Common use of Central Bargaining Clause in Contracts

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL Opeiu 491 APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Footwear

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at Xxxxxxx, OntarioXxxxxxx, this 19th day of 1999June, 2006. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992008. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 24th day of 1999May 2019. FOR THE LOCAL UNION UNION: FOR THE HOSPITAL HOSPITAL: Xxxxxxx Xxxxxxxxx Xxxxxx Xxxxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Bridle Xxxx Xxxxxxx Xxxxx Xxxxx Xxxxxxx Gorgzadeh Vesna Blasinovic Xxxxx Xxxxxxx Xxxxx Paulekat APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix A: NON-RPN WORKLOAD COMPLAINT FORM N.B. All sections 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form must be completed prior to submission for review. The parties agree that patient care is enhanced if concerns relating to professional practice, patient acuity, fluctuating Work-Loads and fluctuating staffing are resolved in which their agreed issues are to appear in the collective agreement is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutiona timely and effective manner.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Winchester, Ontario, this day of 19992009. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992011. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING‌ RE: The introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans‌ Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING‌ RE: HOODIP‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2013. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION LETTER OF UNDERSTANDING‌ Re: Voluntary Part-time Benefits‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 14th day of 1999December, 2021. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX LETTER OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix UNDERSTANDING Regarding the introduction 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 HOODIP 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 - Hospitals with Accumulating Sick Leave Administrative Provisions - Designation Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of Specific Holidays - Administrative Provision re Payment introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of Wages - Meal Allowances - Bulletin Boards - Mileage Allowance - Communication to Union - Vacation Administrative Provisions - Pay Day - Health & Safety - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement ratification of the central parties, then the local parties may re-open negotiations for the sole purpose Memorandum of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionSettlement.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day . LETTER OF UNDERSTANDING RE: Introduction of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 HOODIP 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 - Hospitals with Accumulating Sick Leave Administrative Provisions - Designation Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of Specific Holidays - Administrative Provision re Payment introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within six (6) months following the date of Wages - Meal Allowances - Bulletin Boards - Mileage Allowance - Communication to Union - Vacation Administrative Provisions - Pay Day - Health & Safety - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement ratification of the central parties, then the local parties may re-open negotiations for the sole purpose Memorandum of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionSettlement.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992018. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.HOSPITALS FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992011. FOR THE HOSPITAL FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2013. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992008. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM‌ Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoingresolution of my concern. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Letter of Understanding‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992014. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.HOSPITALS FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 15th day of 1999January, 2008. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. Notwithstanding the foregoing provisions, in the event the parties Parties to this Agreement agree to negotiate for its renewal through the process of central bargaining, either party Party to this Agreement may give notice to the other party Party of its desire to bargain for amendments on local matters proposed for incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 one hundred and twenty (120) to 60 sixty (60) days prior to the termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five (45) 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 Parties to this Agreement as being subjects for local bargaining directly between the parties Parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the central negotiating committees will meet during the sixth (6th) month prior to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central negotiations, if any, and the conditions for such central bargaining." . Dated at Kingston, Ontario, Ontario this day of 1999, 2004. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORKLOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problems/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent immediate Supervisor Notified Date/Time of Notification Response: Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Guelph, Ontario, this day of 19992013. FOR THE HOSPITAL FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX LETTER OF LOCAL ISSUES UNDERSTANDING‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. For the hospitals: For the union: LETTER OF UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that central parties by March 31, 2013. For the form of their collective agreement is consistent with hospitals: For the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.union: LETTER OF UNDERSTANDING‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 1999, 2010. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Allowance

Central Bargaining. 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 incorporation in the renewal of this Agreement agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 24th day of 1999May 2019. FOR THE LOCAL UNION UNION: FOR THE HOSPITAL HOSPITAL: Xxxxxxx Xxxxxxxxx Xxxxxx Xxxxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Bridle Xxxx Xxxxxxx Xxxxx Xxxxx Xxxxxxx Gorgzadeh Vesna Blasinovic Xxxxx Xxxxxxx Xxxxx Paulekat APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix A: NON-RPN WORKLOAD COMPLAINT FORM N.B. All sections 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form must be completed prior to submission for review. The parties agree that patient care is enhanced if concerns relating to professional practice, patient acuity, fluctuating Work-Loads and fluctuating staffing are resolved in which their agreed issues are to appear in the collective agreement is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutiona timely and effective manner.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992015. FOR THE HOSPITAL FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX LETTER OF LOCAL ISSUES UNDERSTANDING‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. For the hospitals: For the union: LETTER OF UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that central parties by March 31, 2017. For the form of their collective agreement is consistent with hospitals: For the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.union: LETTER OF UNDERSTANDING‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING - REGARDING THE INTRODUCTION OF HOODIP TO HOSPITALS WITH ACCUMULATING SICK LEAVE PLANS‌ Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING - RE: HOODIP‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2017. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 31st day of 1999March 2014. FOR THE LOCAL UNION UNION: FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES HOSPITAL: Xxxxx Xxxxxxxxx Xxxxx Xxxxx Xxxxxxx Xxxxxx Xxxxx Xxxxxx Xxxxxx Xxxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxx Xxxx Xxxxxx Xxxxxxx Xxxxxxxxx Xxxxxx Xxxxxxx Xxxxxxx Xxxxxx-Xxxx Xxxxxx Xxxxxxx Xxxxx Blasinovic 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 hospitalHospital's expiring collective agreement 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 19th day of 1999June, 2006. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM‌ Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 24th day of 1999May 2019. FOR THE LOCAL UNION UNION: FOR THE HOSPITAL HOSPITAL: Xxxxxxx Xxxxxxxxx Xxxxxx Xxxxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Bridle Xxxx Xxxxxxx Xxxxx Xxxxx Xxxxxxx Gorgzadeh Vesna Blasinovic Xxxxx Xxxxxxx Xxxxx Paulekat APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix A: NON-RPN WORKLOAD COMPLAINT FORM N.B. All sections 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form must be completed prior to submission for review. The parties agree that patient care is enhanced if concerns relating to professional practice, patient acuity, fluctuating Work-Loads and fluctuating staffing are resolved in which their agreed issues are to appear in the collective agreement is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutiona timely and effective manner.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-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 local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992018. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.HOSPITALS FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at WORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisions, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. Notwithstanding (a) In central bargaining between the foregoing provisionsCanadian Union of Public Employees and the participating hospitals, an employee serving on the Union's Central Negotiating Committee shall be paid for time lost from his normal straight time working hours at his regular rate of pay and without loss of leave credits for attending central negotiating meetings with the Hospitals' Central Negotiating Committee 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 direct negotiations up to the other party point of its desire arbitration. In addition, an employee serving on the Union's Central Negotiating Committee shall be paid for time lost from his normal straight time working hours at his regular rate of pay and without of leave credits for two (2) days of preparation time for such central negotiating meetings with the Hospital's Central negotiating Committee. Upon reference to bargain arbitration, the Negotiating Committee members shall receive unpaid time off for amendments on local matters proposed for incorporation in the renewal purpose of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 Agreementattending arbitration hearings. It is understood and agreed that the maximum number of Union Central Negotiating Committee members entitled to payment under this provision shall be eight and in no case will more than one employee from a hospital be entitled to such payment. The Union shall advise the Hospitals' Central Negotiating Committee, before negotiations commence, of those employees to be paid under this provision. The Hospitals' Central Negotiating Committee shall advise the eight (8) Hospitals accordingly." "local matters" meansVice-Presidentsof the Ontario Council of Hospital Unions shall be granted leave of absence by their employers in accordance with (a) above or Article as the case may be, those matters which in order to fulfil the duties of their position. The Hospital agrees to recognize Union stewards to be elected or appointed from amongst employees in the bargaining unit who have been determined by mutual agreement between completed their probationary period for the central negotiating committees respectively representing each purpose of dealing with Union business as provided under this Collective Agreement. A Chief Xxxxxxx or designate may, in the absence of any xxxxxxx, assist in the presentation of any grievance, or with any xxxxxxx function. The Union shall keep the Hospital notified in writing of the parties to names of Union stewards appointed or selected under this Agreement Article as being subjects for local bargaining directly between well as the parties to this Agreementeffective date of their respective appointments. It is also agreed that local bargaining Union stewards have their regular duties and responsibilities to perform for the Hospital and shall be subject not leave their regular duties without first obtaining permission from their immediate supervisor. If, in the performance of his duties, a Union xxxxxxx is required to such procedures that may be determined by mutual agreements between enter an area within the central negotiating committees referred to above. For such purposesHospital in which he is not originally employed, it is further understood that the central negotiating committees will meet during the sixth month prior he shall report his presence to the month of termination of this Agreement to convey the intentions of their principals as to possible participation in central negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 supervisor in the hospital's expiring collective agreement area immediately upon entering it. Such permission shall not be continued unreasonably withheld. When resuming his regular duties and responsibilities, such xxxxxxx shall again report to his immediate supervisor. A Union xxxxxxx shall suffer no loss of earnings for time spent in performing 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionabove duties during his regular scheduled working hours.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992019. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING RE: HOODIP‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2021. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION LETTER OF UNDERSTANDING Re: Voluntary Part-time Benefits

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at . LETTER OF UNDERSTANDING‌‌‌ Re: The introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. LETTER OF UNDERSTANDING RE: HOODIP‌‌‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, Ontarioto investigate sick leave utilization, this day discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following the date of 1999the ratification of the settlement. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix committee may explore the feasibility of Local Issuesimplementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2021. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.LETTER OF UNDERSTANDING‌ Re: Voluntary Part-time Benefits‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at Hearst , Ontario, this 8 day of 1999December 1998. FOR THE LOCAL UNION 3549 FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 1999, 2016. FOR THE HOSPITAL FOR THE LOCAL UNION LETTER OF UNDERSTANDING BETWEEN KINGSTON GENERAL HOSPITAL (the “Hospital”) AND CANADIAN UNION OF PUBLIC EMPLOYEES, LOCAL 1974 (the “Union”) RE: Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. Dated at , Ontario, this day of , 2016. FOR THE HOSPITAL APPENDIX FOR THE LOCAL UNION LETTER OF UNDERSTANDING, RE: HOODIP BETWEEN KINGSTON GENERAL HOSPITAL (the “Hospital”) AND CANADIAN UNION OF PUBLIC EMPLOYEES, LOCAL ISSUES 1974 (the “Union”) CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose central parties by March 31, 2017. Dated at , Ontario, this day of ensuring that , 2016. FOR THE HOSPITAL FOR THE LOCAL UNION LETTER OF UNDERSTANDING BETWEEN KINGSTON GENERAL HOSPITAL (the form of their collective agreement is consistent with “Hospital”) AND CANADIAN UNION OF PUBLIC EMPLOYEES, LOCAL 1974 (the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.“Union”)

Central Bargaining. Notwithstanding the foregoing provisions, in the event the parties to this the Agreement agree to negotiate for its renewal through the process of central bargaining, either party to this the Agreement may give notice to the other party of its desire to bargain for amendments on local matters proposed for incorporation in the renewal of this the Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the termination date of this the Agreement. Negotiations on central matters shall take place during the period commencing forty-five days prior to the termination date of this the Agreement. It is understood and agreed that "local matters" means, those matters matters, which have been determined by mutual agreement between the central negotiating committees respectively representing each of the parties to this the Agreement as being subjects for local bargaining directly between the parties to this the Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the central negotiating committees will meet during the sixth month prior to the month of termination of this the Agreement to convey the intentions of their principals as to possible participation in central negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 24th day of 1999May 2019. FOR THE LOCAL UNION UNION: FOR THE HOSPITAL HOSPITAL: Xxxxxxx Xxxxxxxxx Xxxxxx Xxxxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Xxxxxx Xxxxx Xxxxxx Bridle Xxxx Xxxxxxx Xxxxx Xxxxx Xxxxxxx Gorgzadeh Xxxxx Xxxxxxxxxx Xxxxx Xxxxxxx Xxxxx Xxxxxxxx APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix A: NON-RPN WORKLOAD COMPLAINT FORM N.B. All sections 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form must be completed prior to submission for review. The parties agree that patient care is enhanced if concerns relating to professional practice, patient acuity, fluctuating Work-Loads and fluctuating staffing are resolved in which their agreed issues are to appear in the collective agreement is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutiona timely and effective manner.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Mississauga, Ontario, this 25th day of 1999November 2022. FOR THE LOCAL UNION EMPLOYER FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an UNION Appendix A : Non-RPN Workload Complaint Form N.B. All sections 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Hospital and a Local Union have reached a settlement of all Local Issues, and the form must be completed prior to submission for review. The parties agree that patient care is enhanced if concerns relating to professional practice, patient acuity, fluctuating Work-Loads and fluctuating staffing are resolved in which their agreed issues are to appear in the collective agreement is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutiona timely and effective manner.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992018. FOR THE LOCAL HOSPITALS FOR THE UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING RE: HOODIP‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2021. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITAL FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this _ day of 1999_ 2023. FOR THE HOSPITALS FOR THE LOCAL UNION __ __ LETTER OF UNDERSTANDING‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION __ __ LETTER OF LOCAL ISSUES UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2024. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION __ __ LETTER OF UNDERSTANDING‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992013. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the working group. The time spent by the CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the central partiesparties by March 31, then 2013. FOR THE HOSPITALS FOR THE UNION LETTER OF UNDERSTANDING Re: Voluntary Part-time Benefits‌ If the local parties may reagree, the Hospital will provide part-open negotiations for time employees with the sole purpose option of ensuring voluntary participation in any and all of the group health and welfare benefit programs set out in Article 18.01. It is understood and agreed that the form part-time employees would pay the Employer the full amount of their collective agreement is consistent with the foregoingmonthly premiums, in advance. Any difficulties NOTE: Part-time voluntary benefits are not arbitrable in this regard shall be submitted to the Implementation Committee for resolution.local negotiations. FOR THE HOSPITALS FOR THE UNION _

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties patties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this day of 1999. June, FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsREVIEW FORM Employees to complete every section of Occurrence Date Form Submitted to Employer Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty the undersigned, while not being that I were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form below): To correct this problem, recommended: of their collective agreement is consistent Immediate Supervisor Notified of Notification Response Signature of Printed on Line Below: do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this _ day of 1999_ 2023. FOR THE HOSPITALS FOR THE LOCAL UNION __ __ LETTER OF UNDERSTANDING‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION __ __ LETTER OF LOCAL ISSUES UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2024. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION __ __

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at NEPEAN, Ontario, this day of 19992004. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. “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 incorporation in the renewal of this Agreement and negotiations on local local’ matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." ” Dated at , Ontario, this day of 19991 9 9 7 . FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 ’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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.. 491 APPENDIX OF LOCAL ISSUES APPENDIX A PAGE 37 Communication B 38 Wage Rates - General

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-five 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 local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at WORK‐LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisions, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Health Centre FULL-TIME Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsHealth Centre FULL-TIME WORK-LOAD REVIEW FORM Employees to complete every section of Occurrence Date Form Submitted to Employer Si n Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty the undersigned, while not being believe that I were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form below): To correct this problem, recommended: of their collective agreement is consistent Immediate Supervisor Notified of Notification Response Signature of Printed on Line Below: do not agree with the foregoingresolution of my concern. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Letter of

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 one hundred and twenty (120) to 60 sixty (60) days prior to the termination date of this Agreement. Negotiations on central matters shall take place during the this period commencing forty-forty- five (45) 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 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 local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees Central Negotiating Committees referred to above. For such purposes, it is further understood that the central negotiating committees 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 negotiationsCentral Negotiations, if any, and the conditions for such central bargaining." Dated . Signed at Kenora, Ontario, this day of 19992011. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX 3634contractsep2004-2006 LETTER OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix UNDERSTANDING between Lake 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Xxxxx District Hospital and a Local Union have reached a settlement of all Local Issues, CUPE 3634 Re: Overtime Shifts - Laboratory The Hospital and the form in which their agreed issues are Union agree to appear in the collective agreement is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations meet to develop a process for the sole purpose scheduling of ensuring that overtime shifts. Dated this day of July, 2011 For the form of their collective agreement is consistent with Hospital For the foregoing. Any difficulties in this regard shall be submitted Xxxxx XXXX0000xxxxxxxxxxxxxxxxxx0000 CUPE 3634 Extended Tour Addendum - Amendments to the Implementation Committee for resolution.Collective Agreement

Central Bargaining. 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 incorporation in incorporationin the renewal of this Agreement and negotiations on negotiationson local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the central negotiating committees negotiatingcommittees 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 negotiations, if any, and the conditions for such central bargaining." . Dated at TO'.DYlt:0 , Ontario, this day of 1999z3e...O.. :lem.'t>ec 2018. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.HOSPITALS FOR THE UNION

Central Bargaining. “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 incorporation incorpora- tion in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures pro- cedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the central negotiating committees will meet during the sixth month prior to the month of termination of this Agreement to convey the intentions inten- tions of their principals as to possible participation in central negotiations, if any, and the conditions for such central bargaining." Dated ” at , Ontario, this . day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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. - INDEX PROVISION ARTICLE PACE Management Rights - Statement of Religious Purpose - I I Recognition - Union Membership - Dues Deduction and Remittance and of Dues Lists - Constitution of Local Bargaining and Grievance List Union Officials Committees - Seniority Lists - Job Posting Pay Cheques Scheduling - Uniform Allowance - Wages Administrative Provisions Sick Leave Administrative Provisions - Vacation Administrative Provisions Designation of Specific Holidays - Administrative Provision re Payment Accumulation of Wages - Lieu Days Meal Allowances - Allowance Uniform Allowance Bulletin Boards - Mileage Allowance - Board Copies of the Agreement Communication to Employer Communication to Union - Vacation Administrative Provisions - Pay Day - Health & Safety - Designation Definition of Classifications Required to Wear Safety Footwear Where a Hospital Regular Full-time Employee Malpractice and a Local Liability Insurance Physical Handicap Canada Pension Plan General Signing Page ARTICLE MANAGEMENT RIGHTS The Union have reached a settlement of all Local Issues, and acknowledges that it is the form in which their agreed issues are to appear in the collective agreement is inconsistent with the foregoing agreement exclusive function of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Hospital to:

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between agreementsbetween the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Safety

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Xxxxxxx, OntarioXxxxxxx, this 19th day of 1999June, 2006. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this _ day of 1999_ 2019. FOR THE HOSPITALS FOR THE LOCAL UNION _ _ _ _ _ _ _ _ :lf/cope 491 May 30, 2019 LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. Dated at , Ontario, this _ day of _ 2019. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE LOCAL UNION _ _ _ _ _ _ _ _ :lf/cope 491 May 30, 2019 LETTER OF LOCAL ISSUES UNDERSTANDING‌‌‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose central parties by March 31, 2021. Dated at , Ontario, this _ day of ensuring that the form of their collective agreement is consistent with the foregoing_ 2019. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE LOCAL UNION _ _ _ _ _ _ _ _ :lf/cope 491 May 30, 2019 LETTER OF UNDERSTANDING‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Toronto, Ontario, this day of 19992002. FOR THE LOCAL UNION HOSPITAL FOR THE HOSPITAL UNION APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at Xxxxxxx, OntarioXxxxxxx, this 19th day of 1999June, 2006. FOR THE HOSPITAL FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsk-Air-0614 WORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Type of Work Being Performed Number of Staff on Duty Department/Unit UsualNumbeor f Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified DatelTime of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: Uwe do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992011. FOR THE HOSPITAL FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX LETTER OF LOCAL ISSUES UNDERSTANDING‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. For the hospitals: For the union: LETTER OF UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that central parties by March 31, 2013. For the form of their collective agreement is consistent with hospitals: For the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.union: LETTER OF UNDERSTANDING‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreement. Agreement It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 principles as to possible participation in central negotiations, if any, and the conditions for such central bargaining." Dated at . Wages Retroactive payment to individuals relating to the foregoing general wage increases shall be paid within days from the effective date of this award (i.e. its date of issue) and be based on all hours paid from September for both full and part-time employees, Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 and in the hospital's expiring collective agreement case of the latter group shall the appropriate amount tied to the applicable percentage in lieu of benefits payment. Retroactive payment of wages shall be continued in by-separate cheque where the Appendix existing payroll system Where the existing payroll system does not allow for payment by separate cheque, the Hospital supply each employee with a written, detailed explanation of Local Issues subject the retroactive pay calculations made. Employees who have terminated their employment since September shall be sent a notice by the Hospital by Registered Mail to any changestheir last-know address, deletions or additions resulting and such individuals shall have sixty (60 days from the current round date 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 - Designation of Specific Holidays - Administrative Provision re Payment of Wages - Meal Allowances - Bulletin Boards - Mileage Allowance - Communication such notice within which to Union - Vacation Administrative Provisions - Pay Day - Health & Safety - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionclaim retroactive payment.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day . WORKLOAD COMPLAINT FORM/FORMULAIRE DE PLAINTE SECTION 1: GENERAL INFORMATION/GÉNÉRALITÉS (Please Print/Lettres Moulées S.V.P.) Name(s) of 1999Employee(s) Reporting / Nom(s) des Employé (e)(s): Employer/ Unit/Area/Program: Employeur: Unité/Service/Secteur: Date of Occurrence: Time:  7.5 Hr. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix Shift  11.25 Hr. Shift Date de l’Évènement: Heure: Quart de 7,5 hres Quart de 11,25 hres Name 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.Supervisor: Nom du Surveillant: Date/Time Submitted: Date et heure de soumission:

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day . Local-1144 WORKLOAD COMPLAINT FORM/FORMULAIRE DE PLAINTE SECTION 1: GENERAL INFORMATION/GÉNÉRALITÉS (Please Print/Lettres Moulées S.V.P.) Name(s) of 1999Employee(s) Reporting / Nom(s) des Employé (e)(s): Employer/ Unit/Area/Program: Employeur: Unité/Service/Secteur: Date of Occurrence: Date de l’Évènement: Time: Heure: ❑ 7.5 Hr. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix Shift ❑ 11.25 Hr. Shift Quart de 7,5 hrs Quart de 11,25 hrs Name 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where Supervisor: Date/Time Submitted: Nom du Surveillant: Date et heure de soumission: Provide 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 the foregoing agreement concise summary of the central parties, then the local parties may reoccurrence/Faites une brève description de la situation: Check one/Cochez une seule case: ❑ Is this an isolated incident?/Est-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.ce un incident isolé? ❑ An ongoing problem?/Une situation perpétuelle?

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this _ day of 1999_ 2020. FOR THE HOSPITALS FOR THE LOCAL UNION __ Xxxxx Xxxxxxx (Aug 13, 2020 17:04 EDT) __ Xxx Demonski (Sep 9, 2020 18:30 EDT) XXXXXXXXX XXXXXX (Sep 9, 2020 18:42 EDT) LETTER OF UNDERSTANDING‌‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans‌ Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION __ __ LETTER OF LOCAL ISSUES UNDERSTANDING‌‌‌‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any pilot project will be without prejudice. CUPE members will be granted such time off as is required to attend joint meetings of the working group. The time spent by the CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the central parties by March 31, 2021. FOR THE HOSPITALS FOR THE UNION __ __ LETTER OF UNDERSTANDING‌‌‌‌ Re: Voluntary Part-time Benefits If the local parties agree, the Hospital will provide part-time employees with the option of voluntary participation in any and all of the group health and welfare benefit programs set out in Article 18.01. It is understood and agreed that the part-time employees would pay the Employer the full amount of the monthly premiums, in advance. NOTE: Part-time voluntary benefits are not arbitrable in local negotiations. FOR THE HOSPITALS FOR THE UNION __ __ LETTER OF UNDERSTANDING‌‌ RE: RPN Rates‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to discuss the issue provisions which existed in of RPN rates across 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 - 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 - Designation of Classifications Required to Wear Safety Footwear Where a Hospital and a Local Union have reached a settlement of all Local Issuesprovince, and the form feasibility of moving towards a provincial or common wage rate. The working group will have access to expertise and resources as appropriate. The working group will commence meeting sixty (60) days following ratification of the collective agreement. CUPE members will be granted such time off as is required to attend joint meetings of the working group. The time spent by the CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in which their agreed issues order to endeavour to arrive at joint recommendations for the central parties four (4) months prior to the expiry of the collective agreement. FOR THE HOSPITALS FOR THE UNION __ __ Memorandum of Agreement Between:‌‌ The Participating Hospitals/ OHA The Ontario Council of Hospital Unions/ CUPE Whereas the current collective agreement makes reference to the Blue Cross Plans in effect as of September 28, 1993; And Whereas the semi-private, extended health care and dental benefits are now being provided by various carriers at the different hospitals; And Whereas the Participating Hospitals (“the Hospitals”) and the Ontario Council of Hospital Unions/CUPE (“the Union”) wish to appear in ensure that the collective agreement entitlements to semi-private, extended health care and dental benefits are comparable; And Whereas the Hospitals and the Union are desirous of considering whether, without reducing the level of benefits provided at each individual participating hospital, savings can be achieved in the provision of semi-private, extended health care and dental benefits; And Whereas the Hospitals and the Union wish to ensure that eligible employees receive comprehensive and accurate information about their coverage and entitlements; And Whereas the Hospitals and the Union recognize the importance of working collaboratively to achieve the objectives outlined above, it is inconsistent with the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.agreed as follows:

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated . PART TIME CONTRACT PAGE DATED at Alexandria, Ontario, this day of 1999I PAGE MEMORIAL HOSPITAL SCHEDULE PART TIME EMPLOYEES September December Radiology Tech. FOR THE LOCAL UNION FOR THE Laboratory Tech. Physiotherapist Record Librarian Admitting Clerk, Medical Typist, Xxxx Clerk operator Switchboard Operator RNA, Orderly, Tech., Nurse Tech. Stores Clerk Dietary Aide (Charge) Xxxx Xxxx Assistant Cook Xxxxxxxx, Maintenance Man Gen. Maintenance Man Skilled Orderly Untrained Health Care Aide MEMORIAL HOSPITAL APPENDIX SCHEDULE PART TIME EMPLOYEES PAY EQUITY RATES AS OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionJanuary September Start Radiology Tech.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at NEPEAN, Ontario, this day of 19992000. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES SCHEDULE A Disability Income Plan The following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix Hospital agrees to pay 100% of Local Issues. Any local issue provisions which existed the billed premium towards coverage of full-time employees in the hospital's expiring collective agreement shall be continued in short-term portion of the Appendix of Local Issues subject to any changes, deletions or additions resulting from the current round of bargaininghospitals Disability Income Plan. - 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 - The Hospital Disability Income Plan is segregated into three components; Unemployment Sick Leave Administrative Provisions - Designation period from onset 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted illness to the Implementation Committee for resolutionend of week fifteen. Insurance - period from week sixteen to week thirty, both inclusive. Long-term Disability - period from week thirty-one until return to gainful employment, age sixty-five or death.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Hamilton, Ontario, this 20th day of 1999May 2021. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. Dated at Hamilton, Ontario, this 20th day of May 2021. FOR THE LOCAL ISSUES UNION FOR THE HOSPITAL LETTER OF UNDERSTANDING RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose central parties by March 31, 2021. Dated at Hamilton, Ontario, this 20th day of ensuring that the form of their collective agreement is consistent with the foregoingMay 2021. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE LOCAL UNION FOR THE HOSPITAL LETTER OF UNDERSTANDING

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992006. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992011. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2013. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 19992006. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsWORK-LOAD REVIEW FORM Employees to complete every section Date/Time of Occurrence Date Form Submitted to Employer Site/Location Department/Unit Type of Work Being Performed Number of Staff on Duty Usual Number of Staff on Duty I/We the undersigned, while not being believe that I was/we were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care and/or created an unsafe working environment for the sole purpose following reasons. (Provide brief description of ensuring that the form problem/assignment below): To correct this problem, I/we recommended: Name/Title of their collective agreement is consistent Immediate Supervisor Notified Date/Time of Notification Response Signature of Employee(s) & Printed Name(s) on Line Below: I/we do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at Toronto, Ontario, this day of 19992001. FOR THE LOCAL UNION HOSPITAL FOR THE HOSPITAL UNION APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992018. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX LETTER OF LOCAL ISSUES UNDERSTANDING RE: HOODIP‌ CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2017. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION LETTER OF UNDERSTANDING Re: Voluntary Part-time Benefits

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." . Dated at , Ontario, this day of 19992023. FOR THE HOSPITALS FOR THE LOCAL UNION LETTER OF UNDERSTANDING‌ Regarding the introduction of HOODIP to Hospitals with Accumulating Sick Leave Plans Participating CUPE locals and Hospitals agree to meet to discuss the merits of introducing HOODIP to their CUPE bargaining units. It is understood that such meetings will occur within 6 months following the date of ratification of the Memorandum of Settlement. FOR THE HOSPITAL APPENDIX HOSPITALS FOR THE UNION LETTER OF LOCAL ISSUES UNDERSTANDING‌‌ RE: HOODIP CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to investigate sick leave utilization, discuss changes to HOODIP and individual Hospital participation in the Plan. The working group will have access to expertise and resources as appropriate. The working group will commence meeting within 3 months following provisions, while not being an exhaustive listing, are appropriate for inclusion in an Appendix the date of Local Issuesthe ratification of the settlement. The committee may explore the feasibility of implementing pilot project(s) to determine the effectiveness of any changes to the current sick leave plan. Any local issue provisions which existed in the hospital's expiring collective agreement shall pilot project will be continued in the Appendix of Local Issues subject without prejudice. CUPE members will be granted such time off as is required 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement attend joint meetings of the central parties, then working group. The time spent by the local parties may re-open negotiations CUPE members to attend joint meetings of the working group will be deemed time worked and CUPE members will be compensated at their regular straight time hourly rate. The working group will arrange its activities in order to endeavour to arrive at joint recommendations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoingcentral parties by March 31, 2024. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.FOR THE HOSPITALS FOR THE UNION LETTER OF UNDERSTANDING‌‌

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the termination date of this Agreement. Negotiations on central matters shall take place during the period commencing forty-forty- five (45) days prior to the termination date of this Agreement. Collective Agreement between The Ottawa Hospital and and its Local Expiry September 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 local bargaining directly between the parties to this Agreement. It is also agreed that local bargaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Dated at . cope October Collective Agreement between The Ottawa Hospital and and its Local Expiry September LETTER OF UNDERSTANDING No. Re: The Utilization of Skills The parties agree to form a joint provincial task force. The task force will be composed of equal numbers of representatives of the Ontario Council of Hospital and the Ontario Hospital Association. The task force will make its decisions by consensus. The mandate of the task force will be to study and make recommendations to the participating hospitals regarding the utilization of skills. The task force will: Meet within six (6) months of the ratification of the Memorandum of Settlement, Ontario, this day Secure advice and participation from such professional practice researchers and other (e.g. College of 1999Nurses) as the Task Force deems appropriate. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES Identify resources required by the task force to complete their study including exploring jointly any funding required for these resources. The following provisions, while not being an exhaustive listing, are appropriate task force will be co-chaired by a hospital representative and a representative from PE. The task force will identify the timelines for inclusion in an Appendix of Local Issuesconducting their study and will also conclude timelines for the recommendations to be made by the task force. Any local issue provisions which existed The task force recommendationswill be presented in the hospital's expiring collective agreement shall be continued in form of a report of the Appendix of Local Issues subject to any changes, deletions or additions resulting participating hospitals and locals. The final recommendations from the current round joint task force will be presented to the Human Resources Committee of bargaining. - Management Rights - Statement of Religious Purpose - Recognition - Union Membership - Dues Deduction the The parties also agree to jointly undertake reviewing the study 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 & Safety - Designation of Classifications Required to Wear Safety Footwear 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 recommendations with the foregoing agreement Ontario Nurses Association. Nothing in this Letter of the central parties, then Understanding should be construed as precluding the local parties may re-open negotiations for the sole purpose from entering into discussions with respect to scope of ensuring that the form practice and utilization of their collective agreement is consistent with the foregoingskills. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionCollective Agreement between The Ottawa Hospital and and its Local Expiry September LETTER OF UNDERSTANDING No.

Central Bargaining. “Notwithstanding the foregoing provisions, in the event the parties to this Agreement agree to negotiate for its renewal re- newal 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 incorporation in the renewal of this Agreement and negotiations ne- gotiations on local matters shall take place during the period pe- riod from 120 to 60 days prior to the 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 agree- ment between the central negotiating committees respectively respec- tively 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 bar- gaining shall be subject to such procedures that may be determined by mutual agreements between the central negotiating centra1 ne- gotiating committees referred to above. For such purposes, it is further understood that the central negotiating committees commit- tees 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 negotiationsnego- tiations, if any, and the conditions for such central bargainingbargain- ing." ” Dated at Xxxxxxx, OntarioXxxxxxx, this day of 1999. March FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF Xxxx X. Xxxxxx Xxxxx FULL-TIME LOCAL ISSUES The following provisionsCOLLECTIVE AGREEMENT between THE XXXXX XXXXXXXXX HOSPITAL, while not being an exhaustive listing, are appropriate for inclusion in an Appendix of Local Issues. Any local issue provisions which existed in TORONTO (hereinafter referred to as the hospital's expiring collective agreement shall be continued in “Hospital”) and THE CANADIAN UNION OF PUBLIC EMPLOYEES LOCAL (hereinafter referred to as 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolution.“Union”) Expiry Date: September,

Central Bargaining. 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 incorporation in the renewal of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 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 procedures that may be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood that the 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 negotiations, if any, and the conditions for such central bargaining." Standard Provisions Full Time Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES The following provisionsREVIEW FORM to 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, while not being believe that I were given 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 assignment that was excessive 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 the foregoing agreement of the central parties, then the local parties may re-open negotiations quality patient care created an unsafe working environment for the sole purpose reasons. (Provide brief description of ensuring that the form below): To correct problem, recommended: of their collective agreement is consistent Immediate Supervisor of Response Signature of Printed on Line Below: do not agree with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionresolution of my concern.

Central Bargaining. Notwithstanding In future central bargaining between the foregoing provisionsService Employees International Union and the participating hospitals, in an employee serving on the event Union's Central Negotiating Committee shall be paid for time lost from his normal straight time working hours at his regular rate of pay and without loss of leave credits for attending central negotiating meetings with 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 Hospitals' Central Negotiating direct negotiations up to the other party point of its desire arbitration. Upon reference to bargain arbitration, the Negotiating members shall receive unpaid time off for amendments on local matters proposed for incorporation in the renewal purpose of this Agreement and negotiations on local matters shall take place during the period from 120 to 60 days prior to the 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 Agreementattending arbitration hearings. It is understood and agreed that "local matters" meansthe maximum number of Union Central Negotiating Committee members entitled to payment under this provision shall be eight, and in no case will more than one employee from a hospital be entitled to such payment. The Union shall advise the Central Negotiating Committee, before negotiations commence, of those matters which have been determined by mutual agreement between employees to be paid under this provision. The Hospital's Central Negotiating shall advise the central negotiating committees respectively representing each of the parties to this Agreement as being subjects for local bargaining directly between the parties to this Agreementseven Hospitals accordingly. It is also agreed understood that local this clause does not apply to a hospital that is not participating in Central Bargaining. Local Negotiating Committee Local Provisions Appendix The Hospital agrees to recognize a Negotiating Committee comprising of members to be elected, or appointed from amongst employees in the bargaining unit, who have completed their probationary period. Where the Hospital participates in central bargaining, the purpose of the Negotiating Committee shall be subject to such procedures that may negotiate local issues as defined. Where the Hospital does not participate in central bargaining, the purpose of the Negotiating Committee shall be determined by mutual agreements between the central negotiating committees referred to above. For such purposes, it is further understood negotiate a renewal of this Collective Agreement The Hospital agrees that the central members of the Negotiating shall suffer no loss of earnings for time spent during their regular scheduled working hours in attending such 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 negotiations, if any, and the conditions for such central bargaining." Dated at , Ontario, this day of 1999. FOR THE LOCAL UNION FOR THE HOSPITAL APPENDIX OF LOCAL ISSUES 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 - 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 - Designation of Classifications Required to Wear Safety Footwear 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 meetings with the foregoing agreement of the central partiesHospital up to, then the local parties may re-open negotiations for the sole purpose of ensuring that the form of their collective agreement is consistent with the foregoing. Any difficulties in this regard shall be submitted to the Implementation Committee for resolutionbut not including, arbitration.