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THIRD AMENDMENT <br />TO <br />LEASE AGREEMENT <br />This THIRD AMENDMENT TO LEASE AGREEMENT is made and entered into as of the <br />15` day of April, 2016, by and between THE CITY OF LAKEWOOD ( "Landlord "), as successor in <br />interest to Lakewood Hospital Association ( "Original Landlord ") and THE CLEVELAND CLINIC <br />FOUNDATION ( "Tenant "). <br />WITNESSETH: <br />WHEREAS, pursuant to a certain Lease Agreement dated as of April 19, 2011, as <br />amended by a certain First Amendment to Lease Agreement dated as of September 1, 2012 <br />and as amended by a certain Second Amendment to Lease Agreement dated as of February 1, <br />2014 (collectively, the "Lease "), Tenant leased from Landlord, for use by its OBGYN & <br />WOMEN'S HEALTH INSTITUTE, those certain premises known as Suite Nos. 300, 300A, 310, <br />320, 330 and the "Additional Space" referred to in the First and Second Amendments, all of <br />which are located on the third floor of the Lakewood Community Health Center located at 1450 <br />Belle Avenue, Lakewood, Ohio and consisting of a total of approximately 9,697 square feet of <br />space (the "Premises ") for a Term which is scheduled to expire on April 30, 2016; and <br />WHEREAS, on December 22, 2015, Landlord acquired fee simple title to the Building <br />from Original Landlord and became Landlord under the Lease; and <br />WHEREAS, Landlord and Tenant desire to amend and /or supplement certain of the <br />provisions of the Lease so as to provide for the extension of the Term of the Lease and the <br />amount of Base Rent to be paid therefor, <br />NOW, THEREFORE, for and in consideration of the premises and the promises and <br />covenants set forth hereinbelow, the parties agree that the Lease is hereby amended and /or <br />supplemented as follows: <br />1. The Term of the Lease is hereby extended for an additional period of three (3) years, <br />commencing May 1, 2016 and ending on April 30, 2019 (the "First Extended Term"). <br />