Enbridge Offshore Pipelines (Utos) LLC
FIFTH REVISED VOLUME NO. 1
Contents / Previous / Next / Main Tariff Index
Effective Date: 08/01/2009, Docket: RP09-815-000, Status: Effective
Original Sheet No. 350 Original Sheet No. 350
ENBRIDGE OFFSHORE PIPELINES (UTOS) LLC
TRANSPORTATION SERVICE REQUEST FORM
Requests for service under UTOS's FERC Gas Tariff shall be deemed valid only
after the following information is provided by Shipper in writing to UTOS's
Transportation Services, at 1100 Louisiana, Suite 3300, Houston, Texas 77002,
or Fax Number (832) 214-5791.
Acceptance of a request is contingent upon a satisfactory credit appraisal by
UTOS in accordance with Section 5 of the "General Terms and Conditions" of its
FERC Gas Tariff.
NOTE: A check, as required by Section 2.1 of the General Terms and
Conditions, must accompany each Transportation Service Request to be valid.
INFORMATION REQUIRED FOR VALID TRANSPORTATION REQUEST
NOTE: ANY CHANGE IN THE FACTS SET FORTH BELOW, WHETHER BEFORE OR AFTER
SERVICE BEGINS, MUST BE PROMPTLY COMMUNICATED TO UTOS IN WRITING.
Date of Request:
Request for Modification of existing Service (circle one) Yes No
I. Shipper (Full Legal Name)
State of incorporation:
Type of Service (circle one) FTS ITS
(Other type of Service) _
Telephone No.: Fax No.:
Shipper's Federal Tax ID #
Shipper's DUNS #
Shipper's Affiliation With UTOS or Any Member in UTOS, and the extent of
the affiliation, if any: ________________________________
II. Production Platform (Block No.):
III. Maximum Daily Quantity (MDQ) Requested: Dth
Dates of Service: Commencing ______________ Ending _____________
IV. Receipt Point(s): All or specify
Delivery Point(s): All or specify
If more space is required, please attach a listing.