50c Rev. 6-90 Copyright, The Surety Association of America, 1990