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. 537 Original Sheet No. 537 : Effective
INFORMATIONAL POSTING FORM FOR PREARRANGED ASSIGNMENTS
___________________________________________ (Releasor) hereby posts on the Electronic Bulletin Board
(EBB) of Crossroads Pipeline Company (Transporter), pursuant to Section 14 of the General Terms and Conditions
of Transporter's FERC Gas Tariff, First Revised Volume No. 1 (Tariff), Releasor's release of its service
rights (i) under its Service Agreement (Agreement) under the ____ Rate Schedule with Transporter dated
_____________, 20____ and having Contract Number _______________, as limited and described herein; or (ii)
under that certain Assignment Agreement (Agreement) by and between Releasor and ___________________ pertaining
to service under Transporter's __________ Rate Schedule dated ______________________, 20____, having
Assignment Number __________________, as limited and described herein.
1. Prearrangement.
(a) ____ an assignment has been prearranged with ________________ (Replacement Shipper) for a
period of 31 days or less; or
(b) ____ an assignment has been prearranged with _____________________________________
(Replacement Shipper) for a period of more than 31 days and Replacement Shipper has agreed to pay at least the
applicable maximum rate.
2. Released Service Rights. The capacity and service rights released under the Agreement shall be as
follows:
(a) (i) Quantity: ____________________________ Dth/day
(b) The release of capacity and service rights described herein shall commence as of
____________________________, 20____, and shall continue in full force and effect until
___________________________, 20____, subject to any recall rights specified herein by Releasor.
(c) Receipt points and MDQs, and delivery points and MDDOs (if set forth in an attachment, please
indicate):
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________
(d) The resulting assignment may ____ may not ____ be reassigned.
(e) This release will "Stand Alone." Yes ____ No ____ If not "Stand Alone," please state all
parcel numbers that must be accepted by the Replacement Shipper (if parcel numbers are unknown due to manual
submission, then all releases that must be accepted as a package must be submitted together in written
format.)_____________________________________________________________________________________________