American Midstream (Midla), LLC
Sixth Revised Volume No. 1
Contents / Previous / Next / Main Tariff Index
Effective Date: 05/01/2010, Docket: RP10-483-000, Status: Effective
Original Sheet No. 362 Original Sheet No. 362
EXHIBIT A
AGENCY AGREEMENT
American Midstream (Midla), LLC (?Pipeline?) and _________________
(?CUSTOMER?) are parties to an Interactive Internet Website Agreement, dated
______________, which sets forth the terms and conditions for CUSTOMER's use of
Pipeline's Interactive Internet Website to receive and transmit transportation service
information on Pipeline's System (as defined in the General Terms and Conditions of
Pipeline's FERC Gas Tariff). This Agency Agreement shall constitute an agreement
pursuant to which CUSTOMER appoints an agent and representative under the
Interactive Internet Website Agreement for the purposes set forth below.
Accordingly, CUSTOMER hereby appoints ____________________ (hereinafter
Agent) as its agent and representative to act on behalf of CUSTOMER in performing the
menu functions indicated by CUSTOMER on the Interactive Internet Website Access
Request Form, Exhibit B to the Interactive Internet Website Agreement, including those
functions which are presently available and those functions which shall become available
at a later date. Agent agrees to be bound by the terms and conditions set forth in the
Interactive Internet Website Agreement.
It is understood and agreed that Pipeline may act, and shall be fully protected when
acting, in reliance on any acts or things done or performed by Agent on behalf of
CUSTOMER and with respect to all matters for which authority is granted herein until
Pipeline receives notice that this Agency Agreement has been canceled by either party
hereto, including actions taken by Pipeline in reliance on any acts or things done or
performed by Agent that conflict with acts, instructions, or things done or performed by
CUSTOMER, in Pipeline?s sole and reasonable discretion. CUSTOMER shall hold
Pipeline harmless from any omission or failure by Agent to act or perform any of the
duties herein authorized.
Please indicate agreement with the above by signing below. This Agency Agreement
shall be effective as of the last date written below.
By: ______________________________ Date:____________________________
Name:______________________________
Title:_____________________________
AGENT:
By: _____________________________ Date:________________________________
Name: _____________________________
Title:_____________________________