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:
608
Service:
DTV
Call Sign:
KVTH-DT
Channel:
16 (UHF)
File Number:
0000028438
FRN:
0001554666
Date Submitted:
02/08/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

VICTORY TELEVISION NETWORK, INC.

Jim Grant

P.O. BOX 26207

LITTLE ROCK, AR 72221

United States

+1 (501) 223-2525 jim.grant@vtntv.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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Please see Transition Plan Narrative.

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 Axcera
Model LU2000ATD
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2 kW

Primary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed N/A
New Mask Filter
Power 3 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 No
Description N/A
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

Information not provided.

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model TMU9-3
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 3 kW
Justification for New Transmitter Interim transmitter to feed the interim antenna located lower on the tower for the pre-auction channel to avoid prolonged off-air period during the transition in order to meet the construction deadline.

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical installation for interim transmitter.
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
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top 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: 66.4 kW
Manufacturer
Model TWSC-30C
Year 1994

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top 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: 52.6 kW
Manufacturer
Model TFU-24ETT-RS200
Year 2018
Justification for New Antenna Antenna is slotted coaxial and cut to a single channel. As such, it is not retunable. See narrative.

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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
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

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 55.0 kW
Manufacturer
Model TFU-16WB-1-R S230
Year 2018
Justification for New Antenna Interim antenna to operate lower on the tower for the pre-auction channel to avoid prolonged off-air period during the transition in order to meet the construction deadline.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 4 1/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 450 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 400 feet per run
Justification for New Transmission Line Transmission line to connect the interim transmitter to the interim antenna to operate lower on the tower for the pre-auction channel to avoid prolonged off-air period during the transition in order to meet the construction deadline.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1049466
Coordinates (NAD83) Latitude (NAD83) 34° 22' 20.0" N-
Longitude (NAD83) 093° 02' 49.0" W-
Overall Structure Height 460.95 feet
Support Structure Height 400.91 feet
Ground Elevation Above Mean Sea Level (AMSL) 950.12 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Victory Television Network, Inc.
Date Constructed 01/01/1996


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 undocumented/poorly documented tower
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 N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Interim Installation

Install interim antenna and transmission line.

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 350
Explanation Please see attached 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 No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

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

Information not provided.

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 $239,994.20 $234,896.32 N/A $55,345.41 N/A
Total for all systems $2,053,164.20 $1,946,507.64 N/A $668,012.64 N/A
Interim Transmitter TMU9-3 $130,639.20 $130,639.20 $38,741.76
UHF - Air Cooled Solid State Transmitter 3 kW $129,139.20 $129,139.20 No 3kw transmitter cost is given in the catalog of estimated expenses. Our 3kw transmitter costs $129,139.20. The minimum cost in the catalog for a 4kw is $157,000. While there is no catalog price range for the needed 3KW, this cost is in line. $38,741.76 N/A
Other Electrical Service: Electrical installation for interim transmitter. $1,500.00 $1,500.00 Electrical installation for interim transmitter. N/A N/A
Primary Transmitter LU2000ATD $109,355.00 $104,257.12 $16,603.65
3 kW mask filter $4,155.00 $4,257.12 Axcera, our primary transmitter manufacturer, appears to be incapable of rechanneling services. They don't respond to calls or e-mails, necessitating 3rd party rechanneling, which costs slightly more. $1,277.14 N/A
UHF and VHF - minor banding issues $105,200.00 $100,000.00 N/A $15,326.51 N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 3 kW

Component Description:
Invoice & Quote for the KVTH interim 3kw transmitter. Invoice represents initial 30% downpayment. Delivery is listed on invoice but not included in this total
Amount:
$38,741.76
Other Electrical Service: Electrical installation for interim transmitter. Information not provided.
3 kW mask filter

Component Description:
Invoice & Quote for a mask filter needed to rechannel our existing primary transmitter. This invoice represents a 30% down payment necessary to start work on this component.
Amount:
$1,277.14
UHF and VHF - minor banding issues

Component Description:
Initial payment for equipment & services needed to rechannel our existing primary transmitter to our newly assigned channel. This invoice represents a 30% down payment necessary to start work on this component. Mask filter not included in this total.
Amount:
$15,326.51

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 $420,770.00 $376,345.60 N/A $151,925.04 N/A
Total for all systems $2,053,164.20 $1,946,507.64 N/A $668,012.64 N/A
Interim Antenna TFU-16WB-1-R S230 $124,540.00 $134,945.60 $55,418.98
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $106,545.60 This increase reflects the actual cost for the interim antenna. This cost is still within the range of estimated costs given by the FCC Catalog of Potential Expenses. See quote. $47,945.52 This increase reflects the actual cost for the interim antenna. This cost is still within the range of estimated costs given by the FCC Catalog of Potential Expenses. See quote.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $0.00 The cost for a scatter study has been included with the interim antenna bracket cost component. N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 Cost of an interim scatter study included with this cost component. $4,593.46 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $2,880.00 N/A
Primary Antenna TFU-24ETT-RS200 $296,230.00 $241,400.00 $96,506.06
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $2,880.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $235,000.00 N/A $93,626.06 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
Initial payment for interim high-power antenna. This invoice represents a 45% down payment necessary to start work on this component.
Amount:
$47,945.52
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Initial payment for interim antenna mount/bracket & the interim scatter study. The scatter study is bundled into this cost. This invoice represents a 45% down payment necessary to start work on this component.
Amount:
$4,593.46
Sweep test of existing antenna

Component Description:
Initial payment for field engineer interim line/antenna sweep study with report. This invoice represents a 45% down payment necessary to start work on this component.
Amount:
$2,880.00
Sweep test of existing antenna

Component Description:
Initial payment for field engineer primary existing line/antenna sweep study with report. This invoice represents a 45% down payment necessary to start work on this component.
Amount:
$2,880.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Initial payment for primary antenna & components. This is an elliptical antenna, but we are not requesting reimbursement ($30912) for that aspect. See included Letter. This invoice represents a 45% down payment necessary to start work on this component
Amount:
$93,626.06

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 $23,600.00 $22,400.00 N/A $9,475.09 N/A
Total for all systems $2,053,164.20 $1,946,507.64 N/A $668,012.64 N/A
Interim Transmission Line $23,600.00 $22,400.00 $9,475.09
Flexible Air Transmission Line - dielectric, 3" $23,600.00 $22,400.00 N/A $9,475.09 N/A
Primary Transmission Line $0.00 $0.00 $0.00

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
Initial payment for interim line & related line equipment. This invoice represents a 45% down payment necessary to start work on this component.
Amount:
$9,475.09

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 $1,242,500.00 $1,191,800.72 N/A $425,329.60 N/A
Total for all systems $2,053,164.20 $1,946,507.64 N/A $668,012.64 N/A
Primary Tower TOWER $1,242,500.00 $1,191,800.72 $425,329.60
Short Tower (less than 500') $84,200.00 $110,270.72 Our tower is 460ft which is at the high end of the range for a "short" tower. It is also at the top of a mountain. Our quote for this component is slightly over catalog costs. The tower & site were studied and this is what is required to do the job. $55,135.36 Our tower is 460ft which is at the high end of the range for a "short" tower. It is also at the top of a mountain. Our invoice for this component is slightly over catalog costs. The tower & site were carefully studied and this is what is required to do th
Interim Installation $80,000.00 $80,000.00 Install interim antenna and transmission line. $33,792.64 N/A
Serious tower reinforcement/modifications $1,052,000.00 $1,000,000.00 Please see attached Transition Plan Narrative and Structural Analysis. $334,871.60 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $1,530.00 N/A $1,530.00 N/A

Components

Actual Information Description File Name
Short Tower (less than 500')

Component Description:
Initial payment for tower equipment & rigging of new top-mounted primary antenna & removal of existing top-mounted primary antenna. This invoice represents a 50% down payment necessary to start work on this component.
Amount:
$55,135.36
Interim Installation

Component Description:
Initial payment for tower equipment & rigging of side-mounted interim antenna and interim transmission line. This invoice represents a 50% down payment necessary to start work on this component.
Amount:
$33,792.64
Serious tower reinforcement/modifications

Component Description:
Initial payment for serious tower modifications necessary to accommodate the increased tower load resulting from new primary antenna & new interim antenna/line. This invoice represents a 50% down payment necessary to start work on this component.
Amount:
$334,871.60
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
TOWER CREW COMMISSIONED TO TAKE MEASUREMENTS & PICTURES TO DOCUMENT A TORQUE ARM THAT WAS ADDED TO THE TOWER AFTER THE ORIGINAL CONSTRUCTION. THIS WAS NECESSARY FOR THE STRUCTURAL ENGINEERS TO COMPLETE THEIR LOADING STUDY.
Amount:
$1,530.00

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 $83,380.00 $78,750.00 N/A $15,878.50 N/A
Total for all systems $2,053,164.20 $1,946,507.64 N/A $668,012.64 N/A
Outside Professional Services $83,380.00 $78,750.00 $15,878.50
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $3,028.50 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A $600.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,250.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,500.00 N/A
Project management of the transition $55,300.00 $52,500.00 Please see attached Transition Plan Narrative. $3,000.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $2,500.00 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
KVTH-DT Wiley Rein LLP - Outside Professional Services: Continued email consultation with attorneys to Prepare Form 2100 Construction Permit Application & general issues related to KVTH-DT repack.
Amount:
$204.00

Component Description:
KVTH-DT Wiley Rein LLP - Outside Professional Services: Consultation with attorneys to Prepare Form 2100 Construction Permit Application & other issues related to KVTH-DT repack
Amount:
$816.00

Component Description:
KVTH-DT Wiley Rein LLP - Outside Professional Services: Conference calls and e-mails with attorneys to discuss issues related to preparing Form 2100 Construction Permit Application.
Amount:
$689.00

Component Description:
KVTH-DT Wiley Rein LLP - Outside Professional Services: Attorney review of KVTH-DT channel assignment letter and consultation with management prior to preparing Form 2100 Construction Permit Application.
Amount:
$272.00

Component Description:
KVTH-DT Wiley Rein LLP - Outside Professional Services: Consultation with attorneys to prepare Form 2100 Construction Permit Application and prepare/file minor modification application.
Amount:
$1,047.50
Prepare request for Special Temporary Authorization

Component Description:
REVISED Invoice to prepare STA interim facility request for KVTH-DT. Pay terms are 50% upfront & 50% final. Another request will be submitted for the final 50%. This invoice contains costs related to other components
Amount:
$600.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
REVISED Invoice to prepare the engineering section of FCC Form 2100 & the CP application for KVTH-DT. Pay terms are 50% upfront & 50% final. Another request will be submitted for the final 50%. This invoice contains costs related to other components
Amount:
$1,125.00

Component Description:
REVISED Invoice to prepare the engineering section of FCC Form 2100 & the CP application for KVTH-DT. Pay terms are 50% upfront & 50% final. $1125.00 represents the final payment. This invoice contains costs related to other components.
Amount:
$1,125.00
Perform engineering study for new channel assignment and antenna development

Component Description:
REVISED Invoice to perform eng study-new channel assignment & antenna development. Pay terms are 50% upfront & 50% final. $2250 represents final payment. This invoice contains costs related to other components
Amount:
$2,250.00

Component Description:
REVISED inv. to perform eng study-new channel assignment & antenna development. Pay terms are 50% upfront & 50% final. $2250 represents initial payment. Another request will be submitted for the final 50%.Invoice contains costs related to other components
Amount:
$2,250.00
Project management of the transition

Component Description:
REVISED Invoice for project management of the transition. Our CEs visited the KVTH-DT site to assess it. Pay terms are 50% upfront & 50% final. Another request will be submitted for the final 50%. This invoice contains costs related to other components
Amount:
$3,000.00
Prepare and or review reimbursement form

Component Description:
REVISED Invoice to prepare & review schedule 399 reimbursement form for KVTH-DT. Pay terms are 50% upfront & 50% final. Another request will be submitted for the final 50%. This invoice contains costs related to other components
Amount:
$1,250.00

Component Description:
REVISED Invoice to prepare & review schedule 399 reimbursement form for KVTH-DT. Pay terms are 50% upfront & 50% final. $1250 represents the final payment. This invoice contains costs related to other components.
Amount:
$1,250.00

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 $42,920.00 $42,315.00 N/A $10,059.00 N/A
Total for all systems $2,053,164.20 $1,946,507.64 N/A $668,012.64 N/A
Other Expenses $42,920.00 $42,315.00 $10,059.00
MVPD Notification of Channel Change $1,200.00 $1,200.00 N/A N/A N/A
Equipment Delivery and Handling Charges $23,530.00 $23,530.00 Freight for main and interim antenna and interim transmission line. Offloading equipment rental and labor. This price now reflects known invoiced costs. $10,059.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 Disposal of top mount antenna N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
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

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Initial payment for delivery/handling costs for our interim transmitter. This invoice represents a 30% down payment necessary to start work on this component.
Amount:
$504.00

Component Description:
Initial payment for delivery/handling costs on the antennas & feedline. The two line items are $3825 & $5175 (page 1 & 2). This invoice represents a 45% down payment necessary to start work on this component.
Amount:
$9,000.00

Component Description:
Initial payment for delivery/handling costs on the rechanneling of our primary transmitter. This invoice represents a 30% down payment necessary to start work on this component.
Amount:
$555.00
Disposal Costs (for equipment and other waste, net of any salvage value) 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

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,053,164.20 $1,946,507.64 $668,012.64

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.

Jim Grant

General Manager


02/08/2018

Attachments

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