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 MeasurementPark & 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 PartnerCommunity 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 ContributionPersonnel 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 ContributionGrand Total (Cash + Dollar Value)

x x x Community Partner Dollar Value ContributionPersonnel 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 ContributionGrand 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