1. Receive the update on the new ambulance / paramedic service including the system design report conducted by Fitch & Associates;

2. Approve the system design strategy to increase the ambulance fleet by 55%, increase paramedic staffing by 50%, increase the peak deployment of ambulances by 29% in high-density areas and quadruple the peak deployment of ambulances in low-density areas;

3. Approve the budget estimates to implement the system design commencing 1 January 2001 and approve the attached high-level system design and its goal to cut high-density response times between 4:46 and 9:04 minutes and low-density response times between 1:10 and 12:38 minutes;

4. Support the Ottawa Transition Board in its efforts to secure 50% provincial funding for these expenditures, as the funding of the ambulance service was promised to be 50/50 provincial-municipal by the Minister of Finance in 1999 and work with other regions and counties in Ontario on a priority basis to secure the necessary 50/50 funding;

5. Approve the implementation and associated funding of $1.97 million for a Public Access Defibrillation Program, based on North American best practices and designed to increase cardiac arrest survivor rates;

6. Direct staff to accept the Ministry of Health and Long-Term Care's revisions to the short-term action plan to bolster service between 15 August 2000 and 31 December 2000, with a total expenditure of $780,000, with the balance of $1.02 million previously approved for the short-term action plan be allocated to public access defibrillation;

7. Approve:

a) The system design and the additional capital funding for the strart-up plan, short term action and PAD program of $8.729 million;

b) An addition to the 2000 Operating Budget of $1.991 million;

c) That the Finance Commissioner be directed to identify alternative funding sources for the amounts identified above prior to the Council consideration of these recommendations.