Coverage Exclusions Sample Clauses

Coverage Exclusions. In accordance with 42 U.S.C. § 1396r-8, the MCO must exclude coverage for any drug marketed by a drug company (or labeler) that does not participate in the federal drug rebate program. The MCO is not permitted to provide coverage for any drug product, brand name or generic, legend or non-legend, sold or distributed by a company that did not sign an agreement with the federal government to provide Medicaid rebates for that product.
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Coverage Exclusions o All MVIC locations. o All Frame Relay Extension (“FRE”) network to network interface (“NNI”) partner networks o The following countries: Argentina, Brazil, Canada, Chile, Colombia, Mexico, Panama, Peru, Puerto Rico and Venezuela,
Coverage Exclusions o All MVIC locations. o The following countries: Argentina, Brazil, Canada, Chile, Colombia, Mexico, Panama, Peru, Puerto Rico and Venezuela.
Coverage Exclusions. 3.5.3.1 Except as provided in Section 3.5.3.2 of the Contract below, the Contractor must exclude coverage for the following: 3.5.3.1.1 Any drug or device marketed by a manufacturer who does not participate in the Medicaid Drug Rebate Program; 3.5.3.1.2 Any drug, device, or classes of drugs listed in Section 1927(d)(2)(B), (C), (H), or (K) of the Social Security Act; 3.5.3.1.3 All DESI drugs, as defined by the FDA; and 3.5.3.1.4 Drugs that are life style drugs or are not Medically Necessary.
Coverage Exclusions. Foreign products, commercial equipment, products with no name brand recognition and/or without model and serial identification numbers or with no parts availability through normal ECM vendors and/or supply houses such as Home Depot brand products is not covered. All equipment accessories, negligence, abuse, misuse, maintenance, improper operation or installation, product sounds and odors. This contract will be voided if: equipment is moved from its original location or if equipment is moved or repaired by another company or if evaporator coil is cleaned by another service company. ECM will not pay for work done by other service companies. ECM reserves the right to rebuild and/ or install quality remanufactured parts. ECM shall not be held liable for loss or damage, consequential to or directly arising from the operation of or failure of the apparatus or its controls including failure to provide timely service due to conditions beyond its control, including but not limited to delays in obtaining parts or labor difficulties, repairs occasioned by the enforcement of existing or future codes or violations. This contract does not cover labor for repairs or installation of non- covered parts. NO PRODUCT WILL BE SERVICED, REPAIRED OR REPLACED: Due to any RUST AND CORROSION EXCLUSIONS: Any replacement and/or repairs, parts, components, or failure of any equipment related to or caused by Pre-Existing rust and/or corrosion in the first year of contract is not covered and will be excluded from present and future repair and/or replacement. Any product or part damaged or rusted due to water leaks and/or water intrusion is not covered. PROCESSING FEES: Customer agrees to pay for code upgrades, modifications, permits, permit processing fees, refundable inspection fees, warranty processing fees, handling fees, installation fees, shipping fees, (pick-up & delivery fees) and shop repair fees required by ECM. TRANSFER: No transfer of contract or equipment to or from another location is permitted, such action will void contract. 0nly a contract paid in full may be may be transferred/assigned pending approval from ECM (required in writing) pending approval from ECM. Contract holder shall submit a copy of the HUD statement and a signed letter requesting the transfer. Failure to do so will void contract.
Coverage Exclusions. The warranties provided in subsections (a) and (b) above shall not apply to any of the following: i) consumable parts (including but not limited to manganese or other wear parts, screen mesh, v-belts, bearings, oil, liners, etc.); ii) failure or damage due to improper installation or commissioning; iii) failure or damage of equipment or equipment support structure (e.g., chassis) due to improper selection or improper support of equipment (e.g., improper cribbing, chassis, etc.); iv) labor, travel, or freight costs associated with repairs and/or parts installation, unless such costs (1) are associated with a repair or parts installation approved in writing by the Seller, (2) are carried out by or coordinated with a dealer of Seller as may be required by the Seller, and (3) do not exceed a total amount authorized in writing by the Seller; v) any loss or damages resulting from plant or equipment down time or loss of equipment or plant use, or equipment or plant productivity (all of which include but are not limited to loss or damages resulting from down time or loss of use of the products or components subject to this warranty and any equipment used with such products or components); and vi) for avoidance of doubt, any of the items excluded in subsection 4(e) below.
Coverage Exclusions. In accordance with Section 1927 of the Social Security Act, 42 U.S.C.A. 1396r-8, the Contractor must exclude coverage for any drug marketed by a drug company (or labeler) who does not participate in the MA FFS Medicaid Drug Rebate Program. Therefore, the Contractor is not permitted to provide coverage for any drug product, brand name or generic, legend or non-legend, sold or distributed by a company that did not sign an agreement with the federal government to provide rebates to the Medicaid agency. In addition, the Contractor must allow access to all drug products covered by the MA FFS Program. This includes brand name and generic products, as well as all outpatient legend drugs, sold or distributed by companies that participate in the rebate program for all medically accepted indications, as described in Section 1927(k)(6) of the Social Security Act, 42 U.S.C.A. 1396r-8(k)(6). The Contractor must include coverage for non-legend drugs as required under formulary guidelines and covered by the MA FFS Program. This includes any use which is approved under the Federal Food, Drug, and Cosmetic Act, 21 U.S.C.A. 301 et seq. or, whose use is supported by the American Hospital Formulary Service - Drug Information, American Medical Association Drug Evaluations, United States Pharmacopoeia - Drug Information, and DRUGDEX.
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Coverage Exclusions. This warranty does not cover problems with non-defective product caused by conditions or handling beyond the manufacturers control. The following are conditions that are excluded from this Warranty: a. Damage or leaks caused by; i. penetrations through the product other than by recommended fasteners as long as they are installed correctly according to installation instructions; ii. natural forces, including but not limited to; xxxx-force winds, lightning, hail, fire, hurricanes or other similar natural causes. iii. improper or faulty product installation, and or damage caused by alterations or repairs made after completion of the roof, including installation of structures, solar panels, antennas, air conditioning units, or utilities on or through the roof; iv. environmental fallout or overexposure to commercial industrial solvents, acids, caustic fluids, oils, waxes, gasses, absorbent clays, bleaches or plasticizers; v. objects falling on the roof (e.g. tree branches); vi. materials storage on the roof, or by excessive foot traffic on the roof; vii. alterations made after completion of the roof, including roof alterations, equipment installations, power washing, or other modifications. viii. failure of the underlying roofing structure resulting from defective design, improper construction, incorrect installation, ix. settlement and or movement of the roof deck or roof accessories, including but not limited to vents, drains, curb units or other roof components; x. ponding water or the absence of positive drainage within the warranted roof area; xi. improper or inadequate roof ventilation, or infiltration or condensation of moisture in, through, around, or above the walls of the building. This includes mold growth caused by inadequate ventilation or moisture that exists in the building or that enters the building prior to or after the installation of the Product; xii. vandalism, animal abuse, acts of war or civil disturbances; xiii. any other cause beyond the manufacturers control. b. Color variations or fading of the product xxxxx as the result of normal weathering or atmosphere conditions are cosmetic only and will not significantly affect the products performance or ability to prevent leaks; c. Cost of remediation or removal of hazardous materials, asbestos, mold, fungus, or any other contaminants; d. Loss of profits or damage to business reputation, including costs associated with removing or replacing primary roofing materials;
Coverage Exclusions. (see SLIP policies for actual terms, conditions, definitions, and exclusions) Include, But Are Not Limited To: .1 Fungus Exclusion; .2 Asbestos Exclusion;
Coverage Exclusions. 7.2.1. De-installation or Equipment moves. 7.2.2. Maintenance or repairs due to Purchasing Entity’s failure to maintain or use the equipment according to Contractor specifications. 7.2.3. Maintenance or repairs due to Purchasing Entity’s changes to the design of the Equipment, or mechanical, electrical, electronic interconnections, or the attachment of other parts or components to the equipment. 7.2.4. Maintenance repairs due to Purchasing Entity negligence, accidents, or relocation of products. 7.2.5. Maintenance or repairs due to Purchasing Entity or third-party performing unauthorized maintenance on Equipment. 7.2.6. Maintenance or repairs due to Purchasing Entity exceeding published performance specifications or recommended monthly volume limits for the Equipment. 7.2.7. Maintenance or repairs due to Purchasing Entity’s use of parts, consumables, or other supplies that do not comply with Contractor’s specifications. 7.2.8. Rebuilding or major overhauls of the Equipment which Contractor determines are necessary. 7.2.9. Purchasing Entity training on Equipment, and application configuration and set-up, beyond the initial training provided by Contractor.
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