AGENDA Page 1 of 7

Page 1 of 7 MIDDLESEX COUNTY COUNCIL TUESDAY, NOVEMBER 8, 2016 1:00 PM Middlesex County Building 399 Ridout Street North, London

AGENDA

1. CALL TO ORDER AND WARDEN’S REMARKS

2. PROVISION FOR DISCLOSURE OF PECUNIARY INTEREST AND GENERAL NATURE THEREOF

3. BUSINESS ARISING FROM THE MINUTES

4. MINUTES

a) Minutes of the Middlesex County Council meeting held on October 25, 2016 4 a - CC - Nov 8 - CC Minutes - October 25, 2016

Moved by ______

Seconded by ______

That the minutes of the Middlesex County Council meeting held on October 25, 2016 be approved as presented.

b) Closed Session Minutes of the Middlesex County Council meeting held on October 25, 2016. (paper copy handed out to members of council)

Moved by ______

Seconded by ______

That the closed session minutes of the Middlesex County Council meeting held on October 25, 2016 be approved as presented.

5. DEPUTATIONS

a) SCOR 5 a - middlesex-partner-request-package  Presentation by Stephen Molnar, Jim Oliver, David Mayberry, and Ron Eddy, SCOR EDC who will make a request for a two year partner commitment

b) Optimist Students Certificates of Appreciation and lapel pins will be presented to students in recognition of Optimist International Youth Appreciation

The students will tour the Middlesex County Building in the morning and then participate in a “Mock Council Meeting” Page 2 of 7

6. ENQUIRIES OR NOTICES OF MOTION

7. REPORTS

a) Middlesex County Library Board Minutes held on October 25, 2016, Tenth Report 7 a - CC - Nov 8 - Library Board Minutes - October 25, 2016  Councillor Marigay Wilkins, will present the Tenth Report

Moved by ______

Seconded by ______

That the Tenth Report of the Middlesex County Library Board be received

8. NEW BUSINESS

a) Replacement of MLEMS IMEDIC Computers 8 a - CC - Nov 8 - iMEDIC Laptop Replacement  Report from Neal Roberts, Chief, Middlesex-London Emergency Medical Services and Director of Emergency Services

Moved by ______

Seconded by ______

That the County of Middlesex approve the purchase of up to 45 Panasonic CF 20 Toughbooks computers and accessories from Panasonic Canada or their authorized distributor at a cost of $187,200.00 plus applicable taxes from the 2016 approved capital budget.

9. COUNCILLOR'S COMMENTS AND OTHER BUSINESS

10. BY-LAWS

a) A By-Law to confirm proceedings of the Council of The Corporation of the County of Middlesex – November 8, 2016 10 a - CC - Nov 8 - Confirming By-law - November 8, 2016

Moved by ______

Seconded by ______

That first and second reading of the By-laws be given:

Moved by ______

Seconded by ______

That third and final reading of the preceding By-laws be given.

10 minute Recess if required Page 3 of 7 11. COMMITTEE OF THE WHOLE

A. DELEGATIONS / REPORTS OF COUNTY OFFICERS

B. ACTION ITEMS

1. Corporate Accessibility Policy – HR 5.01 Revision B 1 - CW Action - Nov 8 - HR 5.01 Update- Accessibility  Report from Jennifer Cowan, AODA Coordinator

Moved by ______

Seconded by ______

That HR Policy 5.01 – Accessibility be approved as revised; that the Corporate Administrative Policy and Procedure Manual be updated and the revised policy posted on the Middlesex County website.

2. Annual Accessibility Status Report B 2 - CW Action - Nov 8 - Middlesex Accessibility Status Report  Report from Jennifer Cowan, AODA Coordinator

Moved by ______

Seconded by ______

That the Annual Accessibility Status Report be approved as presented and posted on the Middlesex County website.

3. Accessibility Advisory Committee – Revised Terms of Reference B 3 - CW Action - Nov 8 - Middlesex AAC Terms of Reference Update  Report from Kathy Bunting, County Clerk and Jennifer Cowan, AODA Coordinator

Moved by ______

Seconded by ______

That the Accessibility Advisory Committee Terms of Reference be approved as presented.

4. RFP for Consulting Services for the Research and Development of Countywide Community Improvement Plans (CIP) B 4 - CW Action - Nov 8 - Community Improvement Plan  Report from Cara Finn, Director of Economic Development

Moved by ______

Seconded by ______

That staff proceed with the development of a Request for Proposal to ascertain the market value of the research and development of countywide CIP programs; and that a report will be presented to Middlesex County Council for final decision on countywide Community Improvement Plans. Page 4 of 7

C. CORRESPONDENCE AND INFORMATION ITEMS

1. General Payables to October 27, 2016 totalling $670,919.29 C 1 - CW Info - Nov 9 - General Payables 6-27 Oct

2. Planning Payables to October 27, 2016 totalling $2,756.83 C 2 - CW Info - Nov 9 - Planning Payables 6-27 Oct

3. Electronic Payments for the month of October 2016 totalling $745,862.84 C 3 - CW Info - Nov 8 - Electronic payments-October 2016

4. Social Services Payables to October 27, 2016 totalling $182,059.27 C 4 - CW Info - Nov 8 - Social Services Payables 6-27 Oct

5. Strathmere Lodge Payables to October 27, 2016 totalling $196,885.20 C 5 - CW Info - Nov 8 - Strathmere Lodge Payables 6-27 Oct

6. Road Payables to October 27, 2016 totalling $1,780,977.14 C 6 - CW Info - Nov 8 - Roads Payables 6-27 Oct

7. MLEMS Payables to October 27, 2016 totalling $316,944.16 C 7 - CW Info - Nov 8 - MLEMS Payables 6-27 Oct

8. IT Payables to October 27, 2016 totalling $75,816.41 C 8 - CW Info - Nov 8 - Information Technology Payables 6-27 Oct

9. Economic Development Payables to October 27, 2016 totalling $21,524.69 C 9 - CW Info - Nov 8 - Economic Development Payables 6-27 Oct

Moved by ______

Seconded by ______

That Items C.1 – CW through C.9 – CW, (Payables) be received for information.

10. Strathmere Lodge - Family, Friend and Responsible Party Newsletter – October 2016 C 10 - CW Info - Nov 8 - Strathmere Lodge FamilyNewsletterOct2016

11. Ontario Association of Non-Profit Homes and Services for Seniors (OANHSS) newsletter dated October 2016 C 11 - CW Info - Nov 8 - OANHSS Action_Update_October_2016

12. OGRA Alert entitled “Advisory Council on Economic Growth Releases First Report” dated October 21, 2016 C 12 - CW Info - Nov 8 - OGRA Heads Up Alert - Advisory Council on Economic Growth Releases First Report

13. OGRA Conference Information – February 26 to March 1, 2017 C 13 - CW Info - Nov 8 - 2017-ogra-conference-brochure-details-on-agenda-housing-travel-discounts- entertainment-and-more Page 5 of 7

14. Road Department Construction Update – October 28, 2016 C 14 - CW Info - Nov 8 - Construction Update - October 2016  Report from Jerry Rychlo, Engineering Supervisor

15. Notice from the Ontario Energy Board advising that Union Gas Limited has applied to changed its natural gas rates effective January 1, 2017 C 15 - CW Info - Nov 8 - Notice_Union Gas_2017Rates_20161017

16. Letter from the Ministry of Health and Long-Term Care advising that Deloitte has been engaged to review current EMS dispatch models across the province and identify opportunities for ministry consideration to improve the future state of ambulance dispatch C 16 - CW Info - Nov 8 - MOH-Ambulance Dispatch Study-October 2016

17. AMO Update entitled “Ministers Announce consultations on the Scope and Processes of the Ontario Municipal Board” dated October 20, 2016 C 17 - CW Info - Nov 8 - AMO Update-OMB Review-October 20

18. Notice of the Ontario rural Education Symposium to be held on Saturday, November 26, 2016 from 9:00 am to 2:00 pm in the North Middlesex Community Centre, Parkhill C 18 - CW Info - Nov 8 - Ontario Rural Education Symposium Flyer

19. Letter from Huron-Bruce and Bruce-Grey-Owen Sound MPP’s to the Minister of Education with respect to the potential closure of elementary and secondary schools across the province C 19 - CW Info - Nov 8 - Min Hunter -- Joint Letter from MPPs Walker and Thompson on School Closures Oct 17 2016

20. Letter from North Middlesex with respect to the Proposed Planning Services, dated October 20, 2016 C 20 - CW Info - Nov 8 - NMiddlesex-Planning Services

21. South West LHIN News Release entitled “Residential Hospice Planning in the South West LHIN – Update” dated October 25, 2016 C 21 - CW Info - Nov 8 - SWLHIN_ResidentialHospice_Regional_Planning_Update2016_10_25REVISED

22. MOHLTC Unannounced Inspection Report C 22 - CW Info - Nov 8 - Unannounced Inspection Report - September 16 2016  Report from Al Hunt, Deputy Chief of Operations

Moved by ______

Seconded by ______

That Items C.10 – CW through C.22 – CW be received for information.

12. INQUIRIES

13. NEW BUSINESS

a) Next County Council Meetings: Page 6 of 7 1:00 p.m., Tuesday, November 22, 2016 4:15 p.m., Thursday, December 1, 2016 - Inaugural 1:00 p.m., Tuesday, December 13, 2016 1:00 p.m., Tuesday, January 10, 2017 1:00 p.m., Tuesday, January 24, 2017 1:00 p.m., Tuesday, February 14, 2017 10:00 a.m., Tuesday, March 7, 2017 – Budget Meeting 1:00 p.m., Tuesday, March 7, 2017 1:00 p.m., Tuesday, March 28, 2017 1:00 p.m., Tuesday, April 11, 2017 1:00 p.m., Tuesday, April 25, 2017 1:00 p.m., Tuesday, May 9, 2017 1:00 p.m., Tuesday, May 23, 2017 1:00 p.m., Tuesday, June 13, 2017 1:00 p.m., Tuesday, June 27, 2017

b) Long Service Awards Long Services Awards will be presented to county staff in recognition of 25 Years, 30 Years, and 40 Years (Scheduled for 4:00 p.m.) 40 Years Karen Olsen, Social Services (not attending)

30 Years Steve Gough, Roads Department (not attending)

25 Years

Dean Gough, Roads Department James MacCabe, Roads Department Ingrid Loyens, Strathmere Lodge Pam Leonardo, Strathmere Lodge (attending) Karen Milliken, Strathmere Lodge (not attending)

CLOSED SESSION

Moved by ______

Seconded by ______

That the next portion of the meeting be closed to the public in order to consider a proposed or pending acquisition or disposition of land by the municipality or local board; advice that is subject to solicitor-client privilege, including communications necessary for that purpose pursuant to subsection 239 (2) (c and f) of the Municipal Act.

c) Property – Land Ambulance – Dorchester (to be handed out at the meeting)  Report from Neal Roberts, Chief, Middlesex-London Emergency Medical Services and Director of Emergency Services

d) Property – Land Ambulance – Glencoe (to be handed out at the meeting)  Report from Neal Roberts, Chief, Middlesex-London Emergency Medical Services and Director of Emergency Services Page 7 of 7 e) Legal Advice - Potential OMB Reform Considerations  Power point presentation by Wayne Meagher, County Solicitor

Moved by ______

Seconded by ______

That Council resume from its Closed Session.

14. ANNOUNCEMENTS

Saturday, November 12, 2016 – Middlesex County Wardens Banquet

15. ADJOURNMENT

Moved by ______

Seconded by ______

That the meeting adjourn at p.m. November 08, 2016 Page 1 of 7 4 a - CC

OCTOBER 25, 2016 - MIDDLESEX COUNTY COUNCIL

Council Chambers, County Building London, 1:00 pm, Tuesday, October 25, 2016

1. CALL TO ORDER AND WARDEN’S REMARKS

Council met with all members present except Councillor Blackmore. Warden Maudsley presided.

Warden Maudsley noted that three items were added to the agenda: 8 b) Purchase of Pick-up Trucks 8 c) Purchase of Tri-Axle Trucks

11.A.1. Business profile videos and Visit Middlesex tourism commercial • Videos and commercial will be introduced by Cara Finn, Director of Economic Development

2. PROVISION FOR DISCLOSURE OF PECUNIARY INTEREST AND GENERAL NATURE THEREOF None.

3. BUSINESS ARISING FROM THE MINUTES None.

4. MINUTES

a) Minutes of the Middlesex County Council Visioning Session meeting held on October 11, 2016 at 8:30 a.m.

Moved by Councillor Vanderheyden Seconded by Councillor Meyer That the minutes of the Middlesex County Council Visioning Session meeting held on October 11, 2016 at 8:30 a.m. be approved as presented. Carried.

b) Minutes of the Middlesex County Council meeting held on October 11, 2016

Moved by Councillor Shipway Seconded by Councillor Burghardt-Jesson That the minutes of the Middlesex County Council meeting held on October 11, 2016 be approved as presented. Carried.

November 08, 2016 Page 2 of 7 4 a - CC

c) Closed Session Minutes of the Middlesex County Council meeting held on October 11, 2016. (paper copy handed out to members of council)

Moved by Councillor Smith Seconded by Councillor Ropp That the closed session minutes of the Middlesex County Council meeting held on October 11, 2016 be approved as presented. Carried.

5. DEPUTATIONS

a) Presentation of Proceeds from the Wardens Charity Golf Tournament A total of $13,052.64 was raised – each charity will receive $6,526.32

Warden Maudsley made a presentation to Joe Douglas, Executive Director of Stevenson Children's Camp with a cheque in the amount of $6,526.32

Warden Maudsley made a presentation to Michelle Sherman and Mike Lacey, of the 1st Dorchester Camp BEL Fundraising with a cheque in the amount of $6,526.32

6. ENQUIRIES OR NOTICES OF MOTION

7. REPORTS

8. NEW BUSINESS

a) MLEMS 2017 Response Time Performance Plan • Report from John Prno, Deputy Chief of Professional Standards

Moved by Councillor Wilkins Seconded by Councillor Ropp That the County of Middlesex direct staff to notify the Ministry of Health and Long Term Care that the Response Time Performance Plan will remain unchanged for 2017. Carried.

November 08, 2016 Page 3 of 7 4 a - CC

b) Purchase of Pick-up Trucks • Report from Chris Traini, County Engineer In the absence of the County Engineer, Martin Langdale, General Road Superintendent and Paul Moniz, Foreman, were in attendance to answer any questions.

Moved by Councillor Meyer Seconded by Councillor Richards That the bid submitted by Downtown Pontiac Buick Limited for the supply of two (2) GMC Sierra model 1500 SLE ½ ton pick-ups truck at a cost of $33,383.00 (plus HST) be accepted. Carried.

c) Purchase of Tri-Axle Trucks • Report from Chris Traini, County Engineer In the absence of the County Engineer, Martin Langdale, General Road Superintendent and Paul Moniz, Foreman, were in attendance to answer any questions.

Moved by Councillor Edmondson Seconded by Councillor Burghardt-Jesson That the bid submitted by Team Truck Centres (London) for the supply of two (2) Freightliner 114SD Detroit Diesel models complete with Viking equipment at a cost of $278,096.20 (plus HST) be accepted. Carried.

9. COUNCILLOR'S COMMENTS AND OTHER BUSINESS

10. BY-LAWS

Moved by Councillor Edmondson Seconded by Councillor Smith That first and second reading of the By-law be given: Carried.

#6812 - A BY-LAW to authorize a collective agreement between CUPE Local 101.5 and the Corporation of the County of Middlesex for the period January 1, 2016 to December 31, 2019

#6813 - A By-Law to confirm proceedings of the Council of The Corporation of the County of Middlesex – October 25, 2016

Moved by Councillor Vanderheyden Seconded by Councillor Meyer That third and final reading of the preceding By-law be given. Carried. November 08, 2016 Page 4 of 7 4 a - CC

11. COMMITTEE OF THE WHOLE

A. DELEGATIONS / REPORTS OF COUNTY OFFICERS

1. Business profile videos and Visit Middlesex tourism commercial • The two videos of Purple Hill Country Music Hall and the Wardsville Golf Club and the Visit Middlesex tourism commercial were introduced by Cara Finn, Director of Economic Development

B. ACTION ITEMS

1. Consulting Services for a Development Charges Analysis • Report from Chris Traini, County Engineer; James Gates, County Treasurer; and Durk Vanderwerff, Director of Planning

Moved by Councillor Edmondson That the Request for Proposal submitted by Hemson Consulting Limited in the amount of $35,370 before HST for Consulting Services for a Development Charges Analysis be accepted and that this amount be included in the 2017 budget. Motion Lost.

C. CORRESPONDENCE AND INFORMATION ITEMS

1. Budget Variance Report – September 2016 • Report from James Gates, County Treasurer

2. Social Services Report – September 2016 • Report from Cindy Howard, Director of Social Services

3. Strathmere Lodge Occupancy and Activity Report – September 2016 • Report from Brent Kerwin, Strathmere Lodge Administrator

4. Letter from the Ontario Good Roads Association with respect to nominations for the 2017-2018 Board

5. Middlesex County Fire Inspection Activity for September 2016 • Report from John Elston, Fire Prevention Officer

6. Letter from the Royal Astronomical Society of Canada enclosing information on light pollution in our communities

7. The Province of Ontario is reviewing the Ontario Municipal Board and enclosing a consultation document

November 08, 2016 Page 5 of 7 4 a - CC

8. Publication from the Ministry of Agriculture, Food and Rural Affairs entitled “Guidelines on Permitted Uses in Ontario’s Prime Agricultural Areas”

9. Letter from the Minister of Municipal Affairs responding to our letter with respect to the Planning Act changes through the Smart Growth for Our Communities Act, 2015

10. Letter from the Minister of Natural Resources and Forestry advising of the introduction of a bill to amend the Aggregate Resources Act

11. Letter from AMO requesting a resolution to close the fiscal gap; so that all municipalities can benefit from predictable and sustainable revenue, to finance the pressing infrastructure and municipal service needs faced by all municipal governments

12. Ontario Association of Paramedic Chiefs election of Officers and Directors to the board, noting that Chief Neal Roberts was elected President of the OAPC

13. Letter from the London District Catholic School Board providing notice of facility partnership opportunities at St. Patrick Catholic School, Lucan and a new north London Elementary School

14. Letter from LAS advising that the County of Middlesex will receive a rebate of $4,647.85 under the LAS Natural Gas Program

15. Letter from the Minister Responsible for Accessibility enclosing information toolkits to assist with planning accessible events

Moved by Councillor Richards Seconded by Councillor Meyer That Items C.1 – CW through C.15 – CW be received for information. Carried.

12. INQUIRIES None.

November 08, 2016 Page 6 of 7 4 a - CC

13. NEW BUSINESS

a) Next County Council Meetings: 1:00 p.m., Tuesday, November 8, 2016 1:00 p.m., Tuesday, November 22, 2016 4:00 p.m., Thursday, December 1, 2016 - Inaugural 1:00 p.m., Tuesday, December 13, 2016 1:00 p.m., Tuesday, January 10, 2017 1:00 p.m., Tuesday, January 24, 2017 1:00 p.m., Tuesday, February 14, 2017 10:00 a.m., Tuesday, March 7, 2017 – Budget Meeting 1:00 p.m., Tuesday, March 7, 2017 1:00 p.m., Tuesday, March 28, 2017 1:00 p.m., Tuesday, April 11, 2017 1:00 p.m., Tuesday, April 25, 2017 1:00 p.m., Tuesday, May 9, 2017 1:00 p.m., Tuesday, May 23, 2017 1:00 p.m., Tuesday, June 13, 2017 1:00 p.m., Tuesday, June 27, 2017

CLOSED SESSION (2:00 p.m.)

Moved by Councillor Shipway Seconded by Councillor Vanderheyden That the next portion of the meeting be closed to the public in order to consider the security of the property of municipality or local board; litigation or potential litigation, including matters before administrative tribunals, affecting the municipality or local board; and advice that is subject to solicitor-client privilege, including communications necessary for that purpose pursuant to subsection 239 (2) (a, e and f) of the Municipal Act with the CAO, Director of Planning, County Solicitor, County Treasurer and County Clerk in attendance. Carried.

b) 50 King Street Update and Planning Legal Agreement

Moved by Councillor Meyer Seconded by Councillor Edmondson That Middlesex County Council resume from its closed session (3:02 p.m.) Carried.

November 08, 2016 Page 7 of 7 4 a - CC

14. ANNOUNCEMENTS

Tuesday, November 8, 2016 - Long Service Awards and Announcements for Warden for 2016 to 2017

Saturday, November 12, 2016 – Middlesex County Wardens Banquet

15. ADJOURNMENT

Moved by Councillor Vanderheyden Seconded by Councillor Meyer That the meeting adjourn at 3:03 p.m. Carried.

______Kathleen Bunting, County Clerk Jim Maudsley, Warden November 08, 2016 Page 1 of 4 5 a - CC November 08, 2016 Page 2 of 4 5 a - CC

South Central Ontario Region Economic Development Corporation (SCOR EDC) 4 Elm Street, Tillsonburg, ON N4G 0C4, P: 519-842-6333

Our partner request for 2017 and 2018 has been decreased to $25,000/year from $35,000. A stable base of municipal partner funding and support will allow the corporation stability in operations and allow us to further leverage funding to continue to give you the best return on investment. Below is the operational budget for 2017 and 2018

BUDGET 2017 2017 Operating Budget -Decrease from partners SCOR EDC BUDGET REVENUE BUDGET 2017 Carry Over $30,000.00 Partner Contribution $125,000.00 TOTAL $155,000.00 PERSONNEL Staff wages and benefits $106,500.00 TOTAL $106,500.00 ADMINSTRATION EXPENSES Project Support $10,000.00 Corporate Costs (insurance, legal, audit, banking, agm) $16,000.00 Rent and facilities (phone, printing, IT support) $10,500.00 computer and websites $4,000.00 Auto Mileage $8,000.00 TOTAL GENERAL EXPENSE $48,500.00

TOTAL EXPENSES $155,000.00

TOTAL $0.00 BUDGET 2018

2018Operating Budget -Decrease from partners SCOR EDC BUDGET REVENUE BUDGET 2017 Carry Over $0.00 Partner Contribution $125,000.00 TOTAL $125,000.00 PERSONNEL Staff wages and benefits $81,500.00 TOTAL $81,500.00 ADMINSTRATION EXPENSES Project Support $8,000.00 Corporate Costs (insurance, legal, audit, banking, agm) $16,000.00 Rent and facilities (phone, printing, IT support) $10,500.00 computer and websites $4,000.00 Auto Mileage $5,000.00 TOTAL GENERAL EXPENSE $43,500.00

TOTAL EXPENSES $125,000.00

TOTAL $0.00

November 08, 2016 Page 3 of 4 5 a - CC November 08, 2016 Page 4 of 4 5 a - CC November 08, 2016 Page 1 of 5 7 a - CC

TENTH REPORT MIDDLESEX COUNTY LIBRARY BOARD TUESDAY, OCTOBER 25, 2016 9:15 AM Middlesex County Building, CAO Board Room 399 Ridout Street North, London

Members: Warden Jim Maudsley, Chair; Albert Bannister, Vice-Chair; Councillor Marigay Wilkins and Citizen Appointees: Ian Brebner and Dave Jones. Also present was Lindsay Brock, County Librarian; and Cindy Howard, Director of Social Services.

A. CALL TO ORDER

1. Provision for disclosure of pecuniary interest. None.

2. Minutes of the Library Board Meetings held on September 27, 2016

Moved by Councillor Wilkins Seconded by Dave Jones That the Minutes of the Middlesex County Library Board meetings held on September 27, 2016 be approved as presented Carried.

3. Visioning Topic – Strategic Planning

The Library Board continued to work on strategic planning, with Jennifer Kirkham facilitating the process. Topics of discussion included an overview of rural library strategic plans, library trends, opportunities to align strategies with the work of other county departments, and a variety of innovative ideas in the library world.

B. ACTION ITEMS

1. Library Policy Review • Report from Lindsay Brock, County Librarian The Library Board reviewed policy GOV 4 – Finances – discussed the proposed revisions, and agreed with the recommendations.

Moved by Councillor Wilkins Seconded by Councillor Brebner That the Middlesex County Library Board confirms the review of the following policies, and that the recommended changes and additions to the Middlesex County Library Policy Manual be approved as presented and the manual be updated accordingly to reflect the following changes: November 08, 2016 Page 2 of 5 7 a - CC

GOV 4.1 Budget No revision.

GOV 4.2 Meeting with the Council No revision.

GOV 4.3 Financial Records No revision.

GOV 4.4 Financial Reports No revision.

GOV 4.5 Fundraising and Donations Proposed Revision: Add the following language, to encourage the active solicitation of community support through donations: “The Middlesex County Library gratefully accepts and encourages donations, gifts and sponsorships from individuals, groups, foundations and corporations, for the purpose of enhancing library services, subject to this policy. The Library actively solicits and encourages the business community, service clubs and other organizations to become donors and/or sponsors of Library events, programmes and services, which will benefit the community by allowing the Library to increase the level of service it can provide to the residents of Middlesex County.”

GOV 4.6 Corporate Sponsorship Proposed Revision: The Canadian Library Association is no longer in existence, so I would propose to remove the following text: “as stated in the CLA Corporate Sponsorship Agreement in Libraries Position Statement ratified by the Annual General Meeting June 21, 1997.” The principles are still valid, and as such, can still be used in this policy. Carried.

2. London & Middlesex Ontario Genealogical Society Collection Partnership • Report from Lindsay Brock, County Librarian

Moved by Albert Bannister Seconded by Dave Jones That the collection loan agreement be approved and that the County Librarian be authorized to execute the agreement. Carried.

November 08, 2016 Page 3 of 5 7 a - CC

3. Scheduled Outreach Service Agreement with the John Howard Society • Report from Lindsay Brock, County Librarian

Moved by Dave Jones Seconded by Albert Bannister That the Scheduled Outreach Service Agreement with John Howard Society of London & District be approved and that the County Librarian and Library Board Chairman be authorized to execute the agreement. Carried.

C. CORRESPONDENCE AND INFORMATION ITEMS

1. System Circulation and System Internet Usage to September 2016 (with 2015 for comparison)

2. Information Services Usage Statistics – September 2016

3. Accounts Payable to October 13, 2016 totalling $200,629.46

4. Newspaper articles concerning Middlesex County libraries

5. County Librarian Update • Report from Lindsay Brock, County Librarian

6. Employment and Government Information Services Activity Report – September 2016 • Report from Lindsay Brock, County Librarian

7. Library Board – Statement of Revenues and Expenditures to September 30, 2016

8. Healthy Kids Community Challenge Update • Report from Lindsay Brock, CEO and Library Services Manager and Cindy Howard, Director of Social Services

Nadine Devin provided the Library Board with an update on the status of the Healthy Kids Community Challenge project, including year 1 and year 2 projects and activities.

November 08, 2016 Page 4 of 5 7 a - CC

9. Wright Family Research Room Project • Report from Lindsay Brock, County Librarian

The County Librarian updated the Library Board on the progress of this renovation project. The Library Board also discussed the potential of adding a programming room to the Strathroy Branch to provide dedicated space and enhanced programming potential. The County Librarian will provide the Library Board with more details as this project develops.

10. Middlesex County Library Customer Service Appreciation Week • Report from Elizabeth Adema, Public Services Coordinator

11. SOLS Signal Newsletter – October

12. Copy of the 2017 Middlesex County Council and Middlesex County Library Board Meeting Calendar

Moved by Ian Brebner Seconded by Dave Jones That Items C.1 – LIB through C.12 – LIB be received for information. Carried.

D. INQUIRIES

Dave Jones inquired about the 2017 Ontario Library Association Super Conference – it was confirmed that board members will be registered when registration opens November 2, and hotel rooms have been booked. The conference runs February 1-4 2017.

E. NEW BUSINESS

1. Next Meetings 10:00 a.m., Tuesday, November 22, 2016 10:00 a.m., Tuesday, December 13, 2016 10:00 a.m., Tuesday, January 24, 2017 10:00 a.m., Tuesday, February 14, 2017 10:00 a.m., Tuesday, March 28, 2017 10:00 a.m., Tuesday, April 25, 2017 10:00 a.m., Tuesday, May 23, 2017 10:00 a.m., Tuesday, June 27, 2017

November 08, 2016 Page 5 of 5 7 a - CC

CLOSED SESSION (11:40 a.m.)

Moved by Ian Brebner Seconded by Dave Jones That the next portion of the meeting be closed to the public in order to consider a personal matters about an identifiable individual, including municipal or local board employees; and a labour relations or employee negotiations matter pursuant to subsection 239 (2) (b and d) of the Municipal Act with the County Librarian and Director of Social Services. Carried.

2. Library Staffing Update • Verbal update from Lindsay Brock, County Librarian

Moved by Dave Jones Seconded by Albert Bannister That the Library Board resume from it’s Closed Session (11:50 a.m.)

F. ADJOURNMENT

Moved by Albert Bannister Seconded by Councillor Wilkins That the meeting adjourn at 11:52 a.m. Carried.

Lindsay Brock, County Librarian Chair – Warden Jim Maudsley November 08, 2016 Page 1 of 1 8 a - CC

County Council

Meeting Date: November 8, 2016

Submitted by: Neal Roberts, Chief, Middlesex-London Emergency Medical Services and Director, Emergency Services

SUBJECT: REPLACEMENT OF MLEMS IMEDIC COMPUTERS

BACKGROUND: The 2016 Middlesex London EMS Capital Budget includes $250,000.00 for the replacement of laptop computers utilized by Middlesex-London EMS paramedics for completion of electronic patient charts. These ruggedized laptop computers are used to complete a secure electronic patient record of each ambulance call including patient information and all treatment provided. The existing computers are approximately 5 years old and in need of replacement.

ANALYSIS: Following a full review of available options, Middlesex-London EMS staff are recommending the purchase of the rugged Panasonic CF 20 Toughbook laptop computers. County Information Technology staff supports this recommendation.

Middlesex-London EMS staff are recommending the purchase of up to 45 CF 20 Toughbooks at a total cost of $187,200.00 plus applicable taxes. This recommended purchase is a sole source award, based on the fact that Panasonic has extended their Provincial Government purchasing agreement (pricing) to Middlesex-London EMS. The cost per unit is $3,250.00. Configuration of the laptop to the electronic patient chart software and an extended warranty for an additional 2 years (total 5 year warranty) is an additional $910 per unit for a total cost per unit of $4,160.00.

RECOMMENDATION: That the County of Middlesex approve the purchase of up to 45 Panasonic CF 20 Toughbooks computers and accessories from Panasonic Canada or their authorized distributor at a cost of $187,200.00 plus applicable taxes from the 2016 approved capital budget. November 08, 2016 Page 1 of 1 10 a - CC

THE CORPORATION OF THE COUNTY OF MIDDLESEX

BY-LAW #

A BY-LAW to confirm proceedings of the Council of The Corporation of the County of Middlesex – NOVEMBER 8, 2016.

WHEREAS it is deemed expedient that the proceedings of the Council of The Corporation of the County of Middlesex at the NOVEMBER 8, 2016, Session be confirmed and adopted by By-law.

WHEREAS section 5(3) of the Municipal Act, 2001, S.O. 2001, c.25, as amended, provides that a municipal power shall be exercised by by-law;

AND WHERAS section 9 of the Municipal Act, 2001, S.O. 2001, c.25, as amended, provides that a municipality has the capacity, rights, powers and privileges of a natural person for the purpose of exercising its authority under this or any other Act;

AND WHERAS section 10 of the Municipal Act, 2001, S.O. 2001, c.25, as amended, provides that a municipality may pass by-laws respecting any service or thing that the municipality considers necessary or desirable for the public;

THEREFORE the Council of The Corporation of the County of Middlesex enacts as follows:

1. That the action of the Council of The Corporation of the County of Middlesex in respect of all recommendations in reports of committees, all motions and resolutions and all other action passed and taken by the Council of The Corporation of the County of Middlesex, documents and transactions entered into during the NOVEMBER 8, 2016, Session of Council, are hereby adopted and confirmed, as if the same were expressly included in this By-law.

2. That the Warden and proper officials of The Corporation of the County of Middlesex are hereby authorized and directed to do all things necessary to give effect to the action of the Council of The Corporation of the County of Middlesex during the said NOVEMBER 8, 2016, Session referred to in Section 1 of this By-law.

3. That the Warden and the Clerk are hereby authorized and directed to execute all documents necessary to the action taken by this Council as described in Section 1 of this By-law and to affix the Corporate Seal of The Corporation of the County of Middlesex to all documents referred to in said Section 1.

PASSED IN COUNCIL this 8th day of November, 2016.

______Jim Maudsley, Warden

______Kathleen Bunting, County Clerk

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Committee of the Whole

Meeting Date: November 8, 2016 Submitted by: Jennifer Cowan, AODA Coordinator SUBJECT: CORPORATE ACCESSIBILITY POLICY – HR 5.01 - REVISION

BACKGROUND: The Integrated Accessibility Standards Regulation (O. Reg 191/11) was updated in July 2016 by the Province of Ontario. As a result of the update, the County of Middlesex is required to update its corporate accessibility policies to ensure compliance with the regulation.

Middlesex County Council recently reviewed all Middlesex County Corporate Policies. HR 5.01 was reviewed at the September 13, 2016 County Council meeting.

The Middlesex Accessibility Advisory Committee held a meeting on Friday, October 21, 2016. A copy of HR 5.01 was approved by the MAAC and then forwarded to Middlesex County Council for final approval.

ANALYSIS: The policy includes the following changes:

• Incorporation of the Customer Service Standard into the Integrated Accessibility Standard Regulation (IASR) so now there is only one regulation. • Update to the definition of service animal. Individuals requiring a service animal are now allowed to provide documentation from an expanded list of medical professionals. Previously only Doctors or Nurses were allowed to provide documentation; and, • Addition of the word “facilities” in order to align the regulation with wording found in the remainder of the IASR. The County of Middlesex is required to update its policies in accordance with the legislative changes. November 08, 2016 Page 2 of 16 B 1 - CW Action

RECOMMENDATION: That HR Policy 5.01 – Accessibility be approved as revised; that the Corporate Administrative Policy and Procedure Manual be updated and the revised policy posted on the Middlesex County website. Attachments

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Human Resource Policy 5.01

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Subject: ACCESSIBILITY Scope: ALL COUNTY AND LIBRARY BOARD EMPLOYEES AND MEMBERS OF COUNTY COUNCIL Issued: October 27, 2009 Revised: June 11, 2013 Reviewed: September 13, 2016 – Middlesex County Council

Purpose: The purpose of this policy is to provide for the overarching framework to guide the review and development of other Middlesex County goods, services, programs and facilities in an inclusive manner that takes into account the needs of people with disabilities.

In addition, this policy will act as the main accessibility policy for Middlesex County and meet the requirements of Ontario Regulations 429/07 – Accessibility Standards for Customer Service and Ontario Regulation 191/11 – Integrated Accessibility Standards Regulation.

Policy:

Middlesex County is committed to being responsive to the needs of all its residents and employees. In order to meet the needs of people with disabilities the County will: • Ensure policies, practices and procedures address dignity, independence, integration and provide for equal opportunity for people with disabilities. • Allow people with disabilities to use their own personal assistive devices to obtain, use or benefit from the services offered by the County. • Strive to meet the needs of people with disabilities in a timely manner, at a cost no greater than that for people without disabilities. • Accommodate the accessibility needs of people with disabilities to ensure they can obtain, use or benefit from the County’s goods, services, programs and facilities. • Communicate with people with disabilities in a manner that takes into account the person’s disability.

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Human Resource Policy 5.01

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The County will promote accessibility by ensuring that compliance is met for all regulations made under the Accessibility for Ontarians with Disabilities Act, 2005, S.O. 2005 c. 11. Timelines for compliance vary. In order to ensure that timelines are met, the County will establish, implement and maintain a multi-year accessibility plan. The plan will outline the County’s strategy to prevent and remove barriers to people with disabilities.

Procedure:

Definitions • Disability: as defined in the Ontario Human Rights Code as defined by the Ontario Human Rights Code, R.S.O. 1990, c. H. 19

• Service Animal: A “guide dog”, as defined in section 1 of the Blind Persons Rights’ Act; or An animal used by a person with a disability if: . it is readily apparent that the animal is used by the person for reasons relating to his or her disability; or . the person provides a letter from a physician or nurse practitioner confirming that the person requires the animal for reasons relating to the disability.

For the purposes of this policy, an animal is a service animal for a person with a disability if:

1) the animal can be readily identified as one that is being used by the person for reasons relating to the person’s disability, as a result of visual indicators such as the vest or harness worn by the animal; or 2) the person provides documentation from one of the following regulated health professionals confirming that the person requires the animal for reasons relating to the disability: i. A member of the College of Audiologists and Speech-Language Pathologists of Ontario. ii. A member of the College of Chiropractors of Ontario. iii. A member of the College of Nurses of Ontario. iv. A member of the College of Occupational Therapists of Ontario. v. A member of the College of Optometrists of Ontario. vi. A member of the College of Physicians and Surgeons of Ontario. vii. A member of the College of Physiotherapists of Ontario. viii. A member of the College of Psychologists of Ontario. ix. A member of the College of Registered Psychotherapists and Registered Mental Health Therapists of Ontario

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Human Resource Policy 5.01

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Guide Dog: a guide dog as defined in the Blind Persons’ Right Act, R.S.O. 1990, c. B.7 For all other definitions, refer to the Integrated Accessibility Standard Regulation (O. Reg 191/11). This regulation will be referred to as the “IASR” for the remainder of this policy.

Accessibility Planning

The County will establish, implement, maintain and document a multi-year accessibility plan. The multi-year accessibility plan will outline how the County will prevent and remove barriers to accessibility as outlined in the Accessibility for Ontarians with Disabilities Act, 2005 IASR. The multi-year accessibility plan will be developed with participating lower tier municipalities.

The multi-year accessibility plan will be reviewed at least once every five years. An annual status report will be prepared. The County will consult with people with disabilities and the Accessibility Advisory Committee.

The plan will be posted on the County and lower tier websites, and will be available in an accessible format upon request. The plan will be updated at least once every five years. The County will establish, review and update its accessibility plans in consultation with people with disabilities and the Accessibility Advisory Committee. An annual status report will be prepared outlining the progress taken to implement the strategy of the plan. The status report will be posted on the County and lower tier websites.

Procurement The County will ensure accessibility criteria and features are considered when purchasing goods, service and facilities. When it is not practicable to incorporate accessibility criteria, the County will provide an explanation upon request. The County will incorporate accessibility design, criteria and features when purchasing or acquiring goods, services or facilities, except where it is not practicable to do so. Should the County determine that it is not practicable to incorporate accessibility design, criteria and features when purchasing or acquiring goods, services or facilities, it will provide an explanation upon request.

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Human Resource Policy 5.01

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Emergency Procedures, Plans and Public Safety Information The County will provide emergency procedures, plans and public safety information in an accessible format or with appropriate communication supports, as soon as practicable, upon request. Libraries The County will provide access to or arrange for the provision of access to accessible materials where they exist. Information about accessible materials can be found on the Middlesex County Library website. Accessible Formats The County will provide alternate formats of information and communication that is produced or in direct control of the County. This will be done upon request, in a timely manner and at a cost that is no more than the cost charged for the original format.

When it is not practicable to provide an alternate format, the County will provide an explanation and a summary of the document in an accessible format.

Accessible Formats and Communication Supports/Format of Documents

The County will provide alternate formats of information and communications that are produced by, or in direct control of the County. This does not apply to information that the County does not control directly or indirectly through a contractual relationship.

This will be done upon request, in a timely manner and at a cost that is no more than the cost charged for the original format.

When it is not practicable to provide an alternate format, the County will provide an explanation and a summary of the document in an accessible format.

The County will provide communication supports to members of the public upon request.

If the County is unable to obtain the requested communication support, the County will consult with the individual to determine an appropriate alternative method of communication.

The County will consult with the individual making the request to determine the suitability of an accessible format or communication support.

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Human Resource Policy 5.01

______Communication Supports The County will provide communication supports to members of the public upon request. If the County is unable to obtain the requested communication support, the County will work with the individual to determine an appropriate alternative method of communication.

Obtaining Public Feedback The County will accept feedback from members of the public relating to the provision of accessible services provided.

When seeking feedback from the public, the County will provide accessible formats and/or communication supports to members of the public upon request.

Feedback The County will accept feedback from members of the public relating to the provision of accessible goods, services or facilities to people with disabilities. The County will ensure that the feedback process is accessible to people with disabilities by providing, or arranging for the provision of accessible formats and communication supports, upon request.

The County will develop procedures that specify the actions that will be taken if a complaint is received about the manner in which it provides goods, services or facilities to people with disabilities. Information regarding the feedback process will be posted on the County’s website. Individuals can request this information by contacting the County. In accordance with section 11 of the “IASR” when seeking feedback from the public, the County will provide accessible formats and/or communication supports to members of the public upon request.

Service Disruptions If a temporary service disruption is planned, the County will give notice of the disruption. Notice will be given by posting the information in a conspicuous place as well as by posting the information on the County’s website.

Temporary Service Disruptions If a temporary service disruption is planned the County will give notice of the disruption. Notice of the disruption will include: the reason for the disruption, its anticipated duration and a description of alternative facilities or services, if any that are available.

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Human Resource Policy 5.01

______Procedures for specific service disruptions will be developed, and a copy of the procedures will be available to individuals upon request. Notice will be given by posting the information in a conspicuous place as well as by posting the information on the County or Library website.

Support Persons The County will allow people with disabilities to be accompanied by a support person in all County-owned and operated public facilities. The County reserves the right to request a person with a disability to be accompanied by a support person, in the event that it is considered necessary to protect the health and safety of the person with a disability or others on the premises.

Admission fees will be waived for support persons who accompany a person with a disability.

Support Person The County will allow people with disabilities to be accompanied by a support person in all County-owned and operated public facilities. The County reserves the right to request a person with a disability to be accompanied by a support person when on the premises, but only if, after consulting with the person with a disability and consider the available evidence, the County determines that:

• A support person is necessary to protect the health or safety of the person with a disability or the health or safety or others on the premises; and • There is no other reasonable way to protect the health or safety of the person with a disability and the health or safety of others on the premises.

Admission fees will be waived for support persons who accompany a person with a disability.

Service Animals The County welcomes service animals into all County-owned or operated facilities where the public is allowed. Service animals will be allowed to accompany a person with a disability to allow them access to facilities and services.

If an animal is excluded by law from the premises, the County will ensure that other measures are available to allow a person with a disability to obtain or benefit from the good(s) or service(s).

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Human Resource Policy 5.01

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Service Animals The County will ensure that an individual accompanied by a service animal is permitted to enter the premises with the animal and to keep the animal with the individual, unless the animal is otherwise excluded by law from the premises. If a service animal is excluded by law from the premises, the County will ensure that other measures are available to ensure a person with a disability is able to obtain, use or benefit from the County’s goods, services or facilities. The individual with the service animal is responsible for the care and control of their service animal at all times, while on County premises.

Use of Assistive Devices The County will allow people with disabilities to use their own personal assistive devices to obtain services offered by the County.

If a person with a disability is unable to access a service through the use of their own personal assistive device, the County will work with the individual to determine an alternate means for accessing services.

Training Training will be provided to staff members in accordance with the Accessibility for Ontarians with Disabilities Act, 2005. The County will retain training records. Training The County will provide training to:

• All people who are an employee of, or a volunteer with the organization • All people who participate in developing the organizations policies; and • All other people who provide goods, services or facilities on behalf of the organization

The training will include:

• An overview of the Ontario Human Rights Code • A review of the Accessibility for Ontarians with Disabilities Act, 2005 • A review of the Integrated Accessibility Standards Regulation (O.Reg 191/11) • Specific review of “IASR” requirements, based on the duties associated with the employee. • How to interact and communicate with people with various types of disabilities

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Human Resource Policy 5.01

______• How to interact with people with disabilities who use an assistive device or require the assistance of a guide dog or other service animal or the assistance of a support person. • How to use equipment or devices available on the County’s premises or otherwise provided by the County that may help with the provision of goods, services or facilities to a person with a disability. • What to do if a person with a disability is having difficulty accessing the County’s goods, services or facilities.

The training will be appropriate to the duties of the employees, volunteers and other people. Employees will be trained as soon as practicable. Training will be provided to the aforementioned individuals with respect to any policy changes on an ongoing basis. Training logs will be kept in accordance with the “IASR”.

Built Environment The County will ensure that interior and exterior spaces conform to appropriate legislation, including, but not limited to the Ontario Building Code and the Design of Public Spaces – Ontario Regulation 191/11 Design of Public Spaces The County will comply with the requirements found in Part IV.1 of the “IASR” where applicable, in relation to public spaces. Website and Web Content In accordance with the “IASR”, the County will ensure that websites and web content are created in a manner keeping with the expectations of the Web Content Accessibility Guidelines 2.0 (WCAG). The County is currently creating websites and web content in accordance with WCAG 2.0, level A and will ensure that websites and web content are created in accordance with level AA by January 1, 2021. If an individual is having difficulty accessing any County owned or operated website, or content found on said websites, they can contact the County.

• Websites The Information Technology Services Department (ITS) will be responsible for ensuring that new websites are created in accordance with WCAG 2.0. The Information Technology Services Department (ITS), along with the County’s Accessibility Coordinator, will be responsible to ensure that existing websites are maintained in accordance with WCAG 2.0. Existing websites will be scanned quarterly to determine compliance. Existing websites will be updated in accordance with WCAG 2.0 based on a reasonable schedule as defined by the Director of Information Technology Services, and the County’s Accessibility Coordinator.

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Human Resource Policy 5.01

______• Web Content Accessible web content is being produced in the following ways: In-house: Staff receive training that ensures PDF documents are created in accordance with WCAG 2.0. Purchased Documents or Videos: The Department purchasing a document or video that will be available on the County’s website shall ensure that the document or video is created in a manner that ensures compliance with WCAG 2.0. Third-Party Documents: The County will put forward efforts to ensure that documents provided to the County on behalf of a third party, that will be posted on the County’s website, and not in direct control of the County through a contractual relationship, will be remediated in accordance with WCAG 2.0, unless it is not practicable to do so. In the event that it is not practicable to remediate a third party document, for which the County is not in direct control through a contractual relationship, a member of the public may contact the County to arrange for the information to be provided in an accessible format, upon request. The County will consult with the requesting individual to determine suitability of format. Legislative Authority Accessibility for Ontarians with Disabilities Act, 2005, S.O. 2005, c. 11 Integrated Accessibility Standard Regulation (O. Reg 191/11) Ontario Human Rights Code, R.S.O. 1990, c. H. 19

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Human Resource Policy 5.01

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Policy:

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Human Resource Policy 5.01

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The County will promote accessibility by ensuring that compliance is met for all regulations made under the Accessibility for Ontarians with Disabilities Act, 2005. Timelines for compliance vary. In order to ensure that timelines are met, the County will establish, implement and maintain a multi-year accessibility plan. The plan will outline the County’s strategy to prevent and remove barriers to people with disabilities.

Procedure:

Definitions • Disability: as defined in the Ontario Human Rights Code

Accessibility Planning The County of Middlesex will establish, implement, maintain and document a multi-year accessibility plan. The multi-year accessibility plan will outline how the County will prevent and remove barriers to accessibility as outlined in the Accessibility for Ontarians with Disabilities Act, 2005. The multi-year accessibility plan will be developed with participating lower tier municipalities.

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Human Resource Policy 5.01

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Accessible Formats The County will provide alternate formats of information and communication that is produced or in direct control of the County. This will be done upon request, in a timely manner and at a cost that is no more than the cost charged for the original format.

When it is not practicable to provide an alternate format, the County will provide an explanation and a summary of the document in an accessible format.

Communication Supports The County will provide communication supports to members of the public upon request. If the County is unable to obtain the requested communication support, the County will work with the individual to determine an appropriate alternative method of communication.

Obtaining Public Feedback The County will accept feedback from members of the public relating to the provision of accessible services provided.

When seeking feedback from the public, the County will provide accessible formats and/or communication supports to members of the public upon request.

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Human Resource Policy 5.01

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Admission fees will be waived for support persons who accompany a person with a disability.

If an animal is excluded by law from the premises, the County will ensure that other measures are available to allow a person with a disability to obtain or benefit from the good(s) or service(s).

Use of Assistive Devices The County will allow people with disabilities to use their own personal assistive devices to obtain services offered by the County.

Training Training will be provided to staff members in accordance with the Accessibility for Ontarians with Disabilities Act, 2005. The County will retain training records.

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Human Resource Policy 5.01

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Legislative Authority Accessibility for Ontarians with Disabilities Act, 2005 Accessibility Standards for Customer Service, Ontario Regulation 429/07 Integrated Accessibility Standards, Ontario Regulation 191/11

Operation Procedures: Operating procedures will be developed for specific requirements based on each Department’s needs.

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Committee of the Whole

Meeting Date: November 8, 2016 Submitted by: Jennifer Cowan, AODA Coordinator SUBJECT: ANNUAL ACCESSIBILITY STATUS REPORT

BACKGROUND: The County of Middlesex is required to prepare an annual accessibility status report on the progress of measures taken to implement the strategies outlined in the multi-year accessibility plan.

The Middlesex Accessibility Advisory Committee held a meeting on Friday, October 21, 2016. A copy of the Annual Accessibility Status Report was approved by the MAAC and that the Annual Accessibility Status Report be forwarded to Middlesex County Council for final approval.

ANALYSIS: The County’s second multi-year accessibility plan was adopted by Middlesex County Council in 2015 and this report will outline the measures taken to ensure compliance with the Integrated Accessibility Standards Regulation (O. Reg 191/11)

Highlights of the status report include:

• Update Corporate Accessibility Policy (November 2016) • Launched online accessibility training modules to maximize efficiency • Secure funding under the Enabling Accessibility Fund in order to purchase hand-held magnifiers for the Library branches. • Submit compliance report to Accessibility Directorate of Ontario in 2015

As outlined in the attached status report, the County will continue to remove barriers to people with disabilities. These efforts will be communicated to County Council through the development of a multi-year accessibility plan, and annual status reports. November 08, 2016 Page 2 of 7 B 2 - CW Action

RECOMMENDATION:

That the Annual Accessibility Status Report be approved as presented and posted on the Middlesex County website. Attachment November 08, 2016 Page 3 of 7 B 2 - CW Action

Annual Accessibility Status Report

A SUMMARY OF MIDDLESEX COUNTY’S ACCOMPLISHMENTS TOWARDS INCLUSION IN 2015 - 2016

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Objectives and Purpose This is the first Annual Accessibility Report Status update of Middlesex County’s Multi-Year Accessibility Plan. In 2016, Middlesex County released its second Multi-Year Accessibility Plan, in accordance with the Accessibility for Ontarians with Disabilities Act (AODA) and the Integrated Accessibility Standards Regulation (Ontario Regulation 191/11). The plan outlined our strategy to prevent and remove barriers to accessibility, which included how we will meet phased-in requirements under the AODA. This Status Report includes the accessibility initiatives that were completed in 2015 and 2016 to implement the strategy outlined in our Multi-Year Accessibility Plan.

Compliance Reporting Middlesex County filed its third Accessibility Compliance Report in 2015 with the Accessibility Directorate of Ontario under the Ministry of Economic Development Trade and Employment Services.

Middlesex County’s Commitment Statement Middlesex County’s statement of commitment establishes the vision and goals for the County to meet the legislated accessibility requirements. The County’s statement of commitment is publicly available on the County website. Middlesex County is committed to being responsive to the needs of all its residents and employees. In order to meet the needs of people with disabilities the County will: • Ensure policies, practices and procedures address dignity, independence, integration and provide for equal opportunity for people with disabilities. • Allow people with disabilities to use their own personal assistive devices to obtain, use or benefit from the services offered by the County. • Accommodate the accessibility needs of people with disabilities to ensure they can obtain, use or benefit from the County’s goods, services, programs and facilities. • Communicate with people with disabilities in a manner that takes into account the person’s disability.

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Continuous Achievements in Accessibility • The County focuses on removing barriers which may exist in our buildings and facilities, while ensuring that new buildings, leases, and renovations do not create any new barriers. • Middlesex County has an updated Accessibility Policy which outlines what the County will do to comply with the 2016 Integrated Accessibility Standards Regulations and what our customer and employees can expect. • Middlesex County Joint Accessibility Advisory Committee continues to meet and review accessibility initiatives. • The County continues to comply with the requirements of the Customer Service Standards including continuing to train staff, volunteers and third parties who interact on behalf of the County on an ongoing basis. • All library branches continue to provide accessible materials and communication supports upon request. In addition the library has several accessible materials and resources available including but not limited to: large print books, audio books, CELA Library loan access, and accessible computer workstations at the Strathroy, Lucan and Parkhill Library Branches. (Accessible Workstation includes: ZoomText with high-contrast, large print keyboard; Dragon Naturally Speaking and joystick mouse.) • Notifying the public of accommodations for applicants with disabilities in its recruitment process. • Continue to review customer feedback and take appropriate action.

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Highlights of 2013

• Training for all staff on the Integrated Accessibility Standard and updated Corporate Accessibility Policy (2014) o Ongoing training for new staff • Training for all staff on the Ontario Human Rights Code as it pertains to people with disabilities (2014) o Ongoing training for new staff • On-going training for staff on the Customer Service Standard • County strives to meet ongoing compliance with the Customer Service Standard • Developed training manual for volunteers • On-going training for staff on creating accessible documents • Accessibility Coordinator continues to work with local municipalities to ensure compliance with all regulations • Updated Joint Accessibility Advisory Committee Terms of Reference in accordance with updated legislation and repeal of Ontarians with Disabilities Act, 2001 • Update Corporate Accessibility Policy (November 2016) • Launched online accessibility training modules to maximize efficiency • Launched updated websites for: Library, Invest in Middlesex and Tourism. All websites meet WCAG 2.0 AA requirements • Created training plan to align with training requirements under the Integrated Accessibility Standards Regulation • Secure funding under the Enabling Accessibility Fund in order to purchase assistive technology for Lucan Library Branch • Accessibility Coordinator assists local municipalities with facility audits • Submit compliance report to Accessibility Directorate of Ontario in 2015 o Participate in File Review with the Accessibility Directorate of Ontario in 2016

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Availability of the Plan and Status Report The Multi-Year Accessibility Plan and Annual Accessibility Status Reports can be accessed through Middlesex County’s website or http://www.middlesex.ca/living-here/accessibility

Contact Information For more information contact: Phone 519-434-7321 Fax 519-434-0638 Email [email protected] or [email protected] Mail County Clerk County of Middlesex 399 Ridout St. N, London ON N6A 2P1

Accessible formats and communication supports available upon request.

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Committee of the Whole

Meeting Date: November 8, 2016 Submitted by: Kathy Bunting, County Clerk and Jennifer Cowan, AODA Coordinator SUBJECT: ACCESSIBILITY ADVISORY COMMITTEE – REVISED TERMS OF REFERENCE

BACKGROUND: The Terms of Reference for the Middlesex Accessibility Advisory Committee were last revised and approved by Middlesex County Council on October 27, 2009. Following the update of the Integrated Accessibility Standards Regulation (O. Reg 191/11) in July of this year, it was decided that the Terms of Reference needed to be revised. The Middlesex Accessibility Advisory Committee held a meeting on Friday, October 21, 2016. The Revised Terms of Reference were approved by the MAAC and are being forwarded to Middlesex County Council for final approval. ANALYSIS: The Terms of Reference have been reviewed and revised with input from both the AODA Coordinator and County Clerk. The necessary changes from the update of the Integrated Accessibility Standards Regulation have been included along with some minor housekeeping items.

RECOMMENDATION: That the Accessibility Advisory Committee Terms of Reference be approved as presented. Attachments November 08, 2016 Page 2 of 8 B 3 - CW Action

COUNTY OF MIDDLESEX JOINT ACCESSIBILITY ADVISORY COMMITTEE TERMS OF REFERENCE

1. MANDATE The County of Middlesex Accessibility Advisory Committee is established in accordance with the Accessibility for Ontarians with Disabilities Act (AODA) and shall assist Middlesex County Council and local municipal councils in improving opportunities for persons with disabilities to participate in County programs and services.

The Accessibility Advisory Committee will achieve this goal by advising Middlesex County Council and local municipal councils on the development and implementation of a multi-year accessibility plan as required by the Act with a focus on the identification and removal of barriers to persons with disabilities.

Participating municipalities include: County of Middlesex, Municipality of Adelaide Metcalfe, Municipality of Lucan Biddulph, Municipality of Middlesex Centre, Municipality of North Middlesex, Municipality of Southwest Middlesex, Municipality of Strathroy- Caradoc, Municipality of Thames Centre and the Village of Newbury.

2. DEFINITIONS “barrier” means anything that prevents a person with a disability from fully participating in all aspects of society because of his or her disability, including a physical barrier, an architectural barrier, an information or communication barrier, an attitudinal barrier, a technological barrier or policy barriers.

“disability” means Any degree of physical disability, infirmity, malformation or disfigurement that is caused by bodily injury, birth defect or illness and, without limiting the generality of the foregoing, includes diabetes mellitus, epilepsy, a brain injury, any degree of paralysis, amputation, lack of physical coordination, blindness or visual impediment, deafness or hearing impediment, muteness or speech impediment, or physical reliance on a guide dog or other animal or on a wheelchair or other remedial appliance or device;

A condition of mental impairment;

A condition of a developmental disability;

A learning disability, or dysfunction in one or more of the processes involved in understanding or using symbols or spoken language;

A mental disorder; or,

An injury for which benefits were claimed or received under the insurance plan established under the Workplace Safety and Insurance Act, 1997;

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3. COMPOSITION

The County of Middlesex Joint Accessibility Advisory Committee shall consist of five to nine members in combination with the following: a) The majority of members (minimum three) must be persons with disabilities as defined under the Accessibility for Ontarians with Disabilities Act b) A representative of an organization representing persons with disabilities. c) A caregiver for a person with a disability.

In addition, the Warden shall be an ex-officio member. Two members of County Council will be appointed for the term.

Members will be appointed by County Council for the term of Council or until their successors are appointed. All appointments are at the pleasure of Council. Members are eligible for re-appointment.

A majority of members appointed including at least one elected member are required to constitute a quorum.

4. COMPENSATION

Members shall be compensated in accordance with the existing policies of the County of Middlesex.

5. REIMBURSEMENT OF EXPENSES

Members who are persons with disabilities will be provided at the County’s expense with the resources related to their disability that are deemed necessary for them to fully participate in the Committee activities. The resources could include such things as transportation, sign language translation, Braille transcription etc. Any equipment shall remain the property of the County of Middlesex.

6. REPORTING STRUCTURE

The County of Middlesex Accessibility Advisory Committee shall report to County Council through the CAO or County Clerk. The presentation of Committee activities shall be in the form of Report containing a record of those present at the meeting, the items considered and the recommendations of the Committee. The Committee shall report to County Council on an annual basis.

7. RESOURCES

The County Clerk’s Department will provide administrative support, including the preparation of reports to the Committee of the Whole, distribution of agendas and the general administrative co-ordination of the meetings. Other staff resources will be available as required.

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8. PROCEDURE

All meetings will be conducted in accordance with the County of Middlesex Procedural By-law and practices.

The Committee does not have the authority to specifically direct the activities of County staff.

9. CHAIR AND VICE CHAIR

The Chair and Vice Chair of the Committee shall be elected at the first meeting of the Committee for the term of council.

10. DUTIES

The County of Middlesex Joint Accessibility Advisory Committee shall; Work with County staff in the preparation of the Joint Multi Year Accessibility Plan in consultation with local municipalities for consideration by Middlesex County Council and local municipal councils. Review municipal site plans described in Section 41 of the Planning Act. Advise councils about the requirements and implementation of accessibility standards and the preparation of accessibility reports and such other matters for which the participating councils may seek its advice. Perform other functions that are specified in the Regulations of the Ontarians with Disabilities Act and the Accessibility for Ontarians with Disabilities Act. Advise Councils on the accessibility for people with disabilities to a building, structure or premise that the council purchases, constructs or significantly renovates, or for which the council enters into a new lease.

11. MEETINGS

Meetings will be held on an as needed basis at the Call of the Chair or as directed by the Committee. The Committee will meet a minimum of two times per year. November 08, 2016 Page 5 of 8 B 3 - CW Action

COUNTY OF MIDDLESEX JOINT ACCESSIBILITY ADVISORY COMMITTEE TERMS OF REFERENCE

1. MANDATE

The County of Middlesex Accessibility Advisory Committee is established in accordance with the Accessibility for Ontarians with Disabilities Act (AODA) and shall assist Middlesex County Council and local municipal participating councils County Council in improving opportunities for persons with disabilities to participate in County programs and services.

The Accessibility Advisory Committee will achieve this goal by advising Middlesex County Council and local municipal councils Committee/Councilparticipating councils on the development and implementation of a multi-year accessibility plan each year on its annual Accessibility Plan as required by the Act with a focus on the identification and removal of barriers to persons with disabilities.

2. DEFINITIONS

“barrier” means anything that prevents a person with a disability from fully participating in all aspects of society because of his or her disability, including a physical barrier, an architectural barrier, an information or communication barrier, an attitudinal barrier, a technological barrier or policy barriers.

A condition of mental impairment; November 08, 2016 Page 6 of 8 B 3 - CW Action

A condition of a developmental disability;

A learning disability, or dysfunction in one or more of the processes involved in understanding or using symbols or spoken language;

A mental disorder; or,

An injury for which benefits were claimed or received under the insurance plan established under the Workplace Safety and Insurance Act, 1997;

3. 2. COMPOSITION

The County of Middlesex Joint Accessibility Advisory Committee shall consist of five to nine to nine members in combination with the following:as follows; a) a) The majority of members (minimum three) must be persons with disabilities as defined under the Accessibility for Ontarians with Disabilities Act. b) A representative of an organization representing persons with disabilities. c) A caregiver for a person with a disability.

bIn addition, ) Tthe Warden shall be an ex-officio member. Two members of County Council will be appointed for the term..

c) Two members of County Council.

And Council may, at its discretion, appoint one or both of the following: a) One Citizen at large who may not be disabled but who has special interest or expertise in the identification or removal of barriers or has specific expertise as a care giver to a person(s) with disabilities. b) A representative of an organization representing persons with disabilities.

Members will be appointed by County Council for the term of Council or until their successors are appointed. All appointments are at the pleasure of Council. Members are eligible for re-appointment.

A majority of members appointed including at least one elected member are required to constitute a quorum.

34. COMPENSATION

Members shall be compensated in accordance with the existing policies of the County of Middlesex.

November 08, 2016 Page 7 of 8 B 3 - CW Action

45. REIMBURSEMENT OF EXPENSES

Members who are persons with disabilities will be provided at the County’s expense with the resources related to their disability that are deemed necessary for them to fully participate in the Committee activities. The resources could include such things as transportation, sign language translation, Braille transslationcription etc. Any equipment shall remain the property of the County of Middlesex.

56. REPORTING STRUCTURE

The County of Middlesex Accessibility Advisory Committee shall report to County Council through the CAO or County ClerkChief Administrative OfficerAODA Coordinator. The presentation of Committee activities shall be in the form of Report containing a record of those present at the meeting, the items considered and the recommendations of the Committee. The Committee shall report to County Council on an annual basis.

67. RESOURCES

78. PROCEDURE

All meetings will be conducted in accordance with the County of Middlesex Procedural By-law and practices.

The Committee does not have the authority to specifically direct the activities of County staff.

89. CHAIR AND VICE CHAIR

The Chair and Vice Chair of the Committee shall be elected at the first meeting of the Committee for the term of council. The Chair of the committee will be a person with a disability and shall be appointed Chair for the term of council.

910. DUTIES November 08, 2016 Page 8 of 8 B 3 - CW Action

The County of Middlesex Joint Accessibility Advisory Committee shall; a) WWork with County staff in the preparation of the Joint Multi Year County’s Accessibility Plan in consultation with local municipalities for consideration by County Council. by Middlesex County Council and local municipal participating councils. b) Review municipal site plans described in Section 41 of the Planning Act.

Advise Council on major accessibility issues related to the significant renovation, operation, purchase or lease of buildings or structures or parts of buildings or structures used as County and local municipal buildings with special attention to those that the public are encouraged to utilize through the review of site plans and drawings as described in Section 41 of the Planning Act. c) Advise councils about the requirements and implementation of accessibility standards and the preparation of accessibility reports and such other matters for which the participating councils may seek its advice. Identify any potential funding that could be available to assist with the removal of barriers for persons with disabilities. d) Research and report on specific matters referred to it by County Council. e) Perform other functions that are specified in the Regulations of the Ontarians with Disabilities Act and the Accessibility for Ontarians with Disabilities Act. f) Review site plans forwarded to the Committee by local municipalities. Advise Councils on the accessibility for people with disabilities to a building, structure or premise that the council purchases, constructs or significantly renovates, or for which the council enters into a new lease.

1011. MEETINGS

Meetings will be held on an as needed basis at the Call of the Chair or as directed by the Committee. The Committee will meet a minimum of two times per year. November 08, 2016 Page 1 of 1 B 4 - CW Action

Committee of the Whole

Meeting Date: November 8, 2016 Submitted by: Cara Finn, Director of Economic Development SUBJECT: RFP FOR CONSULTING SERVICES FOR THE RESEARCH AND DEVELOPMENT OF COUNTYWIDE COMMUNITY IMPROVEMENT PLANS (CIP)

BACKGROUND: The investigation and development of a Middlesex County CIP has been brought forward in the recommendations of both the 2014-2018 Economic Development Strategic Plan and the 2015 Agricultural Strategy Recommendations. Staff presented a Council Information Session on the topic at the October 11, 2016 Council Visioning outlining the stages and estimated costs of implementing such a project. ANALYSIS: In order to proceed with planning and budgeting for the research and development of countywide CIPs, staff will need to solicit quotations from outside consultants through the formal Request for Proposal (RFP) process. If Council decides to proceed, an RFP will be developed and circulated in order that the costs of this phase of the project can be ascertained and included in the 2017 budget. RECOMMENDATION: That staff proceed with the development of a Request for Proposal to ascertain the market value of the research and development of countywide CIP programs; and that a report will be presented to Middlesex County Council for final decision on countywide Community Improvement Plans. November 08, 2016 Page 1 of 2 C 1 - CW Info

General Administration Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107173 Angela Humelnicu Expense Refund $380.15 107185 Carswell Office Supplies $546.53 107185 Carswell Office Supplies $495.11 107193 Frank Cowan Insurance Co Ltd. Accident Benefit Deductible $3,252.75 107202 Doug Spettigue Expense Refund $1,050.88 107224 Johnson Controls #T6067 Service Call $190.64 107241 Middlesex London Health Unit Payment for Oct 2016 $96,746.75 107242 Municipal Property Assessment Corp Quarterly Billing $288,423.79 107249 Ontario Nurses Association Oct For Sept ONA 21 $1,668.72 107249 Ontario Nurses Association Oct for Sept ONA 21 C.Brooks $98.16 107274 Telus Communications Monthly Phone Service $769.72 107277 TempWise Design and Maintenance Heat Pumps $3,793.67 107283 UNIFOR Local 302 Oct for Sept Local 302 $5,680.19 107291 WSIB Roads Schedule 2 Firm#855989 $48.15 107303 Allstream Business Inc. Phone Service $706.79 107319 Carswell Reference Book $550.76 107341 County of Elgin Accessinility Co-ordinator $11,419.37 107347 Director, Family Responsibility Office Garnishment $107.50 107354 County of Grey WOWC July-Sept/16 Billing $19,153.50 107365 Mrs. Joanne Vanderheyden FCM Expense Refund $627.63 107366 Keytech Water Management Aquaplan Program $241.45 107383 Gallagher McDowall Associates Professional Fees $453.41 107386 Metropolitan Maintenance Janitorial Service $3,118.80 107389 MLEMS Staff Association V21/16 $1,045.00 107392 Nicholas Loeb Expense Refund $1,152.11 107397 Ontario Public Service Employees Union Local 147 V21/16 $8,093.66 107405 POI LONDON Hutch $838.63 107407 Purolator Inc. Courier $45.14 107407 Purolator Inc. Courier $31.63 107415 RWAM Insurance Administrators Group 100000 Div 2 $46,613.27 107415 RWAM Insurance Administrators Group 100000 Div 1 $25,937.23 107415 RWAM Insurance Administrators Group 100000 Div 4 $19,508.48 107415 RWAM Insurance Administrators Group 100000 Div 5 $20,805.29 107422 Simply Kept Caterings Lunch Package $574.61 107426 The Standard Life Assurance Co TK82 V2016 RRSP $25.00 107449 WSIB FIRM 855989 Physician/Admin $859.48 107449 WSIB FIRM 855989 Schedule 2 $237.07 107469 Bill Rayburn Chair remuneration $1,250.00 107483 Copps Building Materials Ltd. Supplies $46.54 107484 The Canadian Payroll Association Membership Renewal $248.60 107486 C.U.P.E. Local 2018 TK81 V21/16 $950.00 107502 Family Services EAP EAP Services $5,032.48

General Administration Payable November 08, 2016 Page 2 of 2 C 1 - CW Info

General Administration Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107504 Frampton Mailing Systems Postage Meter $552.40 107504 Frampton Mailing Systems Ink Cartridge $300.47 107506 Haygarth Printing Limited Envelopes $745.80 107531 Manulife Financial Additioanl Benefits $2,995.44 107545 OTIS Canada, Inc. Service $687.55 107549 1st Dorchester Camp BEL Wardens Charity Golf Proceeds $6,526.32 107550 Steve Cadogan Funeral Excess Reimbursement $68.21 107555 Purolator Inc. Courier $22.50 107569 The Standard Life Assurance Co TK81 V21/16 $165.00 107569 The Standard Life Assurance Co TK82 V21/16 RRSP $25.00 107570 Staples Advantage Office Supplies $207.51 107575 Telus Service $1,784.72 107583 Stevenson Children's Camp Wardens Charity Golf Proceeds $6,526.32 107589 WSIB FIRM 855989 Schedule 2 $23.54 107594 Anne Arnott Petty Cash Top Up - SS $192.57 107597 Angela Humelnicu Diamond Conference 17-19 Oct16 $678.09 107599 BDO Canada LLP Professional Services-WOWC $17,833.10 107599 BDO Canada LLP Professional Services-WOWC $15,483.83 107632 Director, Family Responsibility Office E22 V22/16 Garnishment $107.50 107642 Treasurer, County of Huron SWIFT Overpayment $30,000.00 107672 Mary Jeanne Coleman Additional Benefit $241.79 107673 MLEMS Staff Association V22/16 $1,047.00 107684 Ontario Public Service Employees Union V22/16 Local 147 $8,409.05 107690 Progressive Waste Solutions Basic Service $381.94 107704 Staples Advantage Office Supplies $80.05 107712 Technical Standards & Safety Authority Elevator Inspection $226.00 107712 Technical Standards & Safety Authority Elevator Inspection $226.00 107720 Tru Green Lawn Care $2,113.10 107734 WSIB FIRM 855989 Schedule 2 $449.85

$670,919.29

General Administration Payable November 08, 2016 Page 1 of 1 C 2 - CW Info

Planning Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107203 Durk Vanderwerff Expense Refund $166.60 107210 Minister of Finance 2016 Ont West Planners Forum $90.40 107310 Benjamin Puzanov Expense Refund $99.82 107363 Jennifer Huff Symposium Registration $734.50 107381 Marc Bancroft Expense Refund $89.77 107388 Minister of Finance Planners Forum $90.40 107514 Jennifer Huff Expense Refund $179.67 107637 Haygarth Printing Limited Office Supplies $71.19 107668 Mark Brown Expense Refund $1,081.94 107668 Mark Brown Expense Refund $152.54

$2,756.83

Planning Payables November 08, 2016 Page 1 of 3 C 3 - CW Info

ELECTRONIC PAYMENTS October 2016 ACCT # LOC. DESCRIPTION DATE AMOUNT PAYEE 200003260985 ROADS FLASHER Oct 11/16 27.85 HYDRO ONE 200003268564 ROADS STREET LIGHTS Oct 11/16 380.59 HYDRO ONE 200005754996 D8 HYDRO Oct 03/16 114.77 HYDRO ONE 200006369736 D2 HYDRO Oct 18/16 447.62 HYDRO ONE 200009349252 ROADS TRAFFIC SIGNALS Oct 31/16 755.07 HYDRO ONE 200013224404 ROADS FLASHER Oct 24/16 41.71 HYDRO ONE 200013955237 ROADS TRAFFIC SIGNALS Oct 26/16 70.08 HYDRO ONE 200016225744 D8 HYDRO Oct 31/16 246.74 HYDRO ONE 200017837055 ROADS TRAFFIC SIGNALS Oct 11/16 197.30 HYDRO ONE 200020679660 D9 HYDRO Oct 25/16 627.34 HYDRO ONE 200028997614 ROADS TRAFFIC SIGNALS Oct 19/16 264.98 HYDRO ONE 200029979536 ROADS TRAFFIC SIGNALS Oct 24/16 74.38 HYDRO ONE 200034570767 ROADS TRAFFIC SIGNALS Oct 24/16 252.83 HYDRO ONE 200038538673 ROADS FLASHER Oct 04/16 42.40 HYDRO ONE 200039404296 ROADS TRAFFIC SIGNALS Oct 04/16 49.02 HYDRO ONE 200039586475 ROADS STREET LIGHT Oct 17/16 96.97 HYDRO ONE 200041711381 D4 HYDRO Oct 25/16 652.28 HYDRO ONE 200045602802 ROADS FLASHER Oct 11/16 59.44 HYDRO ONE 200045604115 ROADS TRAFFIC SIGNALS Oct 11/16 196.24 HYDRO ONE 200049091061 ROADS TRAFFIC SIGNALS Oct 03/16 114.75 HYDRO ONE 200049305067 FIRE PARKHILL RENTAL Oct 24/16 77.51 HYDRO ONE 200051147562 ROADS STREET LIGHTS Oct 11/16 82.22 HYDRO ONE 200051883247 D1 HYDRO Oct 17/16 2,236.67 HYDRO ONE 200054876507 ROADS TRAFFIC SIGNALS Oct 11/16 139.06 HYDRO ONE 200055079597 ROADS TRAFFIC SIGNALS Oct 12/16 100.40 HYDRO ONE 200061663675 ROADS FLASHER Oct 24/16 59.20 HYDRO ONE 200061840093 ROADS TRAFFIC SIGNALS Oct 11/16 241.47 HYDRO ONE 200072164331 ROADS FLASHER Oct 11/16 46.58 HYDRO ONE 200072265169 ROADS STREET LIGHTS Oct 11/16 59.44 HYDRO ONE 200072682673 D3 HYDRO Oct 11/16 399.22 HYDRO ONE 200078398805 ROADS TRAFFIC SIGNALS Oct 11/16 42.90 HYDRO ONE 200082802908 ROADS FLASHER Oct 11/16 70.59 HYDRO ONE 200082995894 D4 HYDRO Oct 24/16 51.39 HYDRO ONE 200084256389 ROADS FLASHER Oct 11/16 43.17 HYDRO ONE 200089643933 ROADS STREET LIGHTS Oct 11/16 127.38 HYDRO ONE 200089788827 ROADS TRAFFIC SIGNALS Oct 11/16 712.57 HYDRO ONE 200089799537 ROADS FLASHER Oct 11/16 50.18 HYDRO ONE 200092590915 ROADS TRAFFIC SIGNALS Oct 25/16 98.60 HYDRO ONE 200105098053 ROADS STREET LIGHTS Oct 11/16 70.59 HYDRO ONE 200106787368 ROADS STREET LIGHTS Oct 11/16 150.80 HYDRO ONE 200111248964 ROADS TRAFFIC SIGNALS Oct 11/16 127.87 HYDRO ONE 200114251419 ROADS FLASHER Oct 11/16 47.17 HYDRO ONE 200114251722 ROADS TRAFFIC SIGNALS Oct 11/16 192.44 HYDRO ONE 200129103230 ROADS FLASHER Oct 11/16 66.09 HYDRO ONE 200139187994 ECON.DEV SIGN-FIVE PTS LINE 46.69 HYDRO ONE 200139187994 ECON.DEV SIGN-FIVE PTS LINE Oct 31/16 46.91 HYDRO ONE November 08, 2016 Page 2 of 3 C 3 - CW Info

1019943 Cty Bldg WATER Oct 21/16 993.05 LONDON HYDRO 1019951 50 King WATER Oct 21/16 760.12 LONDON HYDRO 7460017 Cty Bldg HYDRO Oct 11/16 8,886.51 LONDON HYDRO 7464671 50 King HYDRO Oct 11/16 12,897.40 LONDON HYDRO 802-40048000-00 ROADS HYDRO Oct 03/16 182.26 ENTEGRUS 803-40205228-01 ROADS HYDRO Oct 21/16 130.37 ENTEGRUS 804-40205170-00. LODGE WATER Oct 06/16 4,514.50 ENTEGRUS 805-40047998-01 ROADS HYDRO Oct 06/16 182.39 ENTEGRUS 805-40047999-00 ROADS HYDRO Oct 03/16 210.91 ENTEGRUS 805-40048001-01 ROADS HYDRO Oct 03/16 307.35 ENTEGRUS 805-40048002-00 ROADS HYDRO Oct 03/16 210.91 ENTEGRUS 805-40048003-00 ROADS HYDRO Oct 03/16 213.83 ENTEGRUS 805-40206689-00 ROADS HYDRO Oct 03/16 234.38 ENTEGRUS 807-40205195-00 LODGE HYDRO Sept 30/16 22,742.03 ENTEGRUS 820-40194856-00 ROADS HYDRO Oct 14/16 302.52 ENTEGRUS 172-3626 160-4549 CTY BLD 17236261604549 CTYBLDGOct 11/16 76.19 UNION GAS 172-3627 160-4550 50 KING 17236271604550KINGHEAOct 26/16 165.66 UNION GAS 193-5130-246-9562 D3 R19351302469562D03 Oct 05/16 26.90 UNION GAS 208-8776-254-8323 SL SL20887762548323 Oct 06/16 2,419.77 UNION GAS 208-8973 191-0271 D8 R20889731910271 D08 Oct 04/16 27.65 UNION GAS 220-0587 200-4584 D1 R22005872004584D01 Oct 11/16 23.73 UNION GAS 235-2382 213-2650 D6 R23523822132650 D06 Oct 13/16 37.00 UNION GAS 298-5108-246-9549 D4 R29851082469549D04 Oct 18/16 23.73 UNION GAS 310-1733-251-1761 D2 R31017332511761D02 Oct 25/16 23.73 UNION GAS 300165853 Dorchester Library Internet Sep 28/16 177.87 BELL 300334249 Ilderton Library Internet Sep 27/16 174.81 BELL 300334410 Wardsville Library Internet Sep 27/16 174.81 BELL 504625313 Mt. Brydges Library Internet Sep 29/16 188.37 BELL 514244656 Coldstream Library Internet Sep 27/16 167.92 BELL 5192451290 103 Strathroy Library Phone Sep 30/16 626.19 BELL 5192458237 224 Middlesex CounPhone (Library) Sep 30/16 366.19 BELL 5192641061 452 Mt. Brydges Library Phone Sep 30/16 85.98 BELL 5192872735 452 Glencoe Library Phone Sep 12/16 79.32 BELL 5192892405 724 Melbourne Library Phone Sep 30/16 91.61 BELL 5192933441 452 Ailsa Craig Library Phone Sep 12/16 80.31 BELL 5194611150 626 Thorndale Library Phone Sep 27/16 102.85 BELL 5196529978 182 Delaware Library Phone Sept 30/16 163.21 BELL 5196661201 740 Coldstream Library Phone Sept 30/16 91.61 BELL 5196661599 882 Ilderton Library Phone Sept 30/16 80.31 BELL 5196934208 996 Wardsville Library Phone Sept 30/16 80.31 BELL 5196934275 017 Newbury Library Phone Sept 30/16 80.31 BELL 232-364888105 Thorndale LibraInternet Sept 30/16 97.12 ROGERS 6-4315-1681 Komoka LibraryInternet Sept 30/16 214.60 ROGERS CANADA REVENUE PAYROLL Payroll - Taxes Sept.2016 335645.98 GOV'T OMERS LODGE Pension Sept.2016 79548.74 STRATHMERE LOD OMERS AMBULANCE Pension Sept.2016 79548.74 MIDDLESEX/LONDO OMERS GENERAL Pension Sept.2016 149763.9 COUNTY VISA AMBULANCE Card#1, 2, 3, 4, 5, 6, 7, 9 Sept.2016 10,566.70 VISA VISA AMBULANCE Chief Office Card Sept.2016 2,455.35 VISA November 08, 2016 Page 3 of 3 C 3 - CW Info

VISA AMBULANCE Administrative Card Sept.2016 970.49 VISA VISA AMBULANCE Training Sept.2016 2,284.74 VISA VISA AMBULANCE Neal Roberts Sept.2016 433.02 VISA VISA AMBULANCE Superintendent Sept.2016 1,365.00 VISA VISA AMBULANCE John Prno Sept.2016 214.67 VISA VISA Warden Jim Maudsley Sept.2016 77.26 VISA VISA CAO Bill Rayburn Sept.2016 2,522.53 VISA VISA Treasury James Gates Sept.2016 1,798.43 VISA VISA Maintenance Steve DeCandido Sept.2016 589.89 VISA VISA I.T. Morgan Calvert Sept.2016 1,492.92 VISA VISA Library Lindsay Brock Sept.2016 1,791.09 VISA VISA Legal Wayne Meagher Sept.2016 1,743.08 VISA VISA Roads Paul Moniz Sept.2016 865.47 VISA VISA Roads Warren Knight Sept.2016 1,093.81 VISA VISA FPO John Elston Sept.2016 121.22 VISA VISA Roads Martin Langdale Sept.2016 76.84 VISA VISA Lodge Marcy Welch Sept.2016 469.97 VISA VISA Lodge Brent Kerwin Sept.2016 1,000.75 VISA VISA Lodge John Fournier Sept.2016 606.19 VISA VISA Planning Cara Finn Sept.2016 3,316.47 VISA TOTAL 745,862.84 November 08, 2016 Page 1 of 3 C 4 - CW Info

Social Services Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107186 Crystal Austin Expenses to Sept 30/16 $397.40 107197 Denise Dunbar Expenses to Sept 29/16 $60.60 107199 Denise Gill Expenses to Sept 30/16 $501.74 107206 Entegrus OW CHPI 2016-2017 0018 $280.61 107228 Keena Ewing Expenses to Sept 30/16 $381.42 107230 Kassandra Marriott Expenses to Sept 30/16 $120.57 107233 LEADS Employment Services September/16 Skills That Work $3,997.50 107244 Michelle Williams Expenses to Sept 29/16 $200.00 107260 Sally De Meneses Expenses to Sept 23/16 $237.60 107269 Mun. of Strathroy Caradoc Can I Play Too? (SC) $1,000.00 107271 SW Middlesex Recreation Can I Play Too? (SWM) $1,300.00 107275 Strathroy Dental Centre OW Dental $248.84 107276 Dr. El-Shareif OW Dental $296.46 107385 Merrymount Family Support & Crisis Centre Mutual Aid Parenting Program $2,000.00 107446 Westview Funeral Chapel Funeral Expense $4,748.82 107455 Ailsa Craig & District Co-Op Nov/16 General Operating Grant $559.94 107455 Ailsa Craig & District Co-Op Nov/16 EDU-WEG $122.02 107455 Ailsa Craig & District Co-Op Nov/16 Supplemental GOG $3.79 107456 ACORN CHRISTIAN DAY CARE September/16 Childcare Subsidy $940.94 107461 Arva's Little School House September/16 Childcare Subsidy $2,268.00 107461 Arva's Little School House Nov/16 General Operating Grant $2,730.00 107461 Arva's Little School House Nov/16 EDU-WEG $1,617.63 107461 Arva's Little School House Nov/16 Supplemental GOG $54.21 107466 Belvoir Co-op Nursery School Nov/16 General Operating Grant $562.36 107466 Belvoir Co-op Nursery School Nov/16 EDU-WEG $157.93 107466 Belvoir Co-op Nursery School Nov/16 Supplemental GOG $4.44 107467 Bizzy Bees Day Care Centre September/16 Childcare Subsidy $1,756.99 107467 Bizzy Bees Day Care Centre Nov/16 General Operating Grant $3,315.00 107467 Bizzy Bees Day Care Centre Nov/16 EDU-WEG $2,242.77 107467 Bizzy Bees Day Care Centre Nov/16 Supplemental GOG $28.88 107468 Boys & Girls Club of London September/16 Childcare Subsidy $126.76 107470 London Bridge Childcare Serv. September/16 Childcare Subsidy $6,628.50 107471 Bright Beginnings September/16 Childcare Subsidy $136.18 107479 Chelsea Green Children's Centre Inc. September/16 Childcare Subsidy $3,202.76 107480 Cindy Howard Expenses to Sept 27/16 $1,707.20 107491 Dorchester Co-Op Nursery Schoo Nov/16 General Operating Grant $403.79 107491 Dorchester Co-Op Nursery Schoo Nov/16 EDU-WEG $336.46 107491 Dorchester Co-Op Nursery Schoo Nov/16 Supplemental GOG $12.04 107494 E.L.M. Children's Centre September/16 Childcare Subsidy $1,202.43 107494 E.L.M. Children's Centre Nov/16 General Operating Grant $5,029.71 107494 E.L.M. Children's Centre Nov/16 EDU-WEG $2,180.08 107494 E.L.M. Children's Centre Nov/16 Supplemental GOG $66.25

Social Services Payables November 08, 2016 Page 2 of 3 C 4 - CW Info

Social Services Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107516 Kidzone Day Care September/16 Childcare Subsidy $1,496.18 107517 Kilworth Children's Centre Nov/16 General Operating Grant $11,203.56 107517 Kilworth Children's Centre Nov/16 EDU-WEG $6,602.85 107517 Kilworth Children's Centre Nov/16 Supplemental GOG $223.36 107519 Lambton Rural Child Care September/16 Childcare Subsidy $474.23 107522 Little Lambs Christian Daycare September/16 Childcare Subsidy $5,461.33 107522 Little Lambs Christian Daycare Nov/16 General Operating Grant $7,281.06 107522 Little Lambs Christian Daycare Nov/16 EDU-WEG $4,439.63 107522 Little Lambs Christian Daycare Nov/16 Supplemental GOG $160.34 107523 Little Red School House September/16 Childcare Subsidy $1,286.00 107524 London Children's Connection Nov/16 General Operating Grant $2,844.18 107524 London Children's Connection Nov/16 EDU-WEG $1,419.31 107524 London Children's Connection Nov/16 Supplemental GOG $81.92 107529 Lucan & Dist. Co-op Nursery Nov/16 General Operating Grant $264.83 107529 Lucan & Dist. Co-op Nursery Nov/16 EDU-WEG $99.33 107529 Lucan & Dist. Co-op Nursery Nov/16 Supplemental GOG $4.44 107530 M&T Instaprint Program Supplies - HKCC $4,718.93 107539 Middlesex London Health Unit Community Challenge 2016 $500.00 107547 Parkhill Co-Op Playschool Inc. Nov/16 General Operating Grant $262.52 107547 Parkhill Co-Op Playschool Inc. Nov/16 EDU-WEG $80.50 107547 Parkhill Co-Op Playschool Inc. Nov/16 Supplemental GOG $2.79 107557 Quest Centre Community Initiatives Rent Nov/16 Quest $500.00 107563 Salvation Army Village Daynurs September/16 Childcare Subsidy $836.00 107565 Simply Kids Nov/16 General Operating Grant $9,545.25 107565 Simply Kids Nov/16 EDU-WEG $5,457.63 107565 Simply Kids Nov/16 Supplemental GOG $191.99 107567 Mt. Brydges Sonshine Day Care September/16 Childcare Subsidy $1,961.00 107567 Mt. Brydges Sonshine Day Care Nov/16 General Operating Grant $5,850.00 107567 Mt. Brydges Sonshine Day Care Nov/16 EDU-WEG $3,794.25 107567 Mt. Brydges Sonshine Day Care Nov/16 Supplemental GOG $87.58 107576 MEDIGAS Discretionary Benefits $62.15 107577 212117846 Ontario Inc CHPI 2016-2017 0019 $650.00 107584 The Western Day Care Centre September/16 Childcare Subsidy $251.84 107585 Whitehills Childcare Ass'n. September/16 Childcare Subsidy $1,359.46 107585 Whitehills Childcare Ass'n. Nov/16 General Operating Grant $10,595.58 107585 Whitehills Childcare Ass'n. Nov/16 EDU-WEG $3,447.25 107585 Whitehills Childcare Ass'n. Nov/16 Supplemental GOG $88.50 107592 YMCA of London Nov/16 General Operating Grant $10,863.12 107592 YMCA of London Nov/16 EDU-WEG $9,568.76 107592 YMCA of London Nov/16 Supplemental GOG $201.37 107604 Brittany Steckler Expenses to Oct 21/16 $267.68

Social Services Payables November 08, 2016 Page 3 of 3 C 4 - CW Info

Social Services Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107652 Kilworth Children's Centre September/16 Childcare Subsidy $779.24 107655 Kelly Smith OMSSA Zone 1 Expense $222.00 107655 Kelly Smith MCSN Meeting Expense $44.57 107655 Kelly Smith Expenses to Oct 26/16 $327.32 107658 LEADS Employment Services October/16 Skills That Work $3,997.50 107661 London Children's Connection September/16 Childcare Subsidy $8,209.92 107666 M&T Instaprint Program Supplies - HKCC $113.00 107686 ParaMed Home Health Care Sept/16 Homemakers & Nurses $710.40

$182,059.27

Social Services Payables November 08, 2016 Page 1 of 3 C 5 - CW Info

Strathmere Lodge Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107182 Cathy Annett PETTY CASH $178.85 107198 De Lage Landen Financial Services Canada Inc CONTRACT FEE $172.00 107204 DYNACARE LAB SERVICES $675.00 107207 ESTATE OF VIVIAN SPROUL ACCOMMODATION REFUND $119.39 107216 Harco Co. Ltd. MNTCE UPKEEP $169.34 107223 John Fournier EXPENSE REFUND $61.06 107234 LENA HODGINS STAFF EDUCATOR FEES $2,534.81 107237 Medical Mart INCONTINENT SUPPLIES $1,884.44 107237 Medical Mart NURSING SUPPLIES $27.05 107237 Medical Mart NURSING SUPPLIES $1,857.53 107238 MIP Inc. HOUSEKEEPING SUPPLIES $283.13 107240 Middlesex Printing Corp. OFFICE SUPPLIES $271.39 107240 Middlesex Printing Corp. OFFICE SUPPLIES $605.30 107240 Middlesex Printing Corp. OFFICE SUPPLIES $154.46 107243 MARCY WELCH EXPENSE REFUND $173.71 107252 Premium Uniforms UNIFORMS $185.79 107253 ProAble Hardware Specialties DOORS INSTALLED-NURS. STATIONS $11,718.04 107254 VANDEWALLE MEDICINE PROFESSIONAL CORP. PHYSICIAN FEES $1,752.00 107262 SHERWIN-WILLIAMS PAINT SUPPLIES $209.50 107288 Strathroy Welding & Repairs MNTCE UPKEEP $22.60 107288 Strathroy Welding & Repairs MNTCE UPKEEP $22.60 107292 W.S.I.B. FIRM #856021 $548.84 107298 Augustine Caines EXPENSE REFUND $248.08 107300 ACTIVE HEALTH SERVICES LTD. PHYSIOTHERAPY SERVICES $10,993.48 107303 Allstream Business Inc. TELEPHONE $84.48 107304 ARJOHUNTLEIGH CANADA INC. MNTCE UPKEEP $16,667.50 107304 ARJOHUNTLEIGH CANADA INC. NURSING EQUIPMENT $1,612.00 107304 ARJOHUNTLEIGH CANADA INC. NURSING EQUIPMENT $3,866.00 107305 Art Blake Refrigeration Limited MNTCE UPKEEP $2,398.97 107314 CARDINAL HEALTH CANADA INC. HOUSEKEEPING SUPPLIES $148.17 107315 CARDINAL SERVICES GROUP MNTCE UPKEEP $1,108.84 107344 BETH GOSSELIN CONSULTING FEES $57.30 107345 HAYES MEDIATION ARBITRATION LTD. CONSULTING FEES $2,895.01 107351 Fulline Farm & Garden Equipment MNTCE SUPPLIES $579.07 107360 Integrated Digital Solutions CONTRACT FEE $156.44 107366 Keytech Water Management ANNUAL FEE $904.00 107367 KR COMMUNICATIONS LTD. NURSING EQUIPMENT $977.74 107384 Medical Mart INCONTINENT SUPPLIES $1,805.43 107394 NOVEXCO OFFICE SUPPLIES $305.80 107395 Nutritional Management Service SEPTEMBER MEALS $66,805.70 107407 Purolator Inc. COURIER SERVICES $30.16 107414 Russell Food Equipment KITCHEN SUPPLIES $169.33

Strathmere Lodge Payables November 08, 2016 Page 2 of 3 C 5 - CW Info

Strathmere Lodge Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107414 Russell Food Equipment KITCHEN SUPPLIES $56.44 107414 Russell Food Equipment KITCHEN SUPPLIES $542.83 107414 Russell Food Equipment KITCHEN EQUIPMENT $791.00 107418 Shred-It International ULC SHREDDING SERVICES $111.81 107420 Signmakers NAME TAGS $9.94 107420 Signmakers NAME TAGS $53.51 107438 TSC Stores L.P MNTCE SUPPLIES $425.34 107450 W.S.I.B. FIRM # 856021 $1,617.75 107450 W.S.I.B. FIRM # 856021 $2,010.09 107451 Wood Wyant Inc. HOUSEKEEPING SUPPLIES $1,152.22 107452 LASKEY'S SERVICES MNTCE SUPPLIES $17.21 107474 CARDINAL HEALTH CANADA INC. HOUSEKEEPING SUPPLIES $417.83 107497 BARBARA COULTER ACCOMMODATION REFUND $1,931.88 107498 ESTATE OF BETTY THIBEAULT ACCOMMODATION REFUND $1,720.52 107499 ESTATE OF MARION GEORGE ACCOMMODATION REFUND $1,971.16 107500 ESTATE OF JOHN SCOTT ACCOMMODATION REFUND $1,122.31 107501 LINKER FABRICATING & MACHINING LTD. MNTCE SUPPLIES $2,449.09 107505 Goodlife Fitness Centres Inc. MEMBERSHIP FEES $536.77 107520 LENA HODGINS STAFF EDUCATOR FEES $2,534.81 107535 Medical Mart HOUSEKEEPING SUPPLIES $423.58 107535 Medical Mart INCONTINENT SUPPLIES $1,656.44 107553 Power Plumbing & Heating MNTCE UPKEEP $162.27 107554 Progressive Waste Solutions GARBAGE SERVICES $1,856.04 107555 Purolator Inc. COURIER SERVICES $30.16 107561 Russell Food Equipment KITCHEN SUPPLIES $134.70 107561 Russell Food Equipment KITCHEN SUPPLIES $2,023.46 107590 W.S.I.B. FIRM # 856021 $464.23 107606 Cathy Annett PETTY CASH $407.15 107607 CARDINAL HEALTH CANADA INC. NURSING SUPPLIES $3,538.76 107610 CAM DENOMME ENTERTAINMENT $237.30 107626 DAN SKELCHER ENTERTAINMENT $125.00 107629 ESTATE OF LUISA EVANGELHO ACCOMMODATION REFUND $872.48 107630 HIPSAVER/DERMASAVER CANADA NURSING SUPPLIES $163.73 107631 FLETCHER REID INC. LANDSCAPING $21,345.70 107638 Helen Hollingsworth EXPENSE REFUND $67.68 107645 JIM ASHBY ENTERTAINMENT $85.00 107647 JOANNE DOES MUSIC SESSIONS $361.15 107653 KEN MCLAGAN ENTERTAINMENT $180.00 107656 KELLY TIMM COOKIES FOR STAFF FLU SHOT DAY $140.28 107660 LESLEIGH MORDEN EXPENSE REFUND $15.00 107670 Medical Mart NURSING SUPPLIES $2,451.88 107670 Medical Mart INCONTINENT SUPPLIES $1,542.44

Strathmere Lodge Payables November 08, 2016 Page 3 of 3 C 5 - CW Info

Strathmere Lodge Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107670 Medical Mart NURSING SUPPLIES $1,452.42 107679 NOVEXCO OFFICE SUPPLIES $270.41 107679 NOVEXCO OFFICE SUPPLIES $19.81 107700 Signmakers NAME TAGS $9.94 107722 VAL BRADLEY PAINTING CLASSES $152.55 107722 VAL BRADLEY PAINTING CLASSES $135.60 107735 W.S.I.B. FIRM # 856021 $1,647.20

$196,885.20

Strathmere Lodge Payables November 08, 2016 Page 1 of 6 C 6 - CW Info

Roads Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107171 A & B Rental Centre Equipment Rental $1,525.50 107171 A & B Rental Centre Equipment Rental $695.40 107171 A & B Rental Centre Equipment Rental $442.40 107171 A & B Rental Centre Equipment Rental $269.11 107172 Absolutely Creative Training CERV First Aid Training $96.05 107174 Alarmtech Systems for Life Monitoring Fee Parkhill $339.00 107174 Alarmtech Systems for Life Monitoring Fee Melbourne $339.00 107178 Battlefield Equipment Rentals Equipment Rental $450.42 107178 Battlefield Equipment Rentals Equipment Rental $5,687.97 107179 Bell Canada D2 Phone $216.28 107180 Brander Steel Industries (1991) Ltd. Hardware $1,365.04 107181 Brent - Reg Construction Services $4,375.36 107181 Brent - Reg Construction Services $7,159.68 107184 Carrier Truck Centre Parts $139.33 107190 Cintas Canada Ltd. Uniforms $30.11 107192 Copps Building Materials Ltd. Supplies $67.07 107192 Copps Building Materials Ltd. Supplies $142.15 107194 Canadian Pacific Railway Co. Flasher Contract $2,039.50 107195 Corey Saunders Expense Refund $200.27 107196 Chris Traini Expense Refund $762.38 107205 Emco Corporation Catch Basin $220.35 107208 Fastenal Canada, Ltd. Hardware $18.67 107211 Finch Chevrolet Cadillac Buick GMC Ltd. Parts $42.99 107212 Gerry's Truck Centre Parts $68.21 107215 Hamisco Industrial Sales Inc. Supplies $128.91 107217 Hardy Service Supplies $50.99 107218 Harry's Spring Service Ltd. Parts $475.73 107219 Hyde Park Equipment Service $188.78 107219 Hyde Park Equipment Parts $11.24 107225 Jerry Rychlo Expense Refund $184.71 107227 Jason Vojin Expense Refund $333.20 107231 Lafarge Canada Inc. Materials $7,263.64 107232 Larry MacDonald Chev Buick GMC Ltd. Parts $76.32 107239 MIDDLESEX COMMUNITY LIVING Services $135.00 107245 Muncipality of North Middlesex Elginfield Rd Service $63.73 107247 Number One Property Services Property Maintenance $3,390.00 107250 Ontario One Call Sept 1-30 Service $402.11 107255 Ryan Hillinger Expense Refund $97.83

Roads Payables November 08, 2016 Page 2 of 6 C 6 - CW Info

Roads Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107258 Rick Tweddle Expense Refund $216.73 107261 Steve Guay Expense Refund $796.18 107263 Stainton's Ltd.& Ecowater London Supplies $242.45 107266 Staples Advantage Office Supplies $199.32 107268 Stinson Equipment Limited Hardware $8,865.12 107270 Strongco Equipment Parts $73.38 107270 Strongco Equipment Parts $41.96 107270 Strongco Equipment Parts $235.61 107270 Strongco Equipment Parts $44.47 107270 Strongco Equipment Parts $39.69 107272 Team Truck Centre Parts $154.30 107272 Team Truck Centre Parts $96.86 107278 Tirecraft, Pro Tire Inc. Service Call $138.99 107278 Tirecraft, Pro Tire Inc. Service Call $378.32 107278 Tirecraft, Pro Tire Inc. Service Call $180.80 107280 Toromont Cat Parts $21.99 107280 Toromont Cat Parts $306.81 107281 Traction London (287) Parts $139.49 107281 Traction London (287) Parts $53.36 107281 Traction London (287) Parts $136.41 107281 Traction London (287) Parts $7.63 107281 Traction London (287) Parts $57.05 107285 United Rentals Inc Equipment Rental $867.76 107289 Williams Form Hardware Parts $240.26 107290 K+S Windsor Salt Ltd. Salt $5,767.38 107290 K+S Windsor Salt Ltd. Salt $6,106.25 107290 K+S Windsor Salt Ltd. Salt $2,888.81 107308 Bert DeSmit Expense Refund $32.50 107317 Carquest Parts $5.53 107318 Carrier Truck Centre Parts $1,342.70 107318 Carrier Truck Centre Parts $143.30 107318 Carrier Truck Centre Service $499.06 107318 Carrier Truck Centre Parts $210.08 107318 Carrier Truck Centre Parts $62.85 107324 Cintas Canada Ltd. Laundry Service $30.11 107325 CN Non-Freight Maintenance $3,969.50 107326 Collver Towing Towing $339.00 107327 Copps Building Materials Ltd. Supplies $19.94 107329 Canadian Pacific Railway Co. Services $692.50

Roads Payables November 08, 2016 Page 3 of 6 C 6 - CW Info

Roads Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107332 Culligan Water Cambridge Water $25.25 107332 Culligan Water Cambridge Water $45.07 107343 Emco Corporation Grates $621.50 107343 Emco Corporation Shims $171.76 107348 Fastenal Canada, Ltd. Hardware $781.23 107348 Fastenal Canada, Ltd. Hardware $302.84 107352 Gary Falconer Transport Dozer Rental $4,011.50 107352 Gary Falconer Transport Breaker Rental $2,486.00 107355 Guild Electric Ltd Maintenance $5,215.37 107362 John Elston Expense Refund $706.88 107368 Krown Rust Control Centre Supplies $501.72 107369 Lafarge Canada Inc. Material $4,797.00 107370 Lavis Contracting Company Ltd. Cold Asphalt Recycling $94,228.80 107374 Linde Canada Limited 15687 Oxygen $76.04 107387 Middlesex Landscaping Services Grass Seed $146.90 107399 Wes Youngson (C.W. Welding & Custom Fab. Ltd Permit Refund E12/2015 $2,400.00 107400 David Borntreger Refund Deposit W32/2016 $400.00 107401 Adrian Vestering Refund E32/2016 $1,400.00 107403 Suncor Energy Products Partnership Gas Card Purchases $201.24 107413 Royal Fence Limited Supplies $293.80 107416 Southwest Middlesex Utilities Melbourne Service $73.55 107425 Spectrum Communications Service $281.68 107430 Stinson Equipment Limited Traffic Control $274.59 107432 Team Truck Centre New Truck 6 $299,371.35 107432 Team Truck Centre T6 Warrenty $9,870.55 107436 Traction London (287) Parts $261.85 107436 Traction London (287) Parts $51.97 107437 TSC Stores L.P. Supplies $22.60 107437 TSC Stores L.P. Supplies $67.79 107437 TSC Stores L.P. Supplies $27.10 107437 TSC Stores L.P. Supplies $101.68 107440 United Rentals Inc Equipment Rental $2,861.73 107442 Viking Cives Limited Chain $556.45 107443 Walmsley Brothers Limited Asphalt $3,230.11 107443 Walmsley Brothers Limited Grading $1,243.00 107443 Walmsley Brothers Limited Asphalt $17,174.35 107443 Walmsley Brothers Limited Hot Mix Asphalt $939,686.59 107454 Absolutely Creative Training CERV Training $96.05 107458 AGM Surveying . Engineering Field Survey $3,374.04 107460 Arctic Equipment Manufacturing Ltd Jack Assembly $158.88 107463 Battlefield Equipment Rentals Equipment Rental $2,085.08 107464 Bell Canada D4 Phone $128.55

Roads Payables November 08, 2016 Page 4 of 6 C 6 - CW Info

Roads Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107472 BS & B Radiator Service Limited New Radiator $734.50 107476 Carquest Parts $159.13 107477 Carrier Truck Centre Service $3,093.67 107477 Carrier Truck Centre Cover $126.75 107481 Cintas Canada Ltd. Laundry Service $30.11 107485 CRS Contractors Rental Supply Limited Partne Equipment Rental $230.52 107485 CRS Contractors Rental Supply Limited Partne Equipment Rental $1,394.42 107492 Dulux - PPG AC Canada Inc. Supplies $135.58 107492 Dulux - PPG AC Canada Inc. Switch $312.11 107492 Dulux - PPG AC Canada Inc. Paint $550.88 107507 Hose Technology Incorporated Filters $3,457.81 107510 Webtech Wireless Inc. October 2016 Service $3,012.02 107510 Webtech Wireless Inc. Service $2,918.79 107512 John Elston Expense Refund $699.36 107513 Jarett Hoglund Expense Refund $85.16 107515 Kal Tire Ontario Tires $2,276.95 107527 London Factory Supply & Equip Supplies $335.38 107534 McNaughton Family Shopping Centre Mailbox $45.18 107534 McNaughton Family Shopping Centre Supplies $230.87 107538 Middlesex Printing Corp. Emergency Logs $67.80 107541 Mt. Brydges Ford Sales Ltd. T33 Replacement $39,230.15 107551 Perth Communications Nov/16 Fire Service $244.93 107556 Push Rod Garage Inc. Service $113.00 107560 Ro Buck Contracting Limited Gutter Outlets - 2016 $10,372.10 107572 Staub Equipment Inc. Service $179.90 107573 Mun. of Strathroy Caradoc 4th Qtr Police Svc. Dispatch $65,748.48 107574 Team Truck Centre Parts $192.92 107574 Team Truck Centre Fittings $25.43 107574 Team Truck Centre Parts $291.48 107579 Traction London (287) Parts $107.78 107580 Trailer Hitch Center Ltd Backrack $431.89 107580 Trailer Hitch Center Ltd LED Kit $892.70 107586 Windmill Landscapes Ltd. Alloy Rims $1,805.74 107587 K+S Windsor Salt Ltd. Salt $5,722.73 107587 K+S Windsor Salt Ltd. Salt $5,776.90 107593 A & B Rental Centre Equipment Rental $695.40 107593 A & B Rental Centre Equipment Rental $231.88 107595 AECOM Canada Limited Professional Services $2,267.41 107598 Ailsa Craig Home Hardware Supplies $118.62 107600 Bell Canada Fire Dispatch Line $107.22 107600 Bell Canada D3 Phone $59.22 107600 Bell Canada D2 Phone $18.26

Roads Payables November 08, 2016 Page 5 of 6 C 6 - CW Info

Roads Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107602 Brent - Reg Construction Highbury Bridge Equipment $894.96 107609 Carquest Parts $18.22 107613 Cintas Canada Ltd. Laundry Service $30.11 107617 Coldstream Concrete Limited Risers $556.53 107621 Demar Aggregates Inc. A Gravel $592.39 107623 Dillon Consulting Professional Services $33,981.36 107625 Dowler Karn Limited Fuel $778.74 107625 Dowler Karn Limited Fuel $4,274.93 107625 Dowler Karn Limited Fuel $5,757.87 107625 Dowler Karn Limited Fuel $5,708.75 107625 Dowler Karn Limited Fuel $5,334.14 107625 Dowler Karn Limited Fuel $867.85 107625 Dowler Karn Limited Fuel $4,774.49 107625 Dowler Karn Limited Fuel $5,114.58 107625 Dowler Karn Limited Fuel $622.74 107628 ENNIS PAINT CANADA ULC Paint $7,203.75 107634 Gerry's Truck Centre Service $566.97 107634 Gerry's Truck Centre Service $172.87 107634 Gerry's Truck Centre Service $130.32 107636 Hamisco Industrial Sales Inc. Supplies $60.60 107639 Hilti (Canada) Corp. Tools $2,153.46 107639 Hilti (Canada) Corp. Tools $580.24 107641 Hotsy Cleaning Systems Service $9,254.70 107646 Jamie Cornish Expense Refund $17.39 107649 Johnson's Sanitation Service Rest Station $152.55 107657 Lafarge Canada Inc. Chronolia-Strathroy $4,956.75 107663 London Tire Sales Patch $57.63 107669 McNaughton Family Shopping Centre Supplies $411.26 107669 McNaughton Family Shopping Centre Supplies $25.94 107674 Mt. Brydges Ford Sales Ltd. Parts $762.73 107676 Nicli Aggregates Inc. Winter Sand $690.86 107688 Perth Communications Service $927.73 107688 Perth Communications Repeater $3,220.50 107691 Promechanical Truck Repairs Repairs $101.69 107696 Royal Fence Limited Material and Labour $21,967.08 107698 Southwestern Truck Service Ltd Parts $625.55 107701 South End Truck Centre Parts $39.15 107702 Spectrum Communications Parts $88.99 107702 Spectrum Communications Parts $837.87 107710 Strongco Equipment Handle $93.41 107711 Swish Maintenance Limited Supplies $300.94 107715 Traction London (287) Parts $492.69

Roads Payables November 08, 2016 Page 6 of 6 C 6 - CW Info

Roads Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107717 Trailer Hitch Center Ltd Step $367.25 107718 Trillium Municipal Supply Inc. Sensor & Bracket $927.88 107723 Viking Cives Limited Bolts $1,252.21 107725 Vision Truck Group Supplies $4,772.33 107726 Voyageur Transportation Coach Service $461.04 107727 Walmsley Brothers Limited A Gravel $1,734.66 107727 Walmsley Brothers Limited Milling Equipment $5,593.50 107727 Walmsley Brothers Limited Milling Equipment $2,237.40 107727 Walmsley Brothers Limited Milling Equipment $2,983.20 107729 Williams Form Hardware Sealer $141.25 107729 Williams Form Hardware Concrete $165.09 107730 K+S Windsor Salt Ltd. Salt $5,657.60

$1,780,977.14

Roads Payables November 08, 2016 Page 1 of 7 C 7 - CW Info

MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107170 A Cleaner Concept Waterloo Service $979.34 107175 All Seasons Maintenance & Landscaping Komoka Stn Maintenance $553.70 107175 All Seasons Maintenance & Landscaping Parkhill Stn Maintenance $242.95 107176 Allied Medical Instruments Inc. Medical Supplies $965.13 107183 Carleton Uniforms Inc. Uniforms $296.25 107188 Carlo Castellani Meal Allowance $12.00 107200 Done Right Laundry Inc. Linen Processing $586.19 107200 Done Right Laundry Inc. Linen Processing $440.70 107200 Done Right Laundry Inc. Linen Processing $1,549.51 107200 Done Right Laundry Inc. Linen Processing $387.31 107201 Doug's Snowplowing & Sanding Trossacks Lawn Maintenance $197.75 107201 Doug's Snowplowing & Sanding Horizon Stn Maintenance $271.20 107201 Doug's Snowplowing & Sanding McKellar Stn Maintenance $423.75 107201 Doug's Snowplowing & Sanding Albert Stn Maintenance $163.85 107209 Ferno Canada Inc Supplies $717.89 107209 Ferno Canada Inc Acetech Data Charges $5,017.20 107209 Ferno Canada Inc Supplies $1,288.20 107213 Gary Pinnell Meal Allowance $12.00 107214 Greenland Irrigation Waterloo Service $141.25 107222 Interdev Technologies Inc. Platinum Support $6,432.52 107226 Jeff Siderius Meal Allowance $12.00 107229 Kyle Glendinning Meal Allowance $12.00 107236 London Hydro Trossacks Service $51.55 107246 Novack's Uniform Solutions Uniforms $9.66 107246 Novack's Uniform Solutions Uniforms $5.20 107246 Novack's Uniform Solutions Uniforms $14.62 107246 Novack's Uniform Solutions Uniforms $9.66 107246 Novack's Uniform Solutions Uniforms $10.17 107246 Novack's Uniform Solutions Uniforms $3.39 107246 Novack's Uniform Solutions Uniforms $6.78 107246 Novack's Uniform Solutions Uniforms $3.39 107246 Novack's Uniform Solutions Uniforms $3.39 107251 Physio-Control Canada Sales Ltd. C/O. T11076 Medical Supplies $2,382.14 107251 Physio-Control Canada Sales Ltd. C/O. T11076 Medical Supplies $9,310.77 107257 Rowland Emergency Vechile Produces Inc. Supplies $1,636.44 107259 London Santa Claus Parade Parade $500.00 107265 Staples Advantage Supplies $308.46 107273 Teleflex Medical Canada Inc. Medical Supplies $4,269.14 107282 Trudell Medical Marketing Limited Medical Supplies $1,808.00 107284 Union Gas Horizon Service $31.90 107286 VITALAIRE Oxygen $51.38 107286 VITALAIRE Oxygen $62.90

MLEMS Payables November 08, 2016 Page 2 of 7 C 7 - CW Info

MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107286 VITALAIRE Oxygen $482.00 107286 VITALAIRE Oxygen $1,280.34 107286 VITALAIRE Oxygen $590.06 107286 VITALAIRE Oxygen $212.66 107286 VITALAIRE Oxygen $729.22 107286 VITALAIRE Oxygen $51.38 107286 VITALAIRE Oxygen $447.44 107286 VITALAIRE Oxygen $246.30 107286 VITALAIRE Oxygen $143.54 107286 VITALAIRE Oxygen $280.86 107286 VITALAIRE Oxygen $166.58 107287 Waddick Fuels Fuel $881.70 107293 WSIB Firm 856176 Schedule 2 $305.20 107301 A.J Stone Company Ltd. Uniforms $2,651.95 107302 Allied Medical Instruments Inc. Medical Supplies $10,411.25 107306 Brendon Allen Meal Allowance $12.00 107307 Bam Internet Services Glencoe Service $79.04 107309 BERRN Consulting Ltd. LifePak $4,210.14 107309 BERRN Consulting Ltd. LifePak $1,751.48 107312 Bruce Wright Meal Allowance $12.00 107313 Canada's Cleaners Alterations $74.89 107316 Carleton Uniforms Inc. Uniform $2,732.34 107316 Carleton Uniforms Inc. Uniform $58.76 107320 Craig Bothwell Meal Allowance $12.00 107323 Checkers Cleaning Supply Supplies $83.11 107328 Frank Cowan Insurance Co Ltd. Deductible Billing $5,000.00 107331 Crestline Coach Ltd. Parts $272.64 107334 Dan Aitken Meal Allowance $12.00 107335 Done Right Laundry Inc. Linen Processing $446.07 107335 Done Right Laundry Inc. Linen Processing $1,693.59 107335 Done Right Laundry Inc. Linen Processing $439.06 107336 Doug's Snowplowing & Sanding Byron Service $175.15 107340 Edwards Door Systems Limited Horizon Drive Service $536.07 107340 Edwards Door Systems Limited Strathroy Service $366.80 107340 Edwards Door Systems Limited Glencoe Service $366.80 107342 Erin McLennan Expense Refund $14.40 107346 Execulink Telecom Internet Services $254.25 107349 First Aid Training Junction Instructor Re-Cert $485.90 107356 Haygarth Printing Limited Flyers $546.92 107356 Haygarth Printing Limited Cool Aid Cards $831.68 107356 Haygarth Printing Limited Supplies $281.37 107358 HMMS Medical Supplies $2,823.52

MLEMS Payables November 08, 2016 Page 3 of 7 C 7 - CW Info

MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107359 Hydro One Networks Inc. Glencoe Service $374.29 107359 Hydro One Networks Inc. Nilestown Service $368.20 107359 Hydro One Networks Inc. Lucan Service $606.95 107361 Interdev Technologies Inc. Software $3,955.00 107372 London Health Sciences Ctr Pharmacy Charges $23,043.85 107375 London Hydro Horizon Service $762.43 107375 London Hydro Meg Service $604.37 107376 Twp. of Lucan Biddulph Lucan Service $244.94 107378 M Worx Lucan Service $258.96 107378 M Worx Hyde Park Service $353.13 107393 Novack's Uniform Solutions Uniforms $1,728.90 107393 Novack's Uniform Solutions Uniform $6.78 107393 Novack's Uniform Solutions Uniform $10.17 107393 Novack's Uniform Solutions Uniform $10.17 107393 Novack's Uniform Solutions Uniform $12.81 107393 Novack's Uniform Solutions Uniform $9.66 107393 Novack's Uniform Solutions Uniform $3.39 107393 Novack's Uniform Solutions Uniform $10.17 107402 Pete Desjardines Meal Allowance $12.00 107404 Pitney Works Postage $629.49 107406 Progressive Waste Solutions Basic Service $875.11 107407 Purolator Inc. Courier $21.22 107407 Purolator Inc. Courier $37.20 107409 Ricoh Canada Inc. Copier $1,479.68 107412 Rowland Emergency Vechile Produces Inc. Parts $20.80 107417 Sean Brennan Meal Allowance $12.00 107423 Scott Marshall Expense Refund $244.00 107428 Staples Advantage Supplies $33.67 107429 Stericycle Inc. Clinical Services $963.14 107433 Telus Communications Phone Service $714.32 107434 Thames OK Tire & Auto Service Service $957.16 107434 Thames OK Tire & Auto Service Service $322.05 107434 Thames OK Tire & Auto Service Service $107.15 107434 Thames OK Tire & Auto Service Service $1,611.40 107434 Thames OK Tire & Auto Service Service $90.40 107434 Thames OK Tire & Auto Service Service $268.04 107434 Thames OK Tire & Auto Service Service $4,335.20 107434 Thames OK Tire & Auto Service Service $318.79 107434 Thames OK Tire & Auto Service Service $322.05 107434 Thames OK Tire & Auto Service Service $322.05 107434 Thames OK Tire & Auto Service Service $315.56 107434 Thames OK Tire & Auto Service Service $1,123.28

MLEMS Payables November 08, 2016 Page 4 of 7 C 7 - CW Info

MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107434 Thames OK Tire & Auto Service Preventative Maintenance $1,109.35 107434 Thames OK Tire & Auto Service Service $1,611.40 107434 Thames OK Tire & Auto Service Service $164.98 107434 Thames OK Tire & Auto Service Service $1,080.06 107434 Thames OK Tire & Auto Service Preventative Maintenance $472.12 107434 Thames OK Tire & Auto Service Preventative Maintenance $1,109.35 107434 Thames OK Tire & Auto Service Service $1,570.72 107434 Thames OK Tire & Auto Service Service $322.05 107434 Thames OK Tire & Auto Service Preventative Maintenance $165.41 107434 Thames OK Tire & Auto Service Service $187.92 107434 Thames OK Tire & Auto Service Service $5,037.50 107434 Thames OK Tire & Auto Service Service $322.05 107434 Thames OK Tire & Auto Service Service $165.41 107434 Thames OK Tire & Auto Service Service $82.48 107434 Thames OK Tire & Auto Service Service $322.05 107434 Thames OK Tire & Auto Service Preventative Maintenance $1,109.35 107434 Thames OK Tire & Auto Service Preventative Maintenance $1,109.35 107434 Thames OK Tire & Auto Service Service $2,613.72 107435 TERRY R. IRWIN Expense Refund $261.60 107439 Union Gas Meg Service $24.34 107439 Union Gas Trossacks Service $23.73 107439 Union Gas Parkhill Service $23.73 107439 Union Gas Waterloo Service $234.58 107448 Work Authority Uniforms $642.09 107453 A.B.C. Electric Inc. Waterloo Service $638.45 107459 Allied Medical Instruments Inc. Medical Supplies $578.56 107459 Allied Medical Instruments Inc. Medical Supplies $439.00 107459 Allied Medical Instruments Inc. Medical Supplies $494.15 107464 Bell Canada Phone $87.81 107464 Bell Canada Phone $83.35 107464 Bell Canada Phone $83.41 107464 Bell Canada Phone $135.62 107464 Bell Canada Phone $135.62 107464 Bell Canada Phone $135.68 107465 Bell Canada Internet $124.24 107465 Bell Canada Internet $124.24 107465 Bell Canada Internet $124.24 107465 Bell Canada Internet $124.24 107465 Bell Canada Internet $135.54 107465 Bell Canada Internet $124.24 107465 Bell Canada Internet $132.21 107475 Carleton Uniforms Inc. Uniforms $101.70

MLEMS Payables November 08, 2016 Page 5 of 7 C 7 - CW Info

MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107475 Carleton Uniforms Inc. Uniforms $203.23 107487 Don Black Meal Allowance $12.00 107488 Demers, Ambulance Manufacturers Inc. Parts $279.82 107489 Dave Jefferies Meal Allowance $12.00 107490 Done Right Laundry Inc. Linen Processing $344.65 107490 Done Right Laundry Inc. Linen Porcessing $1,896.71 107490 Done Right Laundry Inc. Processing Linen $500.48 107493 Erin Donnelly Meal Allowance $12.00 107496 Entegrus Parkhill Service $280.26 107508 Hydro One Networks Inc. Komoka Service $412.02 107525 London Convention Centre Parking $87.00 107526 London Hydro Byron Service $766.51 107526 London Hydro Trossacks Service $240.18 107533 McCulloch's Costume Co. Dry Cleaning $84.75 107535 Medical Mart Medical Supplies $1,054.99 107536 Matt Girotti Meal Allowance $12.00 107537 MICHAEL T. HURST Meal Allowance $12.00 107540 Mark McLean Meal Allowance $12.00 107543 OE Canada Inc. Digital Office Solutions Copier $181.37 107546 Phil Adams Meal Allowance $12.00 107552 Physio-Control Canada Sales Ltd. C/O. T11076 Medical Supplies $16,462.48 107555 Purolator Inc. Courier $37.50 107558 Reliance Home Comfort Glencoe Service $86.11 107564 Sandra Gregus Meal Allowance $12.00 107568 Scott C. Simpson Consulting $1,697.65 107571 Staples Advantage Supplies $416.76 107571 Staples Advantage Supplies $87.56 107578 Texmain Cleaners Dry Cleaning $197.88 107581 Trinity Planning & Projects Consulting Professional Services $5,635.88 107582 Union Gas Byron Service $25.49 107588 Work Authority Uniforms $96.04 107588 Work Authority Uniforms $201.69 107591 WSIB FIRM 856176 Schedule 2 $9,605.08 107605 Southside Group November 2016 Rent $8,175.15 107635 Gilpin Holdings Inc. November 2016 Rent $3,507.78 107640 ESAM Construction Limited November 2016 Rent $8,285.16 107654 Norquay Developments Ltd. aka Southmoor Deve November 2016 Rent $4,202.73 107654 Norquay Developments Ltd. aka Southmoor Deve September 2016 Retro Rent $274.31 107654 Norquay Developments Ltd. aka Southmoor Deve October 2016 Retro Rent $274.31 107665 The Corporation of the Township of Lucan Bid November 2016 Rent $2,206.84 107671 435935 Ontario Inc. November 2016 Rent $6,863.10 107677 Pier Seventy-Four Inc. November 2016 Rent $2,443.56

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MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107687 2425021 Ontario Inc. November 2016 Rent $1,710.93 107709 1413055 Ontario Ltd. November 2016 Rent $4,004.42 107716 City Treasurer, City of London November 2016 Rent $1,365.41 107719 John Brotzel November 2016 Rent $1,986.15 107728 354039 Ontario Ltd. November 2016 Rent $11,925.08 107601 Bell Canada Internet $112.35 107608 Carleton Uniforms Inc. Uniforms $87.01 107612 Certa Pro Painters Maintenance $6,768.18 107614 City of London Waterloo Station Taxes $5,382.34 107614 City of London Trossacks Stn. Taxes $1,921.31 107615 Clark's Food Mart Fuel $3,235.64 107619 Dustin Carter Expense Refund $81.32 107622 Demers, Ambulance Manufacturers Inc. Parts $99.26 107624 Done Right Laundry Inc. Processing Linen $231.65 107624 Done Right Laundry Inc. Linen Processing $1,976.37 107624 Done Right Laundry Inc. Processing linen $203.40 107624 Done Right Laundry Inc. Processing Linen $316.68 107627 Edwards Door Systems Limited Transmitters $847.50 107633 Ferno Canada Inc Medical Supplies $1,073.50 107648 Jayson Mathieson Meal Allowance $12.00 107650 Kristen Brown Meal Allowance $12.00 107662 London Hydro Waterloo Service $4,099.71 107662 London Hydro Horizon Service $700.51 107670 Medical Mart Medical Supplies $669.59 107678 Novack's Uniform Solutions Uniforms $58.79 107678 Novack's Uniform Solutions Uniform $19.09 107678 Novack's Uniform Solutions Uniforms $3.39 107678 Novack's Uniform Solutions Uniforms $6.78 107678 Novack's Uniform Solutions Uniforms $10.17 107680 Natural Resource Gas Limited Nilestown Service $24.48 107682 OE Canada Inc. Digital Office Solutions Copier $187.86 107689 Physio-Control Canada Sales Ltd. C/O. T11076 Medical Supplies $933.05 107692 Purolator Inc. Courier $25.10 107694 Rogers Internet Service $97.12 107694 Rogers Internet $97.12 107695 Rowland Emergency Vechile Produces Inc. Rivet $17.28 107695 Rowland Emergency Vechile Produces Inc. Parts $1,001.16 107697 Southwest Middlesex Supplies $17.50 107706 Staples Advantage Supplies $79.17 107708 Strathcraft Awards Uniforms $24.34 107708 Strathcraft Awards Supplies $50.85 107714 Municipality of Thames Centre Nilestown Station Taxes $891.45

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MLEMS Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107721 Union Gas Lucan Service $317.72 107721 Union Gas Glencoe Service $28.52 107721 Union Gas Strathroy Service $26.43 107721 Union Gas Komoka Service $29.20 107724 Village Catering Catering $807.95 107724 Village Catering Catering $4,612.66 107731 Work Authority Uniforms $300.00 107731 Work Authority Uniforms $192.09 107733 Wayne Renkema Expense Refund $230.30 107736 WSIB FIRM 856176 Schedule 2 $7,436.34 107736 WSIB FIRM 856176 Fees $9,032.53 107736 WSIB FIRM 856176 Schedule 2 $8,162.48 107699 Scotiabank Fatpot Annual Software License $1,488.24

$316,944.16

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Information Technology Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107177 Aidan Luby Expense Refund $48.80 107187 Chris Bailey Expense Refund $604.32 107189 CDW Canada Inc. Computer Hardware $393.99 107189 CDW Canada Inc. Software Support Renewal $534.93 107189 CDW Canada Inc. Network Equipment $2,438.83 107191 Command Services Ltd. Computer Supplies $158.52 107191 Command Services Ltd. Computer Supplies $211.04 107191 Command Services Ltd. Hardware Maintenance $389.31 107221 Insight Canada Inc. Adobe Upgrade Renewals $118.31 107248 OE Canada Inc. Office Supplies $820.98 107256 Ricoh Canada Inc. New Library Printer $1,951.23 107267 Sterling Marking Products Supplies $31.41 107279 Total Network Solutions Cabling $339.00 107321 CDW Canada Inc. Network Equipment $1,625.89 107321 CDW Canada Inc. Hardware Maintenance $134.92 107321 CDW Canada Inc. Network Supplies $231.22 107353 Greg Marles Expense Refund $221.16 107398 Patrick Bradshaw Expense Refund $267.90 107411 Rogers Communication Partnership Connectivity $1,288.20 107611 CDW Canada Inc. Computer Supplies $63.73 107611 CDW Canada Inc. Network Supplies $493.20 107611 CDW Canada Inc. Computer Hardware $287.31 107611 CDW Canada Inc. Hardware Support Renewal $1,497.23 107611 CDW Canada Inc. Network Supplies $260.46 107611 CDW Canada Inc. Software Support Renewal $43,803.96 107611 CDW Canada Inc. Computer Supplies $24.32 107611 CDW Canada Inc. Computer Supplies $24.32 107611 CDW Canada Inc. Computer Hardware $145.70 107611 CDW Canada Inc. Computer Hardware $98.58 107611 CDW Canada Inc. Computer Hardware $78.32 107611 CDW Canada Inc. Computer Supplies $23.04 107611 CDW Canada Inc. Computer Hardware $3,907.35 107611 CDW Canada Inc. Computer Hardware $1,213.16 107611 CDW Canada Inc. Computer Hardware $1,720.59 107611 CDW Canada Inc. Computer Hardware $591.18 107611 CDW Canada Inc. Computer Hardware $86.88 107611 CDW Canada Inc. Computer Hardware $28.96 107611 CDW Canada Inc. Network Supplies $310.61 107611 CDW Canada Inc. Computer Hardware $19.52 107611 CDW Canada Inc. Computer Supply $82.05 107611 CDW Canada Inc. Computer Hardware $139.94 107620 Dell Canada Inc. Computer Hardware Dorchester $1,730.30

IT Payables November 08, 2016 Page 2 of 2 C 8 - CW Info

Information Technology Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107637 Haygarth Printing Limited Office Supplies $47.46 107644 Insight Canada Inc. Network Supplies $229.23 107644 Insight Canada Inc. Printer Supplies $35.13 107644 Insight Canada Inc. Printer Supplies $92.29 107644 Insight Canada Inc. Computer Hardware $175.95 107644 Insight Canada Inc. Computer Supplies $46.57 107644 Insight Canada Inc. Computer Hardware $298.81 107644 Insight Canada Inc. Computer Hardware $62.34 107681 OE Canada Inc. Printer Supplies $21.47 107685 Panda Security Canada Inc. Software License $34.95 107692 Purolator Inc. Courier $4.90 107693 Ricoh Canada Inc. New Printer $2,755.40 107703 Spectrum Wireless-London New Cell Phones $904.00 107713 Telus Mobility $1,514.64 107737 Zee Electric Contracting New Data Drop $1,152.60

$75,816.41

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Economic Development Payables 6-27 October 2016

Cheque Number Vendor Name Invoice Description Amount 107297 Above & Beyond Promotions Tablecloth-Special Events $325.44 107339 Economic Developers Council of Ontario Community Profile-Online Ad $2,678.00 107350 Foster Visuals Business Profile Videography $12,663.00 107379 Manifold Data Mining Inc. Software Subscription,Manifold $1,107.40 107391 Newell Image Services BR&E Appreication Dinner $2,122.14 107473 CFDC Middlesex Workshop Sponsorship $1,000.00 107478 Cara Finn Expense Refund $565.88 107548 Julia Zaikovaty Mktg. Strategy-Journalism $271.83 107651 Keeneye Design April-September 2016 Projects $282.50 107732 WorkCabin Advertising-Digital Ad Campaig $254.25 107732 WorkCabin Advertising-Digital Ad Campaig $254.25

$21,524.69

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Resident, Family, Friend and Responsible Party Newsletter – Oct. ‘16

Dear Strathmere Lodge residents, family members, friends/responsible parties:

Annual Influenza (Flu) Shot

It is that time of year again…

Resident flu shots will be done on November 9th and 10th.

Family members/friends/visitors are also asked to seek the annual flu shot in the community (e.g., family physician office, pharmacy, clinic) in order to protect the health of our residents.

The flu can lead to complications such as pneumonia, hospitalization, and worse, especially among the elderly and those with long term health issues.

Please pass this information along to other family members/friends/visitors who do not receive this newsletter mailing.

1. Front Gardens

For those of you who visit regularly, you will have noticed that we recently re-did our front gardens, adopting more of a “maintenance free” garden. November 08, 2016 Page 2 of 5 C 10 - CW Info

Unfortunately, our government funding does not include anything specifically dedicated to garden upkeep, leading to the need for a more maintenance free approach.

A huge “Thank You” to our Ladies’ Auxiliary for the financial contribution toward our new garden look.

2. Annual Alzheimer Coffee Break Held On September 27th

Our Annual Alzheimer Coffee Break Day (held on September 27th) raised $365 for the Alzheimer Society of London and Middlesex.

Thank you very much to all that supported this great cause. And, a “Special Thank You” to our Ladies’ Auxiliary for hosting this successful event.

3. TV Service in Resident Rooms

As you know, residents/families may opt for cable TV service in their room for a monthly fee. Such service is provided by a third party TV service provider called “Hospitality Network”.

Due to feedback received concerning the cost of the current TV package provided by Hospitality Network, we are currently exploring the notion of switching to a less expensive TV package, which would offer fewer channels.

Only one TV package can be offered. But, as is the case currently, additional desired channels may be available - at additional cost.

At this point, we would like to hear from residents/families about resident TV services. In particular, if you have any feedback as to “must have” channels, please let me know (Brent Kerwin, 519-245-2520, ext. 222, or via email at [email protected]).

November 08, 2016 Page 3 of 5 C 10 - CW Info

4. Doors to Resident Home Area Patios/Balconies

In keeping with our provincial legislation, we keep our patio/balcony doors unlocked during the day, during the good weather, to give our residents access to the outdoors.

When the weather turns cold for the season, we keep the doors secured at all times such that key pad entry is necessary to gain access to the patios/balconies.

Please note that the doors have been secured for the season. The key pads can still be used to gain entry to the patios/balconies, or the staff can be called upon to assist.

5. Annual Family Christmas Meal

For those of you who would like to partake in a Christmas meal with your loved one, please note that our Annual Family Christmas Meal (lunch or supper) is taking place on Wednesday, December 7, 2016.

For more information on the Christmas Meal (including price and menu), please refer to the related insert in this month’s billing mailing, or contact Reception (519-245-2520).

Bookings are taken on a first come-first served basis (space is limited).

6. Meals With Residents

Family/friends are welcome to join their loved one for a meal (lunch or supper) year round.

For those joining a resident at meal time, we would ask that you advise staff at least one (1) hour before lunch (noon) or supper (5pm), so that November 08, 2016 Page 4 of 5 C 10 - CW Info

we can get the right quantity of food to the applicable resident home area.

For information on visitor meal prices or related matters, please contact Reception (519-245-2520).

8. Recreation Calendar / Important Events

Please pick up and check out our monthly Recreation calendar (available in each Resident Home Area, and also posted on our website) for events that you may find of interest and would like to attend.

Our upcoming Special Events for November:

a) Wednesday, November 2nd at 2:00pm (in the Rose Room) – Wayne Gaudon entertains b) Wednesday, November 9th at 6:30pm (in the Rose Room) – Music with Dan Skeltcher c) Thursday, November 10th at 3:00pm (in the Rose Room) – Remembrance Day Service d) Tuesday, November 15th at 2:00pm (in the Rose Room) – Uptown Dixieland Band entertains e) Friday, November 25th at 2:00pm (in the Rose Room) – Happy Hour with Jentleman Jim

Looking ahead to December … Please plan to attend the Ladies’ Auxiliary Annual Christmas Bizarre on Saturday, December 3rd, from 9:30pm to 1:00pm.

9. In Conclusion ….

Please let me know if you would like to see certain issues addressed in future newsletter editions (contact me at 519- 245-2520, ext. 222, or via email at: [email protected]).

November 08, 2016 Page 5 of 5 C 10 - CW Info

Please share a copy of this newsletter with other family members and friends, or direct them to our website or http://www.middlesex.ca/departments/long-term-care

Electronic back copies of our newsletter can be found on our website. Hard copies are compiled in binders at both our Reception desk and the staff lounge, and are available for your review.

You can find additional copies of this newsletter edition on our Public Information Board in the main lobby (near the Chapel).

Brent Kerwin, Administrator Distribution: Responsible Parties, Auxiliary, Information Board, Resident Home Areas (5), Website, County Council, Staff, Other Stakeholderst November 08, 2016 Page 1 of 16 C 11 - CW Info

October 2016

Upcoming Events Medical Assistance in Dying: Statistics and Lessons Learned

2016 Fall Administrator This month, OANHSS and other key stakeholders attended a teleconference where Leadership Program the Office of the Chief Coroner for Ontario (Chief Coroner) shared MAID-related October 23-28, 2016 information, including stats and lessons learned as a result of the coroner Novotel Hotel, North York investigations.

Ethics and Values in MAID Statistics and Information Management November 2 – Brampton The data provided by the Chief Coroner does not include the 13 court-authorized November 23 – London cases from February 6 to June 6, 2016 (where MAID cases were authorized by the Superior Court during the four-month extension granted to the government to 2017 AGM & Convention introduce legislation). The statistics shared show that as of September 30, 2016: April 19-21, 2017 Westin Harbour Castle, Toronto  There have been a total of 79 MAID cases: 77 physician-administered, and 2 patient-administered. For some time the drugs for self- See page 12-13 for more details on administration were not available. These drugs, while very difficult to events or visit the Education source from pharmacy, are now available. section of the OANHSS website.  In terms of underlying conditions, 50 were cancer-related, 9 were classified as ALS, 10 of the cases had “other neurological” as the underlying named condition, 6 were “CV/Respiratory” and 4 underlying conditions were classified as “other” Grow Your Management Skills  In terms of the setting, 40 occurred in hospital and 39 occurred at home or in long term care or in a seniors’/assisted living centre. Specialized LTC education that will examine unique The attached document includes the above stats as well as the number of MAID and ethical challenges cases by County. specific to long term care. November 2 or 23. See Cont’d on pg. 2 page 12 for details.

November 08, 2016 Page 2 of 16 C 11 - CW Info

Government Relations

Cont’d from pg. 1 was made to another physician to provide a The Chief Coroner also discussed the cause of death MAID assessment, but that referral was not listed on the medical certificate of death. OANHSS can documented.) OANHSS notes that the regulated confirm that the cause of death is drug toxicity and that colleges have information for their members the deaths are characterized as suicide. The Chief regarding record-keeping requirements. Coroner has raised this as an area that potentially requires a policy change. In the interim, and in light of  10 clear days – The Chief Coroner reflected that feedback received from families concerned about the the law requires 10 “clear” days in between the label of suicide, the Coroner’s Office has developed an request and the actual provision of the interim solution: they will protect the privacy of the medication that assists death (subject to the deceased by sending the death certificate directly to the carved out exceptions). He clarified that means Register General (and it will not be sent to the funeral 10 days not including the date of the request or home). the provision of medication.

Some discussion also focused on the concerns that Members are encouraged to connect with Kathryn some people have about whether a MAID death will Pilkington, Director of Professional Services and Health cause insurance companies to refuse to pay out Policy, with any questions, comments or concerns benefits pursuant to a life insurance policy. The Chief related to MAID. These conversations help to inform Coroner confirmed our understanding was correct in the development of member supports and provide that the MAID death will not negate the death benefit. important context and provider-level intelligence that However, the insurer will need to know about the we rely on in our discussions with government about underlying disease/illness that brought about the MAID in long term care homes (including the decision to have an assisted death, as that disease challenges that our members are facing). could be an exclusion noted in the policy.

Lessons Learned OANHSS is also sharing a lessons learned document created by the College of Physicians and Surgeons with Full details in the LTC Careers input from the Chief Coroner. The document may be area at referred to in its entirety, but we highlight two key www.oanhss.org lessons learned: Marketplace is an employment service for members that offers cost-effective, targeted  Record keeping – OANHSS has shared with advertising of positions in two formats: members on our dedicated MAID page the Ministry of Health and Long-Term Care forms for 1. Broadcast email use by physicians and patients where medical 2. Web posting on the OANHSS website assistance in dying is requested. The Chief Coroner is pleased these forms are being used as For details, contact Olga Jimenez at (905) 851-8821 x 200 or [email protected]. they serve as important supplementary aids to help promote good record-keeping. However, they do not fulfil all of the record keeping requirements for physicians and other practitioners. (One example he shared was that in one case his office investigated a referral that

2 www.oanhss.org Action Update November 08, 2016 Page 3 of 16 C 11 - CW Info

Government Relations Collaborative Nursing (RN) Degrees to Members and others are able to provide feedback be Maintained directly to the Ministry by email at [email protected] or by completing an University/college, collaborative, registered nursing on-line survey at ontario.ca/dementia. We are also baccalaureate programs are the norm across Ontario strongly encouraging members to review the paper and and produce the vast majority of registered nurse (RN) provide comments to OANHSS as this helps to inform graduates. Recently, the Ministry of Advanced our provincial policy work. Education and Skills Development (Ministry of Education) and the Ministry of Health and Long-Term All materials are also available in French at ontario.ca/ Care re-examined the collaborative model for RN demence. degrees and have decided to maintain the collaborative model for the delivery of nursing degrees. In addition, the Ministry will be hosting additional town hall discussions in several communities. Details on In a memorandum last month, the Deputy Minister of locations, venues and dates will be made available on Education identified his Ministry's support for the the Ministry webpage and communicated by OANHSS current model and provided a high level overview of once they are confirmed. the reasons to maintain it. PSW Registry OANHSS understands that the Ministry of Education will continue to work with institutions (colleges and This month, an article appeared in the Toronto Star universities) to support their work to ensure that related to Minister Hoskins’ decision to close down the students graduate with the competencies needed to Personal Support Worker Registry in January of this provide quality nursing care. year. The decision was made following a report the Minister received that was prepared by Britain’s OANHSS will continue to monitor this and share Professional Standards Authority for Health and Social developments. Care in response to concerns about the effectiveness of the Registry in meeting its goals, being to honour PSW Dementia Strategy Discussion Paper contributions and to provide for public safety.

OANHSS has shared with members the dementia OANHSS understands that the provincial government is strategy discussion paper, Developing Ontario’s looking at what other strategies might exist to meet Dementia Strategy: A Discussion Paper, which was the above-noted goals. Prior to the piloting of the developed with input from OANHSS and other Registry, OANHSS submitted that the registry would members of the Dementia Strategy Advisory Group. require a legislative framework if it were to achieve a quasi-regulatory function. It is not clear, however, if The paper touches on the following six key themes that legislation is being considered. will guide the development of the strategy: OANHSS will continue to monitor this and share  Supports for people living with dementia developments as they become available.  Accessing dementia services  Coordinated care  Supports for care partners  Well-trained dementia workforce, and  Awareness, stigma and brain health

Action Update October 2016 3 November 08, 2016 Page 4 of 16 C 11 - CW Info

Government Relations Long Term Care Homes Search Tool OANHSS encouraged its members to review the Enhanced information about their homes for accuracy. Any inaccuracies may be sent directly to the Ministry at In order to provide useful information to those seeking [email protected] admission to a long term care home, the Ministry has updated the functionality of the Long Term Care Home Province Proposes Changes to the Finder Tool so that information relevant to the public Ontario Municipal Board can be sourced in a user-friendly manner. The Ontario Municipal Board (OMB) is an independent Several groups, including OANHSS, were consulted by tribunal that makes decisions at arm’s length from the the government about the content that the navigator government. The OMB has a mandate under several tool could source as well as the look and feel of the site statutes, but most of its hearings are related to the itself. OANHSS is pleased to see that the tool provides Planning Act. Land-use decisions can be appealed a link to each LTC home’s website and offers through the OMB. information about the provider type (for profit, not-for profit, municipal), management firm, designation under The province is undertaking a comprehensive review of the French Languages Act, accreditation, and the how the OMB operates and its role in the land-use existence of councils. planning system to facilitate greater efficiency and accessibility. The public is being consulted on possible As with the tool’s prior version, compliance information changes to the OMB which would: is also included. The changes, however, mean that  Allow for more meaningful and affordable there is a quick snapshot of the last 12 months of public participation compliance history (such that the total history is no  Give more weight to local and provincial longer shared). Significantly, the snapshot shows how decisions and support alternative ways to settle the LTC home compares to the provincial average as it disputes pertains to non-compliances and orders for the annual  Bring fewer municipal and provincial decisions and other (e.g. complaints, critical incident) to the OMB inspections. This snapshot information is updated  Support clearer and more predictable decision quarterly. making

The following information about each home is also Those wishing to participate in the consultation may shared: submit comments online or at one of the town hall  Licensed beds meetings being held across Ontario.  Short stay beds  CCAC and LHIN For more information, see the province’s news release.  Accreditation  Administrator

OANHSS understands members would appreciate a link to publically reported quality data and will raise this with the Ministry.

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Government Relations Province and Municipalities Strive to Patients First Act Reintroduced

End Homelessness Ontario has reintroduced the Patients First Act into

Ontario is providing $632 million to municipalities over legislature. Since the proposed Act was first introduced two years to help those at risk of homelessness to stay in June, the province has consulted with stakeholders in their homes or get the housing they need through including doctors and hospitals, and the current various local services and homeless prevention legislation reflects amendments based on this programs. The Minister of Housing and Minister feedback. If passed, the legislation (now known as Bill 41) will include the following: Responsible for the Poverty Reduction Strategy, Chris Ballard, announced the investment through the  Expanded role of Ontario’s 14 LHINs Community Homelessness Prevention Initiative.  Improving access to primary care Programs include:  Improving local connections as well as

 Emergency financial assistance to prevent connections between health care providers and eviction teams across sectors  Long-term transitional housing  Enabling health care providers to share and  Integrated supportive housing to help people update health care plans with specific needs access suitable housing  Enabling better patient transitions  Improving consistency of home and community For more information, see the province’s news release. care provision across the province  Strengthening health planning and Federal and Provincial Governments accountability  Establishing a formal relationship between Invest in Housing in Toronto LHINs and local boards of health

The Federal Minister of Families, Children and Social For more information, see the province’s news release. Development and Minister Responsible for CMHC, Jean-Yves Duclos, and Ontario’s Minister of Housing, Chris Ballard, announced a $154 million investment in social infrastructure funding to the City of Toronto. This funding provides targeted support to housing programs for those most in need and may be used for any of the following:

 Affordable housing for seniors  Building and renovating shelter and transition houses for victims of family violence Connect. Collaborate. Share  Addressing repairs  Improving the energy and water efficiency of Network with fellow professionals in a existing social housing secure online environment. To get started, visit www.oanhss.org, log in to the member For more information, see the province’s news release. area, and click on the Member Community logo.

Action Update October 2016 5 November 08, 2016 Page 6 of 16 C 11 - CW Info

Share Your Good News Stories

We know there are many great things happening in members’ homes that can get overshadowed by You can purchase archived session negative media coverage. OANHSS is working hard recordings of OANHSS webinars through our website. to profile these good news stories. Member Spotlight articles are featured in Action Update, which we share with government, consumer groups RECENT TOPICS INCLUDE: and other stakeholders. We also post the articles in  Moving HR Practices Forward: Increasing the public area of our website. Employee Engagement  Legal Issues in Long Term Care: Common Human Resource Challenges Featured members receive additional copies to  The Right to Manage: The Leaders’ share with their local media, boards/councils, and Playbook for Handling Staff Performance Issues resident and family councils. and Succeeding in a Unionized Workplace  Facilitating a Successful & Sustainable Simply submit your story ideas and OANHSS does all Return to Work: A Disability Management Perspective the work. We will interview key staff involved in the  The CMI Revealed program/initiative and prepare the article.

To order, visit our publications page or To share your idea, contact Chris Noone at contact Diana Zampolin at (905) 851-8821 905-851-8821 ext. 253 or [email protected]. ext. 231 or [email protected].

OANHSS Staff Contacts

Looking for information on a specific topic? Use the following staff list to contact the appropriate person:

Benchmarking Dan Buchanan ext. 229 [email protected] Communications/Media Relations Debbie Humphreys ext. 233 [email protected] Convention/Administrator Leadership Program Stuart Sweeney ext. 240 [email protected] Exhibiting/Sponsorships Ellen Maracle-Benton (905) 404-9545 [email protected] Financial Policy Dan Buchanan ext. 229 [email protected] Government Relations Debbie Humphreys ext. 233 [email protected] Health Policy Kathryn Pilkington ext. 244 [email protected] Housing/Supportive Housing Shilpi Majumder ext. 237 [email protected] LTC Homes Compliance & Enforcement Kathryn Pilkington ext. 244 [email protected] LTC Homes Legislation & Policy Kathryn Pilkington ext. 244 [email protected] Member Services/Programs Chris Noone ext. 253 [email protected] Newsletter Advertising Nina Zivkovic ext. 246 [email protected] OANHSS Policy Exchange Kathryn Pilkington ext. 244 [email protected] Professional Services / Interdisciplinary Care Kathryn Pilkington ext. 244 [email protected] Public Policy Shilpi Majumder ext. 237 [email protected] Quality Improvement / QI Planning Kathryn Pilkington ext. 244 [email protected] Resident Care & Resident Relations Kathryn Pilkington ext. 244 [email protected] Website Passwords Nina Zivkovic ext. 246 [email protected]

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News from the Centres for Learning, Research and Innovation in Long-Term Care

In 2011, the Ministry of Health and Long-Term Care developed the Ontario Centres for Learning, Research and Innovation (CLRI) in Long-Term Care located at Bruyère, Debriefing for Real World Learning By Shoshana Helfenbaum and Raquel Meyer

here is a demand for educators to engage long-term think the educational activity was about and offers a care staff and students in learning and mandatory chance to see if the educator is on the same page. Key T education in a way that promotes reflection on discussion points often arise during this phase. real-world practice issues. Experiential learning (Kolb, What did you think the purpose of that activity was? 1984) is a proven method for doing this by encouraging knowledge application. As such, educators in long term 3. Analysis Phase care can use it to help staff training be internalized and This is where guided reflection takes place and should applied by learners beyond the specific parameters of a be structured according to learner preparedness and time given training activity. One way to improve experiential availability. Two important methods for guided reflec- learning outcomes is to use structured debriefing to promote tion are: reflection, clarification and analysis of how to improve a) + / ∆ Method (suitable for newer facilitators) performance in the clinical setting. What aspects of that exercise went well (+) and what could be improved or changed in the future (∆)? The main goal of debriefing is for facilitators to draw the b) Advocacy / Inquiry Method goals and objectives of learning into focus during two-way Though more challenging to execute, it leads to rich communication after a learning activity. For this process to insights into knowledge and performance of learners. be successful, it must start with the facilitator establishing Learners describe a noted performance gap and how group safety. This is done by setting feedback parameters they experienced that gap during the activity. that encourage individuals to share how they experienced Can you describe your frame of mind as you did the learning without fear of having ideas dismissed or criti- activity? Can you brainstorm how you might over- cized. The act of debriefing generally features three key come some of the barriers to ideal wound care expe- components: (i) sharing reactions; (ii) analysing how to rienced today? close gaps between learning experience and ideal practice or application; and, (iii) mining for overarching learning 4. Summary Phase points. An example of applying debriefing to an important A summary of learning objectives and their potential educational issue in long term care could be setting aside application is guided; either recounted by participants, time for structured debriefing after a new procedure for or by the facilitator. wound care is introduced and learners are given a chance to What did you learn about performing wound care that practice it. you could use in your practice setting? Did you learn anything that could apply to care provision in general? Though there are many approaches to debriefing, Eppich and Cheng’s (2015) Promoting Excellence And Reflective When planning to use debriefing with learning activities, Learning in Simulation (i.e., PEARLS) is a well-recognized, consider the following factors: evidence-based model. This model offers key debriefing  time availability steps to follow a learning activity. Many online resources  level of expertise of facilitator; and, are available.  the familiarity of learners with debriefing.

An illustration of how the PEARLS approach would work Strive for small successes at first by eliciting clear practice to debrief a training session on wound care is presented recommendations from learners that can be tracked. here in four steps (including sample facilitator questions): Documenting and sharing lessons learned in implementation efforts will help create a culture of curiosity and learning 1. Reactions Phase which will encourage future use of debriefing for learning This is where learners are invited to express their raw translation and practice application. feelings about the case. How was that wound care activity for you? References: 1. Kolb DA. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall. 2. Description Phase 2. Eppich, W., Cheng, A. (2015). Promoting excellence and reflective This is where learners are asked to describe what they learning in simulation (PEARLS). Simulation in Healthcare 1.

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Sector News to date, Measuring Up 2016 incorporates new areas that it monitors and measures. Shingles Vaccine for Seniors Taking a look back over the past 10 years, a trend OANHSS received a notice from the provincial emerges: improvements within certain areas show government with a request to share that the shingles results due in part to concerted efforts involving vaccine will be offered free of charge to seniors 65 to changes in policy, changes in regulations and quality 70 years of age. improvements. Notable examples include:

Until December 31, 2016, individuals born in 1945  Reductions in smoking rates (i.e., those who are already 71 or who will be turning  Reductions in lengths of stay and wait times in 71 in 2016) are also eligible to receive the publicly targeted areas funded shingles vaccine.  Improvements in the quality of care of residents living in long term care homes Additional information is available online. Despite these improvements, Measuring Up 2016 also Falls Prevention Supplement Is Now reveals areas in need of similar attention; that is, areas Available where the system can better focus its efforts. These include: Last month, OANHSS shared with members that as part  Palliative care, which appears in the report for of the second phase of the appropriate prescribing the first time. Nearly two-thirds of those who demonstration project (which focuses on falls), the received palliative care died in hospital despite Centre for Effective Practice (CEP) recently launched a the fact that most would prefer to die at home. new falls prevention supplement for care staff. This is indicative of a larger issue involving available and appropriate care at home or This supplement was developed to provide staff in long elsewhere in the community. term care (LTC) homes that are participating in the  The existence of gaps in equitable care. Ontario Academic Detailing Service (a key component of the continues to see unacceptable variation by initiative) with material focused on supporting their role geography and population groups, such as in falls prevention and mobility enhancement for those living in rural areas, the north, and in LTC residents. poorer neighbourhoods

 Better transitions from one place of care to The supplement is publically available online and will another. Too often people in Ontario experience be provided to participating LTC homes by their disconnections in the health system particularly Academic Detailers over the next few months. OANHSS for people living with chronic conditions, mental participates on an advisory to support the health and addictions, and for palliative care implementation of the falls prevention project. patients.

 Improved access to care. Ontarians still face Health Quality Ontario Releases challenges getting care from primary care Measuring Up 2016 providers on the same day or next, rates that have remained unchanged over two years. OANHSS is sharing the Health Quality Ontario (HQO)

report Measuring Up 2016. This edition marks the 10th To learn more about the report results and to watch a year that HQO has been reporting on the performance video of the highlights, visit www.hqontario.ca/ of the health system and the health of those living in MeasuringUp2016. Ontario. In its broadest portrayal of health care quality

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Research & Resources living, supportive housing, and wellness suites. We then learned about the various housing and homelessness initiatives being pursued across Ontario Reminder – Bruyère CLRI Long Term and Canada from Carol Latimer of the Ministry of Educators’ Day Housing. Deb Schlichter of the Region of Waterloo gave us an indication of what to expect from local service The Bruyère Centre for Learning, Research and managers and provided some examples of the excellent Innovation (CLRI) in Long-Term Care (LTC) is hosting its work being undertaken in the Region of Waterloo with Fourth Annual LTC Educators’ Day in Ottawa on regard to affordable housing. November 10. The afternoon began with a comprehensive tour of This free event features several hands-on workshops Niagara Ina Grafton Gage Village, which has and presentations. Discover practical tools bungalows, seniors’ apartments, supportive housing and techniques to improve the in-service education and and various leisure activity spaces such as an exercise training sessions in your long term care home. room, a pool, and a bowling alley. Our afternoon panel spoke of providing effective dementia care in communi- For more information (including presentation ty settings. Frances Morton-Chang from the University summaries and registration), please visit https:// of Toronto gave an overview of the issues, followed by educatorsday2016.eventbrite.ca. The registration David Harvey of the Alzheimer’s Society who spoke of deadline is October 23. some of the challenges of providing care to people with dementia and about the province’s Dementia Strategy. Baycrest CLRI 2016 Education Day – These presentations were followed by Call for Abstracts Extended members Birgitte Robertson of Momiji and Akos Hoffer of Perley Rideau, who provided excellent examples of The Baycrest CLRI is hosting an Educational Innovation how their programs were helping seniors whose & Networking Day on December 5 in Toronto. If you “reality had shifted” to remain in community settings. have a success story to share about integrating Barriers to moving seniors within a campus through the innovation into educational practice, please submit continuum of care were discussed. your abstract. Abstracts are now due on Friday, October 21. Please see the Baycrest flyer to submit an Members enjoyed the forum, came away with some abstract and for more information. new learnings, and made valuable connections.

Association News

OANHSS Housing Forum Highlights

On September 28, OANHSS held its annual Housing Forum in St. Catharine’s at Tabor Manor and Niagara Ina Grafton Gage Village. Many housing providers attended, including those with supportive housing, life lease, retirement homes, and those looking to build new seniors’ housing. Several members had campuses L-R: Akos Hoffer (Perley and Rideau Veterans' Health Centre, Ottawa), of care offering a variety of settings for seniors to age Birgitte Robertson (Momiji Health Care Society, Scarborough), in place. Altogether there were about 40 attendees. David Harvey (Alzheimer Society of Ontario) and Frances Morton-Chang (University of Toronto).

We began the morning with a tour of the Tabor Manor campus, which includes various types of independent

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Year-end Equipment Savings New Members

The OANHSS/ArjoHuntleigh preferred pricing program Commercial allows members to save on a variety of equipment, including tub lifts, resident lifts, shower chairs, resident Mobile Dental Plus beds, and more. If you’re looking to purchase Angela Lee, Owner equipment with your end-of-year funds and to have 9 Pine Street North, Unit 33 the products invoiced and delivered by year-end, now is Thorold, ON L2V 3Z9 the time to act. Tel: (289) 501-8080 Email: [email protected] For more information, please contact your Web: www.mobiledentalplus.ca ArjoHuntleigh Equipment Consultant or Chris Good- Mobile Dental Plus a stay at home denture care erham, ArjoHuntleigh’s Director of Sales for Canada, by (new, fittings, repairs), dental hygiene and whitening. phone at 905-238-7880 ext. 380 or by email at Convenient, compassionate dental care in your [email protected]. residence. Call us today at (289) 501-8080 to book your appointment.

Member News Sobeys National Pharmacy Group Kevin Comeau, Manager, Continuing Care, Physicians Golden Plough Lodge Earns and Acquisitions Exemplary Accreditation 4980 Tahoe Boulevard Mississauga, ON L4W 0C7 Congratulations to Golden Plough Lodge staff in Tel: (905) 238-7124 Cobourg for earning a three-year accreditation with Email: [email protected] CARF Canada. OANHSS now has 119 accredited Web: www.sobeys.com members. Sobeys National Pharmacy Group provides pharmacy services to the long term care, retirement, and assisted If your organization does not appear on our list, please living sector as well as detention centres, group homes, email Chris Noone so we may update our files. and various other partners requiring specialized pharmacy care.

Watch Your Inbox for the Member Community Digest

Sent every Monday, the Member Community Digest provides highlights of activity on the forums of the OANHSS Member Community and offers helpful tips on how to use the Community’s many tools to connect, collaborate and share with peers.

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Member Position Announcements Organization Name Change

Carolyn Demelo, Acting Supervisor, Seniors Community Dearness Services  Dearness Home Programs The Regional Municipality of York, Adult Day Programs Deer Park Suites Supportive Housing  Deer Park Newmarket, ON Suites - Assisted Living

Terri Fedorchuk, Adult Day Services Manager Parkview Village Cluster Homes & Suites  Parkview Linhaven Day Program Services for Seniors St. Catharines, ON Sunnyside Seniors' Services  Regional Municipality Nancy Lew, Administrator of Waterloo, Sunnyside Seniors' Services City of Toronto – Fudger House Toronto, ON Sunnyside Community Programs  Regional Municipality of Waterloo, Sunnyside Community Susan Schendel, Administrator Programs City of Toronto – Wesburn Manor Toronto, ON

Connie Sheridan, Administrator New on the Web Georgian Village – Georgian Manor www.oanhss.org Penetanguishene, ON E-bulletins Ching Wa Ada Wong, Social Service Manager  October 5: Member Webinar: Workplace Mon Sheong Richmond Hill Adult Day Care Centre Regulation Changes– October 11 Richmond Hill, ON  October 4: OANHSS Advocacy Success – LTC Home Inclusion in 8% HST Rebate Tiffany Wurdell, Retirement Community Director  October 3: Medical Assistance in Dying – Parkwood Suites Retirement Residence Free Toolkit for Full Members Waterloo, ON

Our readers are your customers - Advertise in Action Update and Housing News!

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For advertising opportunities, contact Nina Zivkovic at (905) 851-8821 ext. 246 or email [email protected].

Action Update October 2016 11 November 08, 2016 Page 12 of 16 C 11 - CW Info

November 2 – Brampton November 23 – London

Members: $240 Non Members: $350

Ethical considerations are central to the provision of “good” health care and senior management should ensure that a concern for values is reflected in organizational practices. In this timely workshop, ethical challenges specific to long term care will be examined and delegates will be taken through a decision-making process they can apply in their own organizations. The relationship (and tension) between law and ethics will be highlighted as it pertains to informed consent and capacity, challenging family situations, sexuality, palliative and end-of-life care, substitute decision-making and pain management.

This full day workshop, co-facilitated by an ethicist and a lawyer, will:

 Provide participants with a model for resolving

everyday ethical dilemmas.

 Discuss ethical situations that currently arise in

long term care homes.

 Use real case scenarios to arm participants with practices to resolve ethical dilemmas and improve

care. 2017 Administrator Leadership Program  Examine fundamental values such as sexual Winter expression, identity, choice, inclusivity, dignity, autonomy, expression, privacy and confidentiality, February 26 - March 3, 2017 fairness, no-harm and respect for life. Novotel Hotel, North York

Registration Brochure Coming Soon! Complete the online registration form and email, fax or mail it to OANHSS.

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and practical ideas and programs, research or other topics of relevance to providers of seniors’ care and services.

Education sessions will be organized into the following OANHSS is now accepting workshop four streams: submissions for the 2017 OANHSS Share  Care and Services Annual Meeting & Convention, with Your  Integration and Collaboration a deadline of November 18, 2016. Expertise!  Management and Operations

 Governance and Leadership We’re looking for your best session ideas to help attendees reach their full New this year: We are offering sessions that are 45, potential and advance their knowledge on current 60 and 90 minutes in length. Please indicate your time issues and challenges related to seniors’ care and preference on the application form. services. Share your insights and expertise with senior staff from the long term care, seniors’ housing and For more details on the education streams and the community service sectors. We invite submissions submission process, please refer to the Call for that are thought provoking, timely, informative and Presentation section of our website. All submissions engaging. must be made via our electronic PDF form.

This call is open to all OANHSS members as well as Note: You are welcome to pass this Call for the academic community, researchers, educators, Presentations on to others who may be interested. consultants and others interested in sharing innovative

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organizations. For more information or to register, visit the CARF website.

WITH EDUCATION ON DEMAND GNAO 42nd Annual Provincial Conference November 3-4, 2016 On demand recordings are now available for two Ambassador Hotel, Kingston of OANHSS’ well-attended, full-day workshops: Attend this event for a chance to meet the conference

Medical Assistance in Dying (MAID): organizers, GNAO leadership, and your colleagues What You Need to Know working in gerontology. For more information or to register, please visit the conference website. Long Term Care Funding and Reporting Fundamentals 2016 ONPHA Conference & Tradeshow: Let’s Grow Together Watch sessions when you want. November 4-6, 2016 Recordings are divided into chapters for easy viewing. Sheraton Centre, Toronto Watch with high-speed Internet, speakers, The ONPHA Conference & Trade Show is the largest and a unique password. social housing conference in Canada attracting

non-profit housing staff, board members and tenants Each session is only $180.00 Members $265.00 Non-Members from across Ontario. More than 1,100 delegates attend this event for professional development and networking To purchase, complete the Publications Form. opportunities. This year’s theme is Let’s Grow Together. When we share our experiences, explore innovative thinking and work together, new ideas, solutions, and Other Events possibilities emerge. The non-profit housing sector is a strong, invested community and with renewed 2016 LTCMDAC & OLTCC Conference – Long commitment from the provincial and federal Term Care for Practicing Clinicians – governments, we are in an exciting position to gain Controversies in Long Term Care momentum. As we plan for the future, it is time to October 21-23, 2016 harness our collective knowledge! For more information Sheraton Centre, Toronto or to register, visit the ONPHA conference website. Amazing topics and speakers have been selected for this year! For more information or to register, please Integrating Innovation into Educational Practice visit the conference website. Innovation and Networking Day December 5, 2016 An Introduction to CARF Aging Services Baycrest CLRI, Toronto Accreditation Webinar The Baycrest Centre for Learning, Research and November 3, 2016 Innovation in Long-Term Care invites you to an exciting This webinar will familiarize participants with CARF, the day of innovative learning and networking. Long term benefits of CARF accreditation and the survey process care staff and students are invited to share success for organizations of all sizes. This introductory stories and learn about curriculum design, innovative presentation is designed for aging services providers approaches, and partnerships. If you have a success that are not currently CARF-accredited or would like to story to share about integrating innovation into become familiar with the CARF accreditation process, educational practice, consider submitting an abstract including staff and management of adult day services, about your initiative. For more information or to submit networks, retirement homes, long term care homes, an abstract, visit the Baycrest website. home care and supportive/independent senior living

Action Update October 2016 13 November 08, 2016 Page 15 of 16 C 11 - CW Info

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Action Update is distributed for information purposes only. The Ontario Association of Non-Profit Homes and Services for Seniors (OANHSS) is not engaged in rendering legal or other professional advice. If legal advice or other expert assistance is required, the services of a professional should be sought.

Action Update October 2016 15 November 08, 2016 Page 1 of 17 C 12 - CW Info

Friday, October 21, 2016

Advisory Council on Economic Growth Releases First Report

The expert panel created by Finance Minister Bill Morneau, the Advisory Council on Economic Growth, has recommended that the federal government create a national infrastructure bank.

This recommendation aligns with a key component of the Liberal Government’s 2015 campaign platform. The bank would be capitalized with $40 billion in federal funds and would be expected to attract major Canadian institutional investors. The Advisory Council estimates that the bank could leverage the initial funding to deliver more than $200-billion in infrastructure over the coming decade.

Examples of some projects listed as “productivity-enhancing infrastructure” include toll highways and bridges, high-speed rail, port and airport expansions, city infrastructure, national broadband infrastructure, power transmission, and natural resource infrastructure.

The full report can be found here.

OGRA participated in the Council’s stakeholder consultation and is pleased that some of our advice was incorporated into the Advisory Council’s recommendations, particularly regarding the need for a National Infrastructure Strategy. In the report, the Advisory Council further contends that the bank could issue infrastructure bonds as a way of raising its own capital, while also suggesting that Ottawa should privatize – in full or in part – some of its existing assets as a way of raising money that could be spent on other infrastructure priorities.

“Minister Morneau’s Advisory Council has put forward an ambitious plan that could help municipalities maintain their much needed infrastructure in a more pro-active than reactive basis”, stated OGRA President Robert Burlie. OGRA Executive Director Joe Tiernay said “I’m pleased to see the Federal Government finally recognize the need for a Federal Infrastructure Strategy and OGRA will continue to push the federal government to devise solutions that work for all of Ontario’s municipalities”.

The mandate of the Ontario Good Roads Association is to represent the transportation and public works interests of municipalities through advocacy, consultation, training and the delivery of identified services.

www.ogra.org

November 08, 2016 Page 2 of 17 C 12 - CW Info

1 Unleashing productivity through infrastructure

UNLEASHING PRODUCTIVITY THROUGH INFRASTRUCTURE

ADVISORY COUNCIL ON ECONOMIC GROWTH November 08, 2016 Page 3 of 17 C 12 - CW Info

2 Unleashing productivity through infrastructure

Introduction For Canada, the opportunity to invest in infrastructure has never been greater.

Few countries on earth can claim greater reliance on infrastructure for their prosperity than Canada. Canadians live in a massive, northern territory that stretches some 7,000 kilometers from coast to coast. As a trading economy of natural resources, energy, foodstuffs, and globally recognized high-value services and products, Canada has come to depend increasingly on infrastructure to connect us to the world and to one another.

The role that infrastructure plays in the daily life of Canadian families is simply immense. Commuting to school and to work every day, drinking clean water, eating fresh food, breathing clean air, having access to affordable energy and telecommunications, and having the ability to travel near and far to seek opportunities in education, employment or entrepreneurship—all of these depend to a substantial degree on the quality of Canada’s infrastructure services.

It is imperative for Canada to deliver infrastructure that meets the country’s growing needs. Used appropriately, infrastructure can be one of the most powerful levers at the government’s disposal for both long term productivity improvement and near term stimulus. In order to fully harness this potential, however, Canada should leverage the trillions in institutional capital waiting on the sidelines and focus this investment productively. We believe that this can be accomplished through three specific initiatives.

1. Develop a focused federal infrastructure strategy that is in line with the government’s economic growth agenda

2. Create a Canadian Infrastructure Development Bank (CIDB) to leverage institutional capital and deliver over $200 billion worth of projects over 10 years

3. Create a flywheel for reinvestment by catalyzing the participation of institutional capital in existing assets

The following memorandum lays out the rationale for a further increase in infrastructure investment, and details the three recommendations that we believe will unlock the full potential of this investment.

Canada’s infrastructure imperative Several forces are coming together to produce a moment when investment in infrastructure has become both an imperative investment need, and an opportunity to create the short and long term productivity stimulus that Canada will need in the coming decade.

Canada needs productivity-enhancing infrastructure Canada faces significant economic headwinds in the medium- to long-term, including a significant decline in per capita GDP growth (see Exhibit 1). Historically, Canada’s GDP growth has been propelled by the growth of its labour force. To reverse the negative implications of an aging population, Canada will need to invest in productivity. Infrastructure is at the foundation of the Council’s vision for a brighter Canada – one that is globally November 08, 2016 Page 4 of 17 C 12 - CW Info

3 Unleashing productivity through infrastructure

connected, home to a resilient workforce and numerous global champions, a magnet for talent and capital, and Whitea leader aper in innovative governance models that mobilize Canada’s best capabilities. Infrastructure hiitInfrastructure of investment is among the most powerful and scalable levers of economic growth, with both a long and short term impact. Over the longer term, infrastructure drives economic productivity year after year to the tune of 20 to 50 cents on every original dollar invested.1 The better the project selection and design upfront,

Exhibit 1 Without productivityfocused stimulus Canada ill face a very lo level of groth over the longterm4

C C GDP er capita opound annual groth rate opulation

1 Numbers may not sum due to rounding. 2 Assuming past 50 years (1964–2014) productivity growth. Source: Jutta Bolt and Jan Luiten van Zanden, The ﬁrst update of the Maddison Project:Re-estimating growth before 1820, Maddison Project working paper number 4, University of Groningen, January 2013; UN Population Division; McKinsey Global Institute analysis the better the economic dividend for Canadian tax dollars, the greater the environmental sustainability, and the better the prospects for economic growth. Productive infrastructure thus translates into competitiveness for the many industries that depend on it. Canada’s agrifood, resources, and energy sectors, for example, all underwent positive transformations over the past decade, but our comparative advantages there are all too often curtailed by inadequate capacity in transportation infrastructure.

In the short-term, infrastructure investments translate into additional economic demand. For every dollar invested, it is estimated that the economy grows by a dollar and sixty cents (1.6 times multiplier) in the first year. Jobs are created in each phase of project delivery. For every million dollar invested, approximately 15 November 08, 2016 Page 5 of 17 C 12 - CW Info

4 Unleashing productivity through infrastructure

jobs are created.2 Skilled and semi-skilled construction workers are hired, cement and steel manufacturers fill orders, architecture and engineering firms are in demand – all of these, and many more, spend money in the economy.

We also note that Canada is home to some of the OECD’s most congested cities. No fewer than 4 of the top 10 most congested cities in North America are Canadian (Vancouver, Toronto, Montreal and Halifax). Congestion not affects the cost and quality of life of everyday Canadians, but it also affects the competitiveness of Canada’s export-oriented sectors. In quantified terms, studies show that congestion leads to costs in the vicinity of 0.8% of GDP in a developed country like Canada.3

Positive developments requiring major infrastructure investments are also at play for Canada. For instance, Canada may soon have one of the world’s highest share of preferential access to global markets should the Comprehensive Economic Trade Agreement (CETA) with the EU be ratified. Canada is also moving towards closer trade relationships with Asian partners. Combined with other factors, this leads us to believe that Canada has a truly historic opportunity to become the world’s preferred North American trade hub, not just in the trade of goods, but also in the trade of services where Canada is already punching above its weight. However, this particular ambition will require multi-modal transportation infrastructure investment and reform on a scale detailed by the Canada Transportation Act Review, and in a manner enabled by the new funding and governance mechanisms outlined in this memorandum.

In short, no other area of federal government investment can compare with infrastructure in terms of reach, effectiveness and scale.

There is an infrastructure gap in need of bridging The exact magnitude of Canada’s infrastructure gap is difficult to estimate for a number of reasons. First, there is no nationwide source of reliable data on the current state of the country’s infrastructure. Second, top down GDP-driven estimates that compare national infrastructure investments to GDP are imperfect substitutes for bottom up needs assessments made at the local level. Finally, these estimates do not take into account the potential for large scale nation-building projects for governments seeking to make step change improvements in growth and productivity.

Despite these limitations, many estimates do exist. The gap in First Nations infrastructure alone is estimated to be $25 to $30 billion;5 a large deficit considering that First Nations account for 4.3 percent of the Canadian population.6 For the rest of Canada, estimates of the gap vary widely. These range from as “low” as $150 billion to as high as $1 trillion.7 The facts indicate that even though Canada has significantly invested in its infrastructure over the past 8 years (while most OECD countries reduced infrastructure investment following the 2008 financial crisis), governments at all levels have not invested enough to support long-term economic growth.

Bridging the national infrastructure gap through public finances alone would place an unfair and unsustainable burden on taxpayers. The recently announced $60 billion of new federal money over 10 years is a positive action within the realm of public means. Historically, Federal investment has stood at between 10 percent and 20 percent of total infrastructure investment in the country, with the bulk of capital coming from provinces and municipalities. November 08, 2016 Page 6 of 17 C 12 - CW Info

5 Unleashing productivity through infrastructure

Institutional capital will be needed As public revenues alone cannot be expected to bridge the gap, the Council sees the need to innovate in infrastructure financing. It is for this reason that we see greater participation of institutional capital (e.g., capital from banks, pension funds, insurance companies, sovereign wealth funds and other long-term investors) in infrastructure as a national priority and as a condition for success. Wherever possible, federal tax dollars spent on infrastructure should be amplified by institutional capital.

Above all else, we fundamentally believe that increasing the participation of institutional investors in infrastructure funding will allow the federal government to invest more, not less in social and environmental projects that will improve the daily lives of all Canadians residing in cities, regions and First Nations communities.

Trillions of dollars are available for investment Given the historically low, and in many cases negative, interest rate environment that constitutes the global economy’s “new normal,” there is an abundance of institutional capital around the world waiting to be deployed. Canadian and global investors are looking for long-lived projects with appropriate risk-adjusted returns in which to invest.

To broadly illustrate this point, we note that approximately $12 trillion are currently “parked” in negative-yield bonds.8 Infrastructure investments held by pension funds today amount to approximately US $170 billion.9 However, this is less than one-tenth of the total capital available for this asset class from pension and sovereign wealth funds alone (exhibit 2). Canada is particularly well-positioned to capture a substantial share of this capital if it can set the right conditions to attract it.

Increasing the participation of the institutional capital will allow the federal government to invest more, not less in social and environmental projects.

What’s needed to attract institutional capital? The federal government should seek to establish the following conditions to attract institutional capital:

Promote a pipeline of scalable projects with reasonable certainty. Institutional investors need assurances regarding efficient siting, permitting, approvals and compensation mechanisms – these should be transparent, time-bound and standardized wherever possible. The federal government should ask all government departments involved in greenfield infrastructure projects to publicly declare time standards for approvals and publish their performance relative to those standards. (This approach was highly effective in Australia at attracting institutional capital)

Install an objective process, predictable regulation and clarity on strategy. Institutional investors need to see clear, long-term investment paths (e.g. Infrastructure Development Plan) with objective investment November 08, 2016White aper Page 7 of 17 C 12 - CW Info Infrastructure 6 Unleashing productivity through infrastructure hiit of

Exhibit 2 There is a massive pool of private capital aiting on the sidelines10

P o estiate igh estiate trillions

C y pulic and private pensions here is at least opportunities C to capture a disproportionate share of T this capital y s pensions and superannuation funds

1 Doesn’t include $66 trillion in total assets managed by insurance companies and banks. 2 Current infrastructure investments by public and private pensions (~2.6 % of total funds under management). 3 Infrastructure potential for SWF, pensions and superannuation funds; (10-15% of AuM for SWF’s & pensions). Source: Preqin infrastructure investors report 2016, Infrastructure Pooling Institutional Investors Capital_OECD_April 2014

criteria. There also needs to be clarity about the division of roles between the federal, provincial and municipal governments. Investors do not like getting caught between the differing interests of different levels of governments.

Develop professional and expert counterparties. Institutional investors will require world-class expertise in procurement, siting, permitting, structuring complex transactions and delivering complex projects that take multiple interests into account.

Attach revenue streams to new and in some cases existing infrastructure. Institutional investors require some source of revenue potential, which can come from multiple sources: availability payments, ancillary funding models (e.g. property value capture), and user fees. Attaching some form of revenue stream to existing or new assets can also lead to improved productivity and use of the asset as seen in many other jurisdictions.

What should a successful infrastructure strategy look like for Canadians? Canada has traditionally done well in affording its citizens a good quality of life. However, as we look at the demographic and economic trends that lie ahead – low productivity, continued urbanization, rising cost of housing, etc. – we believe that it is time to rethink the federal approach to infrastructure, which has been relatively passive historically.

Specifically, we believe that federal investments in infrastructure should achieve the following strategic objectives: November 08, 2016 Page 8 of 17 C 12 - CW Info

7 Unleashing productivity through infrastructure

A. Grow the prosperity of all Canadians, by:

• Connecting Canadians to better employment and education opportunities through daily accessibility to locations where the most suitable work or education can be found

• Creating a flywheel of institutional capital participation to increase investments in infrastructure while freeing up federal tax dollars for investment in public good projects

• Improving capacity to expedite goods and services to market within and across Canada’s borders

• Creating jobs through the construction and operation of productive and efficient infrastructure

• Maximizing the economic benefit per taxpayer dollar through better project selection, structuring, procurement, and delivery

B. Improve the quality, accessibility and sustainability of infrastructure services, in order to:

• Improve the livability (including the affordability) of Canada’s cities for families across the economic spectrum

• Promote economic development in First Nations communities as well as in rural and northern regions

• Increase the environmental sustainability of our economy by bettering the efficiency of Canada’s transportation and electricity networks, which combined, account for 34% of its greenhouse gas (GHG) emissions11

We see the need for a new breed of federal strategy and institution to grow and better the pipeline of projects.

The Bold Idea—Recommendations Recommendation 1: Develop a focused federal infrastructure strategy Although nearly 98 percent of public infrastructure assets in Canada are owned by provinces and municipalities, we see a need for a shift in the federal approach to infrastructure. Historically, the federal government has financed substantial provincial and municipal projects, but often without a clear national strategy. We believe that executing a coherent national economic growth strategy requires a more purposeful approach to federal infrastructure funding.

At a high level, such a federal strategy should adopt two clear pathways for project selection, funding and delivery: November 08, 2016 Page 9 of 17 C 12 - CW Info

8 Unleashing productivity through infrastructure

Pathway 1 – National economic development infrastructure This first pathway should address large, “commercializable” types of infrastructure. Projects should target national economic development objectives and enhance productivity.

In priority areas such as expanding the country’s trade with emerging markets, an illustrative example would include doubling the throughput capacity of the Asia-Pacific Gateway, or achieving 5G broadband connectivity on a national scale.

In essence, this pathway’s primary purpose is to grow the Canadian economy through win-win collaboration with institutional investors. The more institutional capital can be attracted to replace and exceed available federal tax dollars; the more . . .

• . . . infrastructure will be built, narrowing the national gap

• . . . productive and sustainable infrastructure will be, by benefiting from both public and private sectors due diligences

• . . . public funds can be available to create infrastructure for the public good (described in the second pathway).

Specifically, projects on this pathway should accomplish one of two economic priorities:

A. Improving the transportation of people, goods, energy and data within and across our borders Connectivity is the linchpin of Canada’s economy and is highly dependent on the availability and quality of the country’s infrastructure.

A recent study evaluated the density of global flows in goods, services, finance, people and data in an effort to rank countries across these areas and in the aggregate. Canada’s connectivity index ranking fell from 8th place in 2012 to 13th place in 2015, lagging peers such as the Netherlands, the United States, Germany, Ireland, the United Kingdom, France and Belgium. This is material to Canada’s competitiveness and future growth. The same study determined that the most connected countries experience 40 percent more GDP growth from trade than the least connected ones.

We should target infrastructure that will result in the greatest productivity gains. This will often mean investments required to move our natural resources, energy, foodstuffs and products more efficiently. Improving the physical and digital connectivity of Canadians will matter in a world where trade in services is on the rise. Unlocking our educated, multicultural human capital’s potential requires infrastructure that allows efficient data communications and physical travel within Canada and abroad.

B. Helping build high-performing and highly livable cities that will attract talent and investments, to spur innovation and trade Inclusive cities are those that can provide infrastructure services such as public transit and housing to give all of their inhabitants the opportunity to participate actively in their communities and in the economy to the best of November 08, 2016 Page 10 of 17 C 12 - CW Info

9 Unleashing productivity through infrastructure

their abilities.12 With better transportation for example, Canadians can seek better jobs in a wider region. We expect inclusive cities to grow faster and more sustainably than others.

Cities are, in fact, Canada’s biggest engines of economic growth and job creation. Cities drive productivity by increasing the frequency of interactions among the people who live and work in them. Innovation and start- ups occur intensively in cities. With human capital as their resource, they are the driving force behind the country’s service economy.

Seventy percent of Canadians currently live in cities. Our urban population is growing 2.5 times faster than the rural one. And the rate of urban growth could be expected to increase with step-ups in immigration, which will add to the need for city infrastructure investment.13

“. . . Successful cities attract talented young highly-skilled workers, are centers of innovation and entrepreneurship and are competitive locations for global and regional headquarters. The proximity of universities to research and production facilities means cities are where new products are developed and commercialized. More than 80% of patents are filed in cities.” —OECD

Pathway 2 – National transfer programs This second pathway should address all other projects that are within the realm of Federal funding. Generally speaking, such projects will be socially and environmentally important, but unable to attract institutional capital because of their size, or because of the absence of revenue streams. Examples include affordable housing, First Nations infrastructure, cultural and tourism attractions, regional development and connectivity, and environmental remediation.

It is understood that the vast majority of projects undertaken on this pathway will be led by the provinces or municipalities. With this in mind, the federal government should look to streamline its participation by entering into partnership agreements with the provinces whereby a few “smart” transfer programs consolidate the many project submissions. Each transfer program could set out desired outcomes (e.g. increased housing accessibility). Moreover, these programs should include incentives that reward best practice adoption in project selection, structuring, procurement and delivery. To this end, the federal agency proposed in our second recommendation could play an advisory role to submitters as well as to the federal government. November 08, 2016 Page 11 of 17 C 12 - CW Info

10 Unleashing productivity through infrastructure

Successful execution on “Pathway 1” infrastructure projects will expand the amount of capital available for these important investments in social and other types of infrastructure without revenue potential. The goal is to grow the pie for infrastructure investment across all types of projects and all levels of government by leveraging the potential of institutional capital.

Recommendation 2: Create a Canadian Infrastructure Development Bank (CIDB) In our view, the creation of an infrastructure development bank is a once-in-a-generation opportunity for Canada.

This Council believes that Canada needs to create a new institution in order to deliver on the strategic objectives laid out above, including attracting the institutional capital needed to amplify federal investment, ensuring optimal project selection, and best practice adoption in project procurement and delivery.

While we leave it to the professional policymakers to define the nuts and bolts of such an institution, we have laid out what we believe are important considerations with regards to the CIDB in five areas: a) Objectives of the bank; b) Governance; c) Source of funds; d) Talent, and e) Provincial collaboration

A.White Objectives aper TheInfrastructure primary objectives for the Bank should be to: hiit of 1. Attract institutional capital to gain greater impact per taxpayer dollar and meaningfully reduce the infrastructure gap; and

2. Act as a center of expertise to structure and deliver projects in the most cost efficient way, to minimize the tax dollars required

CID O

O Deliver over $200 billion worth of projects over 10 years using as few tax dollars as possible

G Sufficiently independent to achieve commercial credibility, balanced against governmental accountability

F Capitalized to $40 billion over 10 years to provide subordinated debt and equity on projects

T Attract expert talent to serve as a center-of-expertise in infrastructure project selection, financing and delivery

P Complement existing municipal and provincial capabilities through a trusted and tailored partnership approach November 08, 2016 Page 12 of 17 C 12 - CW Info

11 Unleashing productivity through infrastructure

The focus of the Bank should be on those National Economic Development projects identified in the first investment pathway. Examples include toll highways and bridges, high-speed rail, port and airport expansions, smart city infrastructure, national broadband infrastructure, power transmission and natural resource infrastructure.

Projects considered by the Bank should generally have an all-in cost in excess of $100 million to meet the Whiteminimum aper scale required to attract institutional investment. Infrastructure hiitB. Governance of The Bank will require an independent governance structure in order to attract institutional capital and to attract the level of talent required to deliver on its mandate. The Bank could be structured as a Crown Corporation,

Exhibit 3 vervie of proect selection process FOR DISCUSSION

Single federal point of entry for project submissions

1 2 3 4 CID In-line with Institutional Y Revenue Y Y Y Y ≥$100M? growth capital CIDB decision (structuring, ﬁnancing, potential? strategy uptake procurement and assurance)

N N N N N

D CID to Project rejected I Infrastructure Canada C or relevant provincial agency

Government Y CID decision

N Project rejected

1 Total project cost. November 08, 2016 Page 13 of 17 C 12 - CW Info

12 Unleashing productivity through infrastructure

similar to the CPP Investment Board, but more important than the legal structure will be the level of independence of the institution, in terms of management and decision-making. This should include the appointment of a highly independent board of governors and a CEO with world-class, relevant business experience.

While independent in its operations, the Bank will nonetheless receive its strategic direction from government on an annual basis, which will inform its criteria for project selection and prioritization.

In addition, the Bank could be mandated to support national economic development objectives set out by Government. This could be achieved, for example, by mandating the Bank to undertake an impartial National Infrastructure Audit followed by a National Infrastructure Development Plan that could be approved or rejected by Government once submitted. The Audit could be updated on an ongoing basis, supported by new and much-needed analytics capabilities. The Plan could be publicly submitted to Government on a periodic basis (e.g. every 3 years), looking out to a 10 or 20-year horizon. These two outputs would thus help inform future federal infrastructure strategy planning.

At the individual project level, a clear decision-making process should be adopted as presented below in Exhibit 3. This process could be accomplished in four steps.

As a first step, project proposals are submitted to CIDB for assessment, with the sole requirement that their total value be above $100 million. These projects can come from municipalities, provinces, and other branches of government, or they may even take the form of unsolicited bids from the private sector. At this stage, the Federal government has the ability to reject a project proposal outright.

Second, projects are screened for their ability to potentially generate revenues. If there is no revenue potential, they should be funded directly by the traditional government granting process, but the CIDB could offer optional advice as to the procurement and execution of these projects.

Third, projects are evaluated against the Federal government’s strategic and economic objectives as well as their ability to generate productivity gains for the country.

Fourth, the CIDB leads a process of project structuring with institutional capital providers in order to maximize the multiplier effect on taxpayer dollars while providing a fair return to investors. This may include a competitive bidding process. Once this stage is complete and financing has been arranged, the project is approved and moves to the funding and execution stage.

C. Financing The Bank should be capitalized at a minimum of $40 billion over ten years by the federal government. The new Bank should be mandated to attract four dollars of institutional capital for every government dollar invested upfront.

The Bank will play a critical role in addressing early stage risks associated with large infrastructure projects. This “de-risking” will often entail investing equity upfront to complete technical drawings, specifications, risk assessments, social impact analyses, early permitting, etc. November 08, 2016 Page 14 of 17 C 12 - CW Info

13 Unleashing productivity through infrastructure

As a result, the Bank will likely earn below-market returns for some projects to “clear the market” with institutional investors. In our view, the objective of preserving capital in real terms would be a huge financial success and represent a significant reduction of the long term burden of these investments on Canadian taxpayers.

The Bank’s financial participation in projects will generally be in the form of subordinated equity and loan positions. Consequently, mechanisms could be adopted by which the Bank would share in equity upside once a specified return threshold is met.

The Bank’s toolbox of financial instruments should be diverse enough to enable highly tailored project support for provincial, municipal and private sector counterparties. Financial instruments could include performance bonds, loan guarantees, etc.

Eventually, the Bank could aim to achieve some degree of financial autonomy. Once its portfolio of projects has grown large enough, for example, the Bank could consider ways to further amplify its capital (e.g., through securitization of revenue streams). We expect Infrastructure-backed bonds to find wide appeal. The Bank’s ability to raise such debt independently would reduce its dependence on periodic federal allocations, resulting in both greater funding predictability and attractiveness to institutional investors.

Active traffic management on England’s M42 roadway, for example, directs and controls the flow of traffic; this has reduced journey times by 25 percent, accidents by 50 percent, pollution by 10 percent, and fuel consumption by 4 percent – at only 20 percent of the cost of widening the road.

The performance of the Bank should be measured against the leverage it can achieve from its capitalization, as well as the degree to which it can accelerate the “recirculation” of federal tax dollars in productive infrastructure investments.

D. Talent and operations The Bank should be enabled to attract and retain top talent and become a national center of excellence in infrastructure. Only with world-class talent will the bank have the credibility and capabilities it will need to attract institutional capital.

Functionally speaking, the Bank should be capable of full service infrastructure project structuring, financing and delivery, from project evaluation to procurement. November 08, 2016 Page 15 of 17 C 12 - CW Info

14 Unleashing productivity through infrastructure

Moreover, the Bank should take core responsibility in developing a national pipeline of projects as described further below. This must include developing the analytical abilities to act as the prime evaluator of Canada’s Whiteinfrastructure Paper needs. 2016 Infrastructure ExhibitIn those large4 of infrastructure 5 projects where the Bank’s financing services are not required, the Bank could be invited to play an advisory role to provincial and municipal agencies who request it. The Bank should also play such an advisory role (e.g. assurance) for federal infrastructure investments outside of the Bank’s financial

Exhibit 4 There is signiﬁcant opportunity for the institution to improve outcomes using best practices—in the range of 23 percent savings.14

% of project cost

100 ~8

~15

Primary expected benefit of ~15 62 independent institution

Some potential to create value with existing assets through improved life cycling maintenance and demand management

Infrastructure Fact-based Streamlined Making the Optimized spending project delivery most of existing spending selection infrastructure

Source: McKinsey Global Institute analysis

purview. In doing so, the Bank should become a steward of efficiency throughout the project cycle and across levels of government. As such the CIDB could deliver substantial savings to taxpayers. Cost-reduction levers like fact-based project selection and streamlined delivery are estimated to bring average savings of 8 percent and 15 percent respectively (Exhibit 4).

E. Collaborating with provinces and municipalities Collaboration with the provinces and municipalities will matter greatly. November 08, 2016 Page 16 of 17 C 12 - CW Info

15 Unleashing productivity through infrastructure

Acknowledging the varying degrees of capability and resources of existing provincial and municipal infrastructure agencies, the Bank should adopt a “trusted and tailored partnership” approach. The Bank should seek to complement and not substitute existing capabilities at the municipal and provincial levels. We note that in some cases the competencies at the provincial or municipal level may exist, but the assisted agencies may not have the scale to deal with some of the exceptionally-large projects on which the CIDB will generally focus.

While provincial representation in the Bank’s governance or ownership are options worth considering in the future; in the interest of expediency, we do not see these as imperatives to the launch of the Bank. Nevertheless, the door should be left open.

Recommendation 3: Create a flywheel of reinvestment Canada currently has a massive storehouse of value within its national infrastructure. The question is how can this value be harnessed and amplified for the benefit of all Canadians?

We believe that Canada can create a flywheel of reinvestment in its infrastructure by catalyzing the participation of institutional capital in existing assets, and using this capital to multiply investment into new infrastructure.

This does not necessarily mean an outright sale or 100 percent transfer. Indeed, there is a broad spectrum of options available including minority participation and long term lease structures that could allow Canadians to tap into the value of their collective infrastructure assets for reinvestment. In many cases, the Federal government could retain control of these assets.

In order to trigger this flywheel, the Federal government should lead by example and begin with successfully structuring and executing on this idea with one or more assets in the Federal portfolio. The CIDB will be well-positioned to structure and deliver on these transactions to ensure that Canadians receive the best outcome possible.

How should the government transition to this new model for infrastructure investments? The CIDB cannot be built overnight. Three major elements must be put in place before the government can begin to adopt the model and entrust projects to this new institution. First, it will take time to draft and enact legislation to set up the institution. Second, the right talent will need to be identified and put in place. Finally, adequate funding will need to be earmarked and allocated to the CIDB to ensure its credibility with the private sector as well as capacity to deliver on the chosen projects.

Since the need for a fiscal and productivity-boosting catalyst is now, we advise against delaying federal investment in the interim period.

One implication of this delay is that the government will need to develop a transitional approach to shift to this new model of investment for large projects. We would encourage the government to keep this transition period as short as possible, with a target of no longer than 2 years. During this period, the current funding mechanisms will need to stay in place. This would mean that many projects would follow the traditional funding process while the bank is being set up, even though they may have qualified for additional funding under the CIDB. November 08, 2016 Page 17 of 17 C 12 - CW Info

16 Unleashing productivity through infrastructure

That said, this approach should be considered for a transition period only. Over the long term, we believe the objective criteria to allocate project selection decisions to the CIDB, detailed in this memorandum, should be implemented in full.

1 International Monetary Fund and McKinsey Global Institute. 2 McKinsey Global Institute. Note that figures vary based on impact-assessment methodologies, invested asset classes, and project types. 3 In 2013, the expenses from congestion totaled $200 billion (0.8% of GDP) across four countries studied: USA, UK, France and Germany – “The Cost of Traffic Jams,” The Economist, November 3, 2014. 4 Assuming past 50 years (1964-2014) productivity growth. Jutta Bolt and Jan Luiten van Zanden, “The first update of the Maddison Project: Re-estimating growth before 1820,” Maddison Project Working Paper Number 4, University of Groningen, January 2013, ggdc.net; UN Population Division; McKinsey Global Institute. 5 “P3’s: Bridging the First Nations Infrastructure Gap,” The Canadian Council for Public-Private Partnerships, 2015, pppcouncil.ca. 6 Statistics Canada, 2016. 7 Center for Policy Alternatives, Canadian Chamber of Commerce, Federation of Canadian Municipalities and interviews 8 “There are Now $11.7 Trillion Worth of Bonds with Negative Yields”, Jeff Cox, CNBC.Com, 29 June 2016 9 Prequin Infrastructure Investors Report – 2016. 10 Does not include $66 trillion in total assets managed by insurance companies and banks. Current infrastructure investments by public and private pensions are ~2.6 % of total funds under management. Infrastructure potential for sovereign wealth funds, pensions, and superannuation funds are extensive, and estimated at 10 to 15 percent of AuM for SWF’s & pensions. “Preqin Infrastructure Investors Report 2016,” prequin.com; and “ Pooling Institutional Investors Capital – Selected Case Studies in Unlisted Equity Infrastructure,” Organisation for Economic Co-operation and Development, April 2014, oecd.org. 11 “Environment and Climate Change Canada, “National Inventory Report 1990–2014: Greenhouse Gas Sources and Sinks in Canada,” ec.gc.ca. 12 “Inclusive Cities are Productive Cities”, Jonathan Woetzel, McKinsey Global Institute, April 2016. 13 Statistics Canada, 2015. 14 McKinsey Global Institute. November 08, 2016 Page 1 of 11 C 13 - CW Info

FAIRMONT ROYAL YORK toronto

leadership matters 02.26 - 03.01 November 08, 2016 Page 2 of 11 C 13 - CW Info plenary sessions

Build Canada Phase II Technical Briefing - The federal government committed to a generational investment in infrastructure. Phase 1 of Investing in Canada will provide $11.9 billion in investments to support public transit systems, green infrastructure projects, and social infrastructure projects. This will be an opportunity for delegates to hear details about Phase 2 of Investing in Canada.

James Howard Kunstler - Kunstler is a critic of suburbia and urban development trends throughout the United States, as shown in his book “The Geography of Nowhere”. A proponent of the New Urbanism movement, Kunstler is also a public speaker, giving lectures at the TED Conference, the American Institute of Architects, and various colleges and universities.

Mikael Colville-Andersen - Colville-Andersen is one of the world’s most influential voices on the ideas of community design. Compared to the legendary Jane Jacobs, Colville- Andersen passionately believes that life-sized communities make our communities better places to live and increase quality of life. In his very first Ontario address he will show us how.

Hon. Steven Del Duca - Ontario is making its largest ever investment in public infrastructure. Over the next twelve years, the Government of Ontario will invest about $160 billion in projects such as roads, bridges and transit systems. The Hon. Steven Del Duca is the leader responsible for ensuring that people and goods continue to move, connect communities and enrich Ontarians. OGRA is pleased to announce that Ontario’s Minister of Transportation, Steven Del Duca will be giving a keynote address at the 2017 conference.

President Robert Burlie and the 2016-2017 OGRA Board of Directors look forward to seeing you at the 2017 OGRA Conference

Top Row Left to Right: Joe Tiernay, Executive Director; Michael Touw, Director of Public Works, Township of Leeds and the Thousand Islands; Rick Kester, CAO, City of Belleville; Dave Burton, Reeve, Municipality of Highlands East; John McKean, Mayor, Town of the Blue Mountains; Rick Harms, Project Engineer, City of Thunder Bay; Bryan Lewis, Councillor, Town of Halton Hills; Luc Duval, 2nd Vice-President, Director of Public Works & Engineering, City of Timmins; Paul Ainslie, Councillor, City of Toronto; Front Row Left to Right: Virginia Ridley, Councillor, City of London; James Neufeld, Director of Infrastructure Services, Municipality of Wawa (Resigned); Ken Lauppé, 1st Vice-President, Manager, Road Operations – East, Planning & Infrastructure Services, City of Brampton; Robert Burlie, President, Manager of Road Opera- tions, Etobicoke/East York District, City of Toronto; Rick Champagne, Immediate Past-President, Council- lor, Municipality of East Ferris; Chris Traini, County Engineer, County of Middlesex and Andy Bruziewicz, Councillor, City of Sarnia. • click here to register online • or print the registration form found on page 8 • ograconference.ca November 08, 2016 Page 3 of 11 C 13 - CW Info

HOUSING IS NOW OPEN- As in the past, blocks of rooms have been reserved at a number of hotels in downtown Toronto. Delegates must contact the hotels directly to book a room.

CLICK HERE TO VIEW HOTEL LISTINGS AND PRICES WORKSHOPS

• Municipal Class EA Reform • After the Mine Closes – Economic • The Next Generation of Active Development in a Resource Economy Transportation • From Local Food to Local Dollars – • Human Resources Update Agri-food as Economic Development • Modern Water Services • Ontario’s New Municipal Asset • Maximizing the Efficacy of Municipal Management Planning Regulation Revenues • Building Levels of Service into Your • Renewing Affordable Housing Asset Management Plan • Waste Management • Creating Buy-in for Your Asset • Municipal Shared Services Management Plan • The Sharing Economy • Media Training • Meaningful Public Engagement • Community Energy Initiatives • Economic Development Strategies for post-industrial communities

• click here to register online • or print the registration form found on page 8 • ograconference.ca November 08, 2016 Page 4 of 11 C 13 - CW Info small town forum III A session on Rural leadership presented by roi At a time when rural communities face considerable pressure to expand their abilities to respond to change, there is also a growing absence of capacity, resources, tools and strategies on the ground to encourage, support, and enhance the skill sets of those within organizations. OGRA is delighted to announce that the Rural Ontario Institute (ROI) will be organizing the Small Town Forum at the 2017 OGRA Conference. ROI is widely recognized for its BUILD Leadership training program and OGRA is pleased that delegates will have the opportunity to participate in what will be a truly memorable session. technical session Understanding the basics of asphalt technology is necessary for producing quality asphalt pavements. This three-hour workshop will feature industry specialists that will present the fundamentals of asphalt plant operations and paving best practices as well as insight on proper sampling, testing and inspection at asphalt plant and construction sites. The session will also include a module on selecting the right Performance Grade Asphalt Cement (PGAC). This workshop will provide a solid foundation in understanding how to produce quality asphalt pavement from the plant to the construction site. emerging municipal leaders forum The Emerging Municipal Leaders Forum will feature young leaders from both the elected and civil servant sides of municipal government. These individuals will share their thoughts and experiences with students interested in a career at the local level. Students in attendance will hear what it takes to succeed and learn how the industry is evolving. A significant amount of time will be allocated for questions. The forum will be followed by a networking session where students will have the opportunity to talk to managers potentially looking to recruit young talent. • click here to register online LEADERSHIP MATTERS • or print the registration form found on page 8 • ograconference.ca November 08, 2016 Page 5 of 11 C 13 - CW Info ministers forum The always popular “bear pit” session will be held on Monday afternoon where delegates will be able to pose tough questions to members of the Government of Ontario cabinet. delegations OGRA will be sharing information about the Government of Ontario’s delegation process for the 2017 OGRA Conference once details have been finalized. Stay tuned! The last word Formerly the “Question Box” join Fred Dean and his panel of municipal experts who will give straight answers to your questions on municipal issues. long service awards

Ontario Good Roads Association is always proud to recognize employees who have given long years of service in the cause of good roads. For eligibility requirements and form, please visit the Long Service Awards & Other Awards page located under the Events tab on ograconference.ca Deadline for receipt of nominations is Friday, January 27, 2017 Awards will be presented at the Awards Luncheon on Tuesday, February 28 during the 2017 OGRA Conference. For information, please contact Carmen Sousa: [email protected] 289-291-6472. Please find the Long Service Awards Form onpage 9. opening reception

Whether it’s meeting up with old friends or making new ones, please join us in the Canadian Room on Sunday, February 26th for the 2017 Ontario Good Roads Conference Opening Reception. Doors open at 5:00 p.m. All registered delegates will receive two complimentary refreshment tickets and light food will be served. • click here to register online • or print the registration form found on page 8 LEADERSHIP MATTERS • ograconference.ca November 08, 2016 Page 6 of 11 C 13 - CW Info

Tuesday, February 28, 2017 Canadian Room, Fairmont Royal York Doors open at 7:00 pm this is a ticketed event. please see pricing below OGRA is proud to announce that Meghan Patrick will Her debut album, Grace and Grit was released in the be performing at the OGRA Roadhouse Pub at the spring of 2016. To make this album, Meghan travelled 2017 OGRA Conference. to a number of studios in Canada and America, including the capital city of country music, Nashville. Born and raised in Bowmanville, Ontario, Meghan On the way, she worked with producers Justin Patrick has dedicated her entire life to music, Niebank, LeAnn Rimes, Vince Gill, Chris Baseford, wanting it to be more than just a passion. “I was Nickelback, Avril Lavigne and Carly McKillip. To add drawn to playing guitar so I could start writing music even more star power to her debut Meghan brought to go along with the words I was writing. I wanted in a few more big names, including multiple Grammy to be self-sufficient as a creative artist.” It wasn’t nominee Joe Nichols who duets with her on “Still long until Meghan had mastered both electric and Loving You,” and fellow Canadian Chad Kroeger, acoustic guitar as well as the banjo. who co-wrote and produced her debut single “Bow Chicka Wow Wow” along with several other cuts on Prior to setting out as a solo artist, Meghan was the album. the lead singer of the popular roots act The Stone Sparrows. A newgrass/bluegrass band, The Stone Sparrows released an EP and a full-length album before the members parted ways amicably in 2013 after playing their second Boots and Hearts Festival. Meghan has quickly made a name for herself since signing to Warner Music Canada. She has recently signed a publishing deal with Olé Nashville. November 08, 2016 Page 7 of 11 C 13 - CW Info porter airlines and via rail canada offer sPecial discount to 2017 ogra conference delegates

Porter Airlines is proud to offer a 10% VALID: discount on available base fares (with the February 24th 2017 to March 3rd 2017 exception of the lowest class fare during a public seat sale) for travel to and from the TERRITORY: 2017 OGRA Conference. From all stations throughout the VIA system to Toronto, Ontario and return. The discounted fares are available for booking from October 06, 2016 to March RESTRICTIONS: 05, 2017 and available for travel: Fare applies to a maximum of two passengers per booking. Dates of Travel: One complimentary stopover is allowed at no From: Anywhere in Canada or US additional charge. To: Toronto For travel on all fare plans in Business class, From: 22/02/2017 To: 02/03/2017 the first stopover is allowed at no additional From: Toronto charge, provided that this stopover takes To: Anywhere in Canada or US place in Toronto, Montréal or Ottawa only. From: 25/02/2017 To: 05/03/2017 DISCOUNT: 10% off the best available fare in Economy, Economy Plus, Business, Business Please book online at https://flyporter.com/ Plus, Sleeper class. “Subject to the conditions Flight?culture=en-CA&promocode=OGRA17 or and restrictions of the fare plan to which the through your travel agent using promo code additional discount is being applied.” “OGRA17”. EXCEPTION: Porter offers complimentary in-flight snacks Discount does not apply in any Escape fares and beverages, GatePorter service for carry- and Prestige Class. on and access to the Porter Lounge in Toronto and Ottawa, where free Wi-Fi and comfortable, IDENTIFICATION: leather seating is available. Participants must reference the event’s VIA The promo code is intended for use by conference discount code: 13415. conference attendees and organizers and is not meant for distribution outside of Online booking tips authorized channels. Porter’s fare rules and You have to log in to your profile, or create conditions apply. For any questions regarding one prior to booking. On the Passenger Porter’s services or any pre-travel concerns, information screen, select “Convention contact us at 1-888-619-8622. fare” from the “Discount Type” drop-down menu, and enter the discount code for your convention or event in the “Discount code” field. The conference fare will be shown on the next page. • click here to register online • or print the registration form found on page 8 • ograconference.ca November 08, 2016 Page 8 of 11 C 13 - CW Info

2017 OGRA CONFERENCE REGISTRATION FORM February 26 – March 1, 2017 – Fairmont Royal York Hotel, Toronto, ON

Please type or print clearly and send with payment to Ontario Good Roads Association, Unit 22, 1525 Cornwall Rd., Oakville, ON L6J 0B2 MUNICIPALITY/ NAME: ORGANIZATION: MAILING ADDRESS: TEL: EMAIL: SUNDAY AFTERNOON EVENTS # of EXTRA TICKETS PURCHASED NAME OF DELEGATE REGISTRATION PREREGISTRATION REQ’D TYPE TITLE PUB NIGHT AWARDS (to appear on badge-no initials) (A,B,C,D,E) SMALL TOWN TECHNICAL LUNCH FORUM SESSION

PAYMENT PRE-REGISTRATION FORMS MUST BE RECEIVED BY FEBRUARY 17, 2017 NOTE: Luncheon tickets are not included in any registration fee Registration forms cannot be processed unless accompanied with payment. OGRA Provincial/Federal Fax VISA or MASTERCARD payments to 289-291-6477. Non-Members FEES (enclosed) Members Governments REGISTRATION TYPE On or On or On or On or On or On or Name on Card: Before After Before After Before After Jan 20 Jan 21 Jan 20 Jan 21 Jan 20 Jan 21 CARD # A Full with Pub Night Ticket $635 $685 $690 $740 $775 $825 @ = Expiry Date: B Full, Excluding Pub Night $575 $625 $630 $680 $715 $765 @ = C One Day - Monday $320 $350 $350 $380 $400 $430 @ = Signature: D One Day - Tuesday $320 $350 $350 $380 $400 $430 @ = CHEQUE (Payable to Ontario Good Roads Association) E Half Day - Wednesday $160 $180 $175 $195 $200 $220 @ = REGISTRATION INQUIRIES? Luncheon Ticket $70 $70 $70 $70 $70 $70 @ = Carmen Sousa - Tel: 289-291-6472 or e-mail: [email protected] Extra Pub Night Ticket $80 $80 $80 $80 $80 $80 @ = Special dietary requirements, including food allergies, should be forwarded in writing to Subtotal REFUND POLICY Siobhan Cosgriffe at the Fairmont Royal York Hotel by fax: 416-368-8148 or email: +13% HST Full refunds, less an administration fee of $75.00 plus HST, of pre-registration [email protected] fees will be issued if notice of cancellation is received by Friday, February 3. (HST # 104000450RT)

NO REFUNDS AFTER FEBRUARY 3. ALL REQUESTS MUST BE IN For on-site registration fees, additional surcharge over regular rate as follows: TOTAL WRITING. Type A and Type B add $50, Type C and Type D add $30 and Type E add $20 November 08, 2016 Page 9 of 11 C 13 - CW Info

TO: OGRA Membership RE: Long Service Awards

As in the past, the Ontario Good Roads Association will recognize employees who have given long years of service in the cause of good roads.

It would be appreciated if you would complete and return the enclosed questionnaire advising us of any employee who is eligible under the conditions noted below to receive an award.

The following are the eligibility requirements:

 Minimum of 30 years in the road industry employed in the municipal, provincial and/or private sectors.

 Retired from their employment or will be retiring within one year of the Annual Conference at which the award will be given.

 Immediately previous or current employer is a member in good standing of Ontario Good Roads Association.

To nominate an eligible employee: Complete the attached form or download the Long Service Award Questionnaire from the OGRA website. Fax, email or mail the completed form to OGRA.

Deadline for receipt of Nominations: January 27, 2017.

Presentations of the awards will be made at the Awards Luncheon on Tuesday, February 28, 2017 during the OGRA Conference.

For more information contact Carmen Sousa: [email protected]

Yours truly,

Joseph W. Tiernay Executive Director November 08, 2016 Page 10 of 11 C 13 - CW Info OGRA Long Service Award Nomination cont’d

Ontario Good Roads Association 2017 Long Service Award Nomination Form

Deadline for nominations: January 27, 2017 Please print clearly. Name to appear on plaque

Retirement date

Position held immediately prior to retirement Total length of service in road industry Employer

Business address

Postal Code Bus. Tel.

Home address of nominee

Postal Code Home Tel.

Nominated by Name

Title

Employer

Address

Postal Code Bus. Tel.

Please complete nominee’s personal background information on page 2. 2

November 08, 2016 Page 11 of 11 C 13 - CW Info OGRA Long Service Award Nomination cont’d Nominee’s Personal Background Name of Nominee ______Part One: Employment History Please print clearly. Years Position Employer (from – to)

Part Two: Personal Background (Please highlight significant career achievements, hobbies, interests, and/or family information we can include in their introduction at the Awards Luncheon.)

Return completed form to: Carmen Sousa Tel. 289-291-6472 ext 21 Ontario Good Roads Assoc. Fax: 289-291-6477 1525 Cornwall Road, Unit 22 Email: [email protected] Oakville, ON L6J 0B2

November 08, 2016 Page 1 of 1 C 14 - CW Info

Committee of the Whole

Meeting Date: November 8, 2016 Submitted by: Jerry Rychlo, C.E.T., Engineering Supervisor SUBJECT: ROAD DEPARTMENT CONSTRUCTION UPDATE – OCTOBER 28, 2016

BACKGROUND: This report represents the physical accomplishments in the field and does not represent the engineering and planning. The report is divided into individual projects and contracts that are a part of most individual projects. Numbers given are as of October 28, 2016

Projects Name Completion CR 8 Thames Rd – Appin to CR 2 50% CR 9 Metcalfe St West – CNR to Duke Street deferred CR 13 William St – Coursey Line to Hwy 4 100 % CR 17 Nairn Road – Greystead Dr to CR 19 100 % CR 20 Hyde Park Rd – London City Limits to CR 16 90 % CR 20 Denfield Rd – CR 16 to Denfield 100 % CR 28 Medway Rd – Arva to CR 20 100 % CR 56 Wonderland Rd – London City Limits to CR 28 100 % CR 81 Centre Rd – Pannell Line to CR 33 50 % CR 81 Centre Rd – Hwy 402 to CR 22 deferred Weed Spraying Various Roads 100 % Cold-In-Place Recycling Various Roads 100 % Concrete Work Various Roads 95 % Paving Various Roads 75 % Sub Drain Installation Various Roads 100 %

November 08, 2016 Page 1 of 2 C 15 - CW Info

ONTARIO ENERGY BOARD NOTICE TO CUSTOMERS OF UNION GAS LIMITED

Union Gas Limited applied to change its natural gas rates effective January 1, 2017. Learn more. Have your say.

Union Gas Limited applied to the Ontario Energy Board to change its natural gas rates effective January 1, 2017.

A portion of the change is set using a formula previously approved by the Ontario Energy Board for the period 2014-2018. The formula is tied to inflation and other factors intended to promote efficiency.

Some customers are also impacted by Union Gas Limited’s proposal for a new Customer Managed Service for new and existing Union South Rate T2 customers. Union Gas Limited’s application also includes the implementation of the Union North Cost Allocation and Rate Design and the Parkway Delivery Commitment Incentive, both of which were previously approved by the Ontario Energy Board.

If the application is approved, an average residential customer of Union Gas Limited would see the following service areas changes and annual impacts.

Previous Service Area New Service Area Annual Change

South South $13.35

Fort Frances North West -$8.05

Northwestern North West $17.55

Northern (Union SSMDA) North West -$28.75

Northern (Union NDA) North East -$11.17

Eastern North East -$50.33

THE ONTARIO ENERGY BOARD WILL HOLD A PUBLIC HEARING The Ontario Energy Board (OEB) will hold a public hearing to consider Union Gas’ request. We will question the company on its case for a rate change. We will also hear questions and arguments from individual customers and from groups that represent Union Gas’ customers. At the end of this hearing, the OEB will decide what, if any, rate changes will be allowed.

The OEB is an independent and impartial public agency. We make decisions that serve the public interest. Our goal is to promote a financially viable and efficient energy sector that provides you with reliable energy services at a reasonable cost.

BE INFORMED AND HAVE YOUR SAY You have the right to information regarding this application and to be involved in the process. • You can review Union Gas’ application on the OEB’s website now. • You can file a letter with your comments, which will be considered during the hearing. • You can become an active participant (called an intervenor). Apply by October 24, 2016 or the hearing will go ahead without you and you will not receive any further notice of the proceeding. • At the end of the process, you can review the OEB’s decision and its reasons on our website.

The OEB intends to consider cost awards in this proceeding that are in accordance with the Practice Direction on Cost Awards and only in relation to Union Gas’ proposals on the Rate T2 Customer Managed Service, the Union North Cost Allocation and Rate Design Implementation and the Parkway Delivery Commitment Incentive.

LEARN MORE Our file number for this case is EB-2016-0245. To learn more about this hearing, find instructions on how to file letters or become an intervenor, or to access any document related to this case, please enter the file number EB-2016-0245 on the OEB website: www.ontarioenergyboard.ca/participate. You can also phone our Consumer Relations Centre at 1-877-632-2727 with any questions.

ORAL VS. WRITTEN HEARINGS November 08, 2016 Page 2 of 2 C 15 - CW Info

There are two types of OEB hearings – oral and written. The OEB will determine at a later date whether to proceed by way of a written or oral hearing. If you think an oral hearing is needed, you can write to the OEB to explain why by October 24, 2016.

PRIVACY If you write a letter of comment, your name and the content of your letter will be put on the public record and the OEB website. However, your personal telephone number, home address and email address will be removed. If you are a business, all your information will remain public. If you apply to become an intervenor, all information will be public.

This rate hearing will be held under section 36 of the Ontario Energy Board Act, S.O. 1998 c.15 (Schedule B).

November 08, 2016 Page 1 of 1 C 16 - CW Info ('~ Ministry of Health and Ministere de la Sante et des Long-Term Care Soins de longue duree t?ontario Emergency Health Direction des services de Services Branch sante d'urgence

5700 Yonge Street, 61h Floor 5700 rue Yonge, 6° etage Toronto ON M2M 4K5 Toronto ON M2M 4K5 Tel.: 416 327-7909 Tel. : 416 327-7909 Fax: 416 327-7879 Telec.: 416 327-7879 Toll Free: 800-461 -6431 Appels sans frais: 800-461-6431

October 27, 2016

Mr. Bill Rayburn Chief Administrative Officer The County ofMiddlesex 399 Ridout Street North London ON N6A 2Pl

Dear Mr. Rayburn:

The ministry is gathering information on the province' s ambulance dispatch delivery model. This exercise is focused on reviewing current Emergency Medical Services (EMS) dispatch models across the province and will include identifying opportunities for ministry consideration to improve the future state ofambulance dispatch.

When considering changes to ambulance dispatch, the ministry understands the importance of working collaboratively with our service delivery partners. As such, Deloitte has been engaged to undertake this work and will consult with you directly over the coming weeks to ensure your valued input is included in determining the current state, identifying best practices and determining proposed solutions to ensure the best possible ambulance dispatch system.

The ambulance system in Ontario is a key component in supporting the Ministry of Health and Long-Term Care' s Patients First: Action Plan for Health Care by providing access to the right care in the right place at the right time. We appreciate your support as we work on this important initiative.

Please contact the team working on the information gathering exercise via the dedicated initiative email address ( [email protected]) if you have any questions.

Sincerely,

Tarmo Uukkivi RECEIVED Director Emergency Health Services Branch OCT 3 1 2016

COUNTY CLERK'S OFFICE COUNTY OF MIDDLESEX November 08, 2016 Page 1 of 3 C 17 - CW Info

October 20, 2016 Ministers Announce Consultations on the Scope and Processes of the Ontario Municipal Board

Recently the Attorney General, the Honourable Yasir Naqvi, and the Minister of Municipal Affairs, the Honourable Bill Mauro, announced a plan to consult on possible changes to Ontario Municipal Board to improve efficiency and accessibility.

The role and functioning of the OMB has been subject to a number of reviews in past years. Yet concerns about its role in relation to the municipal governments’ responsibilities in land use planning decisions continue. As part of the review, the Province is consulting on possible changes to the OMB that, if adopted, would:

. Give more weight to local and provincial decisions. . Support alternative ways to settle disputes. . Allow for more meaningful and affordable public participation at the Board. . Bring fewer municipal and provincial decisions to the OMB. . Support clearer and more predictable decision making.

Further information about consultation dates and how the public (and municipalities) can provide their feedback on the proposed changes can be found on the Municipal Affairs website (link below).

In anticipation of this review, in June 2016, AMO adopted a report entitled, "OMB Reform: Maturing Roles Discussion Paper". In addition, AMO has prepared a Quick Guide to the consultation to assist you and your council should you wish to participate in this review (links below).

AMO’S GUIDING PRINCIPLES FOR IT'S REVIEW WORK

1. Municipalities are a mature order of government. They have taken on a more rigorous role in land use planning over the years. This requires a transformation of the OMB’s roles and procedures. 2. The planning process in Ontario has been and should continue to be public and democratic. However, the Board has not kept up with the intent of legislation to recognize and respect the municipal decision making role and this needs to be reinforced. November 08, 2016 Page 2 of 3 C 17 - CW Info

3. Should there be a situation where the OMB believes it needs to supersede municipal decisions, then it must ensure fair and equitable participation by local community members, and that decision-making processes include the public.

REVIEW OBJECTIVES

There is an undeniable need to address why the existing authorities and powers of the OMB have not been fully implemented. We have moved the yardsticks in the past but the outcomes remain almost the same. This review has to be more substantive with demonstrable outcomes.

Stability in the land use planning environment is essential for local viability. The planning process must make space for local goals expressed in planning documents. Scoping the authority of the OMB so official plans or secondary plans are indeed considered ‘official’ needs to be firmly established.

Given the substantial amounts of time and money that are spent by all parties in appeals a move toward efficiency is vital. Administrative practices, transparency and accountability can be vastly improved.

ACTION

AMO supports this discussion and encourages municipal participation. Reforms to the OMB scope and process can improve the efficiency and effectiveness of municipal planning in Ontario.

Links:

The MMA How to Participate

AMO’s OMB Reform Paper

AMO Quick Guide to the OMB Consultation

AMO Contact: Cathie Brown, Senior Advisor, [email protected] 416.971.9856 ext. 342.

November 08, 2016 Page 3 of 3 C 17 - CW Info

PLEASE NOTE: AMO Breaking News will be broadcast to the member municipality’s council, administrator, and clerk. Recipients of the AMO broadcasts are free to redistribute the AMO broadcasts to other municipal staff as required. We have decided to not add other staff to these broadcast lists in order to ensure accuracy and efficiency in the management of our various broadcast lists.

DISCLAIMER: Any documents attached are final versions. AMO assumes no responsibility for any discrepancies that may have been transmitted with this electronic version. The printed versions of the documents stand as the official record.

OPT-OUT: If you wish to opt-out of these email communications from AMO please click here.

November 08, 2016 Page 1 of 1 C 18 - CW Info Ontario

Rural Education Symposium Saturday November 26 2016 9:00 am – 2:00 pm

North Middlesex Community RURAL EDUCATION SYMPOSIUM Centre GROWING INNOVATION...LEARN LOCAL Parkhill, Ontario 225 McLeod Street Sponsored by: Municipality of North Middlesex Parkhill, Ontario

KEYNOTE SPEAKER: Presented by: Doug Reycraft, Community Schools Alliance North Middlesex

Local School Advisory Plenary Presentation: Marcus Ryan, Zorra Township, Ward 3 Councillor Tracy Grant, Daniel West, joined by business and student leaders. Committee

Plan to join the rural school conversation by attending the symposium and lend your voice and expertise.

The focus for the symposium:

225 McLe od St rkhill, Ontario  Foster a shared vision for rural schools in Ontario, Please Visit our Website:  Facilitate dialogue locally and provincially related to small pres and rural schools, Ontruraleducation.com  Promote the strengths of rural community schools. Contact Us: FREE REGISTRATION [email protected]

eventbrite.ca ontario-rural-education-symposium-tickets

HTTPS://WWW.EVENTBRITE.CA/E November 08, 2016 Page 1 of 2 C 19 - CW Info

~~F Ontario LEGISLATIVE ASSE MBLY

Lisa Thompson, MPP Bill Walker, MPP Queen's Park Office: Huron- Bruce Bruce-Grey- Owen Sound Legislative Building Toronto, Ontario M7A 1AB

Hon. Mitzie Hunter Minister of Education 22nd Floor, Mowat Block 900 Bay Street Toronto, Ontario M7A 1L2

October 17, 2016

Dear Minister Hunter:

As you are aware, many people across our communities in Bruce, Grey and Huron are very concerned about the direction your Government is taking. From energy to education, the policies are making our constituents' lives harder every day.

As of today, your education policies are driving the potential closure of as many as 600 elementary and secondary schools across Ontarioi. Using your funding formula and shortened accommodation review rules, school boards across Ontario may be forced to shutter every 1 in 8 schools, displacing thousands of students.

Here in our ridings, they have just ordered a capital cut of $2.5 million, resulting potentially in as many as 18 school closures ii across our local Bluewater District School Board, including Paisley Central School and Beavercrest Community School in Markdale.

We believe your school closure rules are punitive and short-sighted, as they are destabilizing our communities, pitting neighbour against neighbour and even making employers nervous.

Employers looking to expand business and add jobs in our region, such as Chapman's Ice Cream in Markdaleiii and Bruce Power in Tiverton 1v, deserve to have assurance that key amenities such as schools stay open. The Four County Labour Market Planning Board for Bruce, Grey, Huron and Perth says access to a school helps with finding and retaining good workers in the communityv, and is especially critical in our region as we're facing a shrinking labour market.

Sadly, while we know that school closures lose the community's draw for families to come back, your leadership clearly doesn't share this concern. In fact, it doesn't want to take any responsibility for what's going on.

Page 1 of 2 November 08, 2016 Page 2 of 2 C 19 - CW Info

lll Ontario LEGISLATIVE ASSEMBLY

Lisa Thompson, MPP Bill Walker, MPP Queen's Park Office: Legislative Buil ding Huron- Bruce Bruce-Grey-Owen Sound Toronto, Ontario M7A 1AB

Since being appointed Education Minister, you have tried to shift the blame for the decisions about which schools to close on the local trustees, but everyone kn ows that your government's arbitrary funding formula, your shortened accommodation reviews and your 13-year-long financial mismanagement and high debt are the real reasons behind these mass closures.

We respectfully suggest that you have set the closure rules. You have set t he bottom lines. And you, Minister, have to take responsibility for the outcome.

Instead of continuing to create the disruption in the lives of thousands of students, parents, families and communities, we want you to show courage and fix this mess, which is exactly what your party promised to do when it was shopping for votes during two provincial elections.

We call on you, Minister, and on the Premier to tell the Ontario public when you are going to amend the formula so that it incorporates this reality, so that it talks about the real needs of families and employers in our community.

We trust you can do that, and look forward to hearing when you will take that action and do what is in the best interests of our students.

Sincerely,

~~ Bill Walker, MPP Lisa Thomson, MPP Bruce-Grey-Owen Sound Huron-Bruce

i http://www.theglobeandmail.com/news/national/education/ontario-moves-to-speed-up-process-for-closing schools/article23801434/

ii http://www.owens o u n d su nti mes. com/2014 /05/08/repo rt-wa rns-of-18-bl uewater -school-cl osi ngs-i n-grey-b ru ce

iii http://923thedock.com/chapmans-weighs-school-closure-talk/

iv http://www.theglobeandmail.com/report-on-business/industry-news/energy-and-resources/bruce-nuclear pla ns-13-bi llion-refu rbish ment-of-ki nca rdi ne-ont-reactors/arti cle27 5 77426/

v http://www.plan n i ngboa rd .ca/reports/migration-characteristics-and-trends/

Page 2 of 2 November 08, 2016 Page 1 of 10 C 20 - CW Info Ne>rth ~ Middlesex

October 20, 2016

Kathy Bunting, County Clerk County of Middlesex 399 Ridout Street North London, Ontario N6A 2P1 Email: [email protected]

Dear Kathy:

Re : North Middlesex Council Motion - Proposed Planning Services

At the October 5, 2016, council meeting there was a presentation from the County that outlined a proposed Planning Service Model which would be available to all lower tier municipalities. In addition to this presentation, municipal staff provided a report to council which contained a comparison of planning services for their review. In order to allow due consideration of all the information provided, a decision was tabled until the next regular meeting.

On October 19, 2016, the attached motion was considered and unanimously approved by the Council of the Municipality of North Middlesex. If you could please advise your Council of this motion as soon as possible in order to commence the recommended action it would be appreciated.

Yours truly, ~\~ Jackie Tiedeman, Clerk Municipality of North Middlesex

cc: Middlesex County Lower Tier Municipalities

229 Parkhill Main Street, PO Box 9 Parkhill, ON NOM 2KO P: 519.294.6244 F: 519.294.0573 November 08, 2016 Page 2 of 10 C 20 - CW Info

MUNICIPALITY OF NORTH MIDDLESEX DATE: De~- \°'\\\\o North~ RESOLUTION NUMBER ----- Middlesex

MOVED BY: SECONDED BY: Deputy Mayor Brian Ropp Deputy Mayor Brian Ropp Councillor Doreen Mclinchey _ Councillor Doreen Mclinchey ~ Councillor Joan Nichol Councillor Joan Nichol Councillor Gord Moir Councillor Gord Moir Councillor Andrew Hemming Councillor Andrew Hemming Councillor Adrian Cornelissen Councillor Adrian Cornelissen

Whereas the Council of the Municipality of North Middlesex has been provided information that the Council of the County of Middlesex will be voting on a proposal to provide planning services to all lower tier municipalities; and,

Whereas the cost for this service would likely be part of the general upper tier levy starting in 2017; and,

Whereas the proposed cost of the services at 1.3% of the general levy is higher than the cost currently expended for a higher level of services received by the Municipality; and,

Whereas by imposing the fee through the levy leaves the Municipality no choice but to obtain the planning services from the County in order to be financially accountable to its taxpayers by not having a duplication of costs for the same service; and

Whereas the draft agreement provided to North Middlesex does not include all services that are currently being received from the contracted planning consultant; and ,

Whereas North Middlesex's current planning services contract will expire on December 31, 2016 and in order to ensure a smooth transition between planning service providers;

Now therefore be it resolved that the Council of the Municipality of North Middlesex hereby directs staff to notify the County of Middlesex that, although a County vote is not expected until December 2016, a County Planner needs to be assigned to the Municipality immediately in order to allow adequate time for the planners to work together with ongoing municipal planning matters to meet legislated timeframes;

And further that our Mayor, Deputy Mayor and CAO be authorized to enter into negotiations with the County with the goal of obtaining an agreement of services for less than 1.3% of the general levy and that clearly outlines the core services that the November 08, 2016 Page 3 of 10 C 20 - CW Info

Municipality has been receiving and expects to receive for the levy that will be assessed to the Municipality.

Recorded Vote: FOR AGAINST

Deputy Mayor B. Ropp Councillor D. Mclinchey Councillor J. Nichol Councillor G. Moir Councillor A. Hemming Councillor A. Cornelissen Mayor D. Shipway

DEFEATED:~~~~~~~~ Mayor or Deputy Mayor

Declaration of Conflict of Interest: ~~~~~~~~~- November 08, 2016 Page 4 of 10 C 20 - CW Info " North" Middlesex

REPORT TO: Mayor and Members of Council

PREPARED BY: Jackie Tiedeman and Marsha Paley

DEPARTMENT: Administration

MEETING DATE: October 5, 2016

SUBJECT: Proposed Change in Delivery of Planning Services

BACKGROUND

The Municipality of North Middlesex has had planning services provided through our current Planning Consultant, Barbara Rosser, since 2001. Several of the amalgamated municipalities retained Ms. Rosser's planning services prior to this date as far back as 1984. Ms. Rosser resigned in June 2010 as the municipality's planning consultant and these services were provided by another firm. Ms. Rosser, was re-retained in February 2011 upon staff recommendation and Council's approval.

DISCUSSION

The County of Middlesex is proposing to provide planning services to all lower tier municipalities and the cost for this service will automatically be apportioned to the levy allocated to each municipality commencing January 1, 2017. A summary of the current services and the proposed services are outlined in Attachment 1. The draft agreement from the County, in its current form, does not provide all planning services that are being provided by Ms. Rosser which typically is at a breakeven cost and is at a lower amount than what is currently being proposed by the County. Staff consulted with the Ministry of Municipal Affairs as to whether the Municipality was required to pay for the County planning services through the Levy despite currently receiving contracted services at a lower cost. The response was as follows:

"Yes, that if the planning cost would be part of the general upper tier levy for 2017, under Section 311 of the Municipal Act, that will be assessed to all municipalities. If the County passes a rating by-law that includes delivery of planning services, all municipalities would assessed for the service and there would be no opting out." November 08, 2016 Page 5 of 10 C 20 - CW Info

Estimation of Time Spent on Planning Matters:

Ratepayers or potential developers generally initiate discussions with the Chief Building Official and then are passed along to our Planner for further input if matters are under the Planning Act or contact is made directly with our Planning Consultant as her direct contact information is on the planning applications as well as on the municipal website. It is hard to pinpoint exactly how many hours are spent in a given week by our Planner on planning matters, however, it is estimated that 5-10 hours on average could be spent on the telephone, or on email, or in consultation meetings reviewing applications and preparing of notices in a given week. After a planning application has been deemed complete, the Planner then prepares notices for municipal staff for circulation under the Planning Act and then begins preparation of the required reports. This includes attendance at the evening meetings held once per month. This could average 3-6 hours per application. This estimation of time is dependent on the number of incoming inquiries, type of application, complexity of planning matter and could vary week to week. As Council is aware, the number of applications coming to Committee of Adjustment or Public Meetings over the last couple of years has significantly increased.

We have found since implementing this type of direct communication for planning and additional administrative support, that it has significantly reduced municipal staff time spent on these types of inquiries which allows staff to concentrate on other various municipal duties. Also, it provides immediate expert planning assistance and advice from the onset of the inquiry (whether this be to a ratepayer, potential landowner/developer, councillor and/or municipal staff), and within legislated process and requirements under the Act.

Although, we are currently receiving more planning services at a lower cost than proposed in the draft agreement, should the County proceed with the rating by-law we would have no opportunity to opt out. It would not make financial sense to pay for a service on the levy and then through a contract. It would be appropriate though that staff be directed to ensure we get the planning services currently being provided at no extra cost and clearly identified in the County's planning service agreement.

Therefore the options available to the Municipality are:

1. Retain current services received from the Planning Consultant acknowledging that these planning services are being made available through the County and paid for within this general levy amount ; or,

2. Utilize planning services from the County with a negotiated agreement to include all current services provided by existing consultant at no extra charge to the municipality over levy amount. Special Projects initiated by the Municipality (ie: development charges study/review or community improvement plan) may be subject to additional costs over the levy as mutually negotiated between the parties. November 08, 2016 Page 6 of 10 C 20 - CW Info "

If Council chooses Option #1, then staff should be directed to contact the current Planning Consultant to ensure continuation of services is possible as notice of the pending change in services has been given and the current contract ends December 31, 2016.

If Option #2 is chosen, then our CAO should be directed to enter into discussions immediately with the CAO of the County to ensure all present services being provided to the Municipality continue and within the proposed levy amount quoted. As well, County Planning Staff should be integrated into the municipal operations as soon as possible to ensure a smooth transition for ongoing planning matters and for continuity to municipal staff and its ratepayers.

FINANCIAL

Costs from current Planning Consultant: Annual Retainer of $5,000 (includes telephone inquiries and consultation with staff and the public including email reporting to the Municipality , email reporting to staff and attendance at occasional conferences at the request of the municipality, completeness review of all planning applications which includes any follow up required due to additional information, liaison with surveyors on mapping requirements prior to accepting planning applications to ensure all information is on draft plan, preparation of all notices for applications deemed complete to staff for the circulation process) Hourly rate $100.00/hr. (HST, Disbursements and Mileage Costs are in addition to the hourly rate) **These amounts have remained the same since 2012, however, are reviewed annually with Consultant**

2015 for Planning Services Retainer $ 5,088.00 Wages/Disbursements/mileage $ 25,698.82 OMB $ 5,240.64 Total Expenses $ 36,027.46

Planning Application Fees Total Revenue: $ 30,700.00

2016 to date Planning Services Retainer $ 5,088.00 Wages/Disbursements/mileage $ 22,887.07 OMB $ 2,951.04 Total Expenses to date $ 30,926.11

Planning Application Fees Total Revenue: $ 37,350.00 November 08, 2016 Page 7 of 10 C 20 - CW Info

Costs under County Proposal: If this service had been implemented in 2016, the cost to the municipality based upon the levy (1.3% x $2,965,818.15) would be$ 38,555.64. This would include services as outlined in the current draft agreement and does not take into account all services currently being provided to the municipality. At this point of the discussions, it was relayed by the County, if North Middlesex requested additional work not negotiated and outlined in an agreement it would be at a rate of $70.00 per hour (includes wages, benefits, operations (including mileage) and overhead (including technical support).

SUMMARY

The Municipality of North Middlesex has been notified by the County of Middlesex that commencing in 2017 the upper tier levy will be including an amount specific to planning services which will be available to all lower tier municipalities.

Staff has reviewed the draft agreement and several duties, now being provided to the Municipality through its contracted planning consultant, are being considered local municipal responsibilities. This includes the receiving and reviewing of all planning applications for completeness, liaison with applicants and/or agents in obtaining information that is required as part of this review, notification of completeness, preparation of all public notices and provided to municipal staff for circulation and regularly consolidating of the local Official Plan and Zoning By-law to reflect recent amendments.

There are many day to day planning matters currently underway as well as applications in the review process. In order to maintain a smooth transition from contracted services to the County planning services for municipal staff as well as ratepayers, it is imperative that direction be given to staff on how Council wishes to proceed and that this commence immediately.

Options Available to Municipality:

1. Retain current services received from Planning Consultant acknowledging that these planning services are being made available through the County and paid for within this general levy amount ; or

2. Utilize planning services from County with a negotiated agreement to include all current services provided by existing consultant at no extra charge to the municipality over levy amount. Special Projects initiated by the Municipality ( ie: November 08, 2016 Page 8 of 10 C 20 - CW Info •,

development charges study/review or community improvement plan) may be subject to additional costs over the levy as mutually negotiated between parties.

RECOMMENDATION

That the Report entitled Proposed Change in Delivery of Planning Services be received;

And further that Council direct staff on whether Option 1 or 2 for service as noted below should be pursued.

1. Retain current services received from Planning Consu nowledging that these planning services are being made avai rough the County and paid for within this general levy amount ; or

2. Utilize planning services County with a negotiated agreement to include all current services i:i · ed by existing consultant at no extra charge to the municipalit r levy amount. Special Projects initiated by the Municipality ( ie: develo ent charges study/review or community improvement plan) may be s · ct to additional costs over the levy as mutually negotiated between parties .

.Prepared by: Jackie Tiedeman Reviewed by: Marsha Paley November 08, 2016 Page 9 of 10 C 20 - CW Info , '

Attachment 1

CURRENT SERVICES !consolidated) PROPOSED SERVICES (consolidated) • Day to Day planning advisory • Provide planning information and services to Council and municipal advice to staff, the public , Councils administration staff and Committees • Preparation of reports including • Provide assistance, including recommendations on all applications consultation, research, meetings, site under the planning Act in accordance visits, interpretations, reports and with all legislation, regulation and presentations for processing all information applications pursuant to the Planning • Includes interpretation of planning Act. documents to council, staff and • Preparation of reports including public on an ongoing basis planning opinion and • Relative to development approval, recommendation for presentation to assist staff, collaborate with councils and committees. Municipality's other consultants ie :legal engineering and organize and • In event of OMB appeal, service attend meetings as required locally would include the provision of expert • Coordinate and set up meetings with testimony or mediation on behalf of applicable staff on potential municipality and any other related developments and/or site meetings preparation as required. Planning or as a result of direction from Staff are required to adhere to OPPI Council/Committee standards and properly issued • Administration of documents such as subpoenas. a Community Improvement Plan • Providing availability (based from the • Regular consolidation of local OP County Administration Building) and Zoning By-law during regular business hours to • Assistance to council and staff on all respond to in person, telephone, public consultation processes email inquiries from municipal staff, • Recommendations to council from public or development industry. time to time on issues requiring • Provide planning staff office hours in possible amendments to the OP or each municipality as outlined on a Zoning By-law or other planning schedule to the agreement, reviewed documents due to changes in and amended on an annual basis at Provincial policy or legislation or on the discretion of the Manager of developments locally or in other Planning based upon demand of parts of the province potentially service and levy proportionment. impacting the enforcement or • Assignment of a Primary Planner to effectiveness of local documents each municipality which to serve as • In event of OMB appeal, service the regular point of contact. The would include the provision of expert primary planner will be the liaison testimony or mediation on behalf of between the County Planning Dept municipality and is required to and any other department of the adhere to OPPI standards and County that may require input into a properly issued subpoenas. planning matter. November 08, 2016 Page 10 of 10 C 20 - CW Info

• Internally, support would be available • Provide GIS mapping services for to municipal advisory committees if municipal report, by-laws, schedules requested for other projects eg, and other planning related Development Charges studies etc. documents. • Email reports to council and/or • Provide annual summary report to municipal staff on telephone inquiries Council which outlines planning by ratepayers services provided. • Commitment of one afternoon per • Printing and production of planning week to meet with individuals reports and materials regarding planning matters, however flexible for other meetings during week if required. LOCAL MUNICIPAL • Review of all planning applications RESPONSIBILITIES: for completeness which includes all • Receiving and reviewing planning follow up that may be required in applications for completeness, order to deem it complete under the notification of completeness, Act. scheduling of public meetings, • Preparation of all notices associated preparing and circulating notices; with applications under the Planning • Regularly consolidating Municipal Act. OP and Zoning By-law • Arranging for the drafting of legal agreements for subdivisions, site plans • Creation of agendas, committee or council packages and minutes • Municipal by-laws that are not passed under the Planning Act • Backfilling of local municipal staff • Any other matters related to planning administration which are not Core or Non-Core Planning Services November 08, 2016 Page 1 of 6 C 21 - CW Info

Communique 1 – October 25, 2016

Residential hospice planning in the South West LHIN – Update

The South West LHIN is working with the South West Hospice Palliative Care Leadership Committee and local Hospice Palliative Care Collaboratives to ensure there are clear and effective mechanisms to engage with constituents and communities to advance a unified approach towards establishing residential hospice capacity for each sub-region within the LHIN.

Grey Bruce, Huron Perth and Elgin are established as priority geographies for the establishment of residential hospice capacity and are actively planning to allow for expanded services. In these areas, each local Collaborative has established a residential hospice subcommittee to begin looking at a unified solution to expand residential hospice in that sub-region geography. The subcommittees are engaging with local community stakeholders who have identified interest in residential hospice capacity to ensure that as capacity is expanded in the future, the selected models meet the needs of all communities within the sub-region.

To date, there has been significant work on the part of many partners. There also continues to be ongoing challenges in bringing partners together to ensure a coordinated effort and support for a unified approach that meets the needs of an entire sub-region geography. Individual communities motivated to establish a residential hospice, despite best intentions, may be at odds with a unified solution within a sub-region that will ensure access for all and the use of resources in a way that best supports developing sustainable capacity across the LHIN. Nevertheless, the LHIN is appreciative of the strong community interest and support for the development of residential hospice capacity and will continue to work with all partners to achieve the best possible solution for the patients and families that our system is here to support.

Further information on the South West Hospice Palliative Care Network, factors that influence residential hospice planning, our process to consider and action residential hospice related recommendations, and the necessary requirements for a residential hospice can be found in the attached backgrounder.

Current status of Residential Hospice Funding In August 2016, the Ministry of Health and Long-Term Care confirmed the South West LHIN will receive additional annualized base funding for 2016/17 to support the expansion of residential hospice services offered by the Residential Hospice of Grey Bruce by increasing the number of funded beds from six to eight.

The LHIN has also recently received confirmation of Ministry of Health and Long-Term Care support for the establishment of 14 additional new hospice beds by 2018/19, in order to meet the LHIN’s recommended bed allocation for the Grey Bruce and Huron Perth sub-regions. While the site(s) for additional beds have not yet been identified and approved by the South West LHIN, the Ministry is committed to providing funding for the new beds as they become operational.

London Middlesex and Oxford sub-regions are not current priority geographies with respect to residential hospice expansion and are not currently actively planning for additional residential hospice services. Both of these sub-regions currently have 10 residential hospice beds operational: St. Joseph’s Hospice, London and VON Sakura House, Woodstock.

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Sub-region Updates

Grey Bruce  The South West LHIN goal for Grey Bruce is to support establishing two additional beds at Chapman House, Owen Sound to be operational by March 2017 and then expanding from centralized care at a single location toward more equitable access using a decentralized or satellite model as part of a single, unified residential hospice solution.  Funding for four additional beds will be available to support the satellite site(s) which must be feasible, sustainable and operated in compliance with all quality and care standards.  Kincardine, Hanover, Walkerton and Brockton have expressed interest in participating in planning.  Partners continue to work together to determine the best possible solution for the Grey Bruce sub- region.  As noted previously, Chapman House in Owen Sound received funding for two additional beds to increase their current capacity to eight funded beds by March 31, 2017.  The satellite site(s) have not yet been identified.

Huron Perth  Huron Perth was prioritized through our capacity planning work as the top priority sub-region area for development of residential hospice capacity.  A single site for residential hospice is not the preferred model to equitably meet the needs of people living in Huron and Perth Counties. To that end, a decentralized or satellite model is being considered as part of the solution.  Funding will be available for 10 beds in the Huron Perth area but decisions have not yet been made regarding where residential hospice beds will be sited in the sub-region.  The local Collaborative, through its Residential Hospice subcommittee, is responsible for ensuring the engagement of all Huron and Perth communities that have expressed a desire to grow residential hospice capacity.  Lough Barnes Consulting Firm is conducting a study to understand the current and future needs in Huron and Perth Counties. This study represents a major step towards enhancing hospice palliative care in the region and moving towards a unified model for Huron Perth.  The study was funded by the City of Stratford, Huron County, and a private donor and has been supported by significant community and key stakeholder engagement.  The study will inform a report identifying a model for residential hospice capacity in Huron Perth that will: o recommend geographic locations for residential hospice beds to best meet the needs of the sub-region and ensure a sustainable, operating model that can meet provincial and LHIN requirements; o support designing a service delivery model based on best practices identified by provincial residential hospice organizations; o identify willing partners and communities; and o assess the local capacity for capital and annual fundraising to determine the operational sustainability of the model.  Results of the study will be available in November 2016.  The Huron Perth Residential Hospice sub-committee will be presenting the report and making recommendations for the local Collaborative to consider on November 23, 2016.  Following that, the recommendations and business case will be considered by the South West LHIN Hospice Palliative Care Leadership Committee. Final approval for the recommendations and business case rests with the South West LHIN Board of Directors. .

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Elgin  A partnership with St. Joseph’s Healthcare Society has been established and key stakeholders across Elgin County are participating at the subcommittee level.  The Elgin Residential Hospice Subcommittee will complete a feasibility study in 2017 to determine geographic location and a proposed residential hospice model that will best support Elgin County.

For additional information please contact:

Lisa Penner South West Hospice Palliative Care Lead [email protected] 519 474 5657

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South West LHIN Residential Hospice Backgrounder

Context  The South West LHIN is responsible for the planning, funding and integration of health services, including those related to Hospice Palliative Care.  The LHIN developed a South West Hospice Palliative Care Network to support planning efforts and provide leadership to develop and evolve a comprehensive, integrated and coordinated system of hospice palliative care.  The Network is supported by 5 sub-region Collaborative tables. Each Collaborative is responsible for providing local leadership to implement the Integrated Hospice Palliative Care Program and priorities in the South West LHIN, to advocate for local needs and priorities, to support a quality improvement approach and engagement activities.  Membership of the Leadership Committee and local Collaboratives are appointed as detailed in the terms of reference and is representative of key stakeholders including health service providers, patients/families, and communities.  Based on the Capacity Planning Report (July 2015), the South West Hospice Palliative Care Leadership Committee developed recommendations for each LHIN sub-region to address gaps in the system and move us closer to achieving an integrated system. These recommendations were developed in consultation with the sub-region Collaboratives.  The Capacity report is focused on a population-based approach to planning and is aligned with the provincial capacity planning approach identified by the Ontario Palliative Care Network (OPCN). This work provides a foundation to inform resource for palliative care resources, bedded resources in hospital settings, residential hospices, and in community settings with integrated home care supports from the South West CCAC.  Currently, the Collaboratives are focused on planning and implementing these recommendations including developing plans for the residential hospice beds that have been identified for each sub- region.  Residential Hospice is recognized as an important element in the continuum of care and a key enabler to achieving an overall reduction in the percentage of deaths that occur in hospital.

Key Messages  The efforts of committed community partners to improve hospice palliative care in the South West LHIN, and specifically to establish residential hospice capacity to serve patients and families in the area, are truly appreciated.  The South West LHIN recognizes the important role of the community in the development and sustainability of a patient and family-centred integrated system of hospice palliative care.  For each of the 5 sub-regions of the LHIN, we are seeking a unified solution, brought forward through the South West Hospice Palliative Care Network that leverages the strong community interest and commitment while ensuring an integrated approach for the sub-region.  Strong partnership with the community and LHIN funded health service providers with expertise in the delivery of high quality specialized care in a residential hospice setting will be foundational to the unified solution.  Because it is a specialized service, residential hospice care is a multi-community service and locations will be expected to serve a broad catchment area. Given the size of some sub-region geographies, a decentralized or satellite model is desired to support optimal access to service.  The LHIN supports local governance – preference will be given to a model that does not increase the number of distinct Health Service Providers within the sub-region.

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Factors Influencing Residential Hospice Planning  The province and LHIN are planning for an integrated system of care or continuum of care which is broader than residential hospice beds.  The OPCN is playing a strategic role in guiding Provincial recommendations for the proposed 200 residential hospice beds.  The role and level of LHIN involvement in residential hospice planning has increased significantly in the last two and a half years.  Past residential hospices were developed by communities without consistent, active LHIN involvement and were funded based primarily on community readiness. Now we have a regional capacity plan with identified needs and gaps that are being used to inform and influence planning priorities and efforts directed by the LHIN.  Community readiness or preference of a community to proceed does not equal need or priority when it comes to residential hospice planning and does not necessarily align with best use of resources.  Residential hospice beds are considered a multi-community specialized resource and as such will not be located in every community throughout the region.  Residential hospice services will complement the volunteer services, community and hospital palliative care that are already available in sub-regions.  The Hospice Palliative Care Leadership Committee will focus their efforts on evidence-based decision making as recommendations for residential hospice capacity expansion are considered across the South West.  Approval to implement residential hospice beds is dependent on confirmed funding from the Ministry of Health Long-Term Care.  The South West LHIN will continue to look to the Hospice Palliative Care Leadership Committee for direction on the pacing of the development of residential hospice capacity in our LHIN.

Process and Recommendations  Where applicable, local Hospice Palliative Care Collaboratives will establish subcommittees to develop a unified solution for residential hospice for their sub-region. Membership will include community and other key stakeholder group representatives.  The local Collaboratives are responsible for having a clear mechanism and/or process to support engagement of communities and residents in the sub-regions where they are planning.  Under the leadership and guidance of the Collaborative, the subcommittees will engage with communities and providers to develop a unified plan for how best to operationalize residential hospice beds to meet the needs of the sub-region.  Once a draft proposal has been finalized by the subcommittee it will be presented to the local Collaborative for review and endorsement and then shared with the South West LHIN Hospice Palliative Care Leadership Committee to ensure its support.  Once endorsed by the Leadership Committee, South West LHIN staff will determine how and when to present to the LHIN board. Support will be dependent on available funding.  The South West LHIN Board will make decisions based on advice and recommendations from the HPC Collaborative in each sub-region and the Hospice Palliative Care Leadership Committee.

Sub-region Residential Hospice requirements A Residential Hospice sub-region solution will:  Ensure a unified approach to care for each sub-region  Be sustainable and feasible  Consider a decentralized or satellite model where indicated to achieve equitable access to residential hospice for all residents in the area  Be able to meet all standards of care and norms of practice

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 Leverage formal integration and collaboration opportunities between the Residential Hospice and volunteer visiting hospice, outreach programs, Share the Care, caregiver supports, and bereavement support as well as broader partnership opportunities with all health care sectors including primary care, home care, hospitals, long term care, as well as mental health and addictions services within and across sub-regions  Achieve seamless transition points between services and supports in the last year of life  Be based on a Centre of Excellence Model  Aligns with the provincial Residential Hospice “Working Definition” provided below

Provincial Residential Hospice “Working Definition”  The Residential Hospice is a non-profit healthcare facility which provides specialized hospice palliative care beds and services in a homelike setting for the residents it serves and their families.  Provides care delivery from professional staff 24 hours a day, 7 days a week to meet the residents' needs in accordance with each resident's plan of care/treatment plan. o Facilities with 3 beds or less have, at minimum, access to a registered nurse 24/7 o Facilities with 4 beds or more have a registered nurse on-site 24/7  Has a model of care which is collaborative in nature and provides palliative care using a holistic approach through an inter-professional team that has expertise in palliative care.  Complies with provincial and national standards of care and norms of practice detailed by Hospice Palliative Care Ontario (HPCO) and the Canadian Hospice Palliative Care Association (CHPCA).  Community Residential Hospices have end of life beds where referral from any source can occur and is supported by centralized intake and assessment.  All staff and volunteers in their assumed roles complete ongoing hospice palliative care training, demonstrating a commitment to life‐long learning in order to maintain competency in practice.  The Community Residential Hospice ensures facility associated risk is minimized.

For additional information please contact:

Lisa Penner South West Hospice Palliative Care Lead [email protected] 519 474 5657 November 08, 2016 Page 1 of 29 C 22 - CW Info

Committee of the Whole

Meeting Date: November 8, 2016

Submitted by: Al Hunt, Deputy Chief of Operations

SUBJECT: MOHLTC UNANNOUNCED INSPECTION REPORT

BACKGROUND: The Ambulance Act requires operators of Ontario’s ambulance services to hold certificates issued by the Emergency Health Services Branch of the Ministry of Health and Long Term Care. The prime requirement of the certificate is that ambulance service operators successfully complete a comprehensive Ambulance Service Review every three years.

The Ambulance Act also states that the Director may appoint inspectors and investigators who at any time may enter the business premises or conveyances of an operator at any time and may examine, extract information from and make copies of the operator’s books, accounts and records pertaining to the ambulance service and may inspect the conveyances, supplies and equipment for the purpose of determining their compliance with the regulations. R.S.O. 1990, c. A.19, s. 18(2); 1997, c. 30, Sched. A, s. 14(2).

ANALYSIS: On September 16, 2016, an Inspector from the Ministry of Health & Long-Term Care made an Unannounced Inspection stopping at several ambulance stations within the Middlesex London EMS system (Waterloo, Byron, Horizon, Hyde Park, Lucan, Parkhill and Strathroy). During the Ministry of Health Inspector’s visit 5 ambulances were inspected for compliance with Ministry Standards.

• Throughout the Inspection Report, the Inspector is noted to make the following comments: • “Each vehicle was found to have well labelled cabinets and was neatly organized.” November 08, 2016 Page 2 of 29 C 22 - CW Info

• “The paramedics were professional and helpful during the visit.” • “Response bags were secured when crew left for code 8.” • “It was a pleasure to visit this station.” • “It was a pleasure to visit this station. Crew were very professional and assisted during the inspection.” • “Crew secured their equipment and were ready to respond.” • “The paramedic service was very busy with calls today when monitoring the radio. All units were out.” (Strathroy Station)

The following issues were identified:

Byron – Unit 1174 • Yankeur suction tip package open and no longer sterile • First Response Kit was not secured to the stretcher.

Hyde Park • Although no contact made with the crew, it was noted that the entrance was not tidy – lounge chair in the main entrance.

The two issues noted above were dealt with swiftly and brought to the attention of the paramedics involved and were corrected immediately.

A reminder training bulletin was sent out to all staff regarding the securing of bags and to ensure that all sterile packaging remains un-opened until use.

In summary, the Inspection Report confirmed that the Middlesex – London EMS Authority continues to provide high quality ambulance services for the citizens and visitors to the County of Middlesex and City of London.

Attachment November 08, 2016 Page 3 of 29 C 22 - CW Info

Ministry of Health and Ministère de la Santé et des Long-Term Care Soins de longue durée

Emergency Health Direction des services de Services Branch – ICRCG santé d’urgence - ICRCG 590 Rossland Rd. E. 590 rue Rossland E. Whitby ON L1N 9G5 Whitby ON L1N 9G5 Tel.: 905-665-8086 Tél.: 905-665-8086 Fax: 905-665-4044 Téléc.: 905-665-4044

October 26, 2016

Neal Roberts Chief Middlesex-London EMS 340 Waterloo St. London ON N6B 2N6

Dear Mr. Roberts:

Enclosed is the Inspection Report that is the result of the Unannounced Inspection conducted at your Service, (Waterloo Street, Byron, Horizon, Hyde Park, Lucan, Parkhill and Strathroy stations, vehicles 1171, 1179, 1174, 1184, and 1072) on September 16, 2016.

The Southwest Field Office will follow up with you respecting the enclosed findings.

Should you have any questions respecting the Inspection Report, please contact me any time.

Sincerely,

Michael Bay Manager Inspections and Certifications

cc: Mr. Tarmo Uukkivi, Director, EHSB Ms. Mary Vahaviolos, Senior Manager, EHSB Ms. Holly Cooper, Senior Manager, EHSB Ms. Kim Charlebois, Senior Field Manager, EHSB

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Ministry of Health & Long-Term Care

Unannounced Inspection Report

Middlesex – London EMS

September 16, 2016

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Ambulance Act

R.S.O. 1990, Chapter A.19

Inspectors and Investigators

18. (1) The Director may appoint inspectors and investigators for the purposes of this Act and the regulations and such appointments shall be in writing. R.S.O. 1990, c. A.19, s. 18 (1); 1997, c. 30, Sched. A, s. 14 (1). Powers of inspectors or investigator (2) An inspector or investigator, upon the production of his or her appointment under subsection (1), may enter the business premises or conveyances of an operator at any time and may examine, extract information from and make copies of the operator's books, accounts and records pertaining to the ambulance service and may inspect the conveyances, supplies and equipment for the purpose of determining their compliance with the regulations. R.S.O. 1990, c. A.19, s. 18 (2); 1997, c. 30, Sched. A, s. 14 (2).

Provision of information (2.1) An inspector or investigator may, upon entering premises under subsection (2) or at any other time, require an operator or the employee of an operator to provide any information relating to the inspection or investigation and to provide copies of any books, accounts or records as the inspector or investigator may specify. 1997, c. 30, Sched. A, s. 14 (3).

Compliance with request for information (2.2) An operator or an employee of an operator shall comply with a request for the provision of information or copies of any books, accounts or records as soon as practicable. 1997, c. 30, Sched. A, s. 14 (3). REPEALED: 2004, c. 3, Sched. A, s. 76 (2).

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Contact Information

Name of Service: Middlesex-London EMS

Field Office: Southwest Central East North AAOU

Location: 340 Waterloo St, London

Name of Service Contact (s): 16468, 15665,11017 and 12286 Position of Service Contact(s): Paramedics

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1530 Hrs.

Notes: -Each vehicle was found to have well labelled cabinets and was neatly organized.

Following this base inspection, a meeting was held with Chief Roberts, Al Hunt and Jason Sparks to review the observations noted during the inspection.

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1550 Hrs.

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Patient Care Complete to Clean/ Vehicle: 1171 Available Secure Comment/Picture Standard Sanitary Cots and Accessory     Lifting Equipment Immobilization     Equipment Burn Kit     First Response Kit     MCI Kit     Obstetrics Kit     Symptom Relief Kit     Oxygen/Suction Equipment     Response Kit _psi Main Tank _ psi Cardiac     Monitor/Defibrillator Wound Management     Personal Protective     Equipment Linen     ALS Medication     Intravenous/Medication     Kit Auxiliary Equipment     Patient Compartment  Fuel Level E ● ¼ ● ½ ● ¾ ● F n/a Starts without difficulty  Lighting: Operational Clean/Clear Warning Systems   Interior Lighting  

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB

Land Ambulance Service

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Administrative Present Available Complete Comment/Picture Service specific EHSB ID on    person of each Paramedic Current registration/    Annual safety sticker valid. insurance in vehicle Service Policies &    Procedures are available Completed Vehicle &    Equipment Checklist

Facility Inspection

The facility was: Yes • Clean; No • Neat; • Tidy; • Exits are free from obstruction Supplies: Yes • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Soft sided kits in the vehicle. Medications are stored in a manner consistent with Yes manufacturer’s requirements No

Other Observations: Crew secured their equipment and were ready to respond. Crew departed for a code 4 call.

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Patient Care Complete to Clean/ Vehicle: 1179 Available Secure Comment/Picture Standard Sanitary Cots and Accessory     Lifting Equipment Immobilization     Equipment Burn Kit     First Response Kit     MCI Kit     Obstetrics Kit     Symptom Relief Kit     Oxygen/Suction Equipment     Response Kit _psi Main Tank _ psi Cardiac     Monitor/Defibrillator Wound Management     Personal Protective     Equipment Linen     ALS Medication     Intravenous/Medication     Kit Auxiliary Equipment     Patient Compartment  Fuel Level E ● ¼ ● ½ ● ¾ ● F n/a Starts without difficulty  Lighting: Operational Clean/Clear Warning Systems   Interior Lighting  

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB

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Facility Inspection

The facility was: Yes • Clean; No • Neat; • Tidy; • Exits are free from obstruction Supplies: Yes • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Medications are stored in a manner consistent with Yes Soft sided kits in the vehicle. manufacturer’s requirements No

Other Observations: - Garbage pail secure by bungee cord on the inside of the back door. - A self-declaration provided by the Service indicated the trash bin modifications meet vehicle weight compliance.

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Contact Information

Name of Service: Middlesex-London Emergency Medical Services

Field Office: Southwest Central East North AAOU

Location: 3100 Colonel Talbot, Byron

Name of Service Contact (s): 11347 and 19997 Position of Service Contact(s): Advanced Care and Primary Care Paramedics

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1317 Hrs.

Notes: -The paramedics were professional and helpful during the visit.

-The Yankeur tip is no longer sterile–Legislation: Provincial equipment standards 370. -Bags not secure - Legislation: Ambulance Service Patient Care and Transportation Standard-pt. transport (c).

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1347 Hrs.

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Patient Care Complete to Clean/ Vehicle: 1174 Available Secure Comment/Picture Standard Sanitary Cots and Accessory     Lifting Equipment Immobilization     Equipment Burn Kit     Sealed; expiry Jan 31/17 First Response Kit    X MCI Kit     Obstetrics Kit     Sealed; expiry Nov 30/18 Symptom Relief Kit     No expired meds. Oxygen/Suction Equipment   X  Response Kit _ psi Main Tank __ psi Cardiac     Monitor/Defibrillator Wound Management     Personal Protective     Bags secure in side compartment. Equipment Linen     ALS Medication     Intravenous/Medication     Kit Auxiliary Equipment     Patient Compartment  Fuel Level E ● ¼ ● ½ ● ¾ ● F Starts without difficulty  Lighting: Operational Clean/Clear Warning Systems   Interior Lighting  

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB

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Administrative Present Available Complete Comment/Picture Service specific EHSB ID on    Id cards expire Apr 1/17 person of each Paramedic Current registration/    Expiry 03/31/17 insurance in vehicle Service Policies &    Procedures are available Completed Vehicle &    Equipment Checklist

Facility Inspection

The facility was: Yes • Clean; No • Neat; • Tidy; • Exits are free from obstruction Supplies: Yes • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Medications are stored in a manner consistent with Yes manufacturer’s requirements No

Other Observations: A plastic garbage pail was fastened to the interior back door by a bungee cord.

Response bags were secured when crew left for code 8.

It was a pleasure to visit this station.

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Contact Information

Name of Service: Middlesex-London Emergency Medical Services

Field Office: Southwest Central East North AAOU

Location: 745 Horizon Drive, London N6H 4L1

Name of Service Contact (s): No one at base Position of Service Contact(s): No contact

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1000 Hrs.

Notes: -This is a nice new base. -No doorway obstructions.

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1005 Hrs.

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Patient Care Complete to Clean/ Vehicle: none Available Secure Comment/Picture Standard Sanitary Cots and Accessory n/a Lifting Equipment Immobilization n/a Equipment Burn Kit n/a First Response Kit n/a MCI Kit n/a Obstetrics Kit n/a Symptom Relief Kit n/a Oxygen/Suction n/a Equipment Response Kit _psi Main Tank _1600_ psi Cardiac n/a Monitor/Defibrillator Wound Management n/a Personal Protective n/a Equipment Linen n/a ALS Medication n/a Intravenous/Medication n/a Kit Auxiliary Equipment n/a Patient Compartment Fuel Level E ● ¼ ● ½ ● ¾ ● F Starts without difficulty Lighting: Operational Clean/Clear Warning Systems Interior Lighting

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB 13 November 08, 2016 Page 17 of 29 C 22 - CW Info Operational Service Visit / Inspection Report

Land Ambulance Service

Administrative Present Available Complete Comment/Picture Service specific EHSB ID on n/a person of each Paramedic Current registration/ n/a insurance in vehicle Service Policies & n/a Procedures are available Completed Vehicle & n/a Equipment Checklist

Facility Inspection

The facility was: Yes • Clean; No • Neat; • Tidy; • Exits are free from obstruction Supplies: Yes N/A • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Medications are stored in a manner consistent with Yes N/A manufacturer’s requirements No

Other Observations:

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Contact Information

Name of Service: Middlesex-London Emergency Medical Services

Field Office: Southwest Central East North AAOU

Location: 2225 Hyde Park Road, London

Name of Service Contact (s): No one at base Position of Service Contact(s): No contact

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1015 Hrs.

Notes: -Lounge chair in the main entrance.

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1020 Hrs.

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Quality Assurance ACRs and Incident Secured Process

Reports Secure from  n/a unauthorized access Process in place to  n/a submit to EHSB 16 November 08, 2016 Page 20 of 29 C 22 - CW Info Operational Service Visit / Inspection Report Land Ambulance Service

Administrative Present Available Complete Comment/Picture Service specific EHSB ID on n/a

person of each Paramedic Current registration/ n/a

insurance in vehicle Service Policies & n/a

Procedures are available Completed Vehicle & n/a

Equipment Checklist

Facility Inspection

The facility was: Yes • Clean; No Tidy entrance? • Neat; • Tidy; • Exits are free from obstruction Supplies: Yes n/a • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service n/a Medications are stored in a manner consistent with Yes manufacturer’s requirements No

Other Observations:

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Contact Information

Name of Service: Middlesex-London Emergency Medical Services

Field Office: Southwest Central East North AAOU

Location: 188 George Street, Lucan

Name of Service Contact (s): 18201 and 32583 Position of Service Contact(s): Paramedics

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1047 Hrs.

Notes:

-The original copy of the vehicle permit was made available from the Service Provider. It confirmed the vehicle permit for unit 1184 is valid and expires Mar 2017.

-At the end of the day, a self-declaration document was obtained to show that the modification of the plastic waste bin secured by bungee cord attached to the door met compliance.

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1120 Hrs.

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Patient Care Complete to Clean/ Vehicle: 1184 Available Secure Comment/Picture Standard Sanitary Cots and Accessory     Lifting Equipment Immobilization     Equipment Burn Kit     Sealed; expiry Jan 31/17 First Response Kit     MCI Kit     A very tidy kit. Obstetrics Kit     Sealed; expiry Jun 30/17 Symptom Relief Kit     Organized, No expired meds. Oxygen/Suction Equipment     Response Kit _1400_ psi Main Tank _2000_ psi Cardiac     Monitor/Defibrillator Wound Management     Personal Protective Bags secure in side     Equipment compartment. Linen     ALS Medication     Intravenous/Medication     Kit Auxiliary Equipment     Patient Compartment  Fuel Level E ● ¼ ● ½ ● ¾ ● F Starts without difficulty  Lighting: Operational Clean/Clear Warning Systems   Interior Lighting  

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB

19 November 08, 2016 Page 23 of 29 C 22 - CW Info Operational Service Visit / Inspection Report Land Ambulance Service

Administrative Present Available Complete Comment/Picture Service specific EHSB ID on    person of each Paramedic Current registration/    Requested original copy from HQ. insurance in vehicle Service Policies &    Procedures are available Completed Vehicle &    Equipment Checklist

Facility Inspection

The facility was: Yes • Clean; No • Neat; Very clean. • Tidy; • Exits are free from obstruction Supplies: Yes • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Medications are stored in a manner consistent with Yes manufacturer’s requirements No

Other Observations: It was a pleasure to visit this station. Crew were very professional and assisted during the inspection.

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Contact Information

Name of Service: Middlesex-London Emergency Medical Services

Field Office: Southwest Central East North AAOU

Location: The Parkhill crew were met at the Strathroy General Hospital ER

Name of Service Contact (s): 91524 and 18233 Position of Service Contact(s): Paramedics

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1221 Hrs.

Notes: -There was no access and no one at 179 Mill Street, the Parkhill station on earlier stop. -The crew was found at the hospital emergency department. -A review of their unit found neatly organized and well labelled cabinets.

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1221 Hrs.

21 November 08, 2016 Page 25 of 29 C 22 - CW Info Operational Service Visit / Inspection Report Land Ambulance Service

Patient Care Complete to Clean/ Vehicle: 1072 Available Secure Comment/Picture Standard Sanitary Cots and Accessory     Lifting Equipment Immobilization     Equipment Burn Kit     First Response Kit     MCI Kit     Obstetrics Kit     Symptom Relief Kit     Oxygen/Suction Equipment     Response Kit _psi Main Tank _1600_ psi Cardiac     Monitor/Defibrillator Wound Management     Personal Protective     Equipment Linen     ALS Medication     Intravenous/Medication     Kit Auxiliary Equipment     Patient Compartment  Fuel Level E ● ¼ ● ½ ● ¾ ● F n/a Starts without difficulty  Lighting: Operational Clean/Clear Warning Systems   Interior Lighting  

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB

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Facility Inspection

The facility was: Yes • Clean; No No base inspection. • Neat; • Tidy; • Exits are free from obstruction Supplies: Yes • Readily available to clean the vehicle; No No base inspection. • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Medications are stored in a manner consistent with Yes Soft sided kits in the vehicle. manufacturer’s requirements No

Other Observations: It was a pleasure to visit this crew. Crew secured their equipment and were ready to respond.

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Contact Information

Name of Service: Middlesex-London Emergency Medical Services

Field Office: Southwest Central East North AAOU

Location: 61 Albert Street, Strathroy

Name of Service Contact (s): No one at base Position of Service Contact(s): No contact

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1215 Hrs.

Notes: No units housed at this location.

Inspector’s Name: Heather Robinson Date of Visit: 16/09/16 @ 1227 Hrs.

24 November 08, 2016 Page 28 of 29 C 22 - CW Info Operational Service Visit / Inspection Report Land Ambulance Service Patient Care Complete to Clean/ Vehicle: Available Secure Comment/Picture Standard Sanitary Cots and Accessory n/a Lifting Equipment Immobilization n/a Equipment Burn Kit n/a First Response Kit n/a MCI Kit n/a Obstetrics Kit n/a Symptom Relief Kit n/a Oxygen/Suction Equipment n/a Response Kit _1400_ psi Main Tank _2000_ psi Cardiac n/a Monitor/Defibrillator Wound Management n/a Personal Protective n/a Equipment Linen n/a ALS Medication n/a Intravenous/Medication n/a Kit Auxiliary Equipment n/a Patient Compartment n/a Fuel Level E ● ¼ ● ½ ● ¾ ● F Starts without difficulty Lighting: Operational Clean/Clear Warning Systems Interior Lighting

Quality Assurance ACRs and Incident Secured Process

Reports Secure from  unauthorized access Process in place to  submit to EHSB

25 November 08, 2016 Page 29 of 29 C 22 - CW Info Operational Service Visit / Inspection Report Land Ambulance Service

Facility Inspection

The facility was: Yes • Clean; No • Neat; Facility was secure. • Tidy; • Exits are free from obstruction Supplies: Yes • Readily available to clean the vehicle; No • Have adequate storage space available; • Are of adequate quantity of supplies/ equipment on hand to maintain the level of service to meet continuity of service Medications are stored in a manner consistent with Yes n/a manufacturer’s requirements No

Other Observations: The paramedic service was very busy with calls today when monitoring the radio. All units were out.