Crossroads Pipeline Company

First Revised Volume No. 1

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Effective Date: 11/01/2001, Docket: RP02- 14-000, Status: Effective

Original Sheet No. 505 Original Sheet No. 505 : Effective

[For IT-1 Rate Schedule]

Revision No. ________

Control No. _________

Appendix A to Service Agreement No. ___________

Under Rate Schedule IT-1

between CROSSROADS PIPELINE COMPANY (Transporter)

and ________________________________ (Shipper)

Transportation Quantity __________ Dth/day

The Master List of Interconnects (MLI) as defined in Section 1 of the General Terms and Conditions is

incorporated herein by reference for purposes of listing valid interruptible receipt points and delivery

points.

Service changes pursuant to this Appendix A shall become effective as of ___________, 20___. This Appendix A

shall cancel and supersede the previous Appendix A effective as of _______________, 20___, to the Service

Agreement referenced above. With the exception of this Appendix A, all other terms and conditions of said

Service Agreement shall remain in full force and effect.

(SHIPPER) CROSSROADS PIPELINE COMPANY

By______________________________ By___________________________________

Its_____________________________ Its__________________________________

Date____________________________ Date_________________________________