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AMENDMENT TO LEASE THIS AMENDMENT TO LEASE is made and entered into this — day of 2012, by and between City of South Bend, Department of Redevelopment (the "City ") and Ambulatory Care Solutions, LLC (the "Lessee "). WHEREAS, the Lessee entered into a certain lease (the "Lease") with GMS Realty, Inc. ( "GMS ") effective January 31, 2012. for certain premises (the "Lease Premises ") generally identified in the Lease, and WHEREAS, at the time of execution of the Lease, the Lease Premises were under construction and rehabilitation and the Lease Premises comprise only a portion of the building in which the Lease Premises are located, and WHEREAS, the Lease provided for the payment of "Base Rent" based upon an area of the Leased Premises being 16,000 square feet for a "Base Rent" of Four Thousand Dollars ($4,000.00) per month, together with "Additional Rent" of Nineteen Thousand Three Hundred Thirty Two and 80/100 Dollars ($19,332.80) per month for a total monthly rent of Twenty Three Thousand Three Hundred Thirty Two and 80/100 Dollars, and WHEREAS, the Lease was assigned by GMS to the City, and the City assumed the Lease, by way of an Assignment And Assumption Of Lease, made effective as of April 30, 2012, and WHEREAS, the City and the Lessee have determined that the actual square footage of the Leased Premises is 17,340 square feet, making the actual "Base Rent" the sum of Four Thousand Three Hundred Thirty Five Dollars ($4,335.00) added to the "Additional Rent" for a total monthly rent of Twenty Three Thousand Six Hundred Sixty Seven and 80 /100 Dollars ($23,667.80), and WHEREAS, the Lessee began paying the sum of Twenty Three Thousand Six Hundred Sixty Seven and 80/100 Dollars ($23,667.80) on May 1, 2012, and has continued to pay such monthly sum since May 1, 2012, and WHEREAS, the City and the Lessee desire to amend the Lease to establish the actual square footage of the Leased Premises and the actual "Base Rent" and total monthly rent payable by the Lessee to the City pursuant to the Lease, NOW, THEREFORE, the City and the Lessee agree to amend the Lease as follows: 1. The second paragraph of Section 2.01 is amended to read as follows: