""'-' „J22 bmmpton.ca FlOWef City The Corporation of the City of Brampton

Date: August 27,2012

File: M25-PMH DATEiSephuMr i2( fog

Subject: Agreement for the Use of a Municipal Grant for the New Peel Memorial Centre for Integrated Health and Wellness at 20 Lynch Street, Brampton, (Formerly Peel Memorial Hospital)

Contact: Mo Lewis, Commissioner of Financial and Information Services (Tel: 905­ 874-2250)

Dennis Cutajar, Commissioner of Economic Development and Communications (Tel: 905-874-2698)

OVERVIEW • At their meeting of August 8, 2012 City Council directed staff to undertake a number of activities in relation to the new Peel Memorial Centre for Integrated Health and Wellness ("Centre") proposed by the William Osier Health System ("Osier"). These activities have been completed and the results are contained in this report. • On Tuesday August 14, 2012, City staff met with management staff from OSLER to discuss the principles of a grant Agreement between the City and OSLER and to discuss process, timelines/milestones. • Following this meeting, City and Osier staff worked together to prepare a draft Agreement directing the use of a S60 million municipal grant towards the local share commitment associated with the proposed Centre. • This report recommends that the Mayor and City Clerk be authorized to execute the Agreement in a form that is satisfactory to the City Solicitor and content of the Agreement satisfactory to the respective Commissioners. A copy of the draft Agreement can be found in Appendix 1 for Council consideration.

RECOMMENDATIONS

1. That the report from the Commissioner of Financial and Information Services and the Commissioner of Economic Development and Communications dated August 27, 2012, to the Council meeting of September 12, 2012, re: Agreement For the Use of a Municipal Grant for the New Peel Memorial Centre for Integrated £6-1-2

Health and Wellness at 20 Lynch Street, Brampton, Ontario (Formerly Peel Memorial Hospital) - Ward 3 (File M25-PMH), be received; and

2. That, the Mayor and City Clerk execute an Agreement For the Use of a Municipal Grant towards the local share contribution of Phases One and Two of the new Peel Memorial Centre for Integrated Health and Wellness, located at 20 Lynch Street, Brampton, Ontario, and that such an Agreement be in a form satisfactory to the City Solicitorand the final content be satisfactory to the Commissioner of Financial and Information Services and Commissioner of Economic Development and Communications, substantially in accordance with Appendix 1.

BACKGROUND

City staff has fulfilled the directions it received in the motion approved by Council on August 8, 2012.

"Whereas during the Council meeting of March 31, 2010, the Council of the City of Brampton approved a motion to commit $60 million towards the "local share" of hospital funding for the redevelopment of the Peel Memorial Hospital Facility to construct a new Peel Memorial Centre for Integrated Health and Wellness, and

Whereas the motion was forwarded to Premier McGuinty on April 9, 2010 and acknowledged in writing by the Premier on April 23, 2012, and

Whereas the Peel Memorial Centre for Integrated Health and Wellness project is moving forward, and

Whereas the Peel Memorial Centre for Integrated Health and Wellness will be constructed in two phases, with Phase 1 requiring a $40 million City commitment of the $60 million "local share" contribution and the second phase requiring a $20 million City commitment of the $60 million "local share" contribution,

Therefore, be it resolved:

1. That during the week of August 13,2012 the Commissioner of Finance and staff identified by the Commissioner meet with Mr. Matt Anderson, CEO of William Osier Health Centre and staff identified by Mr. Anderson to clarify all required project milestones and timelines, timing and amounts connected with the payment of "local share" for Phase 1 and Phase II of the Peel Memorial Centre for Integrated Health and Wellness project, and

2. That a draft Memorandum of Understanding that Identifies the local share commitment, and the timing and amount of the required payment of "local share" for each phase of the approved two-phase Peel Memorial Centre for Integrated Health and Wellness project, be completedon the agenda fordebate and approvalat the City of Brampton Council meeting of September 12,2012, and

3. That staff add the funding of the "local share" commitment to the 2013 budget discussions.

Moved by: Mayor Susan Fennell Seconded by: Regional Councillor Paul Palleschi"

CURRENT SITUATION

On August 14,2012, the Commissioner of Financial and Information Services, the Commissioner of Economic Development and Communications and the Director of Financial Planning and Budgets met with the President and CEO of the William Osier Health System and the Chief Financial Officer of the William Osier Health System.

The purpose of this meeting was to discuss the principles of a memorandum of understanding ("Agreement"), and the timelines and milestones that guides such an Agreement.

Following this meeting, Osier and City staff worked together to prepare the Agreement presented in this report. The following principles formed the structure and content of the Agreement.

Description of Project

The new Centre will be developed in two phases, known as Phase One and Phase Two. The Project shall be delivered by an Alternative Financing and Procurement (AFP) model under the Infrastructure Ontario mandate.

The Government of Ontario has provided fiscal approval for Phase One of the Centre to begin construction in the 2013/2014 provincial fiscal year using a design, build, finance, maintain alternative financing and procurement approach.

The scope of work related to Phase One is based on the August 2010 Planning Submission by Osier to the Government of Ontario which includes specialized health E&-I-4 care services in a patient-centred environment, namely: urgent care, ambulatory care, outpatient surgical care, and administrative services at 20 Lynch Street, Brampton, Ontario.

Phase Two has been loosely defined to mean the future expansion of the Centre subject to Government approval of the Phase Two Functional Plan including approval of scope of programs and services included in Phase Two of the Centre.

Osier advised staff that the final appropriation of funds, and final approvals for the Centre had been completed by the Government of Ontario at this time. However, fiscal approvals for Phase Two were not granted at the time of this report.

Local Share Funding Formula

1. Local Share means that approximately 30% of the project cost is generated by the community through various sources including: municipal contributions, donations to foundations, business/clinical partnerships, ancillary revenue, hospital owned funds, and other community based fund-raising sources. The Local Share for the Centre has been estimated by Osier at $120 million. The project budget, over two phases, is approximately $420 million.

2. The City of Brampton contribution towards the LocalShare is $60 million, or approximately 50% of the total Local Share commitment to the Project of $120 million. This also translates to approximately 14% of the total project budget of $420 million (Phases One and Two).

3. Osier has requested that the Citycontribute a maximum of $40 million towards the Local Share in Phase One and a maximum of $20 million towards the Local Share in Phase Two. Should the Phase One payment be less than $40 million, based on the City's 50% contribution to Local Share, the difference to a maximum of $60 million shall be paid by the City in Phase Two.

Time of Payment

1. The Local Share contribution is payable by the City of Brampton to Osier approximately3-months priorto Substantial Performance of Phase One and Phase Two, respectively. In other words when the building is nearing occupancy, confirmed by a Certificate of Completion, the Treasurer shall be authorized to release the Grant payment in one payment for Phase One and again in one payment for Phase Two. 2. Osier informed staff that Phase One shall be completed in 2016 and Phase Two estimated two-years later. The Agreement has been structured to expire with Payment of Phase Two, or in 2030 with an OSLER option to request Council to consider a 24-month extension.

3. Osier through its fund-raising campaigns and other sources shall also contribute approximately 3-months prior to Substantial Performance of each Phase.

4. OSLER acknowledges Provincial financing is available upon Substantial Performance for each Phase of the Centre.

Accountability and Reporting

1. Each Year until substantial completion of Phases One and Two, a status report shall be presented to Council by the CEO or his/her designate including the following: (1) General update of construction progress; (2) Status of Centre development, programming and fund raising activities associated with the balance of the local share for the Centre, (3) Progress of this Agreement, (4) Other related activity to the Centre, including awards, successes, and accolades, and (5) Response to questions and answers.

2. Osier is required to provide to the City an audited financial statement related to the Grant within 90 days of Substantial Completion of Phase One and within 90 days of substantial completion of Phase Two.

Administrative Office Space

The Agreement is structured to ensure that Osier establishes a staff leadership presence at the Centre for a period of thirty (30) years starting at Substantial Completion of Phase One. Currently, Osier offices are distributed between an Airport Road industrial location and .

Community Recognition

Osier agreed to recognize, at its expense, the City on behalf of property taxpayers as a community funding partner of the Centre on all related communication materials prepared by Osier. IT6-I-6

CORPORATE IMPLICATIONS

Approvals and Governance of Agreement

With Council approval of the Agreement included in this report, the Mayor and Clerk shall be authorized to sign it in a form that is satisfactory to the City Solicitor and the content satisfactory to the respective Commissioners.

City Council shall serve as the body responsible for governing the municipal grant related to the Agreement, and as stated earlier in this report, Council shall annually receive a delegation from the Osier executive team on the status of the project.

The designated contact from City staff responsible for the administration of City obligations in this Agreement is the Treasurer; and the designated contact for Osier is the President and CEO.

Budget Impact

As directed by Council in the motion of August 8,2012, staff is in the process of developing the funding plan for the City of Brampton contribution to the local share commitment for the 2013 budget submission. This plan shall be presented to Budget Committee.

Policy Impact

This staff report is aligned with previous Council resolutions related to the City of Brampton $60 million contribution towards the local share commitment of $120 million, namely the March 31,2010 Council Resolution (see Appendix 2); supported by the August 8,2012 Council resolution (outlined in the Background section of this report).

Community Impact

The redevelopment of the former Peel Memorial Hospital continues to be a community priority. The expansion of local health care services for Brampton residents and businesses is a paramount benefit and outcome of the Peel Memorial Centre for Integrated Health and Wellness at 20 Lynch Street, Brampton, Ontario.

Economic Impact

The Centre will generate economic impact in two forms: (1) One-time income and employment generated by the Centre's two phase construction program. A $420 million capital investment serves to generate direct, indirect and induced economic impact and (2) the annual operating budget of the Centre, and the employment spending derived from corporate staff and operations staff at the Centre creates a long term annual impact in the local and regional economy. X4-1-7

Adetailed Economic Impact analysis wascommissioned by Osier, and a summary of findings was presented to Council in March 2010. This studyalso described the positive impact this project should have on catalyzing a new pattern of private commercial investment and development on the Queen Street corridor and the City- Region as a whole.

CONCLUSION

In conclusion, staff has fulfilled the direction outlined in the motion approved by Council on August 8,2012 and is pleased to submit this report for the consideration of City Council.

Original Signed By Original Signed By

Mo Kewis Dennis Cutajar Commissioner of Finance and Information Commissioner of Economic Services/Treasurer Development & Communications

Appendices:

1. Draft Agreement for the Use of a Municipal Grant Between the Corporation of the City of Brampton and William Osier Health System (OSLER).

2. Council Resolution of March 31,2010. APPENDIX 1 DRAFT

AGREEMENT FOR THE USE OF A MUNICIPAL GRANT

THIS AGREEMENT made on the dayof , 2012.

BETWEEN:

WILLIAM OSLER HEALTH SYSTEM (Hereinafter called "OSLER")

-And-

THE CORPORATION OF THE CITY OF BRAMPTON (Hereinafter called the "City")

WHEREAS, OSLER has proposed the development of a new Peel Memorial Centre for Integrated Health and Wellness at their 20 Lynch Street property in Brampton (formerly Peel Memorial Hospital), thereby enhancing health care services in Brampton, Ontario;

AND WHEREAS, during the Council meeting of March 31,2010, the Council ofthe City of Brampton approved a motion to commit $60 million towards the Local Share of hospital funding for the redevelopment of the Peel Memorial Hospital facility to construct the new Peel Memorial Centre for Integrated Health and Wellness (hereinafter called the "Centre");

AND WHEREAS, the Centre is planned to be constructed in two phases, with Phase One requiring a $40 million City commitment of the $60 million towards the Local Share contribution and the second phase requiring a $20 million City commitment of the $60 million towards the Local Share contribution;

AND WHEREAS, on August 8, 2012 City Council directed City staff to develop a memorandum of understanding with OSLER for the use of a City Grant to the proposed Centre (Council Resolution #### - ####);

NOW THEREFORE THIS AGREEMENT WITNESSES that for good and valuable consideration, the receipt and sufficiency of which are acknowledged and the mutual promises herein, the parties agree as follows: X6-MO

DRAFT

1.0 DEFINITIONS

Any terms that arenot specifically defined in this Agreement shall have the meaning attributed to them in the following order of priority: applicable legislation, regulation, municipal bylaw, policyorthe common English language definition. The following definitionsapply to the interpretationofthis Agreement:

1. "Centre" means the two phases of the Peel Memorial Centre for Integrated Health and Wellness and its activities/operations to be constructed and operated by OSLER to deliver the following services in a specialized, patient centred environment: urgent care, ambulatory care, outpatient surgical care, health administrative services and other health services on the property located at 20 Lynch Street, Brampton, Ontario.

2. "CEO" means the President and Chief Executive Officer having signing authority on behalfofthe OSLER body corporate, or his or her designate, authorized to act on his or her behalf.

3. "City" means the Corporation of the City of Brampton.

4. "Council" means the Council of the Corporation ofthe City of Brampton.

5. "Current Budget" means the annual operating budget (expenditures and revenues) of the City.

6. "Designated Contact" means the staff person(s) at the City and at OSLER to whom communications related to this Agreement are directed. The Designated Contact for the City is the Treasurer, City of Brampton. The Designated Contact for OSLER is the President and CEO, William Osier Health System.

7. "Fund" means a City reserve account managed by Council, which is the source funding for this Grant.

8. "Government" means the Government of Ontario including its Ministries and Crown Corporations.

9. "Grant" means the City's financial contribution of $60 million towards the Local Share of the Project Cost for the Centre and represents approximately 50% of the Local Share.

10. "Invoice" means a request for Payment sent by OSLER to the Designated Contact at the City.

11."Local Share" means approximately 30% of the total Project Cost is generated through municipal contributions, donations to foundations, business/clinical partnerships, ancillary revenue, hospital owned funds, and other community based fund-raising DRAFT

sources. The Local Share forthe Centre has beenestimated by OSLERas $120 million towards a Project Cost of $420 million.

12."Payment(s)" meansa single installment of the Grant, paid by the City to OSLER. The first installment for Phase One will be 50% of the related Local Share to a maximum of $40 million; the second installment for Phase Two will bring the total Citycontribution to 50% of the total Local Share for the Centre to a maximum of$60 million, subject to this Agreement.

13."Phase One" means the Government's fiscal approval for the Centre to begin construction in the 2013/2014 provincial fiscal year using a design, build, finance, maintain alternative financing and procurement approach, subject to legislative appropriation and all applicable approvals of the Government. Phase One scope is based on the August 2010 Planning Submission by OSLER to the Government which includes specialised health care services in a patient-centred environment, namely: urgent care, ambulatory care, outpatient surgical care, and administrative services at 20 Lynch Street, Brampton, Ontario.

14. "Phase Two" means the future expansion of the Centre subject to Government approval of Phase Two Functional Plan including fiscal approval of scope of programs and services included in Phase Two of the Centre, including legislative appropriation and all other applicable approvals by the Government.

15. "Project Cost" means the capital cost associated with hospital construction, acquisition of hospital furniture, fixtures and equipment, parking construction, ancillary fees, and contingency costs related to construction of the Centre.

16. "Status Report" means an annual report presented to Council by the CEO or his/her designate including the following: (1) General update of the construction progress of the Centre, (2) Status of Centre development, programming and fund raising activities associated with the balance of the local share for the Centre, (3) Progress of this Agreement, (4) Other related activity to the Centre, including awards, successes, and accolades, and (5) Response to questions and answers.

17. "Substantial Performance" means the Centre is ready for occupancy confirmed by a Certificate of Completion pursuant to the Construction Liens Act.

18."Year" means the calendar year starting on the first day of January in each year and ending on the last day of December in each year.

2.0 CITY OBLIGATIONS

1. City shall make a Payment of 50% of the Local Share for Phase One of the Centre to a maximum of $40 million. X&-I-IZ

DRAFT

2. City acknowledges that the business case for the Phase One and Phase Two of the Centre has been accepted by Government. Phase Oneofthe Centre has full Government approval including the appropriation of funds. Government fiscal approval of Phase Two of the Centre was pending at the time ofexecution ofthis Agreement.

3. City shall make a Payment for Phase Two ofthe Centre that represents the difference betweenthe Phase One Payment ofa maximum of$40 million andthe maximum City contribution of $60 million towards Local Share.

4. The City shall make the full Payment for each Phase to Osier upon formal notification and invoice, submitted to the City by Osier, 90 days priorto expected date ofSubstantial Performance foreach Phase, to be held by Osier for final payment to the projectconsortium pending issuance ofa Certificate ofSubstantial Performance by an independent third-party certifier.

5. City's DesignatedContact shall advise Council at the time of Payment, once the criteria for that Payment have been satisfied.

6. The Treasurer ofthe City upon receiving appropriate documentation from OSLER or Government shall transfer Rinds from the appropriate Fund to the Current Budget and make the Payment to OSLER. The Treasurer ofthe City shall not be authorized to make more than one Payment for Phase One ofthe Centre and not more than one Payment for Phase Two ofthe Centre without seeking Council approval.

7. City has no additional obligations related to the Grant.

3.0 OSLER OBLIGATIONS

1. OSLER shall describe in writing to Council, general construction activities planned in Phase One and Phase Two ofthe overall construction program ofthe Centre.

2. OSLER acknowledges that the business case for the Phase One and Phase Two ofthe Centre has been accepted by Government. Phase One of the Centre has full Government approval including the appropriation of funds. Government fiscal approvalofPhaseTwo ofthe Centre was pending at the time ofexecution ofthis Agreement.

3. OSLER acknowledges Provincial financing upon Substantial Performance for each Phase of the Centre.

4. OSLER shall manage and finance all capital and current expenditures, including all services (water, wastewater, transportation, parking, utilities and other related services), construction, maintenance, staffing, programming, administration and other related operational and capital costs related to the Centre. X6-M3 DRAFT

5. Should Substantial Performance be subsequently determined to be unachievable, the Grant Payment(s) will be refunded to the City by Osier.

6. OSLER shall make application to all required government bodies, agencies, including applicable fees and charges, for all necessary approvals or permits related to thedevelopment ofthe Centre, as perthe Municipal Act, Planning Act andotherrelated statutes.

7. OSLERacknowledges thatthe Grant is aone-time commitment for which spending relates exclusively to the Project Cost ofthe Centre.

8. OSLER shall submit to the City a Certificate of Substantial Performance of the Centre, and a letterand financial statement from Government confirming the actual Project Cost, and an invoice for Payment ofthe Grant related to Phase One and Phase Two of the Centre, respectively.

9. Once per Year until Substantial Performance of Phase One and Phase Two, or as requested by the Council and/orCEO, OSLER shall present to Council a Status Report ofthe Centre development and programming. Osier will ensure Status Reports keep the City apprised of project progressand timelines including the expected date ofSubstantial Performance.

10. OSLER agrees to provide to the City with an audited financial statement related to the Grant within 90 days of Substantial Performance of Phase One and within 90 days of Substantial Performance of Phase Two.

11.OSLER agreesto establish a senior staffleadership presenceat the Centre for a period of thirty (30) years starting at Substantial Performance ofPhase One.

12. OSLER agrees to recognize, at its expense, the City as a community funding partner ofthe Centre on all related communication materials prepared by OSLER.

13. At a mutually satisfactory location in the Centre, OSLER shall at its expense install and maintain a plaque thanking and recognizing the City as a financial contributor to the Centre.

14. As partofits Status Report, OSLER shall inform and provide the City with information of awards, successes, accolades, best practicereferences it receives in relation to the Centre.

15. Fora period oftwenty (20) years following the execution ofthis Agreement, OSLER shall grant permission to the City for use of name(s), photography, graphics, other images, slogans, key messages, key facts related to the Centre, in City marketing and media campaigns, subject to the review and approval of marketing materials by the Designated Contact at OSLER and that the review shall be undertaken prior to the marketing materials being made public. DRAFT

4.0 TERM AND TERMINATION

1. This Agreement is effective from the date of execution by both parties to the Payment for Phase Two ofthe Centre.

2. Notwithstanding 4.0 (1) herein, this Agreement shall terminate on December 31,2030. On or before December 31, 2029, OSLER has the option to request of the City in writing an extension to the December 31, 2030 termination date. The extension is subject to Council approval and cannot exceed a period of twenty-four (24) months.

5.0 GENERAL PROVISIONS

1. The laws ofthe Province of Ontario thereof, shall govern the validity and interpretation of this Agreement, and ofeach clause and part.

2. In the event that any provision of this Agreement is held invalid, illegal or unenforceable, the remaining provisions of the Agreement will not be affected and shall continue in full force and effect.

3. OSLER shall not assign this Agreement in whole or in part.

4. This Agreement shall not be varied, altered, amended or supplemented except in writing signed by the authorized representatives of both parties. No waiver of a breach by a party under this Agreement shall constitute a consent to or waiver of any other different or subsequent breach.

5. Any notice, invoice or other communication required or permitted to be given bythis Agreement shall beinwriting and shall beeffectively given if(i)delivered personally; or (ii) sent byprepaid courier services; or(iii) sent byfacsimile orother similar means of electronic communication to the Designated Contact in the case of notice to OSLER (Email: [email protected]: Phone: 905-494-2120 Ext. 56808 or the Designated Contact in thecase of notice to the City (Email at mo.lewis@,brampton.ca; Phone 905-874-2250).

6. The Cityshallnot be responsible forthecostof repairand/orreplacement of the Centre as defined in relation to this Agreement.

7. Without limit to the right of OSLER to indemnify any person to the full extent permitted by law, OSLER shall indemnify a person or persons who actsor acted at the request of the City, against allcosts, charges and expenses, including anamount paid to settle anaction or satisfy a judgement, reasonably incurred by him in respect of any civil, criminal or administrative action or proceeding to which he is made a party by reason of being or having been a representative of such a board in relation to thisAgreement, if DRAFT

(a) he/she acted honestly, and in good faith with a view to the best interests of OSLER; and

(b) in the case of a criminal or administrative action or proceeding that is enforced by a monetary penalty, he/she had reasonable grounds for believing that his conduct was lawful.

1. Without limit to the right of OSLER to indemnify any person or Corporation to the full extent permitted by law, OSLER shall indemnify the City against all costs, charges and expenses, including an amount paid to settle an action or satisfy a judgement, reasonably incurred by the City in respectof any civil,criminal or administrative action or proceeding to which the City is made a party by reason of this Agreement, if

(a) the City acted honestly, and in good faith with a view to the best interests of OSLER; and

(b) in the case of a criminal or administrative action or proceeding that is enforced by a monetary penalty, the City had reasonable grounds for believing that its conduct was lawful.

2. Nothing in this Agreement shall obligate the City to issue a site plan agreement, building permit(s), complete final inspections or other municipal approvals within any particular time.

6.0 DISPUTE RESOLUTION

1. If there is any misunderstanding or difference of opinion with respect to the interpretation, application, administration, or alleged breach of this Agreement between OSLER and the City, the parties shall use their best efforts to mediate and settle the same through consultation and negotiation in good faith, prior to commencing legal action.

7.0 AUTHORITY

1. Each of the City and OSLER represent and warrant to the other that they have the power, authority and capacity to enter into this Agreement and carry out the transactions contemplated hereby, all of which have been duly and validly authorised by all requisite proceedings. DRAFT

IN WITNESS WHEREOF the parties have shown their Agreement by affixing hereto the signatures oftheir duly authorized signing officers.

WILLIAM OSLER HEALTH SYSTEM

Per: Name: Matthew Anderson Position: President and Chief Executive Officer

Per: Name: DaveMcCaig Position: Chief Financial Officer

THE CORPORATION OF THE CITY OF BRAMPTON

Per: Name: Susan Fennell Position: Mayor

Per: Name: Peter Fay Position: City Clerk I4-M7

APPENDIX 2 14-1-18 The following motion was considered: C076-2010 Moved by Mayor Fennell Seconded by Regional Councillors Miles and Pallechi

1 KrssMffttc?,heRedeve.opmen. -ACommltmen, ,or aUcal Gam£&5£i be received;Counoil 2- ^kmest"1 care M*at ,he <°™peei-"­

resiaents is essential to the social and economic vitality of the City; and Se^roton^'*^"? City 0f BramPton has sinc* 2000 developed and Onterin I! w ^tratfd and concerted advocacy plan to ensure the Government of art1»SSSSKTSS^11^' KUStainab'f fUndlngresu,ted t0 suPP°rtin •» **e,opment the hea,th car^needsof astate ofof thethe m***8his community "!* C°^nCi'and other °f donorsthe City made of Brar"Pton, an historic the contribution Region of Peel, of $122 the 8Son residents of towards the establishment of the Brampton Civic Hospital- and

2010 03 31 Page 15 of 56 ivnnuiesMinutes T"^ I IQ City Council «*-*» -*" rf

WHEREAS the Government of Ontario decision to remove the ability for municipal governments to collect Development Charges Revenue which had previously provided forthe development and funding for new hospitals, effectively downloaded a portion of the cost of hospital capital costs to property tax payers to absorb; and

WHEREAS the Council of the City of Brampton alongside community leaders have been tireless advocates for the revitalization of the Peel Memorial Hospital site in recognition that as a designated high-growth community with a growing and diverse population, two hospitals are required to meet existing and emerging health care needs in the community; and

WHEREAS the Council of the City of Brampton successfully persuaded the Government of Ontario in 2007 to invest in the re-development of the Peel Memorial Hospital site; and

WHEREAS the Central West LHIN has identified health care challenges as a result of under-servicing in our community including the lowest ratio of family doctors per capita of any LHIN in the Province of Ontario; the highest incidence of diabetes and heart disease of any LHIN in the province; the highest number of emergency visits at the Brampton Civic Hospital; the highest number of births of any hospital in the country and an annual growth rate for the LHIN that is almost twice the Provincial rate, leading to increased demands for service; and

WHEREAS the Conference Board of Canada recently ranked the City of Brampton, 50th out of 50 in its health report card; and

WHEREAS the William Osier Health System has since developed a plan for an Integrated Health and Wellness Campus at the Peel Memorial Hospital site, proposing a multi-disciplinary integrated model of community-based care anchored by an ambulatory and urgent care centre and complex continuing care facility to meet the health care needs of the residents of Brampton in an enhanced health and wellness campus projected to cost approximately $420 million; and

WHEREAS the Central West LHIN has approved the business plan submitted to the Government of Ontario by the William Osier Health System; and

WHEREAS the business plan submitted by the William Osier Health System is predicated on a local share contribution from the community of approximately $120 million; and

WHEREAS the Government of Ontario has not yet approved the plan submitted by the William Osier Health System nor committed to the overall funding requirement of $420 million; and

WHEREAS the Council of the City of Brampton will, once again, lead the community effort to ensure that the Government of Ontario commits to the revitalization and restoration of health care services on the Peel Memorial Hospital site;

2010 03 31 Page 16 of 56 Minutes ^L. I •*** City Council «*-*-l-AO

THEREFORE BE IT RESOLVED:

THAT the City of Brampton reaffirm its support for a revitalized health carefacility at the former Peel Memorial Hospital site; and

THAT contingent upon the Government of Ontario's approval and commitment to the $420 million Integrated Health and Wellness Campus, the City of Brampton will: a. In response to the business plan submitted to the Government ofOntario bythe William Osier Health System, and taking into consideration the contribution of all funding partners, commit to a $60 million contribution from the City of Brampton towards the requested $120 million local community share in an amount and timeframe to be determined by Council, with said monies to flow only once the Government of Ontario has made its first financial contribution

b. Convene the group of impacted and potential funding partners including but not limited to the Region of Peel, the WOHS Foundation and other community leaders for the purpose of identifying and securing available sources of funding to be used towards the requested local community share in an amount of approximately $120 million over a timeframe to be determined.

THAT the terms and conditions of any funding will be outlined in a contribution agreement and Memorandum of Understanding between the William Osier Health System and the City of Brampton; and

THAT in the event the Government of Ontario fails to approve the plan for an Integrated Health and Wellness Campus on the former Peel Memorial Hospital site, or modifies the plan in any way that significantly impacts the local community share contribution, the City of Brampton will reconsider the amount of its funding commitment and advise the Government of Ontario accordingly; and

THAT the Mayor establish a roundtable and appoint from Members of Council, the William Osier Health System, the William Osier Health System Foundation, the Region of Peel, and other community leaders for the purpose of developing a government relations advocacy plan to ensure that a comprehensive health care plan, with sustainable provincial funding is a priority for the Government of Ontario; and

THAT the City of Brampton, as a provincially designated high growth municipality, continue to advocate for the reinstatement of Development Charges Act revenue for hospital funding; and

THAT the City of Brampton forward this resolution to the Association of Municipalities of Ontario (AMO) for the immediate distribution and attention of municipalities across Ontario who share the City of Brampton's goal to ensure that health care is not compromised because of insufficient funds available through the property tax base to fund hospital capital expenses.

2010 03 31 Page 17 of 56 Minutes —-* i «^ i City Council J»o"*"^l

That this resolution and accompanying report be forwarded to the Premier of Ontario, the Minister of Health and Long Term Care, the Minister of Finance and the four area Members of Provincial Parliament for the approval and funding of the $420 million business plan submitted forthe Integrated Health and Wellness Campus.

That the Mayor meet with the Premier of the Government of Ontario and relevant Members of Cabinet to reinforce the importance of a comprehensive health care plan, with state ofthe art facilities and services forthe residents of the City of Brampton.

A recorded vote was requested with respect to the foregoing resolution and the motion was voted on and carried unanimously.

Yea Nay Absent Miles Hames Moore Gibson Palleschie Fennell Hutton Sprovieri Dhillon Sanderson Callahan

Carried Unanimously 10 Yeas 1 Absent

(See Head of Council Report H 1)

H. Reports from the Head of Council

H 1. Report from Mayor Fennell dated March 31, 2010, re: Peel Memorial Hospital Redevelopment (PMH) - A Commitment for a Local Community Share.

(See Delegations G 1) Dealt with bv Resolutions C075-2010 and 076-2010

Reports from Officials

11. Public Notice Reports

2010 03 31 Page 18 of 56