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S Rw�P lam. - �� Xed ��r� � <br />Adow <br />AWWWr <br />Anor" Constellation,,,, <br />An belon Cornloany <br />Commercial Customer Acknowledgement Form <br />Natural Gas Supply Contract (NIPSCO) <br />I confirm that my sales representative explained that he or she is acting as an agent for Constellation NewEnergy - Gas Division, <br />LLC ("Constellation") and provided me with the following information: <br />1, I am entering into this Contract (as hereinafter defined) with Constellation and not with Northern Indiana Public Service Company <br />("NIPSCO"), NIPSCO will continue to deliver the gas, read my meter, send me one consolidated bill, and provide emergency services. <br />2. This Contract covers the cost of the natural gas itself. In addition, I will continue to pay regulated delivery costs billed by NIPSCO and <br />any additional taxes or charges that may be imposed. <br />1 Constellation will supply natural gas at the price per therm indicated on the Commercial Natural Gas Supplier Enrollment Form attached <br />hereto. This price will not change for the term of this Contract. In addition to the price per therm for natural gas, I will also be charged a <br />per therm Interstate Transportation/Storage Charge that will be determined by Constellation and may vary throughout the term of this <br />Contract, <br />4. 1 understand that my sales representative is an independent agent of Constellation and does not represent NIPSCO, <br />5. 1 understand that my eligibility to participate in NIPSCO's Supplier Aggregation Service is subject to confirmation that I have good credit <br />standing with NIPSCO, which, for the purposes of the choice program, is defined as an account that iis not in arrears more than thirty <br />(30) days, <br />6. 1 understand that i can change suppliers at any time during the term of this Contract subject to the terms and conditions of this Contract, <br />7. 1 understand that this Contract sets forth, re -enrollment terms and penalties for early cancellation. <br />8. 1 may cancel this Contract within five (5) business days from the date I signed or received this Contract of my choice of Constellation as <br />my natural gas supplier, <br />9. if I terminate this transaction after five (5) business days from the date I signed or received this Contract of my choice of Constellation as <br />my natural gas supplier, or if I breach this Contract for any other reason, I may incur a cost recovery fee in accordance with the terms <br />and conditions included with this form, <br />10, l have the right to return to NIPSCO service in the event Constellation terminates my service. <br />11. 1 will continue to be supplied with natural gas for my business whether or not I sign this Contract. If I choose to remain with MIPSCO, the <br />price will continue to be set subject to regulatory tariff provisions, <br />12. This Commercial Customer Acknowledgement Form, Commercial Natural Gas Supplier Enrollment Form, any welcome letter and the <br />Terms and Conditions attached hereto are my complete agreement with Constellation (collectively referred to herein as this "Contract"), <br />and the agent has no authority to change or add to this Contract. <br />13. Constellation is a registered supplier under the NIPSCO Choice Program (the "Choice Program"), which is subject to ongoing jurisdiction <br />of the Indiana Utility Regulatory Commission ("IURC"). The IURC does not regulate the price of gas or other charges found in this <br />Contract. <br />Questions? Contact us at (855) 465-1244 <br />Fax document to (800) 785-4374 <br />I have read and agree to thiis Commercial Customer Acknowledgement Form. <br />Please initial here: <br />Your submission is subject to Constellation's final acceptance of enrollment. <br />FOR INTERNAL USE ONLY <br />02017 ConstellMon Energy Resources, LLC. The forgoing offering is sold and contracted by Constellation NewEnergy - Gas Division, LLC, a subsidiary ofExelon Corporation, <br />r— —A nmacelnnc .—M.H r%K::r- IM KMDC�Pn I:D QUO 09 11; 17 0... 4 fr <br />