American Midstream (Midla), LLC

Sixth Revised Volume No. 1

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Effective Date: 05/01/2010, Docket: RP10-483-000, Status: Effective

Original Sheet No. 309 Original Sheet No. 309

FORM OF SERVICE AGREEMENT

(APPLICABLE TO RATE SCHEDULE NNS)

EXHIBIT C

To the Agreement under Rate Schedule NNS between American Midstream (Midla),

LLC (Pipeline) and ___________________________________ (Customer) concerning

"on behalf of" entity(ies).

"On Behalf of" Entity(ies)

Dated:____________________________

Name Type

____________________________ _____________________________

____________________________ _____________________________

____________________________ _____________________________

Customer warrants that the transportation by Pipeline hereunder will be "on behalf of" the

above listed entity(ies) and in full compliance with Section 311 of the Natural Gas Policy

Act of 1978 (NGPA) and FERC Order No. 525 et seq. Customer shall indemnify and

hold Pipeline harmless from any and all liability arising from any acts and omissions or

material representations of Customer in connection with or related to Pipeline's service

under Section 311 of the NGPA. Customer shall not cause gas to be delivered to

Pipeline for transportation "on behalf of" any other entity until such time as this Exhibit C

has been amended to reflect the addition of such entity.

Signed for Identification

American Midstream (Midla), LLC: ______________________________

Customer: _____________________________

Supersedes Exhibit C Dated: ______________________________