Item - 2026.EX31.7

The Executive Committee recommends that:

1. City Council authorize the Executive Director, FIFA World Cup 2026, Toronto Secretariat and the Chief, Toronto Paramedic Services to negotiate and enter into separate agreements with each of The Regional Municipality of Durham, The Regional Municipality of York and The Regional Municipality of Peel for the purpose of delivering uninterrupted emergency response within two kilometres of Toronto’s municipal boundaries using an integrated regional paramedic response model as detailed in the report (April 24, 2026) from the Executive Director, FIFA World Cup 2026, Toronto Secretariat and the Chief, Toronto Paramedic Service on 10 designated event days and on terms and conditions satisfactory to the Chief, Toronto Paramedic Services and in a form satisfactory to the City Solicitor.

At its meeting on April 28, 2026, the FIFA World Cup 2026 Subcommittee considered Item FWC12.1 and made recommendations to City Council.

Summary from the report (April 24, 2026) from the Executive Director, FIFA World Cup 2026, Toronto Secretariat and the Chief, Toronto Paramedic Service:

The FIFA World Cup 2026™ (FWC26) represents an unprecedented opportunity for the City of Toronto to showcase its global reputation as a diverse, inclusive, and vibrant city. As preparations advance, this report provides an update on several key initiatives supporting Toronto’s role as a Host City. This report includes the latest progress on the Community Benefits Plan, Social Procurement and Workforce Development, and the Liberty Village and Fort York Neighbourhood Plan.

Together, these updates reflect the City's commitment to ensuring that the benefits of hosting the FWC26 are felt widely across communities, support local economic growth, enhance civic engagement, and strengthen Toronto’s position as a world-class destination for major international events. This integrated approach ensures that equity, economic inclusion, and community vibrancy remain at the core of preparations and legacy planning for the FWC26 and beyond.

In addition, Toronto is expected to welcome more than 230,000 additional daily visitors during the tournament, which will place increased demand on the medical emergency response system and transportation networks. As a result, Toronto Paramedic Services is seeking to implement an integrated regional paramedic response model to maintain uninterrupted emergency medical service delivery during the FWC26. Toronto Paramedic Services would implement this deployment model on 10 high-demand event days between June 11 and July 2, 2026. This time-limited approach involves the deployment of paramedic resources from neighbouring services within Toronto near the municipal borders. Participating partners would include Peel Regional Paramedic Services, York Region Paramedic Services and Region of Durham Paramedic Services.

This proactive, collaborative strategy strengthens regional coordination, helps preserve emergency medical coverage across the city, balances frontline staff workload and supports Toronto’s safe hosting of a major international event.

This report is a coordinated response, led by the FIFA World Cup 2026 Toronto Secretariat (FWC26 Secretariat), in collaboration with Social Development, Toronto Paramedic Services, Purchasing & Materials Management and Economic Development and Culture.