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:
35703
Service:
DTV
Call Sign:
KTVU
Channel:
31 (UHF)
File Number:
0000027693
FRN:
0005795067
Date Submitted:
09/12/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

FOX TELEVISION STATIONS, LLC

Joseph M. Di Scipio

400 N. CAPITOL STREET, NW

SUITE 890

WASHINGTON, DC 20001

United States

+1 (202) 824-6522 JDISCIPIO@21CF.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

Dennis Wallace

Managing Partner

Meintel, Sgrignoli & Wallace, LLC

Dennis Wallace

1282 Smallwood Drive

Suite 372

Waldorf, MD 20603

United States

+1 (202) 251-7589 Dennis.Wallace@mswdtv.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 KTVU will continue to use the existing master UHF Main and Upper Aux antennas at Sutro Tower. New Combiners for both antennas are required. Main TX will be retuned. Aux transmitter replaced. Sutro tower modifications are required.

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 Retune Existing
Use Primary (Main)
Ownership Owned
Owner 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 Harris
Model PWR60D2
Year 2009
Type Inductive Output Tube
IOT Power Type Two
Power capacity 60 kW

Primary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed 2
New Mask Filter
Power 60 kW
Other Power N/A
New Exciter Is a new exciter needed? No

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 No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical Installation - new mask filter and various interlocks.
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

GatesAir Retuning of Transmitter

GatesAir Quote to Retune Existing Transmitter to new channel

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Aux Transmitter
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 DHD60P2
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 14 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-30
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 14 kW
Justification for New Transmitter Existing Diamond Aux transmitter is obsolete and no longer supported by its manufacturer. Replacement required.

Auxiliary 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) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service Yes
Description Aux Transmitter Electrical Installation
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 50 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 1000.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Remote Control Wiring

Wire up existing remote control to new transmitter

Asbestos Abatement

Abatement of asbestos from transmitter room

Removal of Existing Equipment

Removal of Existing Equipment

Transmitter Installation Planning and Installation Drawings

Develop transmitter room layout. Prepare installation drawings

Seismic Engineering and Modifications

Seismic engineering analysis and modifications to comply with SF requirements

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 Sutro Tower Inc.
Site N/A
Is the existing antenna shared with another station or stations? Yes
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 3
Number of Panels 60
Design power capacity in use 100.0 %
Lower Limit 500.00 MHz
Upper Limit 656.00 MHz
Other Antenna Type N/A
ERP: 775.0 kW
Manufacturer Dielectric
Model TUM-C5SP-14/60H-2-T-R
Year 2009

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

Facility ID Call Sign
25452 KPIX-TV
58912 KCSM-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 New
Number of channels supported 3
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
31
27
29

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Sutro Tower Fees

Sutro Tower Fees associated with Aux Antenna System. See Spreadsheet

Sutro Tower Antenna and Combiner Monitor System

KTVU allocated costs for Sutro Tower Antenna and Combiner. Power Monitoring System. See Spreadsheet.

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Auxiliary (Backup)
Description of Use Upper Aux Antenna Sutro
Ownership Leased
Owner Sutro Tower Inc.
Site N/A
Is the existing antenna shared with another station or stations? Yes
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels 40
Design power capacity in use 100.0 %
Lower Limit 500.00 MHz
Upper Limit 656.00 MHz
Other Antenna Type N/A
ERP: 428.0 kW
Manufacturer Dielectric
Model TUA-C4SP-12/40U-1-S
Year 2009

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

Facility ID Call Sign
25452 KPIX-TV
58912 KCSM-TV

Auxiliary Antenna

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Adjustment to Existing Antenna

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

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 3
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
31
27
29

Auxiliary Antenna

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Other Antenna Cost Not Listed

Name Description

Sutro Tower Fees

Sutro Tower Fees associated with Main Antenna. See Spreadsheet.

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 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 120 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

RF Optimization

Optimize line from transmitter room to combiner input

Auxiliary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use Aux Line to Combiner
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 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 120 feet per run

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

RF Optimization

Optimize transmission line from transmitter to combiner input

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? Candelabra
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 Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1001289
Coordinates (NAD83) Latitude (NAD83) 37° 45' 19.0" N-
Longitude (NAD83) 122° 27' 10.0" W-
Overall Structure Height 976.69 feet
Support Structure Height 779.85 feet
Ground Elevation Above Mean Sea Level (AMSL) 833.98 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner SUTRO TOWER INC
Date Constructed 03/27/1998

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
58912 KCSM-TV DTV
51429 KFSF-DT DTV
69619 KBCW DTV
65526 KRON-TV DTV
35500 KQED DTV
35703 KTVU DTV
71586 KCNS DTV
25452 KPIX-TV DTV
34470 KGO-TV DTV

Other Types of Users

Users
Multi User Site

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 Candelabra
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Sutro Tower Fees

Tower Mapping and analysis fees. KTVU Allocated costs. See Spreadsheet.

Sutro Tower Feasibility Studies

Fees for Sutro tower to conduct feasibility studies on repack. KTVU Allocated Costs. See Spreadsheet.

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 850
Explanation Sutro Tower Project Management Fees. And KTVU Outside Project Manager for internal KTVU Facilities. See Spreadsheet.
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 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 2
NEPA Section 106 environmental review No
Environmental Assessment Yes
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 20
Justification RF Engineering Supervision of KTVU Transmitter and Combiner Installation projects.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Legal Fees - Local SF

KTVU Allocated share of local legal fees associated with City of SF. See Spreadsheet.

Prepare and File FCC Progress Report

Prepare and file FCC Quarterly Progress Reports See quote from vendor.

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 Yes
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

Sales Tax

Sutro Tower Estimated KTVU allocation of sales tax. See Spreadsheet.

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 $2,685,923.00 $2,323,123.00 N/A $0.00 N/A
Total for all systems $4,946,882.50 $4,336,132.50 N/A $0.00 N/A
Primary Transmitter PWR60D2 $1,383,467.00 $767,567.00 $0.00
GatesAir Retuning of Transmitter $670,067.00 $670,067.00 GatesAir Quote to retune existing IOT transmitter. See attached Quote. N/A N/A
Other Electrical Service: Electrical Installation - new mask filter and various interlocks. $12,500.00 $12,500.00 Transmitter Retune Electrical Installation Services new mask filter AC/interlocks/Conduit Changes. N/A N/A
60 kW mask filter $89,400.00 $85,000.00 Catalog N/A N/A
2 IOT Tubes $255,000.00 $0.00 Catalog N/A N/A
Two IOT system (60 kW) $356,500.00 $0.00 Catalog N/A N/A
Auxiliary Transmitter ULXTE-30 $1,302,456.00 $1,555,556.00 $0.00
Other -- Building Addition Size: 1000.0 $241,190.00 $241,190.00 Transmitter Room Modification Estimate from Wadleigh - see attached spreadsheet. N/A N/A
Transmitter Installation Planning and Installation Drawings $50,000.00 $50,000.00 Transmitter Room layout planning and development of installation drawings. Detail Seismic anchors and transmission line attachments. 3-D Scanning of existing room and equipment layout. CAD layout of new equipment in room. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 14 kW $612,836.00 $612,836.00 GatesAir Quote Attached. N/A N/A
Seismic Engineering and Modifications $26,230.00 $26,230.00 Seismic Engineering Studies and Modifications to TX Room. See Spreadsheet. N/A N/A
50 Ton system $172,500.00 $428,000.00 Wadleigh estimate to replace HVAC system with SF Compliant system, roof modifications, Scaffolding, Ductwork. See Spreadsheets. N/A N/A
Removal of Existing Equipment $35,000.00 $35,000.00 Remove existing equipment - Aux N/A N/A
Asbestos Abatement $4,000.00 $4,000.00 Asbestos abatement estimate from Wadleigh for TX Room N/A N/A
Remote Control Wiring $3,500.00 $3,500.00 Wire up remote control to new aux transmitter N/A N/A
Other Electrical Service: Aux Transmitter Electrical Installation $110,000.00 $110,000.00 Electrical Installation of new Aux Transmitter at Sutro Tower. Estimate from Wadleigh N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,400.00 $9,800.00 Catalog N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 Catalog 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 $680,405.00 $838,925.00 N/A $0.00 N/A
Total for all systems $4,946,882.50 $4,336,132.50 N/A $0.00 N/A
Primary Antenna TUM-C5SP-14/60H-2-T-R $429,515.00 $571,525.00 $0.00
UHF - High Power Top Mount Three Station broadband panel antenna elliptically or circularly polarized $15,000.00 $15,000.00 Optimization of existing antenna - estimated allocated costs. Peter Eckman. N/A N/A
Sutro Tower Fees $82,500.00 $82,500.00 Sutro Tower Project Fees. See Spreadsheet. N/A N/A
Sutro Tower Antenna and Combiner Monitor System $96,125.00 $96,125.00 Sutro Tower - KTVU allocated cost for antenna/combiner monitoring system. See Spreadsheet. N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 Catalog N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 Catalog N/A N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $120,000.00 Catalog N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $233,500.00 Sutro Tower Estimate for KTVU Allocated costs for new Main Antenna combiner System N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Catalog N/A N/A
Auxiliary Antenna TUA-C4SP-12/40U-1-S $250,890.00 $267,400.00 $0.00
Sutro Tower Fees $0.00 $0.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 Catalog N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $108,000.00 Sutro Tower - KTVU Allocated cost esimate for Aux Antenna Combiner System. N/A N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $120,000.00 Catalog N/A N/A
UHF - High Power Top Mount Three Station broadband panel antenna horizontally polarized $15,000.00 $15,000.00 Optimization of existing aux antenna for new channels. N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Catalog N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 Catalog N/A N/A

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 $36,000.00 $36,000.00 N/A $0.00 N/A
Total for all systems $4,946,882.50 $4,336,132.50 N/A $0.00 N/A
Primary Transmission Line $18,000.00 $18,000.00 $0.00
RF Optimization $18,000.00 $18,000.00 Optimization of line from transmitter to combiner N/A N/A
Auxiliary Transmission Line $18,000.00 $18,000.00 $0.00
RF Optimization $18,000.00 $18,000.00 Optimization of transmission line from transmitter to aux combiner input. 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 $524,075.00 $103,075.00 N/A $0.00 N/A
Total for all systems $4,946,882.50 $4,336,132.50 N/A $0.00 N/A
Primary Tower TOWER $524,075.00 $103,075.00 $0.00
Sutro Tower Feasibility Studies $89,198.00 $89,198.00 Sutro Tower - KTVU Allocated costs for initial repack feasibility studies for Sutro Tower. See Spreadsheet. N/A N/A
Sutro Tower Fees $13,877.00 $13,877.00 Sutro Tower - KTVU Allocated costs for tower mapping. See Spreadsheet. N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $385,809.50 $400,944.50 N/A $0.00 N/A
Total for all systems $4,946,882.50 $4,336,132.50 N/A $0.00 N/A
Outside Professional Services $385,809.50 $400,944.50 $0.00
Additional Field Engineering Service, 20 Days $31,800.00 $31,800.00 RF Engineer on site supervision of transmitter, transmission line, and combiner installations. See attached quote. N/A N/A
Prepare and File FCC Progress Report $32,727.50 $32,727.50 Prepare and file FCC Progress Reports Quarterly. See quote attached. N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 Catalog N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $30,000.00 Legal Fees for Modification of lease with Sutro Tower for new channels, new combiner. N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Catalog N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 Catalog N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Catalog N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 Catalog N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Catalog N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 Catalog N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 Catalog N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 Catalog N/A N/A
Project management of the transition $134,300.00 $127,500.00 Outside Project Management of transition of main and aux facilities. N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 Catalog N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $7,500.00 SFO Market / Daisy Chain Coordination for Testing and Transition Dates. N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 Catalog N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Catalog N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 Catalog N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 Catalog N/A N/A
Legal Fees - Local SF $22,667.00 $22,667.00 Sutro Tower - Estimated KTVU Allocated costs - local legal fees. See Spreadsheet. 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 $634,670.00 $634,065.00 N/A $0.00 N/A
Total for all systems $4,946,882.50 $4,336,132.50 N/A $0.00 N/A
Other Expenses $634,670.00 $634,065.00 $0.00
Sales Tax $284,178.00 $284,178.00 Sutro Tower and KTVU Estimate of KTVU Allocated Sales Tax and KTVU sales tax paid on its equipment purchases. See two attached Spreadsheets. Must add both together. N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A N/A N/A
Equipment Storage $15,000.00 $15,000.00 Off Site Storage of KTVU equipment until ready on site. N/A N/A
Equipment Delivery and Handling Charges $78,469.00 $78,469.00 Sutro Tower Estimate of KTVU allocated costs for equipment delivery, storage, and handling of combiner. See Spreadsheet. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $9,000.00 $9,000.00 Sutro Tower Estimate of KTVU Allocated costs for equipment removal / Disposal Combiner N/A N/A
Non-zoning permits $183,333.00 $183,333.00 Sutro Tower Estimate of KTVU Allocated costs for building Permits. See Spreadsheet. N/A N/A
Local Zoning $45,000.00 $45,000.00 Sutro Tower - Estimate of KTVU allocated costs for Zoning approvals. 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 minor change CP application $1,110.00 $1,070.00 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 license to cover application $335.00 $325.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 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 $4,946,882.50 $4,336,132.50 $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 M. Di Scipio

SVP, Legal and FCC Compliance


09/12/2017

Attachments

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