Crossroads Pipeline Company

First Revised Volume No. 1

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Effective Date: 11/01/2001, Docket: RP02- 14-000, Status: Effective

Original Sheet No. 527 Original Sheet No. 527 : Effective





4. a. If the request is for firm service, please enter the following:


_____ Parcel Number


_____ Bid Rate (The stated rate will be deemed to be the agreement's currently effective rate.)


b. State Bid Offer Contingencies








5. Beginning date of requested change





6. Please enter the appropriate quantities.


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


_____7. Will a partial offer of the amount requested be acceptable? YES/NO


For items 8 and 9, list the following for each requested receipt and/or delivery point:


Note, for service under the IT -1 Rate Schedule, all points contained in the Master List of Interconnects

(MLI) as defined in Section 1 of the General Terms and Conditions are deemed to be valid receipt and/or

delivery point(s).


(i) Transaction Type:


A - add new point of receipt or delivery;

I - increase an existing contracted receipt/delivery point by the amount stated;

R - reduce an existing contracted receipt/delivery point by the amount stated;

D - delete an existing receipt/delivery point.


(ii) Receipt/Delivery meter (Available through Transporter's EBB);


The explicit receipt and/or delivery meter(s) must be identified if firm service is being requested.


(iii) Daily quantities (Dth) to be delivered to/by Transporter.