Common use of LETTER OF UNDERSTANDING Clause in Contracts

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 of RPN rates across the province, and the 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 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 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 agreed as follows:

LETTER OF UNDERSTANDING. RE: RPN Rates RATES CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to discuss the issue of RPN rates across the province, and the 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 meeting 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 endeavor 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 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 agreed as follows:

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 of RPN rates across the province, and the 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 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: - 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 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 agreed as follows:

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 of RPN rates across the province, and the 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 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 ensure that the collective agreement entitlements to semi-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 agreed as follows:

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 of RPN rates across the province, and the 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 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 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 agreed as follows:

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 of RPN rates across the province, and the 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 order to endeavour to arrive at joint recommendations for the central parties four (4) months prior to the expiry of the collective agreement. Dated at Hamilton, Ontario, this 20th day of May 2021. FOR THE HOSPITALS LOCAL UNION FOR THE UNION Memorandum of Agreement HOSPITAL MEMORANDUM OF AGREEMENT Between: The Participating Hospitals/ OHA - and - 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 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 agreed as follows:

LETTER OF UNDERSTANDING. RE: RPN Rates RATES CUPE and the Participating Hospitals agree to establish a provincial working group consisting of up to three representatives each, to discuss the issue of RPN rates across the province, and the 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 meeting 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 endeavor 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 ensure that the collective agreement entitlements to semi-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 agreed as follows:

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 of RPN rates across the province, and the 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 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 HOSPITAL FOR THE UNION Memorandum of Agreement Between: The Participating Hospitals/ OHA - and - 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 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 agreed as follows: