High Island Offshore System, L.L.C.

Third Revised Volume No. 1

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Effective Date: 12/15/2007, Docket: RP08- 65-000, Status: Effective

Third Revised Sheet No. 184 Third Revised Sheet No. 184 : Effective

Superseding: Second Revised Sheet No. 184

 

 

HIGH ISLAND OFFSHORE SYSTEM

QUALIFIED BID FORM

 

 

 

Send to: High Island Offshore System (HIOS)

P. O. Box 4324

Houston, Texas 77210-4324 Date Received _______________

Attention: Manager, Contract Administration

 

Telecopier Number: (713) 381-7996

Verification: (713) 381-7940

 

NOTE: A check, if required by Section 2.1 or Section 16.7 of the General Terms and

Conditions of this tariff, must accompany each request, for the request to be

valid.

 

 

INFORMATION REQUIRED FOR REQUEST

 

 

1. Shipper's Name and Address (Note: The "Shipper" is the party that is responsible

for the qualified bid, if applicable, and for the execution of the Transportation

Agreement with HIOS):

 

______________________________________________________________________________

 

______________________________________________________________________________

 

Attention: ___________________________________________________________________

 

Telephone:(________) _________________ Telecopier:(________) _________________

 

2. Term of Service

 

Date service is requested to commence: _________________________

 

Date service is requested to terminate: _________________________

 

3. Requested Maximum Daily Quantity (MDQ)

(Complete Item 6 first; then give the sum of volumes here)

 

Long Haul ________________ Dth per day

 

Short Haul ________________ Dth per day

 

4. Requested Total Quantity for Initial Term (MDQ x Days in Initial Term)

 

_________________ Dth