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. 339 Original Sheet No. 339

 

FORM OF SERVICE AGREEMENT

(APPLICABLE TO RATE SCHEDULE FTS-OSF)

 

EXHIBIT C

 

To the Agreement under Rate Schedule FTS-OSF 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: ______________________________