8863-16 lease agreement with Cleveland Clinic for 1450 Belle Ave Suite 300

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SECOND AMENDMENT TO LEASE AGREEMENT This SECOND AMENDMENT TO LEASE AGREEMENT is made and entered into as of the VA day of February, 2014, by and between LAKEWOOD HOSPITAL ASSOCIATION ( "Landlord") and THE CLEVELAND CLINIC FOUNDATION (OBGYN AND WOMEN'S HEALTH INSTITUTE) ( "Tenant "). WITNESSETH: WHEREAS, pursuant to a certain Lease Agreement dated as of April 19, 2011, as amended by a certain First Amendment to Lease Agreement dated as of September 1, 2012 (collectively, the "Lease "), Tenant has leased from Landlord those certain premises known as Suite Nos. 300, 310, 330 and the "Additional Space" referred to in the First Amendment, all of which are located on the third floor of the Lakewood Community Health Center located at 1450 Belle Avenue, Lakewood, Ohio and consisting of a total of approximately 5,319 square feet of space (the "Premises ") for a Term which is scheduled to expire on April 30, 2016; and WHEREAS, Landlord and Tenant desire to amend and/or supplement certain of the provisions of the Lease so as to provide for the expansion of the Premises and the amount of Base Rent to be paid therefor, NOW, THEREFORE, for and in consideration of the premises and--the promises and covenants set forth hereinbelow, the parties agree that the Lease is hereby amended* and /or-• supplemented as follows: 1. Effective February 1, 2014 (the "Effective Date "), the Premises shall be increased by a total of 4,378 rentable square feet as a result of Tenant expanding into Suites 300A (3,103 rentable square feet) and Suite 320 (1,275 rentable square feet), all of which is more fully depicted on Exhibit "A" and Exhibit "A -1 ", which are attached hereto and made a part hereof (collectively, the "Expansion Spaces "). From and after the Effective Date, wherever in the Lease the term "Premises" Is used, it shall consist of a total of 9,697 rentable square feet and be deemed to include the Expansion Spaces.