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:
32334
Service:
DTV
Call Sign:
WJYS
Channel:
21 (UHF)
File Number:
0000028616
FRN:
0003781291
Date Submitted:
07/12/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

OXFORD MEDIA GROUP, INC.

Doing Business As: OXFORD MEDIA GROUP, INC.

Joseph Stroud

1900 SPRING ROAD

SUITE 202

OAK BROOK, IL 60523

United States

+1 (708) 633-0001 josephstroud@me.com 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

Jeremy D Ruck , PE .

Consulting Engineer

Jeremy Ruck & Associates, Inc.

PO Box 415

Canton, IL 61520

United States

+1 (309) 647-1200 jeremy@jeremyruck.com

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 WJYS located at Willis Tower on east tower combined antenna system. WJYS shares transmitter room with WEDE-CD. Transition requires change in transmitter, mask filter, transmission line to combiner, and combiner module.

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 DHD20P1
Year 2002
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 22 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 UAXTE-12
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 12 kW
Justification for New Transmitter Change in channel requires full replacement of all PA pallets in Diamond transmitter. Replacement PA pallets to effect channel change are not available. Re-tune cannot be accomplished.

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) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 3 inches
Length 75.0 feet
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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter installation and decommission electrician

Electrical connections to transmitters by Willis electrician. Includes work for decommissioning of existing transmitter. Existing transformer and switchgear reused.

Removal of decommissioned transmitter

Decommissioning and removal of old transmitter and mask filter from Willis Tower

Transmitter Installation Project Management

Management of installation by licensee consulting engineer

Transmitter installation cost differential

Cost differential in addition to transmitter cost due to extra expenses in downtown Chicago at Willis for Gates Air.

Additional transmission line for transmitter connections

Additional transmission line components required to reach transmitter suite wall due to transmitter location change within suite.

Transmitter Delivery Building Internal

Delivery of transmitter from loading dock to 98th floor.

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 BRE 312 Broadcast LLC
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 Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 24
Design power capacity in use 5.0 %
Lower Limit 470.00 MHz
Upper Limit 746.00 MHz
Other Antenna Type N/A
ERP: 105.0 kW
Manufacturer RFS
Model PHP24C
Year 1999

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

Facility ID Call Sign
32334 WJYS
10981 WCPX-TV

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 Additional Module
Number of channels supported 9
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
19
21
23
24
25
33
34
36
43

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Auxiliary Antenna

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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use Former main antenna. Used for auxiliary purposes.
Ownership Owned
Owner N/A
Site N/A
Is this antenna currently shared with any other stations? No
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 Other
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type Single Channel Panel Array
ERP: 50.0 kW
Manufacturer
Model TUA-C2-02/04L-T
Year 2002

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Antenna for emergency/auxiliary purposes
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Other
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type Single Channel Panel Array
ERP: 50.0 kW
Manufacturer
Model TUA-C2-02/04L-T
Year 2017
Justification for New Antenna Replacement antenna necessary due to change in channel of operation mandated under repack. Additional expenses represent share of structure modification activities.

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 N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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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Add 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 BRE 312 Broadcast LLC
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 RFS
Type Flexible Air
Diameter 5 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 4
Length 300 feet per run

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

Facility ID Call Sign
10981 WCPX-TV
32334 WJYS

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Transmission line to feed existing auxiliary antenna. Replaced due to required antenna relocation.
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 300 feet per run

Auxiliary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use Transmission line to feed replaced and relocated auxiliary antenna
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 250 feet per run
Justification for New Transmission Line Transmission line required to feed replacement auxiliary antenna, which is being relocated from SE pole to east tower.

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 150 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 200 feet per run
Justification for New Transmission Line Replacement of run from transmitter suite to combiner room required due to necessary physical reconfiguration of combiner to accommodate channel changes, and to maintain operational continuity of WJYS during channel transition.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Decommission and removal of existing main line to combiner

Decommission and removal of MAIN transmission line feeding combiner from 98th to 100th floors. Includes removal of some rectangular waveguide components.

Transmission line sweep testing and commissioning

Sweep testing and commissioning of new MAIN transmission line from transmitter suite to combiner input.

Handling of decommissioned transmission line

Transportation of decommissioned transmission line from 98th floor to loading dock.

Installation of new MAIN transmission line

Installation of replacement MAIN transmission line from suite to combiner.

Transportation and disposal of decommissioned transmission line

Removal and disposal of decommissioned MAIN transmission line components.

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 Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? Located on Building
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? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1032960
Coordinates (NAD83) Latitude (NAD83) 41° 52' 44.0" N-
Longitude (NAD83) 087° 38' 08.0" W-
Overall Structure Height 1722.09 feet
Support Structure Height 1435.35 feet
Ground Elevation Above Mean Sea Level (AMSL) 595.14 feet
Structure Type BMAST - Building with Mast
Tower Owner 233 Broadcast, LLC
Date Constructed 09/30/2012

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
9617 WBBM-TV DTV
22211 WFLD DTV
70119 WSNS-TV DTV
28621 WJMK FM
10802 WTTW DTV
73226 WLS-TV DTV
10801 WFMT FM
73228 WLS-FM FM
32334 WJYS DTV
47906 KNBC DTV
51165 WGCI-FM FM
10981 WCPX-TV DTV
74178 WKSC-FM FM
9613 WBBM-FM FM
71428 WCIU-TV DTV
53971 WEBG FM
71283 WCFS-FM FM
70042 WLIT-FM FM
48772 WPWR-TV DTV
72115 WGN-TV DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: No study needed
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Located on Building
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Delivery of Replacement Aux Antenna to Roof

Delivery of replacement aux antenna from dock to rooftop in preparation for installation.

East Pole Material Disposal

Disposal of material from decommissioned and removed SE pole. Licensee share of total cost.

Decommissioned Aux Antenna Handling

Handling and delivery of decommissioned aux antenna from Willis Tower in preparation for disposal.

Aux Antenna Removal

Removal of current aux antenna from structure.

Aux Antenna Internal Handling

Delivery of aux antenna from Willis Tower rooftop to loading dock for removal from building.

Delivery of replacement antenna to Willis Tower

Delivery of replacement aux antenna from installer facility to Willis Tower.

East Pole Decommission Engineering

Engineering for decommissioning and removal of east poles. Licensee share of total cost.

RF Safety Coordination for East Pole Decommission and Removal

Required RF safety coordination for decommissioning and removal of east poles. Licensee share of total cost.

RF Safety Coordination for Aux Antenna Installation

Required RF Safety Coordination during installation of replacement aux antenna.

Aux Antenna Transmission Line Removal

Removal of auxiliary transmission line following decommission and removal of east poles. Licensee share of total cost.

East Pole Decommission Preparation Work

Preparation work for decommissioning and removal of east poles by helicopter. Licensee share of total cost.

East Cylinder Entry Port Restoration

Restoration of entry ports on east cylinder used for transmission line entry following decommission and removal of poles. Licensee share of total.

Handling and Storage of Replacement Aux Antenna

Handling and storage of replacement aux antenna at installer facility.

Willis Tower Project Management

Project management by Willis Tower. Cost listed is 2/3 of licensee total share for all. Remainder covered in antenna expenses.

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 40
Explanation Insufficient internal resources of licensee to manage project of this complexity. Hours listed here pertain only to transmitter suite activities. Antenna related activities listed under rigging costs.
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
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 No
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

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 No
BLM or NFS Coordination No
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

Information not provided.

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 $383,060.00 $366,335.00 N/A $0.00 N/A
Total for all systems $1,575,770.56 $1,138,099.53 N/A $0.00 N/A
Primary Transmitter UAXTE-12 $383,060.00 $366,335.00 $0.00
Transmitter installation cost differential $5,000.00 $5,000.00 Estimated cost increase over expected transmitter installation price due to downtown Chicago work and associated elevated costs there. N/A N/A
Transmitter Delivery Building Internal $8,500.00 $8,500.00 Cost to deliver transmitter from loading dock at Willis to 98th floor transmitter suite. Requires special after-hours elevator access and labor. N/A N/A
Transmitter installation and decommission electrician $1,000.00 $1,000.00 Cost for internal Willis Tower electricians to make necessary electrical connections in suite for new transmitter, and removal of connections to decommissioned transmitter. N/A N/A
Transmitter Installation Project Management $14,160.00 $14,160.00 Project management by licensee consulting engineering including labor and expenses. Also includes costs to reconfigure remote control system, and make other necessary connections. N/A N/A
Removal of decommissioned transmitter $11,500.00 $11,500.00 Cost for decommissioning and removal of current transmitter. Includes estimated costs to remove transmitter from 98th floor of Willis Tower to loading dock. Off-hours special elevator access required. N/A N/A
UHF - Air Cooled Solid State Transmitter 10 - 12 kW $336,500.00 $320,000.00 Estimated costs include mask filter, transmitter, and base installation costs. Differential for elevated installation costs in downtown Chicago added as separate line item. N/A N/A
Additional transmission line for transmitter connections $2,500.00 $2,500.00 Additional transmission line components for reconfiguration of transmission line within suite due to different transmitter location placement. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $3,900.00 $3,675.00 N/A 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 $187,060.00 $191,553.97 N/A $0.00 N/A
Total for all systems $1,575,770.56 $1,138,099.53 N/A $0.00 N/A
Primary Antenna PHP24C $90,930.00 $100,153.97 $0.00
UHF - High Power, Side Mount, broadband panel, 24 bay,, 105 kW input, directional,, horizontally polarized $0.00 $0.00 Leased antenna is existing. No changes to antenna. N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Adding a module to existing combiner (without antenna) $84,200.00 $93,753.97 See attached Willis Tower engineering statement with cost breakdown for WJYS under EAST RFS system. Line items there indicate contribution for WJYS. Project management 1/3 of total WJYS contribution. N/A N/A
Auxiliary Antenna TUA-C2-02/04L-T $96,130.00 $91,400.00 $0.00
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $85,000.00 N/A 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 $87,750.00 $86,850.00 N/A $0.00 N/A
Total for all systems $1,575,770.56 $1,138,099.53 N/A $0.00 N/A
Primary Transmission Line $79,500.00 $79,100.00 $0.00
Transmission line sweep testing and commissioning $6,400.00 $6,400.00 Sweep testing and commissioning of replacement MAIN transmission line feeding channel 21 combiner module on 100th floor from transmitter suite on 98th floor. N/A N/A
Installation of new MAIN transmission line $25,000.00 $25,000.00 Installation of replacement transmission line from 98th floor transmitter suite to channel 21 combiner module on 100th floor. N/A N/A
Transportation and disposal of decommissioned transmission line $3,500.00 $3,500.00 Transportation of decommissioned transmission line to installer facility in preparation for disposal. N/A N/A
Flexible Air Transmission Line - dielectric, 1 5/8" $6,600.00 $6,200.00 N/A N/A N/A
Decommission and removal of existing main line to combiner $30,000.00 $30,000.00 Removal of decommissioned MAIN transmission line feeding combiner on 100th floor from transmitter suite on 98th floor. N/A N/A
Handling of decommissioned transmission line $8,000.00 $8,000.00 Handling and transportation of decommissioned MAIN transmission line feeding combiner from 98th-100th floors to loading dock for removal from building. N/A N/A
Primary Transmission Line $0.00 $0.00 $0.00
Auxiliary Transmission Line $8,250.00 $7,750.00 $0.00
Flexible Air Transmission Line - dielectric, 1 5/8" $8,250.00 $7,750.00 Replacement transmission line to feed relocated aux antenna. See Tower equipment and rigging costs section for costs related to this line other than materials. 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 $816,525.56 $395,525.56 N/A $0.00 N/A
Total for all systems $1,575,770.56 $1,138,099.53 N/A $0.00 N/A
Primary Tower BMAST $816,525.56 $395,525.56 $0.00
Delivery of Replacement Aux Antenna to Roof $5,000.00 $5,000.00 N/A N/A N/A
Decommissioned Aux Antenna Handling $2,500.00 $2,500.00 N/A N/A N/A
RF Safety Coordination for Aux Antenna Installation $6,970.00 $6,970.00 N/A N/A N/A
East Pole Decommission Preparation Work $33,333.33 $33,333.33 Work to prepare east poles for decommissioning and removal. Licensee share. See attached statement. N/A N/A
East Pole Decommission Engineering $16,666.67 $16,666.67 N/A N/A N/A
East Pole Material Disposal $13,333.33 $13,333.33 Disposal of decommissioned east pole material. Licensee share of total. See attached statement. N/A N/A
Aux Antenna Internal Handling $5,000.00 $5,000.00 N/A N/A N/A
Handling and Storage of Replacement Aux Antenna $3,000.00 $3,000.00 N/A N/A N/A
Willis Tower Project Management $10,555.56 $10,555.56 N/A N/A N/A
Delivery of replacement antenna to Willis Tower $2,500.00 $2,500.00 N/A N/A N/A
Aux Antenna Transmission Line Removal $15,000.00 $15,000.00 N/A N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 See items for breakdown of related work. N/A N/A
Tower Helicopter Lift $200,000.00 $200,000.00 Licensee share of helicopter lift to decommission SE pole. See Willis Tower engineering statement attached. N/A N/A
Aux Antenna Removal $40,000.00 $40,000.00 N/A N/A N/A
East Cylinder Entry Port Restoration $25,000.00 $25,000.00 Restoration of cylinder at transmission line entry ports. Licensee share. See attached statement. N/A N/A
RF Safety Coordination for East Pole Decommission and Removal $16,666.67 $16,666.67 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 $70,185.00 $67,250.00 N/A $0.00 N/A
Total for all systems $1,575,770.56 $1,138,099.53 N/A $0.00 N/A
Outside Professional Services $70,185.00 $67,250.00 $0.00
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $15,000.00 N/A N/A N/A
Project management of the transition $6,320.00 $12,000.00 Hourly rate in catalog insufficient to cover expenses in Chicago. N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A 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 $31,190.00 $30,585.00 N/A $0.00 N/A
Total for all systems $1,575,770.56 $1,138,099.53 N/A $0.00 N/A
Other Expenses $31,190.00 $30,585.00 $0.00
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 N/A N/A N/A
MVPD Notification of Channel Change $1,500.00 $1,500.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 Disposal costs for transmitter, and other waste not previously accounted. N/A N/A
Equipment Delivery and Handling Charges $4,000.00 $4,000.00 Additional equipment and delivery not previously counted. N/A N/A
Equipment Storage $1,000.00 $1,000.00 Storage fees for additional materials and items not covered N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A 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 $1,575,770.56 $1,138,099.53 $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.

Joseph Stroud

President


07/12/2017

Attachments

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