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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:
0000027831
FRN:
0003742632
Facility ID:
69619
Repack Channel:
28 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
12/06/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SAN FRANCISCO TELEVISION STATION KBCW INC

Doing Business As: SAN FRANCISCO TELEVISION STATION KBCW INC

Edwin L Nass

1725 DESALES ST NW

SUITE 501

WASHINGTON, DC 20036

United States

+1 (202) 457-4505 ELNASS@CBS.COM Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Edwin L Nass , Nass .

Director of Spectrum Management

CBS

Edwin L Nass

1725 DeSales Street NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4602 elnass@cbs.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 Facility located at Sutro Tower has a main elliptically polarized ant and a broadband aux ant. Main antenna replacement requires replacment of structural steel. Post-transition transmitter will be pretuned to the post transition channel

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  
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
Model Sigma CD
Year 2002
Type Inductive Output Tube
IOT Power Type Two
Description  
Power capacity 60 kw
Solid State Cooling  
Solid State Power Capacity  
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-100
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 62.7 kw
Other Transmitter Type  
Justification for New Transmitter GatesAir will not retune IOT transmitters (see Exhibit 1), IOT transmitter (see Exhibit 2) is more expensive, and proposed transmitter is less expensive (see Exhibit 3).

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 300 kVA
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? Yes
Size 0.0 square feet
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

Information not provided.

Antennas

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

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 Alternate/Backup
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 Side-mount
Antenna position in stack Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 5
Number of Panels 40
Design power capacity in use 80.0 %
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 500.00 kW
Manufacturer Dielectric
Model TUA-C4SP-12/40U-1-S
Year 2007

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

Facility ID Call Sign
58912 KCSM-TV
35500 KQED
43095 KMTP-TV
51429 KFSF-DT
71586 KCNS

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 5
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
34
28
30
32

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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 Bottom
Polarization Elliptical
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: 1000.00 kW
Manufacturer
Model TFU-19JSC/VP-R C150SP
Year 2009

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? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Bottom
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: 714.00 kW
Manufacturer
Model TFU-19JSC/VP-R C150 SP
Year 2019
Justification for New Antenna Current antenna is single-channel, and cannot be retuned to new frequency.

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 6 1/8 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

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

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 When Main Isn't Available
Ownership Leased
Owner Sutro Tower, Inc.
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 20'
Other Segment Length
Number of parallel runs 1
Length 745 feet per run

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

Facility ID Call Sign
58912 KCSM-TV
35500 KQED
43095 KMTP-TV
71586 KCNS

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Assd. Transmission Line

Various transmission lines and hardware to restore non-repacked stations after tower reinforcement.

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 1085 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 8 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1085 feet per run
Justification for New Transmission Line Reduce structural stress on tower and Stack B to reduce structural reinforcement needs. (See Exhibit 5.)

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

RF Accessories

Coaxial Switch, Switch Controller, Test Load. (See Exhibit 3, Item D)

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 No
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
35500 KQED DTV
34470 KGO-TV DTV
25452 KPIX-TV DTV
43095 KMTP-TV DTV
35703 KTVU DTV
54770 KFOG FM
51429 KFSF-DT DTV
71586 KCNS DTV
58912 KCSM-TV DTV
6380 KOIT FM
59964 KISQ FM
65484 KOSF FM
70032 KSOL FM
65526 KRON-TV DTV

Primary Tower

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Tower Modification Costs

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

Tower Mapping

Tower mapping for preparation of documentation necessary for tower load study.

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 250
Explanation Company lacks sufficient internal resources.
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 No
Quantity N/A
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 No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare and file Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare request for Special Temporary Authority No
Quantity N/A
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 No
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

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
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? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Alternate Site Studies

Pre, Post and Alternate Site Studies

Architectural Plans

Architectural plans, building mapping, update plans.

Fork Lift Rental

Utilized to deliver equipment from storage, remove equipment from transmitter room.

Legal Fees

Legal Fees

Public Relations

Required as part of zoning effort.

Site Survey

Determine actual site conditions and determine the materials and components required for system installation integration of the site with the transmitter equipment. See Exhibit 12.

KFOG Interim Antenna

Temporarily Relocate KFOG(FM) Antenna.

VSWR Monitoring

VSWR Monitoring and antenna lockout system.

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 $2,022,134.82 $2,150,233.64 N/A $0.00 N/A
Total for all systems $5,079,694.46 $5,904,607.28 N/A $129,987.34 N/A
Primary Transmitter ULXTE-100 $2,022,134.82 $2,150,233.64 $0.00
Transformer 3 phase/480v - 300 KVA $35,850.00 $12,998.82 Please see Exhibit 3, Item D. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 62.7 kW $1,862,428.82 $1,862,428.82 Existing transmitter cannot be re-tuned (Exhibit 1), proposed transmitter (Exhibit 3, items A, B, and E) costs less than non-upgraded IOT transmitter (Exhibit 2.) 62.7 kW power level is consistent with Widelity Costs for similar power levels. N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,050.00 $165,000.00 See Exhibit 4. N/A N/A
Other -- Building Addition Size: 0.0 $109,806.00 $109,806.00 Abatement, Flooring, Demo, Paint, Fire Stop, Seismic (Please See Exhibit 4.) 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 $354,690.00 $335,010.00 N/A $0.00 N/A
Total for all systems $5,079,694.46 $5,904,607.28 N/A $129,987.34 N/A
Primary Antenna TFU-19JSC/VP-R C150 SP $263,020.00 $269,770.00 $0.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $5,000.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $22,000.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $13,730.00 This is the quoted amount. Please see Exhibit 6, line 2. N/A N/A
Sweep test of existing antenna $6,550.00 $12,240.00 Please See Exhibit 9, Line 4. N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 714 kW input, directional,, elliptically or circularly polarized $216,800.00 $216,800.00 This high-power, side-mount antenna has the same model number as the licensed KBCW(TV) antenna and is thus a direct post-transition channel substitute. See Exhibit 6, line 1. N/A N/A
Auxiliary Antenna TUA-C4SP-12/40U-1-S $91,670.00 $65,240.00 $0.00
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 500 horizontally polarized $0.00 $0.00 The existing antenna is being re-tuned. N/A N/A
Sweep test of existing antenna $6,550.00 $12,240.00 N/A N/A N/A
New combiner, cost per channel (without antenna) $80,000.00 $48,000.00 Please see Exhibit 7 Page 58. Combiner used by 4 stations; cost shared among 2 repacking stations. N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $5,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $471,721.64 $744,263.64 N/A $0.00 N/A
Total for all systems $5,079,694.46 $5,904,607.28 N/A $129,987.34 N/A
Primary Transmission Line $425,488.64 $698,030.64 $0.00
Rigid Transmission Line - copper, 8 3/16" $366,730.00 $639,272.00 Irregular tower shape requires many elbows and hangers. See Exhibit 6, line 3. N/A N/A
RF Accessories $58,758.64 $58,758.64 Coaxial Switch, Switch Controller, Test Load. (See Exhibit 3, Item D) N/A N/A
Auxiliary Transmission Line $46,233.00 $46,233.00 $0.00
Assd. Transmission Line $46,233.00 $46,233.00 Repack to lower frequencies generally requires larger antennas with higher windloading. Structural reinforcement displaces lines of non-repacked stations. This cost reflects those costs. See Exhibit 7, page 47, 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 $1,466,827.00 $1,826,016.00 N/A $3,902.17 N/A
Total for all systems $5,079,694.46 $5,904,607.28 N/A $129,987.34 N/A
Primary Tower TOWER $1,466,827.00 $1,826,016.00 $3,902.17
Tower Mapping $13,877.00 $13,877.00 Required to provide accurate input data to structural analysis. See Exhibit 9. $113.67 N/A
Serious tower reinforcement/modifications $1,024,000.00 $896,300.00 Please see Exhibit 10, Engineering and Shop Drawings, Steel Fabrication, Rigging Plan Review, and Project Management and Insurance and Exhibit 23 Remove old Waveguide Ladder. All estimates were divided equally between KRON, KGO, and KBCW. N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $770,839.00 Sutro Tower is not a typical structure. Includes removal and installation of transmission lines, switches, core drilling and core filling. Please see Exhibits 9, 10, and 11 for rigging estimates. N/A N/A
Structural engineering tower load study for a documented tower with candelabra $19,450.00 $145,000.00 Sutro Tower is not a typical structure. (See Exhibit 8.) $3,788.50 N/A

Components

Actual Information Description File Name
Tower Mapping

Component Description:
See Exhibit 24, Line 5
Amount:
$113.67
Serious tower reinforcement/modifications Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Structural engineering tower load study for a documented tower with candelabra

Component Description:
See Exhibit 24 Line 58.
Amount:
$3,788.50

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 $158,820.00 $243,833.00 N/A $9,206.46 N/A
Total for all systems $5,079,694.46 $5,904,607.28 N/A $129,987.34 N/A
Outside Professional Services $158,820.00 $243,833.00 $9,206.46
RF Exposure Measurements $20,500.00 $3,333.00 Please see Exhibit 14. N/A N/A
Comprehensive coverage verification via field study, if needed $81,900.00 $75,000.00 Please see Exhibit 14 N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,050.00 $2,000.00 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
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A
Project management of the transition $38,500.00 $148,000.00 Company lacks sufficient internal resources. 250 hours at $150 per hour plus time estimated in Exhibit 13. $5,315.63 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $3,890.83 N/A

Components

Actual Information Description File Name
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition

Component Description:
See Exhibit 24, Line 129. For work performed, dates, hours, and rate, please see Exhibit 25. The total shown was divided by the six repacking stations.
Amount:
$5,315.63
Perform engineering study for new channel assignment and antenna development

Component Description:
See Exhibit 24 Line 3.
Amount:
$3,890.83

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 $605,501.00 $605,251.00 N/A $116,878.71 N/A
Total for all systems $5,079,694.46 $5,904,607.28 N/A $129,987.34 N/A
Other Expenses $605,501.00 $605,251.00 $116,878.71
KFOG Interim Antenna $63,037.00 $63,037.00 Repack requires KFOG's antenna to be deactivated. Sutro attorney (see Exhibit 20) says repacking stations must pay pro rata costs (see last item of Exhibit 9 as well as Exhibits 21 and 22 - all divided by one-third). N/A N/A
Public Relations $19,108.00 $19,108.00 Public relations required for zoning hearings, neighbors, and government officials. See Exhibit 18. $237.50 N/A
Alternate Site Studies $98,664.00 $98,664.00 Pre, post and alternate site studies. $93,511.10 N/A
Legal Fees $8,333.00 $8,333.00 Legal fees. See Exhibit 13. $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $8,333.00 $8,333.00 Please see exhibit 15. N/A N/A
Equipment Delivery and Handling Charges $32,000.00 $32,000.00 Please see Exhibit 15 and Exhibit 3. N/A N/A
Equipment Storage $20,833.00 $20,833.00 Please see Exhibit 15. N/A N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A
Architectural Plans $25,554.00 $25,554.00 Architectural Plans, Building Mapping, Update Plans. See Exhibit 16. N/A N/A
Fork Lift Rental $25,636.00 $25,636.00 Required to move equipment from storage to transmitter and combiner room, throughout site. See Exhibit 17. N/A N/A
VSWR Monitoring $96,125.00 $96,125.00 VSWR Monitoring of antennas, transmission line, and combiner. Helps assure equipment won't be damaged by excessive transmitter power during fault conditions. See Exhibit 19. N/A N/A
Local Zoning $183,333.00 $183,333.00 Please see Exhibit 13. $23,130.11 N/A
Site Survey $12,295.00 $12,295.00 Determine actual site conditions and determine the materials and components required for system installation/integration of the customers site with the transmitter equipment. See Exhibit 12. N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A N/A N/A

Components

Actual Information Description File Name
KFOG Interim Antenna Information not provided.
Public Relations

Component Description:
See Exhibit 24 Line 57
Amount:
$237.50
Alternate Site Studies

Component Description:
See Exhibit 24 Lines 1, 2, & 4 which total $93,511.11. Subtracted a one-cent compounded rounding error.
Amount:
$93,511.10
Legal Fees Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Equipment Storage Information not provided.
MVPD Notification of Channel Change Information not provided.
Architectural Plans Information not provided.
Fork Lift Rental Information not provided.
VSWR Monitoring Information not provided.
Local Zoning

Component Description:
See Exhibit 24 Lines 56 and 139.
Amount:
$23,130.11
Site Survey Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,079,694.46 $5,904,607.28 $129,987.34

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.

Andrew J. Siegel

Assistant Secretary


12/06/2017

Attachments

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