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FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

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

(REFERENCE COPY - Not for submission)FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

File Number:
0000028105
FRN:
0026531335
Facility ID:
73101
Repack Channel:
20 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
08/18/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SAGA QUAD STATES COMMUNICATIONS, LLC

Doing Business As: SAGA QUAD STATES COMMUNICATIONS, LLC

73 KERCHEVAL AVENUE

GROSSE POINTE FARMS, MI 48236

United States

+1 (313) 886-7070 FCCLICENSES@SAGACOM.COM Limited Liability Company

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

The Preparer is same as the reimbursement contact.

 

 

 

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 Modification of the KAVU transmitting facility to accommodate the channel change from 15 to 20. This will require replacing the KAVU CH.15 portion of combiner and mask filter, re-tune exiting transmitter, and installation of a new tuned elbow on the tower

Transmitters

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

Primary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Retune Existing
Use Primary (Main)
Description of Use  
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer Gates air
Model ULXTD-40
Year 2015
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 40 kw
Other Transmitter Type  

Primary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed  
New Mask Filter Power Other kw
Other Power 40.0
New Exciter Is a new exciter needed? No
Exciter Type

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
Rigid Conduit and Wiring No
Size
Length
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Combiner Modification Install

Installation charges for combiner modification

Antennas

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

Primary Antenna

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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
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? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top-mount single
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 6
Number of Panels 56
Design power capacity in use 51.0 %
Lower Limit 470.00 MHz
Upper Limit 722.00 MHz
Other Antenna Type N/A
ERP: 1064.00 kW
Manufacturer DIELECTRIC
Model TUA-04SP-15/55H-1-T-R
Year 2004

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

Facility ID Call Sign
57866 KUNU-LD
127289 KQZY-LP
128455 KMOL-LD
31516 KXTS-LD
73101 KAVU-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 6
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
33
17
19
20
25
28

Primary 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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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 8 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1020 feet per run

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

Facility ID Call Sign
127289 KQZY-LP
128455 KMOL-LD
31516 KXTS-LD
57866 KUNU-LD
73101 KAVU-TV

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Tuned Elbow 8 Inch

8 inch tuned elbow Dielectric #R64682

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 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? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1238711
Coordinates (NAD83) Latitude (NAD83) 28° 50' 43.4" N-
Longitude (NAD83) 097° 07' 34.0" W-
Overall Structure Height 1040.01 feet
Support Structure Height 981.94 feet
Ground Elevation Above Mean Sea Level (AMSL) 142.06 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Saga Broadcasting, LLC
Date Constructed 12/15/2004

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
35846 KVCT 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 N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Rigging Cost

Installation of Tuned Elbow on tower

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Number of Hours N/A
Explanation N/A
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
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 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 No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
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

Name Description

SITE SURVEY

NEEDED FOR SPECIFYING FINAL EQUIPMENT NEEDS AND INSTALLATION PLANNING

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? No
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

Name Description

Interim Facility Construction Labor

Interior UHF RF Systems including coaxial switching to accommodate transmitting on Ch. 15 while the CH.20 system is built and tested.

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 $115,056.64 $74,670.60 N/A $0.00 N/A
Total for all systems $620,632.76 $496,602.47 N/A $0.00 N/A
Primary Transmitter ULXTD-40 $115,056.64 $74,670.60 $0.00
Combiner Modification Install $12,655.64 $12,655.64 Install Charges for Combiner modifications N/A N/A
Other 40.0 kW mask filter $1.00 $1.00 Included in Combiner modification costs from Dielectric See attachment CLE 163 KAVU Combiner N/A N/A
UHF and VHF - minor banding issues $102,400.00 $62,013.96 Install Air Cooled Reject Load-$6,038.44 Install CH20 MAsk Filter & Move B Xmtr to CH.20- $27,812.84 Install CH20 Magic T, Combiner, normalize system and proof - $28,162.38 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 $86,550.00 $209,448.75 N/A $0.00 N/A
Total for all systems $620,632.76 $496,602.47 N/A $0.00 N/A
Primary Antenna TUA-04SP-15/55H-1-T-R $86,550.00 $209,448.75 $0.00
Adding a module to existing combiner (without antenna) $80,000.00 $204,948.75 Combiner modification costs. See attachment spec_sheet_R-70196_KAVU for full justification. N/A N/A
Sweep test of existing antenna $6,550.00 $4,500.00 N/A N/A N/A
UHF - High Power Top Mount Six Station broadband panel antenna horizontally polarized $0.00 $0.00 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 $3,600.00 $3,600.00 N/A $0.00 N/A
Total for all systems $620,632.76 $496,602.47 N/A $0.00 N/A
Primary Transmission Line $3,600.00 $3,600.00 $0.00
Tuned Elbow 8 Inch $3,600.00 $3,600.00 Dielectric Part R64682 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 $210,000.00 $5,000.00 N/A $0.00 N/A
Total for all systems $620,632.76 $496,602.47 N/A $0.00 N/A
Primary Tower TOWER $210,000.00 $5,000.00 $0.00
Tower Rigging Cost $5,000.00 $5,000.00 Installation of Tuned Elbow on Tower N/A N/A
Tall Tower (greater than 500') $205,000.00 $0.00 Exiting Tower 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 $29,346.08 $28,886.08 N/A $0.00 N/A
Total for all systems $620,632.76 $496,602.47 N/A $0.00 N/A
Outside Professional Services $29,346.08 $28,886.08 $0.00
SITE SURVEY $9,636.08 $9,636.08 Required for specifying the final equipment needs and installation planning N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $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 $176,080.04 $174,997.04 N/A $0.00 N/A
Total for all systems $620,632.76 $496,602.47 N/A $0.00 N/A
Other Expenses $176,080.04 $174,997.04 $0.00
Develop and air announcement of upcoming channel change $350.00 $350.00 Video production of announcement: $350 N/A N/A
Equipment Storage $3,600.00 $3,600.00 On Site container to store equipment to be installed. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $31,032.04 $31,032.04 REMOVE OLD IOT TRANSMITTER AND DISPOSE ($16,067.04) AND REMOVE AND DISPOSE OF CH15 RF SYSTEM AND OLD HIGH POWER CHANNEL COMBINER ($14,965.68) N/A N/A
Interim Facility Construction Labor $130,000.00 $130,000.00 Interim UHF RF systems and switching to accommodate operation on ch.15 while the Ch.20 facility is built and tested N/A N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 Prepare and deliver notice to all cable and satellite companies: 8 hours @ $125 N/A N/A
Equipment Delivery and Handling Charges $8,500.00 $8,500.00 Shipping, fork lift, labor. N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,070.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $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 $620,632.76 $496,602.47 $0.00

Construction Status

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Question Response
Is construction complete? 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.

Thomas Atkins

Director of Engineering


08/18/2017

Attachments

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