T.W. Phillips Pipeline Corp.

Original Volume No. 1

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Effective Date: 01/01/2010, Docket: RP10-141-001, Status: Effective

First Revised Sheet No. 106 First Revised Sheet No. 106

Superseding: riginal Sheet No. 106

T. W. PHILLIPS PIPELINE CORP.

FORM OF SERVICE AGREEMENT

RATE SCHEDULE FT

Exhibit A

To FT Agreement No. _____

Under Rate Schedule FT Between

T. W. Phillips Pipeline Corp. and _________________________________________

Maximum Daily Quantity (“MDQ”) ____________________MMBtu/day

Primary Receipt Point(s):___________________________

____________________MMBtu/day

Receipt Point(s) Pressure (if specified) ____________________psig

Primary Delivery Point(s): ___________________________

____________________MMBtu/day

Delivery Point(s) Pressure (if specified) ____________________psig

Rate and Charges: Shipper shall pay all applicable rates and charges as specified in Rate Schedule

FT of Transporter’s Tariff, subject to the following:

Applicable Rate(s) (exclusive of surcharges, fuel, or lost and unaccounted for gas) (select one)

Recourse Rate: The maximum rate(s) set forth for Rate Schedule FT in Transporter’s Tariff, as

modified from time to time. Unless a Discounted Rate or Negotiated Rate is specifically agreed to

and stated on this Exhibit A,

Discount Rate:

Negotiated Rate:

Other Conditions (Section 35 of the GT&C sets forth the tariff provisions which Transporter may

negotiate with Shipper):