T.W. Phillips Pipeline Corp.

Original Volume No. 1

Effective Date: 01/01/2010, Docket: RP10-141-000, Status: Effective

Original Sheet No. 117 Original Sheet No. 117

Exhibit R-1 to the Capacity Release Transportation Service Agreement

Between T. W. Phillips Pipeline Corp. (“Transporter”) and ___________________________________

(“Replacement Shipper”) dated _____________________________________________.

Release Quantity:______________________________ Bid Rate:______________________________

Term:____________________________________________

Releasing Shipper:_____________________________________________________________________________

Commencement Date:_________________________ Expiration Date:_______________________

Primary Points Meter Nos. Max. Quantity

______________________________ _________________ ______________________________

Additional Conditions of Release:

_______________________________________________________________________________________

Notices shall be made to:

Transporter:

T. W. Phillips Pipeline Corp.

502 Keystone Drive, Suite 400

Warrendale, PA 15086

(800) 522-8416

(724) 287-5021 (facsimile)

Replacement Shipper (contact person with address, including email, phone and fax):

____________________________________________________________