Enbridge Offshore Pipelines (Utos) LLC

FIFTH REVISED VOLUME NO. 1

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Effective Date: 08/01/2009, Docket: RP09-815-000, Status: Effective

First Revised Sheet No. 319 First Revised Sheet No. 319

Superseding: Original Sheet No. 319

ENBRIDGE OFFSHORE PIPELINES (UTOS) LLC

CAPACITY RELEASE REQUEST FORM

Prospective Replacement

(Continued)

12. Nature and Extent of Gas Supplier's Affiliation with UTOS or

Any Member in UTOS (if known):

______________________________________________________________

13. State(s) of Ultimate End Use of the Gas:

____________________________________

14. (To be completed only if Shipper is affiliated with UTOS or

any member in UTOS, and will be marketing the Gas to be

transported.)

Amount By Which the Gas Will Be Sold At a Loss ($/Dth):

_____________________

15. Certified Statement

By submitting this request, Shipper certifies that Shipper has

or will have by the time of execution of an Agreement with

Transporter, title to the Gas or the right to deliver the Gas

which is to be transported and owns facilities or has

contractual rights which will cause such Gas to be delivered to

and received from Transporter.

THIS RELEASED CAPACITY REQUEST IS HEREBY SUBMITTED

this ______ Day of ____________________, ______.

By________________________________________________

Title ____________________________________________

Telephone: (________) ___________________________