by Leon Younger & PROS; Jeff Coates, creator and field tester

7168 North Graham Rd., Suite 150
Indianapolis, IN 46250
Telephone 317-578-7881

Alliance Name

The following organization is entering into agreement with Park and Recreation Department:


Contact Persons

Park and Recreation Division Responsible: ____________________________

Contact Name: __________________________

Phone #: ____________________________

Fax #: ____________________________

Address:___________________________

City:____________________________

State: ____________________________

Zip Code: ____________________________


Location of Project/Program

Venue Name: ____________________________

Department Venue? ___ Yes ___ No
If not, who owns? ____________________

Address:___________________________

City:____________________________

State: ____________________________

Zip Code: ____________________________


Public Served (Target Market) By Project/Program

Families (parents and children together) ___ Yes ___ No

Age Group (check all that apply):
___ Youth (17 & under)
___ Young Adult (18-24)
___ Baby Boomer (25-50)
___ Senior (50 & over)

Sex (check only one):
___ Male Only
___ Female Only
___ Both Male and Female

Geographic Target: ____________________________

Other Demographics of Target Group:

____________________________

____________________________


Start/End of Working Agreement
Start Date: ____________________________

End Date:____________________________


Goal Measurement

Park and Measurement

Park & Recreation Goals
(Desired Outcomes)

How Measured?

By Whom?

When?

x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x

Community Partner

Community Partner’s Goals
(Desired Outcomes)

How Measured?

By Whom?

When?

x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x

DOLLAR VALUE OF CONTRIBUTIONS

Park & Recreation Dollar Value Contribution

Personnel Services (staff consulting, labor, volunteer time, etc.) Date Contribution Committed Dollar Value of
Contribution
Full time staff time @ $___/hour x x
Seasonal staff time @ $___/hour x x
Volunteer time @ $___/hour x x
x x x
x x x
Supplies/Material/Items (Consumable) x x
x x x
x x x
x x x
Equipment (Non-Consumable) x x
x x x
x x x
x x x
x x x
Facilities x x
x x x
x x x
x x x
Other x x
x x x
x x x
x x x
Cash Commitment Date Committed Cash Amount
x x x
Total Park & Recreation Contribution Grand Total (Cash + Dollar Value)
x x x

Community Partner Dollar Value Contribution

Personnel Services (staff consulting, labor, volunteer time, etc.) Date Contribution Committed Dollar Value of
Contribution
Full time staff time @ $___/hour x x
Seasonal staff time @ $___/hour x x
Volunteer time @ $___/hour x x
x x x
x x x
Supplies/Material/Items (Consumable) x x
x x x
x x x
x x x
Equipment (Non-Consumable) x x
x x x
x x x
x x x
x x x
Facilities x x
x x x
x x x
x x x
Other x x
x x x
x x x
x x x
Cash Commitment Date Committed Cash Amount
x x x
Total Park & Recreation Contribution Grand Total (Cash + Dollar Value)
x x x

EXPECTED REVENUE

Projected revenue to be kept for Park and Recreation: ____________________________

Projected revenue to be kept for Community Partner: _____________________________


ONGOING COMMUNICATION
Both parties agree to communicate in the following way: __________________________
________________________________________________________

At the following intervals: ____________________________


INSURANCE
Complete the insurance information requested below in effect for this agreement.

Park and Recreation Department
Type of insurance offered: ____________________________

Who is covered: ____________________________

Limits & Limitations: ____________________________

Community Partner
Type of insurance offered: ____________________________

Who is covered: ____________________________

Limits & Limitations: ____________________________


AGREEMENT TERMS
Both parties agree to the following:

  • The intent of this agreement is to build and document mutually beneficial partnership between Park and Recreation Department and its partners.
  • The projected dollar values of the services contributed are accurate.
  • This agreement may be terminated by either party with seven (7) days written notice.
  • The staff and personnel involved will at all times represent both parties in this partnership in a professional manner, and reflect the commitment of both parties to quality services and customer satisfaction.
  • The commitment of personnel, facilities, supplies/materials, and cash will be honored according to the timetable agreed upon by both parties.

Community Partner Signatures: Park & Recreation Signatures:
_____________________________
Community Partner Executive
_____________________________
Director
_____________________________
Title
_____________________________
Date
_____________________________
Date
_____________________________
Partner Project Contact
_____________________________
Park & Recreation Project Contact
_____________________________
Department/Title
_____________________________
Department/Title
_____________________________
Date
_____________________________
Date
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