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. 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:_____________________________