Dominion Transmission, Inc.
Third Revised Volume No. 1
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Effective Date: 04/05/2010, Docket: RP10-477-000, Status: Effective
Second Revised Sheet No. 2255 Second Revised Sheet No. 2255
Superseding: First Revised Sheet No. 2255
FORM OF SERVICE AGREEMENT
APPLICABLE TO MARKET CENTER SERVICES
UNDER RATE SCHEDULE MCS
EXHIBIT B
TO THE MCS AGREEMENT
BETWEEN DOMINION TRANSMISSION, INC. (DTI) AND ___________________________________ (CUSTOMER)
Dominion Transmission, Inc.
701 East Cary Street Phone 804-771-4674
Richmond, VA 23219 Fax 804-771-4809
Fax to: ______________________________ @ Fax Number: _________________________
Re: __________________________________
From: ________________________________ Date: _______________ Pages: __________
(Name of DTI Originator)
DTI and Customer are parties to a Market Center Services Agreement dated _______________ (MCS Contract
No. _______________). On _______________, DTI and Customer have agreed to amend the subject agreement to
include the following [park or loan] transaction:
Receipt/Delivery Point: __________________________________
Period: _________________________________
Pay Back Period: __________________________________
Total Quantity: __________________________________
Maximum Daily Qty: __________________________________
Maximum Daily Pay Back Qty:__________________________________
Fuel: _________ DTI will retain the percentages of gas received as set forth on the then currently effective
Sheet No. 31 of its FERC Gas Tariff (currently _____%).
_________ No fuel will be retained pursuant to Section 5.2 of Rate Schedule MCS under Pipeline's FERC Gas
Tariff.
Price: ____________________________________________________________________________________
which shall be calculated based upon a daily charge per Dt, not to exceed the maximum tariff rate
applicable to such service. Such charges shall be billed for each applicable month as follows:
[applicable month] [total monthly amount]
[Where applicable:
Negotiated Term Provisions
Pursuant To Section 21.5 of the GT&C:] ___________________________________________________________________
1. Customer shall be responsible for securing all necessary transportation services to Receipt Point and from
Delivery Point.
2. Except as amended above, the subject MCS Agreement shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be signed by their duly authorized
officials as of the day and year first above written.
Dominion Transmission, Inc.
(Pipeline)
By: _______________________
Its: ______________________
___________________________
(Customer)
By: _______________________
Its: ______________________