TF03 1240010005P158First Revised Sheet No. 124 TF04 Original Sheet No. 124 TF05Edward C. McMurtrie, Vice President/General Manager TF06110503 120903 GENERAL TERMS AND CONDITIONS (Continued) 25.1 REQUEST FORM FOR RELEASE OF FIRM CAPACITY Capacity Release #__________ (To be assigned by Paiute Date & Time of Release Request ____________________ (To be entered electronically) REQUEST FORM FOR RELEASE OF FIRM CAPACITY Shipper Releasing Capacity:___________________________________________________________________ Address:___________________________________________________________________________________ Contact Person:____________________________________________________________________________ Phone Number:__________________________________ Fax Number:____________________________________ Service Agreement number from which capacity is to be released: __________ (# Shipper uses for nomination purposes) Firm FT-1 Transportation Reserved Capacity to be Released (if applicable):________________Dth/d Specify if: Permanent ________ or Temporary __________ Commencement Date of Release: ____________________________ Termination Date of Temporary Release: _______________________________ For FT-1 transportation releases, complete the following: RCPT. PT. RELEASED VOLUME DELV. PT. RELEASED VOLUME ________________________________ _______________________________ ________________________________ _______________________________ ________________________________ _______________________________ ________________________________ _______________________________ If a Prearranged Replacement Shipper is provided, complete the following: Prearranged Replacement Shipper:___________________________________________________________ Address:___________________________________________________________________________________ Contact Person:________________________________________________________________________ Phone Number:______________________________________________________________________________ Fax Number:________________________________________ Rate Agreed to Pay For Release:____________________ Conditions of Release, including whether volumetric or combination rate bids are acceptable (optional): ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Volumetric Bids Acceptable: Yes ______ No ______ Combination Rate Bid Acceptable: Yes ______ No _______ Contingent Bids Acceptable: Yes ___ No ___ If yes, identify: 14.1(n)(i) ____ 14.1(n)(ii) ____ Bid Evaluation criteria (applicable if Releasing Shipper desires to specify the criteria used to evaluate volumetric or combination rate bids): ______________________________________________________________________________________________ ______________________________________________________________________________________________ Release Effectuated: Yes ___________ By acceptance of Bid(s) No.: ______________ No ___________ Partial _________ By acceptance of Bid(s) No.: ______________ (Explanation of Partial Release Granted ____