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Appendix 11: Flexible-band supplies, ref.:

Date: []

(see Articles 8, 11 and 20) This document in its entirety forms part of the Access Contract with reference [] and concerns the case in which the Grid User, for the same Off-take Point (for which, according to the Access Contract, he intervenes himself as Access Holder or for which he has designated a third party as Access Holder), has not only concluded a supply contract with the supplier designated in Appendix 3, 3bis or 3ter of the Access Contract, but also with one or more other suppliers who offer him a flexible-band supply service.

This document governs the designation by the Access Holder of the Access Responsible Party to which is allocated the relevant flexible-band supply at an Off-take Point, in accordance with Part III b) of the present Appendix, hereinafter referred to as the “Access Responsible Party for flexible band”. Part I: information about the parties concerned Details of the Grid User Surname, Forename:

[]

Position:

[]

Company:

[]

Tel.:

[]

Fax:

[]

E-mail:

[]

declares he is the Grid User of the Off-take Points with the following references: Access Point (Off-take Point) (EAN-code)

Name of Access Point + address of site

[]

[]

The Grid User declares he has concluded a contract with a supplier for flexible-band supplies to the Off-take Point mentioned above, whose references are set out below: Company details of supplier company: Company:

[]

Head office:

[]

Company reg. no.:

[]

VAT no.:

[]

Represented by:

[]

Access Contract

Date

[●]/[●] V1/2012 !! For information purposes only !!

[●] [●]


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