The following fee schedule will apply to this mediation:

Costs: ________________charges a non-refundable administrative fee of $ per party to be remitted upon execution of the Mediation and Confidentiality Agreement. This fee covers the time spent on case administration, the initial intake call, toll calls, postage, photocopying, faxes and file administration. The administrative fee does not cover extraordinary out-of-pocket expenses such as the cost of messenger services and Federal Express, or extraordinary long distance telephone, travel and other charges, for which clients will be charged separately.

Fees: The mediation fee shall be $ per hour. The mediation fee shall be split between the parties, as they shall agree in the mediation; otherwise shall be 100% responsible for these fees. The initial retainer fee of $ representing two (2) hours of mediation service, is due and payable upon the signing of this agreement. Additional fees will be billed and are due and payable upon receipt.

Mediators are entitled to compensation for all time spent on the case, including preparation time, telephone time and attendance at mediation sessions. Travel time is charged at the full hourly rate.

Cancellation Fees: If the case settles during administration or is withdrawn after the Agreement to Mediate has been signed, _____________will retain the non-refundable $ administrative fee and will bill the parties for any mediation services already performed (e.g., telephone time with any of the parties after the initial intake call).

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