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FIRST AMENDMENT TO AGREEMENT By and Between THE SOUTH BEND REDEVELOPMENT COMMISSION and MEMORIAL HOSPITAL OF SOUTH BEND, INC. This First Amendment to Agreement ( "First Amendment ") is entered into as of this day of December, 2011 by and between the CITY OF SOUTH BEND, INDIANA, DEPARTMENT OF REDEVELOPMENT, acting by and through the SOUTH BEND REDEVELOPMENT COMMISSION (the "Commission "), and MEMORIAL HOSPITAL OF SOUTH BEND, INC. ( "Memorial "). WITNESSETH: WHEREAS, Commission and Memorial are parties to that certain Agreement executed by Commission on November 1, 2002 and by Memorial on October 25, 2002 pertaining to development within the Downtown Medical Services District ( "DSMD "), such Agreement providing for various projects within the DSMD; and WHEREAS, Commission has identified three additional projects in the DSMD which may be completed as funding becomes available; and WHEREAS, in order to provide for these additional projects during the last four years of the DSMD, Commission and Memorial have agreed to amend the Agreement on and subject to the terms contained in this First Amendment; NOW, THEREFORE, in consideration of the foregoing and for other consideration, the receipt and sufficiency of which are hereby acknowledged, Commission and Memorial agree that the Agreement is hereby amended as follows: 1. Added Proiect 1. New facades along the east side of Michigan Street, for a more cohesive look and feel to the campus (E. Blair Warner building and attached small brick bank building, Skyway Bridge, Skyway Building, Mar Main Pharmacy, old NIPSCO building and miscellaneous fencing and streetscape improvements between Navarre and Bartlett. 2. Added Proiect 2. New parking lots on the east and west sides of the 400 block of N. Michigan Street (the old CJ's area on the west and the old Pizza Hut area on the east). 3. Added Proiect 3. The widening and enhancement of Bartlett Street between Michigan and Main streets, leading to Memorial's new main entrance, with the reconfiguration of parking lots to the north.