Empire Pipeline, Inc.

Original Volume No. 1

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Effective Date: 12/10/2008, Docket: CP06-5-010, Status: Effective

Original Sheet No. 309 Original Sheet No. 309

FORM OF SERVICE AGREEMENT

(FT Service)

----------------------------------------------------

EXHIBIT A

To FT Service Agreement #_______

between

Empire Pipeline, Inc. ("Transporter")

and

____________________ ("Shipper")

Point(s) of Receipt

Point MDTQ Pressure

The interconnection _____ Dth / Day [Insert minimum

between Transporter and receipt pressure

_________. if applicable, and any

applicable conditions

or time periods]

Point(s) of Delivery

Point MDTQ Pressure

The interconnection _____ Dth / Day [Insert minimum

between Transporter and delivery pressure

_________. if applicable, and any

applicable conditions

or time periods]

Transportation Path