Rendezvous Pipeline Company, L.L.C.
Original Volume No. 1
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Effective Date: 02/08/2007, Docket: RP07- 6-000, Status: Effective
Original Sheet No. 64 Original Sheet No. 64 : Pending
If Amendment of Existing Service is checked, complete the
Agreement No. ________________
Agreement Date _______________
Increase Contract Demand from _____ Dth/day to _____ Dth/day
Decrease Contract Demand from _____ Dth/day to _____ Dth/day
7. Requested Term of Service: Commencement Date(____/____/____)
Termination Date (____/____/____)
Evergreen Provision Requested: _______ Yes
8. Requested Maximum Service Quantities:
For FT Firm Transportation Service:
Contract Demand __________ Dth/day
For IT Transportation Service:
Maximum Daily Quantity __________ Dth/day
Estimated Maximum Annual Quantity __________ Dth
9. Receipt and Delivery Points
Complete Exhibit "A" for Rate Schedules FT or IT service to
specify the Receipt Point(s) requested.
Complete Exhibit "B" for Rate Schedules FT or IT service to
specify the Delivery Point(s) requested.
Warranty of Title to Gas
10. By signing and submitting this transportation request form,
Shipper hereby warrants that Shipper has title, or will at
the time of delivery to Transporter have title, or the right
to acquire title, to the Gas that is to be transported.
Establishment of Credit
11. Shipper must establish a credit limit satisfactory to
Transporter pursuant to Section 11.2 of the General Terms
and Conditions of Transporter's Tariff. Therefore, prior to
execution of the agreement, Shipper may be required to
furnish a completed Credit Application and such other
information or advance deposits as Transporter may require.
12. Does any requested receipt or delivery point require the
installation or modification of any facilities (e.g. tap,
measurement, or other) in order for it to be utilized?
_______ Yes ________ No
If "Yes" is checked, a separate facilities agreement may be
Please return this request to:
Mr. Dan Brockway
RENDEZVOUS PIPELINE COMPANY, L.L.C.
1050 17th Street, Suite 500
Denver, CO 80265
Fax No. (303) 308-3610