Northwest Pipeline Corporation G P

Fourth Revised Volume No. 1

 Contents / Previous / Next / Main Tariff Index

Effective Date: 12/01/2009, Docket: RP10-85-000, Status: Effective

First Revised Sheet No. 320 First Revised Sheet No. 320

Superseding: Original Sheet No. 320

FORM OF RATE SCHEDULE TI-1 SERVICE AGREEMENT

(Continued)

EXHIBIT C

[Dated and Effective _______________]

(or)

[Dated _______________, Effective _______________]

to the

Rate Schedule TI-1 Service Agreement

(Contract No. ________)

between Northwest Pipeline GP

and _____________________________

FACILITY REIMBURSEMENT OBLIGATION

1. DESCRIPTION OF NEW FACILITIES:

The new facilities contemplated by Section 1(a) of Rate Schedule

TI-1, which are necessary to provide service under this agreement

include the following:

(description of project)

2. RESPONSIBILITY FOR NEW FACILITY COSTS:

The total estimated reimbursable cost of facilities is

$__________ with an estimated annual cost of service of $___________.

Pursuant to Section 21 of the General Terms and Conditions of

Transporter's FERC Gas Tariff, Shipper is responsible to pay for the

actual cost of service for the new facilities described above and has

elected the payment option set forth below.

3. TERMS AND CONDITIONS OF FACILITY REIMBURSEMENT CHARGE:

a. Type of Charge: _____________.

(Designate one of the options set forth in Section 21.3(b).)

b. Charge $____________.

(Describe the basis of the charges(s) and true-up or adjustment

provisions, if any, for the stated charge.)

c. Term of Charge: _________.

(Contract term or a term agreed to between the parties,

whichever is shorter.)