Dominion Cove Point LNG, LP

Original Volume No. 1

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

Second Revised Sheet No. 460 Second Revised Sheet No. 460

Superseding: First Revised Sheet No. 460

FORM OF SERVICE AGREEMENT

UNDER RATE SCHEDULES FPS-1, FPS-2 and FPS-3

Appendix A

to

FPS-__ Service Agreement

between Dominion Cove Point LNG, LP (Operator)

and________________________________(Buyer)

Quantity: Maximum Contract Peaking Quantity: _________Dth (MCPQ)

Maximum Daily Peaking Quantity: _________Dth (MDPQ)

Receipt Points/Delivery Points:

Primary Receipt Points [for LNG and/or Natural Gas]

_____________________ ________Maximum Daily Quantity (Dth/day)

Primary Delivery Points [for LNG/ Natural Gas]

________________________ _________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 the 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 ___________________________________