Nautilus Pipeline Company, LLC

Original Volume No. 1

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Effective Date: 04/05/2010, Docket: RP10-475-000, Status: Effective

First Revised Sheet No. 289 First Revised Sheet No. 289

Superseding: Original Sheet No. 289

EXHIBIT "A"

to

SERVICE AGREEMENT UNDER

RATE SCHEDULE IT-1

BETWEEN

NAUTILUS PIPELINE COMPANY, L.L.C.

("TRANSPORTER")

AND

________________________________ ("SHIPPER")

DATED _____________________________

POINTS OF RECEIPT

MDTQ RECEIPT POINT OF LIMITATIONS

POINTS OF DELIVERY

MDTQ DELIVERY POINT OF LIMITATIONS MINIMUM PRESSURE,

if applicable

Signed for Identification

Transporter:___________________________________

Shipper:_______________________________________

Supersedes Exhibit "A" Dated___________________