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SECOND ADDENDUM TO LEASE AGREEMENT

Lease Addendum

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GIVEN IMAGING LTD

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Title: SECOND ADDENDUM TO LEASE AGREEMENT
Date: 3/25/2005
Industry: Medical Equipment and Supplies     Sector: Healthcare

SECOND ADDENDUM TO LEASE AGREEMENT, Parties: given imaging ltd
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Exhibit 4.15

Summary of Provisions of Second Addendum, dated July 5, 2004, to Lease Agreement (the “ Original Lease Agreement ”), dated November 26, 2001, between Sha’ar Yoqneam L.P. (the “ Lessor ”) and Given Imaging Ltd. (the “ Lessee ,” and together with the Lessor, the “ Parties ”) 1

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Existing Premises – Pursuant to the Original Lease Agreement, the Lessor leased to the Lessee premises (the “ Existing Premises”) in the Hermon Building (the “ Hermon ”) totaling 1,962 square meters located on the lower ground floor and 34.5 square meters located on the ground floor. Pursuant to an Addendum (the “ First Addendum ”), dated December 2002, to the Original Lease Agreement, the Lessor leased to the Lessee additional premises totaling 600 square meters located on the second floor of the Hermon (the “ Additional Premises ”).



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Additional Premises A and B – The Lessor agreed to increase the size of the Existing Premises and Additional Premises by leasing to the Lessee (1) premises located on the second, third and sixth floors of the Hermon totaling 6,009 square meters, as well as 30 parking spaces located in the Hermon (the “ Additional Premises A ”), and (2) premises located on the second floor of the Tavor Building (the “ Tavor ”) totaling 1,750 square meters (the “ Additional Premises B ” and, together with the Additional Premises A, the “ Additional Premises A and B ” and, together with the Existing Premises and the Additional Premises, the “ Premises ”). The sole use of the Additional Premises A and B is for a high-tech plant to be used for development, research and manufacturing of advanced technological products/equipment.



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  Exercise of Options in Original Lease Agreement and First Addendum to Increase Term of Lease of the Existing Premises and of the Additional Premises – The Lessee exercised the option in the Original Lease Agreement to extend the lease period of the Existing Premises for a period commencing on March 1, 2007, and ending December 31, 2015. The Lessee exercised the option in the First Addendum to extend the lease period of the Additional Premises for a period commencing on March 1, 2007, and ending December 31, 2015.



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Option to Terminate Term of Lease of Additional Premises – Lessor granted Lessee an option to terminate (the “ Termination Option ”) the term of the lease of the Additional Premises as of August 31, 2005. To exercise the option, the Lessee must give advanced written notice to the Lessor by no later than June 1, 2005.



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  Term of the Lease of Additional Premises A – The term commences on September 1, 2005 and ends on December 31, 2015. The Lessee may make use of the Additional Premises A from the date on which the Second Addendum is signed, at no cost, until August 31, 2005.



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Term of the Lease of Additional Premises B – The terms commences on April 1, 2005 and ends on December 31, 2015. The Lessee may make use of the Additional Premises B from the date on which the Second Addendum is signed. In the event that the Lessee makes such use of the Additional Premises B before April 1, 2005, the term of the lease will commence on the date on which the Lessee begins using the Additional Premises B.



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Option to Increase Term of Lease – The Lessee has an option (the “ Extension Option ”) to increase the extended terms of the lease of the Existing Premises and the Additional Premises, as well as to increase the terms of the leases of the Additional Premises A and B for a period of 60 months commencing on January 1, 2016, and ending on December 31, 2020 (the “ Option Period ”). To exercise the option, the Lessee must give advanced written notice to the Lessor by no later than June 30, 2015, and the Lessor has the sole discretion to decide which of the lease terms will be extended in accordance with the Extension Option. In the event that the Lessee chooses to exercise the Extension Option to increase the term of the lease of the Premises, and the Lessee also chooses to exercise the Termination Option to terminate the term of the lease of the Additional Premises, the rent obligations of the Lessee will be reduced by NIS 29,431 per month (such amount being the rent obligation for the Additional Premises plus an additional 25% as indicated in the section entitled “Rent” below).



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  Liquidated Damages – The Lessee may not terminate any of the above mentioned lease terms (including the lease terms extended under the Extension Option), except under the Termination Option, unless the Lessee





 
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