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

Original Sheet No. 351 Original Sheet No. 351

ENBRIDGE OFFSHORE PIPELINES (UTOS) LLC

TRANSPORTATION SERVICE REQUEST FORM

(Continued)

V. Contract Delivery Pressure: Long Haul - Minimum 1000 Psia

Long Haul - Maximum 1300 Psia

VI. Producing Area of All Gas Supply Sources

Offshore Location Point of Measurement

(1) ___________________________________ _____________________

(2) ___________________________________ _____________________

(3) ___________________________________ _____________________

(If more space is required, please attach a listing.)

VII. Liquids Transportation Agreement required?

(please circle one): Y (Block No. ) N

If yes, name and location of Processing Plant or Separation

Facility _________________________________________________________

VIII. Agent ( ) or Marketer ( ):

Address:

Telephone No.:

Attention:

Fax No.:

E-mail address:

If Agent, is Agent responsible for:

Accounting, Invoices (circle one) Y N

Nominations, Scheduling (circle one) Y N

IX. Certified Statement

By submitting this request, Shipper certifies that Shipper has or will

have by the time of execution of an Agreement with UTOS, title to or right

to deliver the Gas which is to be transported and owns facilities or

contractual rights which will cause such Gas to be delivered to and

received from UTOS.

X. Requested by: (signature)

Name:

Title: