Northern Natural Gas Company
Fifth Revised Volume No. 1
Contents / Previous / Next / Main Tariff Index
Effective Date: 02/21/2009, Docket: RP09-232-000, Status: Effective
Fourth Revised Sheet No. 444 Fourth Revised Sheet No. 444
Superseding: Substitute Third Revised Sheet No. 444
[Company
Logo]
(Placement on page, number of pages, format, capitalization and font may vary)
Preferred Deferred Delivery Service Agreement
Appendix A
Rate Schedule PDD
Base Contract No.:______________________
Transaction No.:______________________
Amendment No. ______________________ [If applicable]
Deal Date:______________________
Date Confirmation Sent:______________________
Shipper Name: _____________________________________________________________________
Shipper Contact: ____________________________ Fax No.: _______________________
Account Manager: ____________________________ Phone No.: _____________________
I. Contract Total Quantity (CTQ): _____________________ Dth
II. Daily Injection Daily Withdrawal
_______________ __________________
POI # Name DRN # Min Max Min Max Date Range
_____ ____ _____ _______ _______ _______ _______ ___________
_____ ____ _____ _______ _______ _______ _______ ___________
III. INVENTORY AND MONTHLY PARAMETERS
POI # Name DRN # Min Max Date Range
_____ ____ _____ _______ _______ ______________
_____ ____ _____ _______ _______ ______________
Monthly Injection Monthly Withdrawal
________________ __________________
POI # Name DRN # Min Max Min Max Date Range
_____ ____ _____ _______ ________ _______ _______ ___________
_____ ____ _____ _______ ________ _______ _______ ___________
IV. Rates
Injection Charge: ___________________________________
Withdrawal Charge: __________________________________
Total Monthly Inventory Charges: ____________________
Capacity Fee: _______________________________________
Annual Rollover Charge:______________________________
Total Transaction Rate: _____________________________
[If applicable - Replacing Confirmation] This Confirmation, as amended, supersedes all previous
confirmations applicable to this Transaction.
This shall serve as confirmation of the verbal contract reached between Shipper and Northern. If
you are in agreement with the terms specified herein, please sign the document and fax it back to
the Northern Account Manager listed above at [Fax _______________]. If this Confirmation Notice
does not accurately describe your understanding of our contract, please contact us in writing within
two (2) business days of receipt of this Confirmation. If no objection to this Confirmation is
received, then this Confirmation shall be the final expression of all the terms hereof and shall be
binding and enforceable against Shipper regardless of whether executed by Shipper.