Columbia Gas Transmission LLC

Third Revised Volume No. 1

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Effective Date: 04/22/2009, Docket: RP09-468-000, Status: Effective

First Revised Sheet No. 541 First Revised Sheet No. 541

Superseding: Original Sheet No. 541




IMBALANCES (if different than Billing)







Zip Code


Contact Person (Mr., Mrs., Miss, Ms.)


The above shipper information detail must be established initially. Once established, only changes to this

detail must be resubmitted.


_____ 2.The Bidder is a(n)

(Please enter the appropriate code.)


1 Local Distribution Company

2 Interstate Pipeline Company

3 Intrastate Pipeline Company

4 End User

5 Producer

6 Marketer

7 Other

8 Pipeline Blanket Sales Operating Unit


3.a. Please answer the following:


Parcel Number (If not a stand-alone bid, please reflect all related parcel numbers below.)



Bid Rate (Reflect bid rate in a. or b. below. Bid rate must comport with the capacity release offer.

Choose only one option under (a) or (b) unless you want a blended rate to be considered.)


_____ a. (i) Absolute dollars and cents two-part rate

_____ (ii) Absolute dollars and cents one-part rate


_____ b. (i) Percent of maximum rate two-part rate

_____ (ii) Percent of maximum rate one-part rate


c. State Bid Offer Contingencies





4.Term of Service


Beginning Date Ending Date


/ / / /


5. Please enter the appropriate quantities.


a. Transportation Demand/Quantity (Dth/d) for services under all

Rate Schedules EXCEPT FSS, FSS-M and FBS.


b. Storage Quantity (Dth) for service under FSS, FSS-M and FBS.


c. Maximum Daily Storage Quantity (MDSQ) for FSS, and FSS-M (Dth/d).


_____ d. Maximum Daily Injection Quantity (MDIQ) for FBS from _____ to _____.


_____ e. Maximum Daily Withdrawal Quantity (MDWQ) for FBS from _____ to _____.