Horizon Pipeline Company, L.L.C.

Original Volume No. 1

Effective Date: 10/12/2009, Docket: RP09-856-001, Status: Pending

Substitute First Revised Sheet No. 301 Substitute First Revised Sheet No. 301

Superseding: Original Sheet No. 301

EXHIBIT A

DATED ............

EFFECTIVE ................

Shipper:

Contract No.:

Receipt Point(s):

MDQ

Name / Location County/Area State PIN No. (Dth)

-------------------------------- ----------------- ----- ------- ----

PRIMARY RECEIPT POINT(S):

................................ .................. ..... ....... ......

................................

SECONDARY RECEIPT POINT(S):

................................ .................. ..... ....... ......

................................

Receipt Pressure, Assumed Atmospheric Pressure

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Natural gas to be delivered to Horizon at the Receipt Point(s) shall be

at a delivery pressure sufficient to enter Horizon's pipeline facilities at the

pressure maintained from time to time, but Shipper shall not deliver gas at a

pressure in excess of the Maximum Allowable Operating Pressure (MAOP) stated for

each Receipt Point in Horizon's Catalog of Points. The measuring party shall use or

cause to be used an assumed atmospheric pressure corresponding to the elevation at

such Receipt Point(s).

Rates

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Except as otherwise provided below or in any written agreement(s)

between the parties in effect during the term hereof, Shipper shall pay Horizon

the applicable maximum rate(s) and all other lawful charges as specified in

Horizon's applicable rate schedule. Shipper and Horizon may agree that Shipper

shall pay a rate other than the applicable maximum rate so long as such rate is

between the applicable maximum and minimum rates specified for such service in

the Tariff. Horizon and Shipper may agree that a specific discounted rate will

apply only to certain volumes under the agreement. The parties may agree that a

specified discounted rate will apply only to specified volumes (MDQ or commodity

volumes) under the agreement; that a specified discounted rate will apply only

if specified volumes are achieved or only if the volumes do not exceed a

specified level; that a specified discounted rate will apply only during

specified periods of the year or for a specifically defined period; that a

specified discounted rate will apply only to specified points, zones, mainline

segments, supply areas, transportation paths, markets or other defined