Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
WEST CENTRAL OHIO BROADCASTING, INC. |
Fred Vobbe 1424 RICE AVENUE LIMA, OH 45805 United States |
+1 (419) 228-8835 | fvobbe@wlio.com | Corporation |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Frederick R Vobbe VP and Chief Operator West Central Ohio Broadcasting, Inc. |
Frederick R Vobbe 1424 Rice Avenue Lima, OH 45805 United States |
+1 (419) 228-8835 | fvobbe@wlio.com |
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 | WOHL-CD will require a new transmitter site as the present tower failed structual analysis. The FCC has before them WOHL's Request for Waiver of Initial Construction Permit Filing Deadline, granted 7/12/17. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
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 | LU500BTD | |
Year | 2009 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | .5 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | ULXTE-10 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 6.60 kW | |
Justification for New Transmitter | WOHL's present transmitter can not make the TPO needed for 100% replication of service contour. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | Yes |
Switchgear (industrial 800 amp) | Yes | |
Transformer (480V) | Yes | |
Power | 150 kVA | |
Rigid Conduit and Wiring | Yes | |
Size | 3 inches | |
Length | 100.0 feet | |
Other Electrical Service | No | |
Description | N/A | |
HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
Type | Heating and Cooling | |
Size | 20 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 | 1600.0 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 |
Name | Description |
---|---|
New Transmitter Site |
WOHL-CD will need to move from the present transmitter site to a new site. A building to house the transmitter will be require. |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing antenna shared with another station or stations? | No | |
Is the existing antenna directional? | Yes | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | Class | Full Power |
Mounting | Top Mount | |
Antenna position in stack | Top | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
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 | N/A | |
ERP: | 9.0 kW | |
Manufacturer | ||
Model | TFU-30JA | |
Year | 1986 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Description of Use | N/A | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
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? | No | |
New Antenna Manufacturer and Types | Class | Class A |
Mounting | Top Mount | |
Antenna position in stack | Top | |
Polarization | Circular | |
Type | Slotted Coaxial | |
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 | N/A | |
ERP: | 11.0 kW | |
Manufacturer | ||
Model | ATW6H3-CTC3-15H | |
Year | 2017 | |
Justification for New Antenna | WOHL-CD will move to a new tower site due to structural issues on the present tower. New antenna is circular polarized, difference of $10,000 from the cost of a horizontally polarized antenna. |
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? | Yes |
Broadband or Single Channel? | Single Channel | |
Feed Line Size | 3 1/8 inches inches | |
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 |
Name | Description |
---|---|
RF Switch |
RF switch to change transmitter from antenna to dummy load for testing. |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
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 | Rigid | |
Diameter | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 560 feet per run |
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? | Yes | |
Type | Rigid | |
Diameter | 3 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1000 feet per run | |
Justification for New Transmission Line | WOHL-CD will move to a new transmitter site because of structural problems with present tower. |
Name | Description |
---|---|
Trapeze |
Transmission line will need to be supported between tower and building and protected from ice fall. |
Gas Barrier |
Transmission line will need to be pressurized from antenna to bldg. |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Construct New |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Is this tower consider Complex? | No | |
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 | 1014519 | |
Coordinates (NAD83) | Latitude (NAD83) | 40° 44' 51.2" N- |
Longitude (NAD83) | 084° 07' 54.3" W- | |
Overall Structure Height | 548.88 feet | |
Support Structure Height | 499.99 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 870.07 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | LIMA COMMUNICATIONS CORPORATION | |
Date Constructed | 12/01/2004 |
Facility ID | Call Sign | Service |
---|---|---|
37503 | WLIO | DTV |
Section | Question | Response |
---|---|---|
Construct New Tower | Use | Primary (Main) |
Description of Use | N/A | |
Is this a request for upgraded equipment? | Yes | |
Height | 1000.00 feet | |
Justification for New Tower | WOHL-CD is moving to a new tower, and site. The present tower did not pass analysis. There is no land at present location to build new tower, which is in urban/residential area. |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | Other |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
STL Antenna |
WOHL-CD will require an STL to feed and control transmitter. |
Microwave Receive Site |
The microwave receive antenna used by WOHL for news gathering will need to be relocated to new tower. |
Ground System |
Upgraded ground system, 100' x 100' to prevent lightning damage. |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 1000 | |
Explanation | WOHL will move to a new location, and build a new tower. To obtain replication of coverage, the station will have to undergo comprehensive engineering and legal analysis, and testing during the construction. | |
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 | 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 | 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 | Yes | |
Environmental Assessment | Yes | |
ASR Modification | Yes | |
FAA Consultation (including preparation of FAA Form 7460) | Yes | |
Negotiation of Lease and other Matter for Shared Locations | No | |
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 | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
Microwave License Study |
The STL will require a path study for coordination of license. |
Public Utility Analysis |
Transmitter site must have proper power and telco services at new site. |
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 | Yes |
Non-zoning permits | Yes | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | No | |
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 |
Name | Description |
---|---|
Field Strength Tests |
WOHL will conduct field signal tests on present channel, and repacked channel to make sure signal meets service contour. |
Generator |
WOHL presently has a generator to maintain operation when public power is lost. |
Translator |
Fill in for coverage lost on move. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $1,763,140.48 | $1,745,040.48 | N/A | $0.00 | N/A |
Total for all systems | $6,103,185.37 | $6,887,610.37 | N/A | $0.00 | N/A |
Primary Transmitter ULXTE-10 | $1,763,140.48 | $1,745,040.48 | $0.00 | ||
Service entrance 3 phase/800 amp/208 volt | $14,400.00 | $13,500.00 | N/A | N/A | N/A |
UHF - Liquid Cooled Solid State Transmitter 6.60 kW | $248,290.48 | $248,290.48 | N/A | $0.00 | N/A |
Switchgear - industrial 800 amp | $38,200.00 | $36,000.00 | N/A | N/A | N/A |
Transformer 3 phase/480v - 150 KVA | $25,550.00 | $24,000.00 | N/A | N/A | N/A |
20 Ton system | $115,500.00 | $102,500.00 | N/A | N/A | N/A |
3" Rigid Conduit and Wiring (Cost per foot) | $5,200.00 | $4,750.00 | N/A | N/A | N/A |
Other -- Building Addition Size: 1600.0 | $260,000.00 | $260,000.00 | Building to house transmitter, electrical, generator, and associated terminal equipment. Service driveway to access site from road. Underground utility from street to building. Ice fall protection. Security fencing and monitoring of property. | N/A | N/A |
New Transmitter Site | $1,056,000.00 | $1,056,000.00 | Construct new transmitter building on 90 acres of land to be purchased. | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $209,830.00 | $209,300.00 | N/A | $0.00 | N/A |
Total for all systems | $6,103,185.37 | $6,887,610.37 | N/A | $0.00 | N/A |
Primary Antenna ATW6H3-CTC3-15H | $209,830.00 | $209,300.00 | $0.00 | ||
UHF - Lower Power, Top Mount, Class A, basic slot antenna, 11 kW input, directional,, elliptically or circularly polarized | $188,000.00 | $188,000.00 | difference of $10,000 from the cost of a horizontally polarized antenna | N/A | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | N/A | N/A |
RF Switch | $7,500.00 | $7,500.00 | N/A | N/A | N/A |
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) | $7,600.00 | $7,400.00 | N/A | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $188,500.00 | $183,500.00 | N/A | $0.00 | N/A |
Total for all systems | $6,103,185.37 | $6,887,610.37 | N/A | $0.00 | N/A |
Primary Transmission Line | $188,500.00 | $183,500.00 | $0.00 | ||
Rigid Transmission Line - copper, 3 1/8" | $104,000.00 | $99,000.00 | 3-1/8" 50-ohm transmission line | N/A | N/A |
Trapeze | $80,000.00 | $80,000.00 | Custom fabricated and installed trapeze to go from base of tower to building to support and protect transmission line from ice fall. | N/A | N/A |
Gas Barrier | $4,500.00 | $4,500.00 | N/A | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $3,168,149.89 | $3,992,149.89 | N/A | $0.00 | N/A |
Total for all systems | $6,103,185.37 | $6,887,610.37 | N/A | $0.00 | N/A |
Primary Tower TOWER | $0.00 | $0.00 | $0.00 | ||
Primary Tower | $3,168,149.89 | $3,992,149.89 | $0.00 | ||
Microwave Receive Site | $84,149.89 | $84,149.89 | 6/7GHz microwave receive transmitter, receiver, antennas, and transmission lines to link the studio to the new transmitter site. | N/A | N/A |
STL Antenna | $11,000.00 | $11,000.00 | Cost for tower crew to install microwave receive antenna on new tower, and install transmission line from antenna to equipment in new building. | N/A | N/A |
Ground System | $22,000.00 | $22,000.00 | Additional ground, 120 radials, buried 24", 100' due to history of electrical storms in region. | N/A | N/A |
New tower between 1000' and 1500' without elevator, presumptive soil conditions | $2,630,000.00 | $3,600,000.00 | Cost per Jean-Alain Lecordier, P.E. at TCI on 5/15/2017 10:40 AM. Cost may be less for good soil condition, and unobstructed ability to access and construct on site with all permits finalized. | N/A | N/A |
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) | $421,000.00 | $275,000.00 | N/A | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $313,730.00 | $298,350.00 | N/A | $0.00 | N/A |
Total for all systems | $6,103,185.37 | $6,887,610.37 | N/A | $0.00 | N/A |
Outside Professional Services | $313,730.00 | $298,350.00 | $0.00 | ||
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | 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 |
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 |
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet | $10,520.00 | $10,000.00 | N/A | N/A | N/A |
Project management of the transition | $158,000.00 | $150,000.00 | 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 |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | $2,105.00 | $2,000.00 | N/A | N/A | N/A |
Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | 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 - Prepare and File request for Special Temporary Authorization | $7,360.00 | $7,000.00 | N/A | N/A | N/A |
NEPA Section 106 environmental review, if needed | $6,310.00 | $6,000.00 | N/A | N/A | N/A |
ASR modification (prepare FCC Form 854) | $2,105.00 | $2,000.00 | N/A | N/A | N/A |
Microwave License Study | $3,600.00 | $3,600.00 | STL Path, and required coordination notifications. | N/A | N/A |
Public Utility Analysis | $12,500.00 | $12,500.00 | American Electric Power Dominion Gas Company City of Lima Water Dept. | N/A | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $1,500.00 | N/A | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $459,835.00 | $459,270.00 | N/A | $0.00 | N/A |
Total for all systems | $6,103,185.37 | $6,887,610.37 | N/A | $0.00 | N/A |
Other Expenses | $459,835.00 | $459,270.00 | $0.00 | ||
DTV Medical Facility Notification | $11,550.00 | $11,000.00 | N/A | N/A | N/A |
Equipment Storage | $6,000.00 | $6,000.00 | Mayflower Van Lines (movers) | N/A | N/A |
Generator | $35,900.00 | $35,900.00 | Caterpillar 100kw/125kva @ 208/120V diesel generator, and transfer switch. | N/A | N/A |
MVPD Notification of Channel Change | $1,000.00 | $1,000.00 | Notification to 13 cable companies, and 14 MATV businesses. | N/A | N/A |
Translator | $260,000.00 | $260,000.00 | Translator, UHF channel, 15kw, to fill in area lost in coverage due to geographic move of transmitter site, and restriction of overlap of old contour. | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $190.00 | 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 |
Local Zoning | $10,000.00 | $10,000.00 | Zoning via township and City of Lima (OH) | N/A | N/A |
Non-zoning permits | $7,500.00 | $7,500.00 | Electrical, plumbing, HVAC, land management, drainage. | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $2,100.00 | $2,100.00 | Multiple 15yd dumpsters. | N/A | N/A |
Equipment Delivery and Handling Charges | $40,000.00 | $40,000.00 | Shipping for transmitter, antenna, terminal equipment, and specialized equipment. | N/A | N/A |
Develop and air announcement of upcoming channel change | $68,505.00 | $68,505.00 | On air announcements, newspaper, radio, and direct mail. | N/A | N/A |
Field Strength Tests | $16,750.00 | $16,750.00 | Signal measurements made at twelve or more communities comprising WOHL's DMA. | N/A | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $6,103,185.37 | $6,887,610.37 | $0.00 |
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 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Kevin Creamer President and General Manager 07/12/2017 |
Section | Question | Response |
---|---|---|
Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (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 AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Kevin Creamer President and General Manager 07/12/2017 |