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DocuSign Envelope ID: 76A32744-ADOD-41DA-8l B5-2F4lC532994B <br /> Table 1: Pricing <br /> Services Fees Pavable by the OranEe Notes <br /> Countv(NC)Health Department <br /> Preparatory activities will include: <br /> • Two(2)one-hour planning calls to <br /> confirm event goals and objectives, <br /> Preparation for Kick-Off(Summer 2015): review agenda,select a facilitated <br /> activity, and discuss Zone 4 and 6 <br /> The Forum will,in partnership with the client,confirm baseline findings and proposed"next <br /> objectives,offer feedback on event agenda,review Zone 4 steps". <br /> and 6 baseline data,adapt its Collective Impact 101 • A one-hour webinar to preview the kick- <br /> presentation for the local content and prepare a facilitated off presentation as well as planned <br /> activity to build momentum and support for the Family activity content.Depending on nature of <br /> Success Alliance's work. activity selected,Client may need to ask <br /> additional stakeholders to join webinar <br /> and provide in-room facilitation support. <br /> $5,000 plus travel(est.$750) All calls will have advance client-developed agendas <br /> and follow-up documentation of key decisions. <br /> Kick-Off Event Kevnote and Workshop(Fall 2015): Work plan&pricing assumes: <br /> • A 1 day site visit by Larry Pasti in <br /> The Forum will participate in a 1 day kick-off event and help September or October 2015. <br /> key stakeholders identify and build consensus around the • Client will handle all on-the-ground <br /> Family Success Alliance's action agenda. Kick-off event logistics(e.g.,promotion/participant <br /> services will include: recruitment,facilities,A/V,refreshments, <br /> • Keynote organized around Forum's standard note-taking,printing of all materials, <br /> collective impact presentation with localized etc.).If necessary,Client will also <br /> content provide additional table facilitators. <br /> • Facilitated meeting with close partners to develop • The client will reimburse the Forum for <br /> concrete action steps using baseline data from travel and incidental expenses as <br /> Zones 4 and 6. described herein. <br /> • Recap and next steps discussion • Forum will deliver a keynote address <br /> (localized version of Collective Impact <br /> Price includes a one-hour post-event conference call to 10 1)and facilitate an afternoon workshop <br /> debrief and discuss next steps. /activity. <br /> On$Oin$Coaching $3,000 Phone/email collective impact coaching is available <br /> as needed up to 16 hours(2 days). <br /> Total $8,000 <br /> plus travel(est.$750) <br /> Table 2: Invoicing&Payment Schedule <br /> Invoice Date Due from the OranEe County(NC) Notes <br /> Health Department <br /> Upon execution of contract $5,000 Net 30 <br /> December 31,2015 $2,000 Net 30 <br /> June 30,2016 $1,000 plus travel Net 30 <br /> Total $8,000 plus travel <br /> 2 <br /> CONFIDENTIAL <br />