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1. Parties: Identification of the mediator and the client(s) engaging the mediation services
2. Background: Context of the agreement and brief description of the dispute requiring mediation
3. Definitions: Key terms used throughout the agreement
4. Appointment of Mediator: Formal appointment clause and confirmation of mediator's acceptance
5. Scope of Services: Detailed description of the mediation services to be provided
6. Mediator's Fees: Structure and amounts of fees, including hourly rates or fixed fees
7. Payment Terms: Payment schedule, method, and conditions
8. Expenses and Disbursements: Treatment of additional costs and out-of-pocket expenses
9. Confidentiality: Obligations regarding confidentiality of the mediation process
10. Mediator's Independence: Declaration of independence and impartiality
11. Duration and Termination: Term of the agreement and conditions for termination
12. Governing Law and Jurisdiction: Specification of Philippine law as governing law and jurisdiction
13. Execution: Signature blocks and execution details
1. Multiple Party Provisions: Additional provisions for cases involving multiple parties sharing the mediation costs
2. Cancellation Policy: Specific terms for cancellation of mediation sessions and associated fees
3. Virtual Mediation Provisions: Specific provisions for online or virtual mediation sessions when applicable
4. Limitation of Liability: Clauses limiting the mediator's liability where permitted by law
5. Insurance: Details of professional indemnity insurance if required
6. Force Majeure: Provisions for unforeseen circumstances preventing mediation
7. Assignment: Provisions regarding the transfer of rights under the agreement
1. Schedule A - Fee Schedule: Detailed breakdown of all fees, rates, and payment structures
2. Schedule B - Mediator's Qualifications: Details of the mediator's credentials, experience, and certifications
3. Schedule C - Mediation Rules: Specific rules and procedures to be followed during the mediation process
4. Schedule D - Expense Policy: Detailed policy regarding reimbursable expenses and documentation requirements
5. Appendix 1 - Conflict Check Form: Form for declaring any potential conflicts of interest
6. Appendix 2 - Confidentiality Undertaking: Detailed confidentiality terms and obligations
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