Contract for Services: Center for Solutions, Inc. This is an agreement between , hereafter referred to as the Client(s), and , hereafter referred to as the Mediator(s). The terms of this agreement are as follows: The client has decided to mediate. The Center for Solutions does not offer legal advice. Each party is hereby advised by the mediator that he/she is encouraged to have any written documents arising out of the mediation (including, but not limited to, any settlement agreement) reviewed independently by his/her own counsel prior to signing. The Center for Solutions provides a neutral professional who will assist the parties in mediating their settlement and will type all forms, completing documents under the instruction of the client. By BACKGROUND, the mediator may be a social worker, psychotherapist, attorney, or from another profession. If your mediator is an attorney by background, he/she will disclose this to you; and he/she is acting as a neutral in this case and cannot and will not represent any party to this action. Mediation is not the practice of law, psychotherapy or counseling. Mediation is the distinct professional practice of alternative dispute resolution. The client is entitled to receive information about the mediator's background, training, the duration of the service, and fee structure. The client is encouraged to discuss any aspect of the service. In order for this process to be effective, the client understands that open and honest communication is essential. Full disclosure of relevant information is agreed to by the client. The client will furnish all information and will make all the decisions with regard to his/her final agreements and be solely responsible for the decisions reached in mediation. The client shall be solely responsible for any and all documents submitted to the court. The Center uses as its guidelines standard blank forms for both domestic and non-domestic civil cases in the formating of all documents. All written and oral communications, as well as notes taken during the process, will be kept in strict confidence between the mediator and the client, unless: All parties and the mediator consent in writing to disclose mediation communications. The communication reveals the intent to commit a felony, inflict bodily harm, or threaten the safety of a child under the age of 18. The communication is required by statute to be made public. Disclosure is necessary and relevant to an action alleging willful and wanton misconduct of the mediator or the Center for Solutions, Inc. The client agrees that s/he will not at any time, before, during, or after this process, call the mediator or anyone associated with him/her as witnesses in any legal or administrative proceeding. Any such right to do so is hereby waived. The client intends to continue the service contracted for herein until a satisfactory conclusion is reached. It is understood that any party involved in this process may withdraw at any time. It is agreed that if any party decides to withdraw from the contracted service, the mediator will be contacted and best efforts will be made to discuss this decision in the presence of all parties involved. Fee Agreement: The rate for this service is $120 per hour (usually shared by the parties). Time spent by the mediator in sessions, telephone calls exceeding five minutes, and processing of written documents will be charged at that rate in quarter hour increments ($30.00 per quarter hour). All fees are due and payable at the beginning of each Conference. The client will pay for the scheduled time if a meeting is cancelled with less than 24 hours notice. In the event a dispute arises between the mediator and the client(s) arising out of any aspect of the mediation service, the mediator and client(s) agree to enter mediation with an outside neutral third party to resolve their dispute before seeking a resolution in court. CCMO (Colorado Council of Mediators and Mediation Organizations) provides mediation services in the event of such disputes. By our signatures below, we acknowledge and agree to all the terms listed above. Signature: Date: Printed Name: Address: Phone: (Day) (Eve) Signature: Date: Printed Name: Address: Phone: (Day) (Eve) Mediator Signature: Date: Mediator Signature: Date: