Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
68889
Service:
DTV
Call Sign:
KTVX
Channel:
30 (UHF)
File Number:
0000028267
FRN:
0009961889
Date Submitted:
07/11/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NEXSTAR BROADCASTING, INC.

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Elizabeth Ryder

General Counsel

Nexstar Broadcasting, Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan DTV Utah is a complex site with 8 stations sharing a two main antennas as well as aux antenna, combiner system and building. Replacement antenna panels, combiner and transmitters will be required. DTVU is still working on its transition plans.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model SigmaCD2
Year 1999
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 20 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model Paragon
Transmitter Type Inductive Output Tube
IOT Power Type Single
Power capacity 20 kW
Justification for New Transmitter Existing transmitter is obsolete and can not be retuned to new channel. New transmitter is required.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service Yes
Description Transmitter Electrical Installation
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 30 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 1000.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Remote Control Wiring

Wire Up Existing Remote Control to New Transmitter

Removal of Existing Equipment

Remove Existing Equipment from Farnsworth Peak

Plan Transmitter Layout and Develop Installation Drawings

Develop Installation Layout. Develop Installation Drawings

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model ULTXE
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25 kW
Justification for New Transmitter DTV Utah Stations will operate on an interim transmitter one at a time in rotating fashion as their existing transmitter is removed and replaced. This is for the KTVX allocated costs for one interim transmitter for the site.

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Primary (Main)
Description of Use N/A
Ownership Leased
Owner DTV Utah
Site N/A
Is the existing antenna shared with another station or stations? Yes
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels 48
Design power capacity in use 100.0 %
Lower Limit 602.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 475.0 kW
Manufacturer Kathrein
Model 773 928
Year 1999

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
36607 KJZZ-TV
1136 KUCW
35823 KUTV
6359 KSL-TV
6823 KBYU-TV
69396 KUED
69582 KUEN

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 8
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
30
34
35
36
15
17
19
23

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Feeder Cable Replacements

Replace Feeder Cables where necessary

Kathrein Panels

Replace Existing Panels

Replace Power Dividers

Replace Power Dividers where necessary

Kathrein Engineering Fees

Design and optimize new panels for DTVU Antenna

Auxiliary Antenna

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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Auxiliary (Backup)
Description of Use AUX Antenna
Ownership Leased
Owner DTV Utah
Site N/A
Is this antenna currently shared with any other stations? Yes
Is this antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels 24
Design power capacity in use 100.0 %
Lower Limit 602.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 475.0 kW
Manufacturer Kathrein
Model 773 928
Year 1999

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
36607 KJZZ-TV
1136 KUCW
35823 KUTV
6359 KSL-TV
6823 KBYU-TV
69396 KUED
69582 KUEN

Auxiliary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency

Auxiliary Antenna

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Other Antenna Cost Not Listed

Name Description

Kathrein Panels

Replacement of Kathrein Panels

Kathrein Engineering Fees

Design and optimize new panels for DTVU Antenna

Feeder Cables

Replacement Feeder Cables as necessary

Power Dividers

Replacement Power Dividers as necessary

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Leased
Owner DTV Utah
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 2
Length 400 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
1136 KUCW
35823 KUTV
36607 KJZZ-TV
6359 KSL-TV
6823 KBYU-TV
69396 KUED
69582 KUEN

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

RF Optimization for New Channels

Optimize existing line for new channels.

Replacement Section

Replacement transmission line section as required

Interconnection to new combiner

Interconnect TX to new Main Antenna Combiner System

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use Aux Antenna Line
Ownership Leased
Owner DTV Utah
Site N/A
Is this transmission currently shared with any other stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 400 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
36607 KJZZ-TV
1136 KUCW
35823 KUTV
6359 KSL-TV
6823 KBYU-TV
69396 KUED
69582 KUEN

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Optimization of Existing Line

RF Optimization of Existing Transmission line

Replacement line section

Replacement line section as required.

Interconnection to Aux Combiner

Interconnection coax to aux antenna combiner system

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? Terrain Constrained
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1062408
Coordinates (NAD83) Latitude (NAD83) 40° 39' 33.0" N-
Longitude (NAD83) 112° 12' 10.0" W-
Overall Structure Height 308.40 feet
Support Structure Height 308.40 feet
Ground Elevation Above Mean Sea Level (AMSL) 9035.32 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner DTV UTAH, LC
Date Constructed 10/28/1999

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
69396 KUED DTV
1136 KUCW DTV
69582 KUEN DTV
6823 KBYU-TV DTV
6359 KSL-TV DTV
36607 KJZZ-TV DTV
35823 KUTV DTV

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Rigging to replace panels on antenna

Replacement of Antenna Panels on Main and Aux Antennas

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 250
Explanation KTVX Allocated Costs: DTV Utah will provide project management on site. Additionally, station will retain RF Engineers to review site construction as needed.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment Yes
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 30
Justification On site RF Engineering to inspect and supervise construction on behalf of station

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Allocation Consulting

RF Consultant analysis of channel allocations, Interference issues, and spectrum issues

Building Structural Engineering

Structural Engineer review and analysis of building and 2nd Floor Combiner Weight Issues

Prepare and File FCC Progress Reports

Prepare and File FCC Quarterly Progress Reports

RF Consultant

RF Consultant for antenna and combiner designs

Reimbursement Reviews

Reimbursement Reviews with FCC, E&Y, and Cavell.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits Yes
BLM or NFS Coordination Yes
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Accounting

DTV Utah Accounting and Allocation of costs to stations

Remove and Disposal of Equipment

Common Equipment Removal and Disposal. Rigging, road access, packing materials

Site Access and Transportation

Snow Cat access; helicopter site access; Road opening (snow plowing) etc.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,886,400.00 $1,318,151.00 N/A $0.00 N/A
Total for all systems $3,784,840.00 $3,108,536.00 N/A $0.00 N/A
Interim Transmitter ULTXE $947,000.00 $95,500.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $95,500.00 KTVX Allocated costs for DTV Utah SITE Interim transmitter. N/A N/A
Primary Transmitter Paragon $939,400.00 $1,222,651.00 $0.00
Switchgear - industrial 800 amp $38,200.00 $36,300.00 Catalog N/A N/A
Other Electrical Service: Transmitter Electrical Installation $115,000.00 $115,000.00 KTVX Electrical installation of new IOT Transmitter, Beam Supplies, Heat Exchangers, Conduits, HV Lines (High Altitude Measures). N/A N/A
Single IOT system (20 kW) $578,000.00 $865,551.00 Comark Quote for new 1 Tube Paragon IOT Transmitter. N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 Catalog N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,400.00 $9,800.00 Catalog N/A N/A
Other -- HVAC Service Type: C Size:30 (Other) $30,000.00 $30,000.00 KTVX Allocated costs for modification of HVAC systems. N/A N/A
Other -- Building Addition Size: 1000.0 $37,500.00 $37,500.00 DTV Utah - KTVX Allocated costs for modification of building. N/A N/A
Remote Control Wiring $3,500.00 $3,500.00 Wire up existing remote control to new transmitter. N/A N/A
Removal of Existing Equipment $75,000.00 $75,000.00 Removal of existing KTVX Transmitter cabinets, Beam Supplies (2); Heat Exchangers (2); and other equipment. Rigging, All Terrain Vehicles; forklifts; oil and glycol issues. N/A N/A
Plan Transmitter Layout and Develop Installation Drawings $15,000.00 $15,000.00 KTVX Allocated Costs for Transmitter Installation layout and installation drawings N/A N/A

Components

Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $656,130.00 $980,350.00 N/A $0.00 N/A
Total for all systems $3,784,840.00 $3,108,536.00 N/A $0.00 N/A
Primary Antenna 773 928 $498,590.00 $824,100.00 $0.00
Kathrein Engineering Fees $41,700.00 $41,700.00 Estimated KTVX Allocated Costs for Kathrein Antenna Design and Range Testing N/A N/A
Feeder Cable Replacements $8,500.00 $8,500.00 Estimated KTVX Allocated Costs for replacement Feeder cables as needed. N/A N/A
Replace Power Dividers $12,500.00 $12,500.00 KTVX Allocated Cost Estimate for power divider replacements as required. N/A N/A
Kathrein Panels $200,000.00 $200,000.00 KTVX Allocated Cost Estimate for Replacement Kathrien Panels for Main Antenna. N/A N/A
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized $0.00 $0.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 Catalog N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Catalog N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $417,000.00 DTV Utah Estimated Allocation of cost to KTVX for new combiner system. N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 Catalog N/A N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $120,000.00 Catalog N/A N/A
Auxiliary Antenna 773 928 $157,540.00 $156,250.00 $0.00
Kathrein Panels $100,000.00 $100,000.00 DTV Utah Estimated Allocated Costs for KTVX for replacement panels for Aux Antenna. N/A N/A
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 475 horizontally polarized $0.00 $0.00 N/A N/A N/A
Kathrein Engineering Fees $20,850.00 $20,850.00 Estimated KTVX Allocated costs for Kathrein Engineering for Aux Antenna Replacement Panels. N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Catalog N/A N/A
Power Dividers $6,500.00 $6,500.00 KTVX Allocated cost estimated for power divider replacements as required. N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 Catalog N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 Catalog N/A N/A
Feeder Cables $4,500.00 $4,500.00 KTVX Allocated Costs for Feeder Cable Replacements As Needed. N/A N/A

Components

Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $187,500.00 $187,500.00 N/A $0.00 N/A
Total for all systems $3,784,840.00 $3,108,536.00 N/A $0.00 N/A
Primary Transmission Line $96,500.00 $96,500.00 $0.00
RF Optimization for New Channels $7,500.00 $7,500.00 KTVX Allocated Costs Optimization of line on new channels. Main Antenna. N/A N/A
Replacement Section $7,000.00 $7,000.00 KTVX Allocation of costs for replacement line sections as needed. N/A N/A
Interconnection to new combiner $82,000.00 $82,000.00 KTVX Allocated Cost Estimate. Coax from TX to Main Antenna Combiner N/A N/A
Auxiliary Transmission Line $91,000.00 $91,000.00 $0.00
Replacement line section $4,000.00 $4,000.00 Aux Antenna - KTVX Estimated allocation of costs for replacement line sections as required. N/A N/A
Optimization of Existing Line $5,000.00 $5,000.00 RF Optimization of transmission line on new channels. Aux Antenna. N/A N/A
Interconnection to Aux Combiner $82,000.00 $82,000.00 KTVX Allocated Cost Estimate to interconnect coax from transmitter to aux antenna combiner N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $516,000.00 $95,000.00 N/A $0.00 N/A
Total for all systems $3,784,840.00 $3,108,536.00 N/A $0.00 N/A
Primary Tower TOWER $516,000.00 $95,000.00 $0.00
Rigging to replace panels on antenna $95,000.00 $95,000.00 DTV Utah Estimate of KTVX Allocation for rigging and labor to replace antenna panels as required. N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $331,420.00 $320,750.00 N/A $0.00 N/A
Total for all systems $3,784,840.00 $3,108,536.00 N/A $0.00 N/A
Outside Professional Services $331,420.00 $320,750.00 $0.00
Prepare and or review reimbursement form $2,630.00 $2,500.00 Catalog N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Catalog N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 Catalog N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 Catalog N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Catalog N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 Catalog N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Catalog N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Catalog N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 Catalog N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 Catalog N/A N/A
Additional Field Engineering Service, 30 Days $45,000.00 $45,000.00 RF Engineer on site to supervise installation and construction of KTVX Equipment. N/A N/A
Allocation Consulting $15,000.00 $15,000.00 KTVX Allocation of costs. RF Engineering Consultant to review channel allocations, interference, alternative channels, support can not construct filing. N/A N/A
Building Structural Engineering $30,900.00 $30,900.00 KTVX Allocation of costs related to building structural and weight analysis. N/A N/A
Prepare and File FCC Progress Reports $18,000.00 $18,000.00 Prepare and file FCC Progress Reports N/A N/A
Reimbursement Reviews $10,600.00 $10,600.00 Reimbursement Reviews with FCC, E&Y, Cavell. N/A N/A
RF Consultant $16,000.00 $16,000.00 KTVX Allocation of Costs. RF Consulting Engineer for Antenna and Combiner overall system design. Vendor specs and system range testing. N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 Catalog N/A N/A
Project management of the transition $39,500.00 $37,500.00 Catalog N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 Catalog N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Catalog N/A N/A

Components

Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $207,390.00 $206,785.00 N/A $0.00 N/A
Total for all systems $3,784,840.00 $3,108,536.00 N/A $0.00 N/A
Other Expenses $207,390.00 $206,785.00 $0.00
DTV Medical Facility Notification $11,550.00 $11,000.00 Catalog N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Production costs to develop and air channel change announcement. N/A N/A
BLM or NFS Coordination $1,500.00 $1,500.00 KTVX Estimate of allocated costs. N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 Catalog N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 Catalog N/A N/A
Non-zoning permits $5,900.00 $5,900.00 KTVX Estimate of Cost Allocation. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $27,500.00 $27,500.00 DTV Utah estimate of allocated costs for KTVX - Combiner and other common equipment removal and rigging down mountain. N/A N/A
Equipment Delivery and Handling Charges $45,000.00 $45,000.00 DTV Utah estimate of KTVX Allocation of Costs for delivery of equipment up mountain. N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A N/A N/A
Site Access and Transportation $27,500.00 $27,500.00 DTV Utah Estimate of Cost Allocation to KTVX for site transportation and site access including snow cats, helicopter services, road clearing, snow plowing etc. N/A N/A
Accounting $5,800.00 $5,800.00 DTV Utah estimate of KTVX allocation of costs for accounting services for project. N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 Catalog N/A N/A
Equipment Storage $37,500.00 $37,500.00 DTV Utah estimate of allocated costs to KTVX for equipment storage on site and logistics at base of mountain. etc. N/A N/A
Remove and Disposal of Equipment $35,000.00 $35,000.00 Removal and disposal of KTVX Equipment down the mountain. N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,784,840.00 $3,108,536.00 $0.00

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Elizabeth Ryder

General Counsel


07/11/2017

Attachments

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