INDEPENDENT ASSESSMENT COMMITTEE CHAIRPERSONS. Xx. Xxxx-Xxxxx Ollikainen Simcoe Terrace Retirement Centre 00 Xxxxxx Xxxxxx BARRIE ON L4N 1E3 Xx. Xxxxxx Xxxxxxxxx Registered Nurses Association of Ontario 000 Xxxxxxxxxx Xxxxxx, Xxxxx 0000 XXXXXXX XX X0X 0X0 Telephone: 000-000-0000, ext. 216 Ms. Xxxx Xxxxxxx 00 Xxxxxx Xxxxxx Xxxxxx OTTAWA ON K1K 2A4 A Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day B – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day C Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – E – – Night Night Night Night – – Night Night Night Night – – Night Night Night Night – – Night F Night Night – – PM PM Night Night – – PM PM Night Night – – PM PM Night Night – G – – – – – – – – – – – – – – – – – – – – – Employee Week 4 Week 5 Week 6 Mon Tues Wed Thu Fri Sat Sun Mon Tues Wed Thu Fri Sat Sun Mon Tues Wed Thu Fri Sat Sun A Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – B Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day C – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day E Night Night Night – – Night Night Night Night – – Night Night Night Night – – Night Night Night Night F – PM PM Night Night – – PM PM Night Night – – PM PM Night Night – – PM PM The same pattern with scheduled holidays (H) Employee Week 1 Week 2 Week 3 Mon Tues Wed Thu Fri Sat Sun Mon Tues Wed Thu Fri Sat Sun Mon Tues Wed Thu Fri Sat Sun A Day Day Day Day – – H Day Day Day – – Day Day Day Day – – Day Day Day B – – Day Day Day H – – Day Day Day Day – – Day Day Day Day – – Day C Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – E – – Night Night Night Night – – Night Night Night Night – – H Night Night Night – – Night F Night Night – – PM PM Night Night – – PM PM Night Night – – PM PM Night Night – G – – – – – Day Day – – – – – – – Night – – – – – – Employee Week 4 Week 5 Week 6 Mon Tues Wed Thu Fri Sat Sun Mon Tues Wed Thu Fri Sat Sun Mon Tues Wed Thu Fri Sat Sun A Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – B Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day Day C – Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day E Night Night Night – – Night Night Night Night – – Night Night Night Night – – Night Night Night Night F – PM PM Night H – – PM PM Night Night – – H PM Night Night – – PM PM G – – – – Night – – – – – – – PM PM – – – – – – – A Day Day Day Day – – Day Day Day Day – – Day Day Day Day – – Day Day Day B – – Day Day P...

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INDEPENDENT ASSESSMENT COMMITTEE CHAIRPERSONS. Note: The parties agree to meet to discuss the following Independent Assessment Committee Chairpersons. The parties agree to revise and update the list to ensure that an adequate number of Chairpersons are available. If the parties are unable to reach agreement on the revised list, Arbitrator Xxxxxx will remain seized to resolve the dispute.

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INDEPENDENT ASSESSMENT COMMITTEE CHAIRPERSONS. Contact information for the Independent Assessment Committee Chairpersons

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INDEPENDENT ASSESSMENT COMMITTEE CHAIRPERSONS. Xx. Xxxxxx Xxxxxxxxx Registered Nurses Association of Ontario 000 Xxxxxxxxxx Xxxxxx, Xxxxx 0000 XXXXXXX XX X0X 0X0 Telephone: 000-000-0000, ext. 216 Fax: 000-000-0000 Email: xxxxxxxxxxxxxx@xxxxxxxxx.xx Ms. Xxxx Cardiff 00 Xxxxxx Xxxxxx Xxxxxx OTTAWA ON K1K 2A4 Telephone: 000-000-0000 Ms. Xxxxxxx Plain 0000 Xxxxxx Xxxx Xxxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Email: xxxxxxx.xxxxx@xxxxxxxxx.xx Xx. Xxxxx Xxxxxx President and CEO of FCS International 000 Xxxxxxx Xxxxxx, Xxxxx 000 Xxxx Xxxxx, XX X0X 0X0 Telephone: 000-000-0000 Fax: 000-000-0000 Email: xxxxxxx@xxxxxxxxxxxxxxxx.xxx

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INDEPENDENT ASSESSMENT COMMITTEE CHAIRPERSONS. Xx. Xxxxxx Xxxxxxxxx Registered Nurses Association of Ontario 000 Xxxxxxxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000, ext. 216 Fax: (000) 000-0000 E-mail: xxxxxxxxxxxxxx@xxxxxxxxx.xx Ms. Xxxx Cardiff 00 Xxxxxx Xxxxxx Xxxxxx OTTAWA, ON K1K 2A4 Telephone: (000) 000-0000 Ms. Xxxxxxx Plain 0000 Xxxxxx Xxxx Xxxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000 Email: xxxxxxx.xxxxx@xxxxxxxxx.xx Xxxxxx Xxxxxxxx Director, School of Nursing York University Room 313, HNES 0000 Xxxxx Xxxxxx Xxxxxxx, XX X0X 0X0 Xx. Xxxxx Xxxxxx President and CEO of FCS International 000 Xxxxxxx Xxxxxx, Xxxxx 000 Xxxx Xxxxx, XX X0X 0X0 Telephone: (000) 000-0000 Fax: (000) 000-0000 CERTIFICATE OF EMPLOYEE CONFIRMING ABSENCE DUE TO PERSONAL ILLNESS OR INJURY‌ DATE: NAME: HOME: DATE(S) OF ABSENCE: I hereby affirm on my honour that my personal illness or injury prevented me from attending work on the date(s) shown above. I understand that I will be compensated for the time absent from work at 70% of my straight time wages only. SIGNATURE OF THE EMPLOYEE: PAYMENT APPROVED: SIGNATURE OF SUPERVISOR DATE APPROVED: MEDICAL CERTIFICATE OF INABILITY TO WORK OR READINESS TO RETURN TO WORK DUE TO/FOLLOWING PERSONAL ILLNESS OR INJURY‌ NAME:

INDEPENDENT ASSESSMENT COMMITTEE CHAIRPERSONS. Xx. Xxxxxx Xxxxxxxxx Registered Nurses Association of Ontario 000 Xxxxxxxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000, ext. 216 Fax: (000) 000-0000 E-mail: xxxxxxxxxxxxxx@xxxxxxxxx.xx Ms. Xxxxxxx Plain 0000 Xxxxxx Xxxx Xxxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000 Email: xxxxxxx.xxxxx@xxxxxxxxx.xx Between: And: Should an employee, who is a Health Professional under the Regulated Health Professions Act, be required to provide her or his Regulatory College with proof of the Employer’s liability insurance, the Employer, upon request from the employee, will provide the employee with a letter outlining the Home’s liability coverage for Health Professionals in the Home’s employ. It is understood and agreed that the provision of the above noted letter in no way obligates the employer to amend, alter or augment existing insurance coverage or to obtain or maintain insurance coverage beyond what is required by applicable LTC legislation or regulation. Between: And: If a participating employer is newly certified by ONA at one of its owned nursing homes for its registered nurses, the existing standard non-monetary provisions in the central ONA/RN agreements will automatically apply to the nurses effective as soon as practically possible following the date that the Employer receives notice to bargain from the Union. These provisions include: Article 1 Article 2.03 Articles 2.05, 2.07-2.12 Articles 3-8 Articles 9.01(d) only, 9.03-9.13, 9.16, 9.17 Article 10

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