Common use of Expenses Necessary to Complete Your Adoption Clause in Contracts

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Child Abuse Record Search $35/family – Check CO Department of Human Services App submission Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee $500 – Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 plus $30 per adult in the USCIS When home study is completed home – Check/money order/Credit Card Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation Fee $2,530 – (wiring fee included) Check CCAI (wired to Latvia) Dossier submission to CCAI 2nd Program Fee $5,200– Check CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a child one way ticket– Credit Card A travel agency of your choice Approximately 7-10 days prior to departure In-Country Fee** $2,530 (wiring fee included) – Check (for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Apartment & Room & Board (approx. 19 to 26 days for first trip) Approx. $100-$125 apartment per night. Ranges from $1900 -$3,250 – Cash. Food approx. $20 - $45 a day per person - $420 - $945 Apartment Property Manager In Latvia Child US Visitor B2 Travel Visa $190 - Cash U.S Consulate, Riga. Latvia In Riga, Latvia 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; Approximately 10 - 14 days prior to departure Latvian Hotel & Room & Board (3 days for second trip) Approx. $100 - $200 for hotel per night. $300 - $600. Food approx. $20 - $45 a day per person - $60 - $135 Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice Approximately 10 - 14 days prior to departure Latvian Apartment Room & Board (approx. 7-10 days for third trip) Approx. $100 - $125 per night for apartment $700 - $1250 – Cash. Food approx. $20 - $45 a day per person* - $140 - $315 Apartment Property Manager In Latvia In-CountryLegal Fee** $2,530 (wiring fee included) – Check (for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip US Embassy Medical Exam $200 – Cash USEmbassy approved clinic In Riga, Latvia Child U.S. Entry Visa $325 – Cash U.S. Consulate In Riga, Latvia Court Validation Fee $167 – Check County Court After U.S. return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S. return ** Additional In Country Legal Fees will apply for multiple placements. This document has been subscribed and affirmed before me in the County of , State of , this day of , 20 _. My Commission Expires: CCAI Fee Agreement Rev.10-2020 IS Note: This two-page document is not valid unless all pages are initialed/signed and returned to CCAI. This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Bulgaria adoption Child Abuse Record Search $35/family – Check CO Department of Human Services App submission Submission 1st Program Fee (includes Home Study) $6,650– Check CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee Fee# $500 – Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 775 plus $30 85 per adult in the home – Check/money order USCIS When home study is completed home – Check/money order/Credit Card Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation Fee and Legal Fees ¹ €6600 to €8000 (Euros) plus $2,530 – (wiring fee included) 30 USD/wires up to 3 Check CCAI (wired to LatviaBulgaria) Dossier submission to CCAI Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country 2nd Program Fee $5,2005,250 – Check CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a child one way ticket– Credit Card A travel agency of your choice Approximately 7-10 10- 14 days prior to departure In-Country Fee** $2,530 (wiring fee included) – Check (for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Bulgarian Apartment & Room & Board (approx. 19 to 26 7 days for first trip) Approx. $100-$125 apartment per night. Ranges from $1900 -$3,250 700 - $875 – Cash. Food approx. $20 - $45 a day per person - $420 280 - $945 Apartment Property Manager 800 Hotel Rental Service In Latvia Child US Visitor B2 Travel Visa Bulgaria Bulgaria Transportation fees Approx. $190 - Cash U.S Consulate, Riga. Latvia 300- $600 Bulgarian Legal Team In Riga, Latvia Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; Approximately 10 - 14 days prior to departure Latvian Hotel & Room & Board (3 days for second trip) Approx. $100 - $200 for hotel per night. $300 - $600. Food approx. $20 - $45 a day per person - $60 - $135 Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice Approximately 10 - 14 days prior to departure Latvian Apartment Bulgarian Hotel & Room & Board (approx. 7-10 days for third second trip) Approx. $100 - 100-$125 for hotel per night. $125 per night for apartment 700- $700 - $1250 – Cash1250. Food approx. $20 - $45 20-$45 a day per person* person - $140 - $315 Apartment Property Manager 280-$450. Hotel Rental Service In Latvia In-CountryLegal Fee** $2,530 (wiring fee included) – Check (for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip Bulgaria US Embassy Medical Exam $200 – Cash USEmbassy approved clinic Clinic In RigaSofia, Latvia Bulgaria Child U.S. Entry Visa $325 – Cash Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In RigaSofia, Latvia Bulgaria Court Validation Fee $167 – Check County Court court After U.S. return U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S. return U.S Return TOTAL ESTIMATE: $26,375-$36,125 1 ** ** Additional In In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees are listed in EUROS, but will be paid in USD at time of submission to CCAI based on current market conversion rates We understand that this Fee Policy/Agreement must be signed, notarized, and returned to CCAI along with the signed/notarized Service Agreement, 1st Program Fee and IAAME fee (payable via ACH bank transfer, check or money order, or wire transfer). This document has been subscribed and affirmed before me in the County of , State of , this day of , 20 _. My Commission Expires: CCAI Fee Agreement Rev.10-2020 IS Note: This twothree-page document is not valid unless all pages are initialed/signed and returned to CCAI. This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Child Abuse Record Search 1st Program Fee $356,300– Check/family – Check CO Department of Human Services ACH CCAI After App submission Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & IAAMEMonitoring &Oversight Fee $500 – Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 775 plus $30 85 per adult in the home – Check/Money Order/Credit Card USCIS When home study is completed home – Check/money order/Credit Card completed. Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier Dossier. In-Country Translation Fee F ee $2,530 – (wiring fee included) Check -C heck CCAI (wired to Latvia) Dossier submission to CCAI 2nd Program Fee Fee* $5,2005900– Check Check/ACH CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a per child one way ticket– Credit Card A travel agency of your choice Approximately 7-10 days prior to departure In-Country Legal Fee** $2,530 2,730 (wiring fee included) )– Check (for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Apartment & Room & Board (approx. 19 to 26 days for first trip) Approx. Approximately $100-$125 apartment per night. Ranges from $1900 -$3,250 1900-$3,250– Cash. Food approx. $20 - $45 20-$45 a day per person - $420 -$420 - $945 Apartment Property Manager In Latvia Child US Visitor B2 Travel Visa $190 - Cash U.S Consulate, Riga. Latvia In Riga, Latvia 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; Approximately 10 - 14 days prior to departure Latvian Hotel & Room & Board (( 3 days for second trip) trip Approx. $100 - $200 for hotel per night. $300 - $600. Food approx. $20 - $45 a day per person - $60 - $135 140 -$315 A Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice choice; Approximately 10 - 14 days prior to departure Latvian Apartment Room & Board (approx. 7approx.7-10 days for third 3rd trip) Approx. $100 - $125 per night for apartment $700 - $1250 – Cash. .. Food approx. $20 approx.$20 - $45 a day per person* - $140 -$140 - $315 Apartment Property Manager In Latvia In-CountryLegal Country Legal Fee** $2,530 (wiring fee included) )– Check (for Check(for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip US Embassy Medical Exam $200 – Cash USEmbassy approved clinic Clinic In Riga, Latvia Child U.S. Entry Visa $325 – Cash Cash, submitted first trip U.S. Consulate Riga, Latvia In Riga, Latvia Court Validation Fee $167 – Check County Court Varies by state/county Your county court After 3rd U.S. return Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office BirthCertificate Varies by state Your state After 3rd U.S. return Return * Post adoption reports are required by the Ministry until the child reaches 18 years of age (number of additional reports and associated fees to be determined after child referral)** Additional In in Country Legal Fees will apply for multiple placements. This document has been subscribed and affirmed before me in the County of , State of , this day of , 20 _. My Commission Expires: CCAI Fee Agreement Rev.10-2020 IS Note: This two-page four -page document is not valid unless all pages are initialed/signed and returned to CCAI. This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. SAMPLE Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Bulgaria adoption Child Abuse Record Search $35/family – Check CO Department of Human Services App submission Submission 1st Program Fee (includes Home Study) $6,350 – Check/ACH CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee Fee* $500 850 – Check Check/ACH CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 775 plus $30 85 per adult in the home – Check/money order USCIS When home study is completed home – Check/money order/Credit Card Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation Fee and Legal Fees* €6600 to €8000 (Euros1) plus $2,530 40 USD/wire – Check/ACH (wiring fee included3 wires) Check CCAI (wired to LatviaBulgaria) Dossier submission to CCAI Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $5,2006,350 – Check CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a child one way ticket– adult, Credit Card A travel agency of your choice Approximately 710-10 14 days prior to departure In-Country Fee** $2,530 (wiring fee included) – Check (for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Bulgarian Apartment & Room & Board (approx. 19 to 26 7 days for first trip) Approx. $100-$125 apartment per night. Ranges from $1900 -$3,250 – Cash700 - $875. Food approx. $20 - $45 20-$45 a day per person - $420 - 140-$315 – Cash/Credit Card Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $945 Apartment Property Manager 300-$600 – Cash Bulgarian Legal Team In Latvia Child US Visitor B2 Travel Visa $190 - Cash U.S Consulate, Riga. Latvia In Riga, Latvia Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus childchild $800-$1,000, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; Approximately 10 - 14 days prior to departure Latvian Hotel & Room & Board (3 days for second trip) Approx. $100 - $200 for hotel per night. $300 - $600. Food approx. $20 - $45 a day per person - $60 - $135 Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice Approximately 10 - 10-14 days prior to departure Latvian Apartment Bulgarian Hotel & Room & Board (approx. 7-10 days for third second trip) Approx. $100 - 100-$125 for hotel per night, $125 per night for apartment $700 - $1250 – Cash1,000-$1250. Food approx. $20 - $45 20-$45 a day per person* - , $140 - $315 Apartment Property Manager 200-$450 – Cash/Credit Card Hotel Rental Service In Latvia In-CountryLegal Fee** $2,530 (wiring fee included) – Check (for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip Bulgaria US Embassy Medical Exam $200 190 – Cash USEmbassy approved clinic Clinic In RigaSofia, Latvia Bulgaria Child U.S. Entry Visa $325 – Cash Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In RigaSofia, Latvia Bulgaria Court Validation Fee $167 – Check County Court court After U.S. return U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S. return *U.S Return * Additional In IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees paid at time of submission is in EUROS, based on current market conversion rates. SAMPLE Adoption timelines are variable. Due to unpredictable wait times, you may need to re-file your immigration application, which includes a new I-800A form or Supplement 3, re-fingerprinting, and a home study update, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-400 Euros. The “Total” above does not include the refundable $200 court validation deposit or $500 Post Adoption deposit. We understand that this Fee Policy/Agreement must be signed, notarized, and returned to CCAI along with the signed/notarized Service Agreement, 1st Program Fee and IAAME fee (payable via ACH bank transfer, check or money order, or wire transfer). This document has been subscribed and affirmed before me in the County of , State of Colorado, this day of _, 20 _. My Commission Expires: CCAI Fee Agreement Rev.10-2020 IS _/ / _. Note: This twothree-page document is not valid unless all pages are initialed/signed and returned to CCAI. This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.Rev 12-2022 IS

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Child Abuse Record Search 1st Program Fee $356,300– Check/family – Check CO Department of Human Services ACH CCAI After App submission Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & IAAMEMonitoring &Oversight Fee Fee# $500 – Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 plus $30 per adult in the home – Check/Money Order/Credit Card USCIS When home study is completed home – Check/money order/Credit Card completed. Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier Dossier. In-Country Translation Fee F ee $2,530 – (wiring fee included) Check -C heck CCAI (wired to Latvia) Dossier submission to CCAI 2nd Program Fee $5,200– Check Check/ACH CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a per child one way ticket– Credit Card A travel agency of your choice Approximately 7-10 days prior to departure In-Country Legal Fee** $2,530 (wiring fee included) )– Check (for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Apartment & Room & Board (approx. 19 to 26 days for first trip) Approx. Approximately $100-$125 apartment per night. Ranges from $1900 -$3,250 1900-$3,250– Cash. Food approx. $20 - $45 20-$45 a day per person - $420 -$420 - $945 Apartment Property Manager In Latvia Child US Visitor B2 Travel Visa $190 - Cash U.S Consulate, Riga. Latvia In Riga, Latvia 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; Approximately 10 - 14 days prior to departure Latvian Hotel & Room & Board (( 3 days for second trip) trip Approx. $100 - $200 for hotel per night. $300 - $600. Food approx. $20 - $45 a day per person - $60 - $135 140 -$315 A Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice choice; Approximately 10 - 14 days prior to departure Latvian Apartment Room & Board (approx. 7approx.7-10 days for third 3rd trip) Approx. $100 - $125 per night for apartment $700 - $1250 – Cash. .. Food approx. $20 approx.$20 - $45 a day per person* - $140 -$140 - $315 Apartment Property Manager In Latvia In-CountryLegal Country Legal Fee** $2,530 (wiring fee included) )– Check (for Check(for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip US Embassy Medical Exam $200 – Cash USEmbassy approved clinic Clinic In Riga, Latvia Child U.S. Entry Visa $325 – Cash Cash, submitted first trip U.S. Consulate Riga, Latvia In Riga, Latvia Court Validation Fee $167 – Check County Court Varies by state/county Your county court After 3rd U.S. return Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office BirthCertificate Varies by state Your state After 3rd U.S. return Return ** Additional In in Country Legal Fees will apply for multiple placements. This document has been subscribed and affirmed before me in the County of , State of , this day of , 20 _. My Commission Expires: CCAI Fee Agreement Rev.10-2020 IS Note: This two-page four -page document is not valid unless all pages are initialed/signed and returned to CCAI. This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Child Abuse Record Search $35/family – Check CO Department of Human Services App submission Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee $500 – Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 775 plus $30 85 per adult in the home – Check/moneyorder USCIS When home study is completed home – Check/money order/Credit Card Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation Fee $2,530 – (wiring fee included) Check CCAI (wired to Latvia) Dossier submission to CCAI 2nd Program Fee $5,200– Check CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a child one way ticket– Credit Card A travel agency of your choice Approximately 7-10 days prior to departure In-Country Fee** $2,530 (wiring fee included) – Check (for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Apartment & Room & Board (approx. 19 to 26 days for first trip) Approx. $100-$125 apartment per night. Ranges from $1900 -$3,250 – Cash. Food approx. $20 - $45 a day per person - $420 - $945 Apartment Property Manager In Latvia Child US Visitor B2 Travel Visa $190 - Cash U.S Consulate, Riga. Latvia In Riga, Latvia 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; Approximately 10 - 14 days prior to departure Latvian Hotel Hotel& Room & Board (3 days for second trip) Approx. $100 - $200 for hotel per night. $300 - $600. Food approx. $20 - $45 a day per person - $60 - $135 Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice Approximately 10 - 14 days prior to departure Latvian Apartment Room & Board (approx. 7-10 days for third trip) Approx. $100 - $125 per night for apartment $700 - $1250 – Cash. Food approx. $20 - $45 a day per person* - $140 - $315 Apartment Property Manager In Latvia In-CountryLegal Fee** $2,530 (wiring fee included) – Check (for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip US Embassy Medical Exam $200 – Cash USEmbassy approved clinic In Riga, Latvia Child U.S. Entry Visa $325 – Cash U.S. Consulate In Riga, Latvia Court Validation Fee $167 – Check County Court After U.S. return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S. return ** Additional In Country Legal Fees will apply for multiple placementsFeeswillapply formultipleplacements. This document has been subscribed and affirmed before me in the County of , State of , this day of , 20 _. My Commission Expires: CCAI Fee Agreement Rev.10Rev.01-2020 IS Note: This two-page document is not valid unless all pages are initialed/signed and returned to CCAI. This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your Latvia adoption. Child Abuse Record Search 1st Program Fee $35/family – 5,000 Check CO Department of Human Services App submission Colorado State CCAI AfterApp Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring IAAMEMonitoring& Oversight Fee Fee# $500 – Check CCAI (forwarded to IAAMEtoIAAME) After App Approval USCIS Filing & Fingerprinting Dossier Preparation $805 775 plus $30 85 per adult in the USCIS When home study is completed home – Check/money orderMoney Order/Credit Card USCIS When homestudy is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier Home Studyfee As agreed with local homestudy agency Your home study agency As agreed with local homestudy agency In-Country Translation Fee $2,530 – (wiring fee included) - Check CCAI (wired to Latvia) Dossier submission to CCAI 2nd Program Fee $5,2004,650 – Check CCAI Dossier submission to CCAI 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus $1,000 for a plus$1,000 per child one way ticket– Credit Card A travel agency of your choice Approximately 7-10 10- 14 days prior to departure In-Country CountryLegal Fee** $2,530 2,730 (wiring fee included) – Check (for Check(for 1 child) CCAI (wired to Latvia) 2 weeks prior to first trip Latvian Apartment & Room & Board (approx. 19 to 26 days for first trip) Approx. $100-$125 apartment per night. Ranges from $1900 -$3,250 – 1900- $3,250 Cash. Food approx. $20 - $45 20-$45 a day per person - $420 - $945 945. Apartment Property Manager In Latvia Child US Visitor B2 Travel B2Travel Visa $190 - Cash U.S Consulate, ,Riga. Latvia In Riga, Latvia 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child, if child is 12 yrs. of age or older– Credit Card A travel agency of your choice; choice Approximately 10 - 10- 14 days prior to departure Latvian Hotel Hotel& Room & Board (3 days for daysfor second trip) trip Approx. $100 - $200 for hotel per night. $300 hotelper night.$300 - $600. Food approx. $20 approx.$20 - $45 a day per person - person- $60 - $135 140 -$315. Hotel Rental Service In Latvia 3rd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus 800-$1500 per child ticket– Credit Card A travel agency of your choice Approximately 10 - 10- 14 days prior to departure Latvian Apartment Room & Board (approx. 7-10 days for third trip) Approx. $100 - $125 per night for apartment $700 - $1250 – Cash. .. Food approx. $20 - $45 a day per person* - $140 - $315 Apartment Property Manager In Latvia In-CountryLegal Fee** $2,530 (wiring fee included) – Check (for 1 child,) CCAI (wired to Latvia) 1- 2 weeks before third trip US Embassy Medical Exam $200 – Cash USEmbassy approved clinic Clinic In Riga, Latvia Child U.S. Entry Visa $325 – Cash Cash, submittedfirst trip U.S. Consulate ConsulateRiga, Latvia In Riga, Latvia Post Placement/Post Adoption Services As agreed with local home study agency Your home study agency As agreed with local home study agency Court Validation Fee $167 – Check County Court Varies by state/county Your county court After U.S. return 3rd U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office Varies by state Your state After 3rd U.S. return Return ** Additional In Country Legal *AdditionalInCountryLegal Fees will apply for multiple placements. ***Post adoption reports are required by the Ministry until the child reaches 18 years of age (number of additional reports and associated fees to be determined after child referral) This document has been subscribed and affirmed before me in the County of , State of , this day of , 20 _. My Commission Expires: CCAI Fee Agreement Rev.10-2020 IS Note: This two-page document is not valid unless all pages are initialed/signed and returned to CCAI/ / . This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.