Riverside Pipeline Company, L. P.
First Revised Volume No. 1
Contents / Previous / Next / Main Tariff Index
Effective Date: 10/01/1993, Docket: RS92- 48-001, Status: Effective
Original Sheet No. 128 Original Sheet No. 128 : Effective
GENERAL TERMS AND CONDITIONS
SERVICE REQUEST FORM
17. If any marketer affiliated with Riverside is buying and reselling any of
the gas requested to be transported, does the cost of the gas to the
affiliated marketer exceed the price received for the sale of the gas by
the affiliated marketer, after deducting associated costs, including
those incurred for transportation?
_____ Yes _____ No _____ Not Known
If yes, by how much? $___________ per MMBtu.
If this information is not known, it must be provided as soon as known.
Shipper understands that this request form, complete and unrevised as to
format, must be received by Riverside before the transportation request will
be accepted and processed.
Shipper, by its signature, represents that the information above is correct
and accurate and that all necessary transportation, gas purchase and gas sales
arrangements have been or will be secured prior to the execution of the
Riverside transportation service agreement.
Very truly yours,
Typed Name and Title
Telecopy No. _______________________
Note: All initial requests for firm service shall be accompanied by an earnest
money payment equal to the lesser of $5,000 or the amount of the
Reservation Charge for one year.
Note: If the agreement is executed by person other than an Officer of the
company, documentation confirming that person's authorization to sign
must be provided at the time Shipper returns agreement.