Gulf South Pipeline Company L P
Sixth Revised Volume No. 1
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Effective Date: 05/14/2010, Docket: RP10-601-000, Status: Effective
Fourth Revised Sheet No. 4500 Fourth Revised Sheet No. 4500
Superseding: Substitute Third Revised Sheet No. 4500
[The following may be inserted in the header of each page of this Agreement, as well as any
information related to the identification of the Agreement necessary for administrative purposes:
Rate Schedule ISS
Agreement/Contract No. __________
In addition, a footer may be inserted on each page of this Agreement for administrative purposes.]
This Agreement is entered into by and between Gulf South Pipeline Company, LP, ("Gulf South") and
[CustomerName]("Customer"). [If this Agreement supersedes a previous agreement, the following may
be inserted here: This Agreement supersedes and replaces in its entirety that certain _____
[insert type of agreement] by and between __________ and __________, dated _____
(Contract/Agreement No.: _____).]
Services under this Agreement are provided pursuant to Subpart B or Subpart G, Title 18, of the
Code of Federal Regulations. Service is subject to and governed by the applicable Rate Schedule
and the General Terms and Conditions of the Gulf South FERC Gas Tariff ("Tariff") as they exist or
may be modified from time to time and such are incorporated by reference. In the event the
language of this Agreement conflicts with Gulf South's then-current Tariff, the language of the
Tariff will control.
Injection and/or Withdrawal Point(s): Injection and/or Withdrawal Point information shall be
listed on Exhibit A.
Term: This Agreement shall be effective beginning _____ [insert commencement date, which may be
drafted to take into consideration the uncertainties of construction] and shall remain in effect
_____ [insert "through" or "for a primary term of"] _____ [insert end date of Agreement or length
of primary term].
Rate: The rate for service shall be specified on the applicable service order.
Exhibit(s): The following Exhibit(s) are attached and made a part of this Agreement:
[Exhibit Descriptions may be inserted here, as necessary. Exhibit(s) will include headings and
details needed to describe contractual terms. Such Exhibit(s) may include only terms and
conditions specifically permitted by a provision identified in section 35.4 of the General Terms
and Conditions of the Tariff.]
IF YOU ARE IN AGREEMENT WITH THE FOREGOING, PLEASE INDICATE IN THE SPACE PROVIDED BELOW.
Gulf South Pipeline Company, LP Signature:___________________________ Date:_______________
By: GS Pipeline Company, LLC Name: _______________________________ Title: ____________
Its General Partner
[CustomerName] Signature:___________________________ Date:_______________
Name: _______________________________ Title: ____________