Common use of Central Clause in Contracts

Central. the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that local matters means, those matters which have been determined by mutual agreement between the central Negotiating Committees respectively representing each of the parties to this Agreement as being subjects for bargaining directly between the parties to Agreement. It is also agreed that bargaining shall be subject to such proceduresthat may be determined by mutual agreements betweenthe cen- tral Negotiating Committees referred to above. For such purposes, it is fur- ther understood that the central Negotiating Committees will meet during the month prior to the month of of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerk

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and 'negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and any,.and the conditions for such central bargaining. .” Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For HOSPITAL The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix of Local Issues. Any local issue provisions which existed in the hospital’s expiring collective agreement shall be continued in the Appendix of Local Issues subject to any changes, deletions or additions resulting from the current round of bargaining. Management Rights Statement of Religious Purpose Recognition Union Membership Dues Deduction and Remittance and Dues Lists Constitution of Local Bargaining and Grievance Committees Seniority Lists Scheduling Uniform Allowance Sick Leave Administrative Provisions Transfer to Lower Paying Classifications Designation of Specific Holidays Administrative Provision re Payment of Wages Meal Allowances Bulletin Boards Mileage Allowance Communication to Union Vacation Administrative Provisions Pay Day Health Safety Where a Hospital and a Local Union have a settlement of all Local Issues, and the form in which their agreed issues are to appear in the collective agreement is inconsistent with at least one the foregoing agreement of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees central parties, then the local parties may re-open negotiations for the sole purpose of ens ring that the form of their collective agreement is consistent with “full” paramedic or “OPALS statusthe foregoing. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkAny in this regard shall be submitted to the Implementation Committee for resolution.

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that “local matters matters” means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at , Ontario, this day of FOR THE LOCAL CANADIAN UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-OF PUBLIC EMPLOYEES Wage Schedule "A" Position Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Presser/Ironer Seamstress Dietary Helper Housekeeping Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services 1 % 1 Start 1 Year 2 Year CANADIAN UNION OF Wage Schedule Position Repairman I Start 1 Year 2 Year Repairman II CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Certified Chef Start 1 Year 2 Year ▇▇▇▇’▇ Assistant CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Start 1 Year 2 Year ▇▇▇▇▇▇ Printer Housekeeping Cleaner Handyman 1 % Washer CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Engineer IV Start 1 Year 2 Year after 3 months after 3 months after 3 months CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Clerk I ▇▇▇▇ Clerk Clerk Switchboard Operator General Office II Start 1 Year 2 Year Position Laboratory Assistant Start 1 Year 1 CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Start 1 Year 2 Year Stores Purchasing Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Cook Maintenance Mechanic A Electrician 1 % after 6 months I 1 after 6 months CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule Position Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical after 6 months 1 after 6 months I 1 I Start 1 Year 2 Year after 6 months CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Day Hospital Activity Worker 1 Materials Handler Start 1 Year 2 Year CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Ambulance Driver/Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist1 Ambulance Driver/Attendant NON Start 1 Year 2 Year CANADIAN UNION OF PUBLIC EMPLOYEES Wage Schedule “A” Position Start Year 2 Year Paramedic 1 Land October January January January Paramedic 2 Land October January January January BETWEEN: LA GENERAL HOSPITAL, Rehab Clerk-Typist, Pharmacy Inventory Clerk of the Town of Fort ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary▇, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerkin the District of Rainy River OF THE FIRST PART LA HOSPITAL EMPLOYEES LOCAL UNION OF THE SECOND PART

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. day of Dated at Lindsay, Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services POSITION START AFTER ONE YEAR AFTER TWO YEARS (Temp.Reg Orderly Housekeeper I Housekeeper Assistant ▇▇▇▇▇▇ Assistant Maintenance Maintenance Maintenance Maintenance I Morgue Attendant Food Production Asst. Diet Technician Food Service Asst. Pharmacy Tech. Darkroom Tech. Offset Printer Receiver Storekeeper I Purchasing Assistant Purchasing Clerk Secretary Secretary Dicta Typist Dicta Typist Clerk Typist Clerk Typist Health Records Clerk Clerk Payroll Clerk Clerk Clerk Cashier Admitting Clerk Booking Clerk ▇▇▇▇ Clerk Clerk Nursing Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk Medical Librarian Health Records Tech. Student Student a20 These Salary Scales de pay equity adjustments whir were effective Memorandum of Agreement dated January Effective September POSITION START AFTER ONE YEAR AFTER TWO YEARS Orderly Housekeeper I Housekeeper Assistant ▇▇▇▇▇▇ Patient Assistant .Asst. Maintenance Maintenance Maintenance Maintenance I Morgue Attendant Food Production Asst. Diet Technician Food Service Asst. Pharmacy Tech. Darkroom Tech. Offset Printer Receiver Storekeeper Purchasing Assistant Purchasing Clerk Secretary Secretary Dicta Typist Dicta Typist Clerk Typist Clerk Typist Health Records Clerk Clerk Payroll Clerk Clerk Clerk Cashier Admitting Clerk Booking Clerk Clerk Nursing Switchboard Operator Medical Librarian Health Records Tech. Student Student a20 Effective September POSITION START AFTER ONE YEAR AFTER TWO YEARS Orderly Housekeeper I Housekeeper II Assistant ▇▇▇▇▇▇ Support Assistant h Maintenance Maintenance Maintenance Maintenance I Morgue Attendant Food Production Asst. Diet Technician Food Service Worker Computer Operator Ambulance Asst. Pharmacy Tech. Tech. Printer storekeeper Purchasing Assistant Purchasing Clerk Quality Assurance Secretary Secretary Dicta Typist Dicta Typist Clerk Accounts Receivable Typist Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Typist Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Clerk Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk Clerk Cashier Admitting Clerk Booking Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkSwitchboard Operator Medical Librarian Health Records Tech. Student Student These Salary Scales de pay equity were effective as outlined in the APPENDIX APPENDIX OF I ISSUES

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. ." Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of HOSPITAL ACCOUNTS PAYABLECLERK ACCOUNTS RECEIVABLE CLERK CLERK AMBULANCE DISPATCHER AMBULANCE AMBULANCE Off AIDE CLERK CLERK TYPIST COOK COOK I ATENDANT SENIOR ATENDANT SUPERVISOR OF OPERATIONS DIETARY MAINTENANCE COORDINATOR PROGRAM COUNSELLOR DIETARY AIDE DIETARY CLERK EMERGENCY MEDICAL ATTENDANT OFFICER EMERGENCY MEDICAL OFFICER EXTRACTORPERSON HOSPITALATENDANT SENIOR HOSPITALATENDANT HOUSEKEEPING AIDE INTAKE CLERICAL JANITOR LAB ATTENDANT LAUNDRY AIDE MAINTENANCEELECTRICIAN MAINTENANCEPERSON MAINTENANCEPLUMBER MICRO-FILM PHARMACY CLERK PORTER PRINTING SU▇▇▇▇ ▇LERK SEAMSTRESS SECRETARY STENOGRAPHER SWITCHBOARD OPERATOR TRAINING SCHOOL CLERK WARD CLERK DATE S▇▇▇. JANUARY Pay Equity JANUARY Pay Equity SEPT. JANUARY Pay Equity JANUARY Pay Equity JANUARY Pay Equity BASIC BASIC DATE BASIC Pay Equity Pay Equity JANUARY Pay Equity OFFICER DATE SEPT. AMBULANCE SECURITY SEPT. DATE SEPT. BASIC BASIC AID JANUARY Pay Equity SEPT. JANUARY Pay Equity BASIC DATE SEPT. TYPIST SEPT. DATE SEPT. SEPT. BASIC BASIC TITLE: DATE BASIC SEPT. Pay Equity JANUARY Pay Equity JANUARY Pay Equity JANUARY fay Equity JANUARY Pay Equity JANUARY Pay Equity DATE SEPT. SEPT. BASIC BASIC BASIC DATE BASIC SEPT. JANUARY Pay Equity SEPT. Pay Equity DATE SEPT. JANUARY Pay Equity BASIC : EMERGENCY SECURITY OFFICER DATE SEPT. : SEPT. SEPT. SEPT. BASIC BASIC DATE SEPT. SEPT. DATE SEPT. DATE SEPT. SEPT. HOUSEKEEPINGAIDE DATE SEPT. JANUARY Pay Equity SEPT. JANUARY Pay Equity BASIC BASIC BASIC BASIC DATE BASIC SEPT. SEPT. DATE SEPT. SEPT. DATE SEPT. SEPT. DATE SEPT. JANUARY Pay Equity SEPT. BASIC BASIC BASIC DATE SEPT. SEPT. DATE SEPT. DATE SEPT. DATE SEPT. PHARMACY CLERK DATE SEPT. SEPT. BASIC BASIC BASIC BASIC BASIC DATE SEPT. JANUARY Pay Equity LE SEPT. SEPT. SEPT. DATE JANUARY Pay Equity SEPT. JANUARY Pay Equity BASIC BASIC BASIC I DATE BASIC JANUARY Pay Equity Pay Equity JANUARY Pay Equity SEPT. DATE SEPT. BASIC BASIC DATE BASIC SEPT. JANUARY Pay Equity SEPT. DATE SEPT. SEPT. DATE SEPT. BASIC BASIC OF UNDERSTANDING BETWEEN: LAKE OF THE WOODS DISTRICT HOSP▇▇▇▇ Ontario (hereinafter referred to as the Advanced Life Support skills CANADIAN UNION OF PUBLIC EMPLOYEES and it's LOCAL (including defibrillationhereinafter referred to as to the "Union") It is agreed that, effective September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services Jim Green Hank Bl▇▇▇ ▇▇▇▇▇▇ Printer n ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretarybeing qualified by virtue of the qualifying course and the grandfather clause, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leaderto be eligible to be classified as Officers Officer, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management as applicable. It is further understood that, when all of the above retire, resign, transfer or be terminated, the classification will apply only to those attendants with training. DATED this day of For the Union For the Employer OF UNDERSTANDING CANADIAN UNION OF PUBLIC EMPLOYEES It is agreed that upon installation of the computer system, the Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerkwill undertake to look into the possibility of the department number, employee number and number of hours worked in connection with Article Dues Deduction and Remittance and Dues List. DATED this day of For the Union For the Employer \ - LOCAL APPENDIX OF LOCAL ISSUES

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from one hundred and twenty (120) to sixty (60) days prior to the termina- tion date of this Agreement. Negotiations on central matters shall take place during the this period commencing forty-five (45) days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at OntarioSTART YEAR YEARS EFFECTIVE DATE Accounts Receivable, this day Clerks, Intake and Clerical Assistant Ambulance Orderly Sept. 29/89 DATE START YEARS YEARS YEARS YEARS YEARS DATE START YEAR YEARS YEARS YEARS DATE START YEAR YEARS YEARS ARTICLE A RECOGNITION The Hospital recognizes the Union as the sole exclusive bargaining agent of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one employees of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇Lake of the ▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-TypistDistrict Hospital at Ontario, Rehab Clerk-Typistsave and except professional medical staff, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretarygraduate nursing staff, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leaderundergraduate nurses, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerkgraduate pharmacists, undergraduate graduate dietitians, student dietitians, technical personnel, supervisors and persons above the rank of supervisor, secretary to the administrator, secretary to the assistant administrator, secretary to the director of nursing,

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing fortyperiodcommencingforty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as principalsas to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Scarborough, Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For APPENDIX OF ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix of Local Issues. Any issue provisions existed in the hospital's expiring collective agreement shall be continued in the Appendix of Local Issues subject to any changes, deletions or additions resulting from the current round of bargaining. Management Rights Statement of Religious Purpose Recognition Union Membership Dues Deduction and Remittance and Dues Lists Constitution of Local Bargaining and Grievance Committees Seniority Lists Scheduling Uniform Allowance Sick Leave Administrative Provisions Transfer to Lower Paying Classifications Designation of Specific Holidays Administrative Provision re Payment of Wages Meal Allowances Bulletin Boards Allowance Communication to Union Vacation Administrative Provisions Pay Day Health Safety Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form in which their agreed issues are to appear in the collective agreement is inconsistent with at least one the foregoing Agreement of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees central parties, then the parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with “full” paramedic or “OPALS statusthe foregoing. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic Any difficulties in this regard shall be submitted to the Implementation Committee for resolution. CANADIAN UNION OF PUBLIC EMPLOYEES ARTICLE A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-TypistARTICLE B ARTICLE ARTICLE D MANAGEMENT RIGHTS RECOGNITION., Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkUNION DEDUCTIONS CONSTITUTION OF LOCAL BARGAINING AND GRIEVANCE COMMITTEE ARTICLE E ARTICLE F ARTICLE G ARTICLE H ARTICLE I ARTICLE J ARTICLE K ARTICLE L

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration in incorporation the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that local matters means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillationEffectiveSeptember 1989) September March September March September Paramedic For employees with “full” paramedic or “OPALS status(Lead Hand) Maintenance (I) Maintenance Maintenance I (111) Lab Assistant Orderly Nursing Assistant Tech. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Asst. Pharmacy Technician Maintenance Maintenance Maintenance Maintenance I Lab Assistant Morgue Attendant Lab Helper Food Services Service V Food Service Food Service Food Service Food Service I Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services Helper Dispatcher Offset Printer ▇▇▇▇▇▇ Printer ▇▇▇▇ Receiver Clerk Payroll Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Cashier Secretary Secretary Clerk Admitting Typist Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Typist Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Analyst Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Dicta Typist Dicta Typist Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Librarian Switchboard Operator Admitting Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Night Clerk Booking Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic SecretaryStudent Student CANADIAN UNION OF PUBLIC EMPLOYEES, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management LOCAL B C D E F G H I J K L M N Holidays Only) Vacations Printing of Agreement Pay Cheque Errors Notification To Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkLetters of Understanding

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiatingcommittees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. ." Dated at BLIND RIVER, Ontario, this day of FOR THE LOCAL UNION FOR THE HOSPITAL WAGE SCHEDULE “ " A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillationcontinued) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services PART TIME CLASSIFICATION LEVE▇ ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇ART AFTER AFTER AFTER YEAR YEARS YEARS HANDY PERSON HOUSEKEEPING AIDE LINEN AIDE REGISTERED NURSING ASSISTANT STORES CLERK JOSEPH'S HEALTH CENTRE SAINT-JOSE▇▇ ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic ND RIVER, ONTARIO WAGE SCHEDULE " A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch FullCLASSIFICATION LEVEL I LEVEL2 LEVEL3 LEVEL4 START AFTER YEAR AFTER AFTER DIETARY AIDE DIET CLERK LOCAL PROVISIONS APPENDIX PART-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkTIME AGREEMENT ARTICLE

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of ." PART-TIME APPENDIX OF ISSUES CHECK OFF NEW EMPLOYEES STEWARDS EMPLOYEE DISCIPLINE E-2 E- SENIORITY LIST APPLICATION FOR THE JOB POSTING PART-TIME HOURS LISTING LEAD HANDS JOB FACT SHEETS CONSIDERATION RE FULL-TIME VACANCIES EQUAL DISTRIBUTION OF SHIFTS SHIFT SPLIT SHIFTS POSTING OF SHIFT SCHEDULES MUTUAL SHIFT EXCHANGE OFF SHIFT LATE REPORTING LUNCH BREAKS PAID REST PERIOD PAID HOLIDAYS YEAR SCHEDULING ADDITIONAL PAID HOLIDAYS VACATIONS VACATION PROGRESSION HEALTH EXAMINATIONS UNIFORMS BULLETIN BOARDS PROTECTIVE FOOTWEAR UNION LEAVE DAYS UNION COMMITTEES WORKERS ' COMPENSATION HEALTH AND SAFETY RNA SKILLS LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkISSUES OF COLLECTIVE LETTER OF INTENT ITEMS LETTER OF INTENT NAMES ADDRESSES OF

Central. the Notwithstandingthe foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion date terminationdate of this Agreement. Negotiations on Negotiationson central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for bargaining directly between the local bargainingdirectly betweenthe parties to this Agreement. It is also agreed that local bargaining shall be subject to subjectto such proceduresthat may be determined by mutual agreements betweenthe cen- tral Negotiating Committees mutualagreements between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one between JOSEPH'S HEALTH CENTRE (hereinafterreferred as "the Centre") and Local I144 (hereinafter referred "the Union") The following out the b e e n the Health Centreand the Union to in the central negotiating process and to adopt central collective agreement on the following basis: Uponcompletion of the Advanced Life Support skills (including defibrillation) current centralprocess to the renewal of the collective agreements which September March September March September Paramedic For employees with “full” paramedic either through a freely negotiated agreement or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch an awarded agreement the will adopt the central collective language for Full- time and Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho service units. central agreement language will also apply to the Full-time Clerical bargaining unit with exception of the probationary period for new hires under article and the job posting and competition language. under articles and under the current Full-time Clerical collectivewhich remain the same. The parties acknowledge the Inclusion of the Full-time Clerical bargaining unit in the central process remains an which will subject to ongoing negotiation to achieve a mutually resolution. parties to in the central negotiating for the Full-time and Part- time Service bargaining units for the round of bargaining The Health Centre's current plans to staffing will subject to existingcollective language even though the date of any changes after the adoption of central language. the Health plans to introduce Prime Vendor in the Nutrition Services and the future implementation of Inventory subject to item following, that Union decides to and arbitrate issues of Rime Vendor and Inventory initiatives provisionsof the Full-time Service,Part-time Service and Full-time Clerical collective agreements September will apply. that Pension Plan will not be subject to any or the local or central negotiating process. The parties will obtain their bodies With respect to impact of the Prime Vendor in Nutrition Services: Olive full-time Ingredient Control Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerkwill have the following options:

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "'local matters matters" means, those matters which have been determined by mutual agreement between the central Central Negotiating Committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral between the Central Negotiating Committees referred to above. For such purposes, it is fur- ther further understood that the central Central Negotiating Committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE APPENDIX "A" SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations OF SEPTEMBER Classification Start After After Y1 ear After Cook Aides Maintenance Clerk Health Records Clerk Clerk Hospital Services Services Ambulance Ambulance APPENDIX "A" SCHEDULE OF WAGES SEPTEMBER After After ▇▇▇▇ ▇▇▇▇▇▇ Printer Maintenance Ambulance Ambulance Dated at Campbellford, Ontario, this day of THE LOCAL UNION FOR THE HOSPITAL LETTER OF UNDERSTANDING ARTICLE A RECOGNITION 2 ARTICLE B DEFINITIONS 3 ▇▇▇-▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Definition of Employee Definition of Administrator Definition of Full-Time Emergency Medical Dispatch Relief Definition of Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk ClerkTime Employees ARTICLE C MANAGEMENT RIGHTS ARTICLE D UNION SECURITY 5 D-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerkl Check Off of Union Dues

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters'' means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees centrai negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. ." Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix of Local Issues. Any local issue provisions which existed in the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic hospital's expiring collective agreement shall be continued in the Appendix of Local Issues subject to any changes, deletions or “OPALS statusadditions resulting from the current round of bargaining. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Rights Statement of Religious Purpose Recognition Union Membership Dues Deduction and Remittance and Dues Lists Constitution of Local Bargaining and Grievance Committees Seniority Lists Scheduling Uniform Allowance Sick Leave Administrative Provisions Designation of Specific Holidays Administrative Provision re Payment of Wages Meal Allowances Bulletin Boards Mileage Allowance Communication to Union Vacation Administrative Provisions Pay Day Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerk& Safety

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed pro- posed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means', those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees referred between the central negotiating committees re- ferred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Parry Sound, Ontario, this day of FOR THE LOCAL UNION FOR THE WAGE SCHEDULE “ START YR. YRS. YRS. START YR. YRS., YRS. * NURSING AIDE * COOK APPENDIX A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS statusNOTE: The January Schedule Reflect Pay Equity Adjustments To Selected Classifications START YR. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services YRS. YRS. * LAUNDRY HOUSEKEEPING ▇▇▇▇ ENGINEER MAINTENANCE START YR. YRS. PAGE APPENDIX A LAUNDRY HOUSEKEEPING ▇▇▇▇ ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkMACHINE OPERATOR ENGINEER MAINTENANCE MAINTENANCE MATERIALS MANAGEMENT ASSISTANT MATERIALS MANAGEMENT AIDE

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for bargainfor amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on Negotiationson central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that “local matters matters” means, those matters which have been determined by mutual agreement between the central Negotiating Committees respectively negotiating representing each of the parties to this Agreement as being subjects for bargaining g directly between the parties to Agreement. It is also agreed that this t local bargaining shall be subject to such proceduresthat may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant ‘SHEALTH CENTRE (hereinafter referred to as Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Centre”) referred to as “the Union) Adoption of Central Collective Agreement Language Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-TypistBargaining Unit The following sets out the agreement between the Centre and the Union to adopt central collective agreement language for the Full Time Bargaining Unit the Upon completion of the central process to negotiate the renewal of the collective agreement which expires September either through a negotiated agreement or an awarded agreement the parties will adopt central collective agreement language for Full Time Clerical Bargaining Unit with two exceptions. exceptions include that the current in Article Probationary for new hires and the job posting and competition language under Job remain the same. The parties acknowledge that the of the Full Time bargaining unit in the central an issue which will be subject to ongoing negotiation to This agreement is made without or to any position either party may Agreed to at Toronto, Rehab Clerk-TypistOntariothis of FOR THE UNION of Occurrence Date Form Submitted to Employer Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty the undersigned, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretarybelieve that were given an assignment that was excessive or inconsistent with patient care created an unsafe working environmentfor the reasons. (Provide brief description of below): To correct this problem, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Clerkrecommended: of immediate Supervisor of Response Signature.of Printed on Below: do not agree with the of my concern.

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to io bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat may procedures that be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiations, negotiations if any, and the conditions for such central bargaining. Dated at Scarborough, Ontario, this day The following provisions, while not being an exhaustive listing, are appropriate inclusion in an Appendix of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For Local Issues. Any local issue provisions which existed the hospital's expiring collective agreement shall be continued in the Appendix of Local Issues subject to any changes, deletions or additions resulting from the current round of bargaining. Management Rights Statement of Religious Purpose Recognition Union Membership Dues Deduction and Remittance and Dues Lists Constitution of Local Bargaining and Grievance Seniority Lists Scheduling Uniform Allowance Sick Leave Administrative Provisions Transfer to Lower Paying Classifications Designation of Holidays Administrative Provision re Payment of Wages Meal Allowances Bulletin Boards Mileage Allowance Communication to Union Vacation Administrative Provisions Pay Day Health Safety Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form in which their agreed issues are to appear in the collective agreement inconsistent with at least one the foregoing agreement of the Advanced Life Support skills (including defibrillation) central parties, local parties may re-open negotiations for the sole purpose of ensuring that form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution. CANADIAN UNION OF PUBLIC EMPLOYEES September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkTABLE OF CONTENTS ARTICLE MANAGEMENT RIGHTS ARTICLE C ARTICLE D UNION DEDUCTIONS CONSTITUTION OF LOCAL BARGAINING AND GRIEVANCE COMMITTEE Local Bargaining Committee Grievance Committee ARTICLE E ARTICLE F ARTICLE G ARTICLE H ARTICLE I ARTICLE J ARTICLE K

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is IS understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to Agreement. It is also agreed that bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther IS further understood that the central Negotiating Committees negotiating committees will meet during the month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR THE SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For HOSPITAL The following provisions, not being an exhaustive listing, are appropriate for inclusion in an Appendix of Issues. Any local provisions existed in the hospital’s expiring collective agreement shall be continued in the of Local Issues to any changes, deletions additions resulting the current round of bargaining. Management Rights Statement of Religious Purpose Recognition Union Membership Dues Deduction and Remittance and Dues Constitution of Local Bargaining and Grievance Committees Seniority Lists Scheduling Uniform Allowance Sick Leave Administrative Provisions Transfer to Lower Paying Classifications Designation of Specific Holidays Administrative Provision re Payment of Wages Meal Allowances Bulletin Boards Mileage Allowance Communication to Union Vacation Provisions Pay Day Health Safety a Hospital and a Local have reached a settlement of all Local Issues, and the form in which their issues are to appear in the agreement is inconsistent with at least one the foregoing agreement of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees central parties, then the local parties may for the purpose of ensuring that the form of their collective agreement is consistent with “full” paramedic or “OPALS statusthe foregoing. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Mechanic A Maintenance Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-Typist, Rehab Clerk-Typist, Pharmacy Inventory Clerk ▇▇▇▇ Clerk ▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic Secretary, Substance Abuse Communicative Disorders Assistant Dietary Driver Plant Maintenance Driver Team Leader, Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkAny difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central. Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incor- poration incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from to days prior to the termina- tion termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this Agreement. It is understood and agreed that "local matters matters" means, those matters which have been determined by mutual agreement between the central Negotiating Committees negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such proceduresthat procedures that may be determined by mutual agreements betweenthe cen- tral Negotiating Committees between the central negotiating committees referred to above. For such purposes, it is fur- ther further understood that the central Negotiating Committees negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central nego- tiationsnegotiations, if any, and the conditions for such central bargaining. Dated at Ontario, this day of FOR THE LOCAL UNION FOR HOSPITAL AND THE HOME SCHEDULE “ A PARAMEDICS WAGE RATES Paramedic For with at least one of the Advanced Life Support skills (including defibrillation) September March September March September Paramedic For employees with “full” paramedic or “OPALS status. September Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Clerk Hospital Services Clerk Pastoral Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base Hospital Clerk Nutrition Food Services Clerk Radiology Clerk Operations Maintenance Clerk Health Records Clerk Clerk Hospital Services Services ▇▇(retroactive to Sept. 1989) STARTING AFTER AFTER SALARY MONTHS MONTHS Cleaner Laundry Aide, Dietary ▇▇▇▇ Printer ▇▇▇▇ Clerk Clerk Switchboard Operator General Office Clerk Lab Data Entry Clerk Admitting Clerk Central Booking Clerk ▇▇▇▇▇▇ Patient ▇▇▇▇▇▇ Support Service Worker Computer Operator Ambulance Clerk Quality Assurance Clerk Accounts Receivable Clerk Rehabilitation Secretary ▇▇▇▇▇▇▇ ▇, Linen Checker, Seamstress, Asst., Asst., Pharmacy Technician Accounts Payable Clerk Stores Clerk Accounts Receivable Clerk Receiver Payroll Asst., Lab. Asst., Asst. Nursing Aide, Asst., Supply Asst., Special Diet Cook, Salad Maker, Cashier, Dietary Aide, Senior Maid, Resident Aide, Health Care Aide, Activities Assistant Health Records Dictatypist Radiology Dictatypist Laboratory Dictatypist Recreational Therapist Senior Laundry Aide Cooks Helper, Dark Room Assistant ▇▇▇▇ Clerk Registered Practical Nurse Health Records Senior Dictatypist Health Records Technician Maintenance Assistant Cleaner Sorter, Porter, Groundsman, Dish Machine Pot Washer Pastry Cook, Cook Pharmacy Attendant Cook Storekeeper Mechanic A Maintenance Tech., Orderly, Adjuvant Fracture Room Attendant Stationery Storekeeper Stationary Engineer (4th Class) Mechanic Laboratory Secretary Radiology Secretary Medical Dispatch Full-Time Emergency Medical Dispatch Part-time Payroll Coordinator Painter ▇▇▇▇▇▇▇▇▇ Ortho Technician Emergency Medical Attendant Stationary Engineer (3rd Class), Millwright Plumber, Electrician Plumber Auto Mechanic Renal Aide Breast Screening Clerk Clerk-TypistSCHEDULE Effective September Cleaner Laundry Aide, Rehab Clerk-Typist, Pharmacy Inventory Clerk Dietary ▇▇▇▇ Clerk ▇▇▇▇▇▇▇, Linen Checker, Seamstress, Asst., Asst., Pharmacy Asst., Lab. Asst., Asst. Nursing Aide, Asst., Supply Asst., Special Diet Cook, Salad Maker, Cashier, Dietary Aide, Senior Maid, Resident Aide, Health Care Aide, Activities Assistant Senior Laundry Aide Cooks Helper, Dark Room Assistant Assistant Cleaner Sorter, Porter, Groundsman, Dish Machine Pot Washer Pastry Cook, Cook Pharmacy Attendant Cook Storekeeper Mechanic Tech., Orderly, Adjuvant Fracture Room Attendant Stationery Storekeeper Stationary Engineer (4th Class) Mechanic Painter ▇▇▇▇▇▇▇▇▇ Clerk Communications Clerk Team Leader Staff Education Secretary Case Costing Secretary Team Leader Clerk Pain Management Clerk Pain Management Exercise Therapist Refrigerator Mechanic SecretaryStationary Engineer (3rd Class), Substance Abuse Communicative Disorders Assistant Millwright Plumber, Electrician STARTING AFTER AFTER STEWARDS THE ZONE WITHIN WHICH THEY ARE RECOGNIZED: Number of Stewards Zones Dietary Driver Plant Maintenance Driver Team Leaderand Engineers Housekeeping Hospital Housekeeping Home (Active), Patient Registration Effective September Non-Registered Practical Nurse Education Clerk Nursing Office Clerk Materiel Management Hospital Services Clerk Pastoral Laboratory, Pharmacy (Continuing Care), Orderlies, Aides, Physiotherapy Central Service, Stores Laundry Health Care Clerk Business Office Clerk Hospital Services Nutrition Food Services Aide Work Room Aide Materiel Management Aide Rehabilitation Clerk ECG Clerk Base ClerkAides, Resident Aides, (Home)