Dominion Cove Point LNG, LP

Original Volume No. 1

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Effective Date: 05/02/2009, Docket: RP09-498-000, Status: Effective

Third Revised Sheet No. 450 Third Revised Sheet No. 450

Superseding: Second Revised Sheet No. 450

FORM OF SERVICE AGREEMENT

UNDER RATE SCHEDULE: LTD-1

APPENDIX A

to

LTD-1 SERVICE AGREEMENT

between Dominion Cove Point LNG, LP (Operator)

and _______________________________________ (Buyer)

Quantity: Maximum Daily Delivery Quantity _______Dth (MDDQ)

Incremental Sendout Quantity _______Dth (ISQ)

Receipt/Delivery Points:

Primary Receipt Points for Natural Gas:

Operator's LNG Storage Tanks _______ Maximum Daily Quantity (Dth/day)]

Primary Delivery Point for LNG:

Operator's LNG Storage Tanks _______Maximum Daily Quantity (Dth/day)

Other Terms and Conditions:

Service Changes pursuant to this Appendix A shall commence as of _________________________. This Appendix A

shall cancel and supersede the previous Appendix A to this Service Agreement dated

_______________________________. With the exception of this Appendix A, all other terms and conditions of said

Service Agreement shall remain in full force and effect.

[BUYER] DOMINION COVE POINT LNG, LP

By _______________________________ By ________________________________

Title _______________________________ Title ________________________________

Date _______________________________ Date ________________________________