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:
26681
Service:
DTV
Call Sign:
WTIN-TV
Channel:
14 (UHF)
File Number:
0000028569
FRN:
0004343323
Date Submitted:
09/14/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

TELEVICENTRO OF PUERTO RICO, LLC

JOSE E RAMOS

P.O. BOX 362050

SAN JUAN, PUERTO RICO 00936-2050

Puerto Rico

7877924444 joe.ramos@wapa-tv.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

Laura M Berman

Lerman Senter PLLC

Laura M Berman

2001 L Street NW

Suite 400

Washington, DC 20036

United States

+1 (202) 429-8970 lberman@lermansenter.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. No
Briefly describe transition plan Minor change application for CP, tower modification as needed, transmitter, mask filter and antenna replacement, auxiliary facility, filling for a license.

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 TDU-2
Year 2003
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 10 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 Parallax
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 13 kW
Justification for New Transmitter The manufacturer indicated that channel retuning for the existing transmitter is not supported. Due to additional Ch-14 filter losses additional power is needed to achieve current ERP and coverage.

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 2 inches
Length 360.0 feet
Other Electrical Service Yes
Description Service disconnect switch and main breaker.
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 30

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Service Tax

Consulting and services @ 4%

Sales Tax

Equipment @ 11.5%

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 Parallax
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 5.0 kW
Justification for New Transmitter An interim transmitter is needed to remain on the air while the existing is removed to make space for a new Ch. 14 transmitter and filter system.

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 Yes
Size 2 inches
Length 150.0 feet
Other Electrical Service Yes
Description Main Breaker, UPS and 300 ft. cable run from existing generator to feed the interim transmitter.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
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

Name Description

Sales Tax

Equipment @ 11.5%

Local Service Tax

Local and consulting services @ 4%

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 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? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
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: 380.2 kW
Manufacturer
Model TLP-24 (C) DC
Year 2003

Primary Antenna

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New Antenna Costs

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? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
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: 371.0 kW
Manufacturer
Model TLP-24 (C) DC
Year 2017
Justification for New Antenna The existing antenna is a single channel, not field tunable.

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? 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? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax

Equipment @ 11.5%

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
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 Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 24
Lower Limit 470.00 MHz
Upper Limit 482.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 180.0 kW
Manufacturer
Model TLP-24 (C) DC
Year 2017
Justification for New Antenna To remain on the air while present tower structural upgrades, present antenna removal and new antenna installation are in progress an interim antenna along with an interim transmitter and tower are needed.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 3 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
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

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax

Equipment @ 11.5%

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? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
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 175 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 225 feet per run
Justification for New Transmission Line An interim transmission line, interim transmitter, interim antenna and interim tower are needed to remain on the air while main main tower structural upgrades, present antenna removal and new antenna installation are in progress.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sales Tax

Equipment @ 11.5%

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? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 18° 10' 02.85" N-
Longitude (NAD83) 066° 34' 34.6" W-
Overall Structure Height 185.00 feet
Support Structure Height 170.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 4298.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Televicentro of PR, LLC
Date Constructed 05/18/1990

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
39887 WIRS 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: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major 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

Sales Tax

Equipment @ 11.5%

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Interim Tower
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
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 1010731
Coordinates (NAD83) Latitude (NAD83) 18° 10' 04.0" N-
Longitude (NAD83) 066° 34' 37.0" W-
Overall Structure Height 274.93 feet
Support Structure Height 272.31 feet
Ground Elevation Above Mean Sea Level (AMSL) 4268.32 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Televicentro of Puerto Rico, LLC
Date Constructed 07/30/1997


Auxiliary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Auxiliary 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

Auxiliary Tower

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Other Tower Expenses Not Listed

Name Description

Sales Tax

Equipment @ 11.5%

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 1000
Explanation Due to budget constraints the station does not have the necessary personnel to manage the project.
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 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 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

Name Description

Service Tax

Local Consulting and services @ 4%

Quarterly Progress Reports.

Quarterly Repack Progress Report.

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 Yes
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 Transmitter system Design

Interim Transmitter System Design and Site Survey, as per Hitachi Comark Proposal.

Service Tax

Consulting and services @ 4%

Station Employees Time

Station Employee Time

System Design and Site Survey

Main Transmitter System Design and Site Survey, as per Hitachi Comark Proposal.

Motorized Switch

Main transmitter Motorized Switch

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 $1,248,433.75 $1,146,071.75 N/A $0.00 N/A
Total for all systems $3,486,103.95 $3,054,028.20 N/A $0.00 N/A
Interim Transmitter Parallax $389,498.75 $324,856.75 $0.00
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $225,000.00 See Attached Hitachi Comark Interim Transmitter proposal. N/A N/A
Local Service Tax $220.00 $220.00 State Service tax 4% N/A N/A
Sales Tax $37,978.75 $37,978.75 State and City Sales Tax 11.5% N/A N/A
10 Ton system $38,900.00 $22,908.00 See attached AIr-Con C-17-0411 quote N/A N/A
Other Electrical Service: Main Breaker, UPS and 300 ft. cable run from existing generator to feed the interim transmitter. $35,000.00 $35,000.00 Based on manufacturer UPS pricing consultations, previous experience during the analog to digital transition, the amount of high voltage switches, breakers and other materials needed, site remote location, and difficulty of getting contractors to the site N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $3,900.00 $3,750.00 N/A N/A N/A
Primary Transmitter Parallax $858,935.00 $821,215.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $470,000.00 See Attached Hitachi Comark Proposal for WTIN Main Transmitter N/A N/A
Sales Tax $76,751.00 $76,751.00 State and City Sales Tax 11.5% N/A N/A
Service Tax $464.00 $464.00 State Service tax 4% N/A N/A
Additional field engineering time, 10-30 days $63,100.00 $60,000.00 N/A N/A N/A
Channel 14 Mask Filter $189,500.00 $180,000.00 N/A N/A N/A
Other Electrical Service: Service disconnect switch and main breaker. $20,000.00 $20,000.00 As per previous experience, includes transmitters main breakers, safety switches, cooling pumps breakers, Heat Exchange breakers and Safety switches. N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $9,360.00 $9,000.00 N/A N/A N/A
RF Consulting Engineer $5,260.00 $5,000.00 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 $439,907.20 $178,678.45 N/A $0.00 N/A
Total for all systems $3,486,103.95 $3,054,028.20 N/A $0.00 N/A
Interim Antenna TLP-24 (C) DC $141,946.20 $75,741.95 $0.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $10,614.75 See Attached DIelectric proposal N/A N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $36,521.00 See Attached Dielectric Quotation for the antenna. N/A N/A
Sales Tax $13,326.20 $13,326.20 State and City Sales Tax 11.5% N/A N/A
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) $9,340.00 $8,880.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Primary Antenna TLP-24 (C) DC $297,961.00 $102,936.50 $0.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $10,614.75 See Attached Dielectric Antenna Proposal N/A N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $45,300.75 See attached Dielectric Antenna quote N/A N/A
Sales Tax $28,221.00 $28,221.00 State and City Sales Tax 11.5% 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 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
Sweep test of existing antenna $6,730.00 $6,400.00 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 $14,724.00 $14,049.00 N/A $0.00 N/A
Total for all systems $3,486,103.95 $3,054,028.20 N/A $0.00 N/A
Interim Transmission Line $14,724.00 $14,049.00 $0.00
Sales Tax $1,449.00 $1,449.00 State and City Sales Tax 11.5% N/A N/A
Flexible Air Transmission Line - dielectric, 3" $13,275.00 $12,600.00 N/A N/A N/A
Primary Transmission Line $0.00 $0.00 $0.00

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 $1,090,800.00 $1,039,200.00 N/A $0.00 N/A
Total for all systems $3,486,103.95 $3,054,028.20 N/A $0.00 N/A
Primary Tower TOWER $545,400.00 $519,600.00 $0.00
Short Tower (less than 500') $84,200.00 $80,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A
Sales Tax $27,600.00 $27,600.00 State and City Sales Tax 11.5% N/A N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A N/A N/A
Auxiliary Tower TOWER $545,400.00 $519,600.00 $0.00
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A
Sales Tax $27,600.00 $27,600.00 State and City Sales Tax 11.5% N/A N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A N/A N/A
Short Tower (less than 500') $84,200.00 $80,000.00 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 $310,091.00 $294,486.00 N/A $0.00 N/A
Total for all systems $3,486,103.95 $3,054,028.20 N/A $0.00 N/A
Outside Professional Services $310,091.00 $294,486.00 $0.00
Quarterly Progress Reports. $2,150.00 $2,150.00 Quarterly repack progress report documents preparation and filling based on previous experience with FCC filings N/A N/A
Service Tax $6,086.00 $6,086.00 State Service Tax 4% N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 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
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 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 - 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), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
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 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, Construction Permit Application $2,105.00 $2,000.00 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 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
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $158,000.00 $150,000.00 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 $382,148.00 $381,543.00 N/A $0.00 N/A
Total for all systems $3,486,103.95 $3,054,028.20 N/A $0.00 N/A
Other Expenses $382,148.00 $381,543.00 $0.00
Motorized Switch $4,835.00 $4,835.00 Existing system has motorized switch for antenna to test load transfer. See attached Hitachi Comark Main Transmitter Proposal Item 2.1 P/N T5 N/A N/A
System Design and Site Survey $15,300.00 $15,300.00 Transmitter System Design and Site Survey as per attached Hitachi Comark Main Transmitter Proposal Item 2.4 P/N S34 N/A N/A
Station Employees Time $216,963.00 $216,963.00 Estimated based on internal calculations for station employees repack dedicates time. See attached Exhibit 1. N/A N/A
Service Tax $3,060.00 $3,060.00 4% State Service Tax N/A N/A
Interim Transmitter system Design $15,300.00 $15,300.00 Interim Transmitter System Design and Site Survey as per attached Hitachi Comark Interim transmitter proposal. Item 2.4 P/N S34 N/A N/A
MVPD Notification of Channel Change $7,000.00 $7,000.00 Estimate based on previous experience during the analog to digital transition. N/A N/A
Develop and air announcement of upcoming channel change $20,000.00 $20,000.00 N/A N/A N/A
Equipment Storage $7,000.00 $7,000.00 Estimate based on previous experience during the analog to digital transition. N/A N/A
Equipment Delivery and Handling Charges $65,000.00 $65,000.00 See Attached Relocation Fund Administrator Request for Additional Information Document N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $4,500.00 $4,500.00 Estimate based on previous experience during the analog to digital transition, the site remote location and difficult accessibility. N/A N/A
Local Zoning $10,000.00 $10,000.00 Based on previous experience during analog to digital transition. Local authority estimated fees for tower work permits. 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
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

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,486,103.95 $3,054,028.20 $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.

Craig Fischer

Vice President


09/14/2017

Attachments

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