B-R Pipeline Company
Original Volume No. 1
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Effective Date: 05/01/2004, Docket: RP04-224-000, Status: Effective
Original Sheet No. 144 Original Sheet No. 144 : Effective
FORM OF SERVICE AGREEMENT
(APPLICABLE TO RATE SCHEDULE IT-1)
B-R PIPELINE COMPANY
FACILITY REIMBURSEMENT OBLIGATION
(Pursuant to Section 19 of the General Terms and Conditions)
1. DESCRIPTION OF NEW FACILITIES:
The new facilities contemplated by Section 1(a) of Rate Schedule
IT-1, which are necessary to provide service under this agreement include
(description of project)
2. RESPONSIBILITY FOR NEW FACILITY COSTS:
The total estimated reimbursable cost of facilities is
$__________ with an estimated annual cost of service of $___________.
Pursuant to Section 21 of the General Terms and Conditions of this FERC Gas
Tariff, Shipper is responsible to pay for the actual cost of service for
the new facilities described above and has elected the payment option
set forth below.
3. TERMS AND CONDITIONS OF FACILITY REIMBURSEMENT CHARGE:
a. Type of Charge: _____________.
(Designate one of the options set forth in Section 19.3(b).)
b. Charge $____________.
(Describe the basis of the charges(s) and true-up or
adjustment provisions, if any, for the stated charge.)
c. Term of Charge: _________.
(Contract term or a term agreed to between the parties, whichever
(Shipper) B-R Pipeline Company