Go to the Federal Communications Commission homepage at www.fcc.gov

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:
0000028007
FRN:
0015452238
Facility ID:
35434
Repack Channel:
26 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
02/07/2018

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRIFFIN LICENSING, L.L.C.

Doing Business As: Griffin Licensing, L.L.C.

Trevor Wiseman

7401 N. KELLEY AVENUE

OKLAHOMA CITY, OK 73111

United States

+1 (405) 841-9106 trevor.wiseman@griffincommunications.net Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

Back to Top
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 Please see attached Transition Plan Narrative.

Transmitters

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

Primary Transmitter

Back to Top

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 CDP3260P2
Year 2001
Type Inductive Output Tube
IOT Power Type Two
Description  
Power capacity 64.2 kw
Solid State Cooling  
Solid State Power Capacity  
Other Transmitter Type  

Primary Transmitter

Back to Top

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 63 kw
Other Transmitter Type  
Justification for New Transmitter See attached Transition Plan Narrative

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Auxiliary Antenna

Back to Top

Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use Auxiliary (Backup)
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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: 869.60 kW
Manufacturer
Model TFU-28DSC-R O4
Year 2008

Auxiliary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type 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: 730.00 kW
Manufacturer
Model TFU-30DSC O4A
Year 2018
Justification for New Antenna See attached Transition Plan Narrative.

Auxiliary Antenna

Back to Top

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? Broadband
Feed Line Size 7 3/16 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

Auxiliary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Primary Antenna

Back to Top

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
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: 840.00 kW
Manufacturer
Model TFU-30GBH-R O8
Year 2008

Primary Antenna

Back to Top

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? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
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: 574.00 kW
Manufacturer
Model TFU-25JBH/VP-R O8
Year 2018
Justification for New Antenna See attached Transition Plan Narrative.

Primary Antenna

Back to Top

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? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Auxiliary Transmission Line

Back to Top

Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use Auxiliary (Backup)
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 7 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1680 feet per run

Auxiliary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

Sweep Test

Sweep test of existing transmission line to verify ability to support post-auction channel 26

Primary Transmission Line

Back to Top

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 Rigid
Diameter 6 1/8 inches
Segment Length 19 ¾ '
Other Segment Length
Number of parallel runs 1
Length 1950 feet per run

Primary Transmission Line

Back to Top

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 6 1/8 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 1950 feet per run
Justification for New Transmission Line See attached Transition Plan Narrative.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

Back to Top
Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

Back to Top

Add 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?
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 1011355
Coordinates (NAD83) Latitude (NAD83) 36° 01' 15.0" N-
Longitude (NAD83) 095° 40' 33.0" W-
Overall Structure Height 1838.89 feet
Support Structure Height 1838.89 feet
Ground Elevation Above Mean Sea Level (AMSL) 709.97 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner TULSA TOWER JOINT VENTURE
Date Constructed 09/01/1984

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
66195 KOED-TV DTV
59439 KJRH-TV DTV
37099 KWHB DTV
81517 KWTU FM
66586 KWGS FM

Primary Tower

Back to Top

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: Minor Reinforcements needed

Primary Tower

Back to Top

Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Other
Helicopter Services Required Are helicopter services required? No

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

Auxiliary antenna replacement

Replace auxiliary antenna

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 711
Explanation Please see Transition Plan Narrative.
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

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Transmitter Installation

MARSAND is retained to install and commission transmitter.

Other Expenses

Back to Top
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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
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

Back to Top

Other Expenses Not Listed

Name Description

Aux Antenna - RFreight

Aux Antenna - RFreight, shipping, and handling as per Dielectric invoice attached SO 87002 KOTV Invoice MAN00153.pdf line item 30.

Main Antenna - RFreight

Main Antenna - RFreight, shipping, and handling as per Dielectric invoice attached SO 87002 KOTV Invoice MAN00153.pdf line item 32.

Transmitter Shipping-Handling

Shipping - Handling for GatesAir Transmitter as per attached quote - KOTVULXTE80.pdf

Cost Information

Back to Top

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 $1,408,450.00 $1,407,400.00 N/A $453,919.37 N/A
Total for all systems $3,728,083.00 $3,956,806.00 N/A $774,472.53 N/A
Primary Transmitter ULXTE-100 $1,408,450.00 $1,407,400.00 $453,919.37
3" Rigid Conduit and Wiring (Cost per foot) $10,000.00 $9,800.00 N/A N/A N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 63 kW $1,361,300.00 $1,361,300.00 See Gates Air quotes for ULXTE80 and ULXTE80to100 upgrade for base and upgrade. This quote does not include Installation and Commissioning. Installation and commission is handled by MARSAND. $453,919.37 N/A

Components

Actual Information Description File Name
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 63 kW

Component Description:
GatesAir 1/3 ARO - down payment for transmitter - As per Quote GA-00023857
Amount:
$453,919.37

Cost Information

Back to Top

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 $615,070.00 $852,320.00 N/A $191,675.55 N/A
Total for all systems $3,728,083.00 $3,956,806.00 N/A $774,472.53 N/A
Primary Antenna TFU-25JBH/VP-R O8 $300,050.00 $538,520.00 $127,104.45
Sweep test of existing antenna $6,550.00 $6,400.00 Please see transition plan narrative and attached Dielectric Main Antenna Quote for base and upgrade. $2,112.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $281,500.00 $500,200.00 Antenna is the bottom antenna in a stacked set and pre-determined costs will likely double. For details, see attached Transition Plan Narrative and attached Dielectric Main Antenna Quote for base and upgrade. $121,042.35 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $31,920.00 Please see transition plan narrative and attached Dielectric Main Antenna Quote for base and upgrade. $3,950.10 N/A
Auxiliary Antenna TFU-30DSC O4A $315,020.00 $313,800.00 $64,571.10
Sweep test of existing antenna $6,550.00 $6,400.00 Please see transition plan narrative and attached Dielectric Aux Antenna Quote for base and upgrade. $2,112.00 N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,400.00 $16,000.00 Please see transition plan narrative and attached Dielectric Aux Antenna Quote for base and upgrade. $3,950.10 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $22,000.00 N/A $5,420.25 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
UHF - High Power, Side Mount, basic slot antenna, 730 kW input, elliptically or circularly polarized $264,400.00 $264,400.00 See Transition Plan Narrative and attached Dielectric Aux Antenna Quote for base and upgrade. $53,088.75 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
Sweep - on-site for KOTV Main. Item 33 on invoice, first 33%.
Amount:
$2,112.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
UHF Main Antenna, VPOL, Top Plate. Items 1,2,3 on invoice. First 33%.
Amount:
$121,042.35
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex 6-75 Digit KOTV Main. Item 4 on invoice - first 33%
Amount:
$3,950.10
Sweep test of existing antenna

Component Description:
Sweep on-site KOTV Aux. Item 31 on invoice. First 33%.
Amount:
$2,112.00
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow complex 6-75 KOTV Aux, item 27 on invoice. First 33%.
Amount:
$3,950.10
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
KOTV Aux Side Mounts, also includes scatter study. Item 26 on invoice. First 33%
Amount:
$5,420.25
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 730 kW input, elliptically or circularly polarized

Component Description:
UHF - Side Mount Aux Antenna KOTV. Item 24 invoice. First 33%
Amount:
$53,088.75

Cost Information

Back to Top

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 $390,550.00 $411,000.00 N/A $105,218.93 N/A
Total for all systems $3,728,083.00 $3,956,806.00 N/A $774,472.53 N/A
Primary Transmission Line $384,150.00 $404,600.00 $105,218.93
Rigid Transmission Line - copper, 6 1/8" $384,150.00 $404,600.00 Please see transition plan narrative and attached Dielectric Main Antenna Quote for base and upgrade. $105,218.93 N/A
Auxiliary Transmission Line $6,400.00 $6,400.00 $0.00
Sweep Test $6,400.00 $6,400.00 Transmission line manufacturer recommends testing the line for ability to support post-auction channel 26. See attached Auxiliary line sweep recommendation. $0.00 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Rigid Transmission Line, TLSCR's, Reducer, and Test port. Items 5, 9, 28, and 29 on invoice. First 33%.
Amount:
$105,218.93
Sweep Test Information not provided.

Cost Information

Back to Top

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 $775,300.00 $762,000.00 N/A $0.00 N/A
Total for all systems $3,728,083.00 $3,956,806.00 N/A $774,472.53 N/A
Primary Tower TOWER $775,300.00 $762,000.00 $0.00
Minor tower reinforcement/modifications $153,500.00 $150,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,300.00 $12,000.00 N/A N/A N/A
Auxiliary antenna replacement $200,000.00 $200,000.00 N/A $0.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $400,000.00 Tower has a stacked antennas. Please see transition plan narrative. N/A N/A

Components

Information not provided.

Cost Information

Back to Top

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 $409,619.00 $403,500.00 N/A $13,100.00 N/A
Total for all systems $3,728,083.00 $3,956,806.00 N/A $774,472.53 N/A
Outside Professional Services $409,619.00 $403,500.00 $13,100.00
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,100.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,050.00 $2,000.00 N/A $1,850.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A $2,250.00 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $6,500.00 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
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A $2,500.00 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, License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Project management of the transition $109,494.00 $106,650.00 N/A N/A N/A
RF Exposure Measurements $20,500.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $81,900.00 $80,000.00 N/A N/A N/A
Transmitter Installation $160,600.00 $160,600.00 MARSAND to install and commission transmitter. Please see attached MARSAND quote 1756. N/A N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application

Component Description:
Prepare engineering section of FCC Form 2100, CP (AUX).
Amount:
$1,850.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare engineering section of FCC Form 2100, CP Main
Amount:
$2,250.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform engineering study for new channel assignment and antenna development - complex system: multi-channel, shared combiner, multi-tenant site
Amount:
$6,500.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Prepare and/or review reimbursement form.
Amount:
$2,500.00
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, License to Cover Application Information not provided.
Project management of the transition Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
Transmitter Installation Information not provided.

Cost Information

Back to Top

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 $129,094.00 $120,586.00 N/A $10,558.68 N/A
Total for all systems $3,728,083.00 $3,956,806.00 N/A $774,472.53 N/A
Other Expenses $129,094.00 $120,586.00 $10,558.68
Main Antenna - RFreight $22,318.00 $22,318.00 Main Antenna - RFreight, shipping, and handling as per Dielectric invoice attached SO 87002 KOTV Invoice MAN00153.pdf line item 32. $7,364.94 N/A
Aux Antenna - RFreight $9,678.00 $9,678.00 Aux Antenna - RFreight, shipping, and handling as per Dielectric invoice attached SO 87002 KOTV Invoice MAN00153.pdf line item 30. $3,193.74 N/A
Transmitter Shipping-Handling $13,500.00 $13,500.00 Shipping - Handling for GatesAir Transmitter as per attached quote - KOTVULXTE80.pdf N/A N/A
MVPD Notification of Channel Change $750.00 $750.00 Please see attached MVPD Notification Quote. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $27,000.00 $27,000.00 Existing transmitter removal and fluid recovery. Remove and dispose of existing main and auxiliary antennas and transmission line. See attached MARSAND quote 1755. $0.00 N/A
Develop and air announcement of upcoming channel change $43,000.00 $43,000.00 Cost estimates associated with outsourcing the production of the viewer announcements for the upcoming channel change. Refer to KOTV GMSRepackRescanEstimate.pdf in the attachments. $0.00 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 $333.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $2,755.00 N/A N/A N/A

Components

Actual Information Description File Name
Main Antenna - RFreight

Component Description:
Main Antenna Freight, Shipping, and Handling - 1/3 ARO invoice amount as per invoice line item 32 - SO 827002 KOTV Invoice MAN00153.pdf
Amount:
$7,364.94
Aux Antenna - RFreight

Component Description:
Aux Antenna Freight, Shipping, and Handling - 1/3 ARO invoice amount as per invoice line item 30 - SO 827002 KOTV Invoice MAN00153.pdf
Amount:
$3,193.74
Transmitter Shipping-Handling Information not provided.
MVPD Notification of Channel Change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,728,083.00 $3,956,806.00 $774,472.53

Construction Status

Back to Top
Question Response
Is construction complete? No

Certification

Back to Top
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.

Trevor Wiseman

VP of Technology


02/07/2018

Certification

Back to Top
Section Question Response
Submission of Actual Cost Documentation 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. 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).

  4. 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.

  5. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  6. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  7. 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.

Trevor Wiseman

VP of Technology


02/07/2018

Attachments

Back to Top