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:
53465
Service:
DTV
Call Sign:
WKCF
Channel:
23 (UHF)
File Number:
0000026735
FRN:
0002538445
Date Submitted:
02/26/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

HEARST PROPERTIES INC.

Doing Business As: HEARST PROPERTIES INC.

Mark J. Prak

C/O BROOKS, PIERCE ET AL.

P.O. BOX 1800

RALEIGH, NC 27602

United States

+1 (919) 839-0300 mprak@brookspierce.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. Yes
Briefly describe transition plan see attached document

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model DCX-2H
Year 2002
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 45 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-80
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 50.1 kW
Justification for New Transmitter Existing IOT txmtr cannot be converted to post-transition channel, see Comark Re-tune statement. An IOT replacement is more expensive than proposed SS txmtr. See attached Comark IOT Transmitter quote.

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) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 4 inches
Length 150.0 feet
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

Name Description

Shipping

Transmitter shipping

Electrical Accessories

Surge protection required by transmitter manufacturer

Transmitter de-install

remove old transmitter

Sales Tax

transmitter sales tax

RF Accessories

Additional RF components required for transmitter operatoin

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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: 1000.0 kW
Manufacturer
Model TFU-24GTH S180 DC
Year 2001

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 Types 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-24GIH-RS180
Year 2019
Justification for New Antenna Current antenna is channel specific and cannot be used on post-transition channel. Antenna must be replaced.

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 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

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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 Lease New
Ownership Leased
Owner American Tower Corp.
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 4
Number of Panels/Bays 24
Lower Limit 470.00 MHz
Upper Limit 680.00 MHz
Design power capacity in use 39.0 %
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-24WB/VP-1-R S230
Year 2019
Justification for New Antenna WKCF has no auxiliary antenna. Interim antenna needed while main antenna and transmission line are replaced.

Interim 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 4
Frequencies of channels supported Upper and lower frequency
Frequency 488.0 MHz - 608.0 MHz
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an 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

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Combiner Installation

WKCF portion of combiner installation

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 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
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1850 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 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1850 feet per run
Justification for New Transmission Line Current transmission line segment length is not compatible with post-transition channel and must be replaced.

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 Lease New
Type Rigid
Diameter 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1525 feet per run
Justification for New Transmission Line line needed for interim antenna

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 Leased
Is this tower consider Complex? Candelabra
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1212124
Coordinates (NAD83) Latitude (NAD83) 28° 35' 12.6" N-
Longitude (NAD83) 081° 04' 57.5" W-
Overall Structure Height 1682.07 feet
Support Structure Height 1574.13 feet
Ground Elevation Above Mean Sea Level (AMSL) 66.93 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 03/18/2002

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
5802 WOTF-DT DTV
60018 WACX DTV
24582 WHLV-TV DTV
9881 WTGL DTV

Other Types of Users

Users
WOFT-LD

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: Minor 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 Permit Drawing Package

The generation of a permitting drawing package for one (1) broadcasters/customers.

Tower Project Management

(10) hours on Modification project management and (10) hours for RF installation project management for a total of ten (10) days,

Ground and Building A-E Permit Drawing Package

The generation of a permitting drawing package for one (1) broadcasters/customers.

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 760
Explanation On site management of transmitter installation, line-antenna replacement, and tower work.
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 Yes
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Site Coordination Meeting

Site coordination meetings with all broadcasters, contractors and vendors involved with the site project.

Transmitter Site Survey

Transmitter planning survey & transmitter building drawings

Migratory Bird Assessment -Permitting

Osprey prone area per attached ATC documentation

RF System Test

Testing of the combiner to ensure all frequencies are tuned for optimal patterns per attached ATC documentation.

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 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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

ATC one-time tower rental

ATC one-time tower rental during market repack period per attached ATC documentation

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,693,810.00 $1,665,848.00 N/A $421,002.31 N/A
Total for all systems $3,816,430.00 $3,267,068.00 N/A $765,724.06 N/A
Primary Transmitter ULXTE-80 $1,693,810.00 $1,665,848.00 $421,002.31
RF Accessories $76,222.00 $76,222.00 Additional RF components required for transmitter operation and integration into current RF environment per GatesAir quote N/A N/A
Sales Tax $97,753.00 $97,753.00 transmitter sales tax per attached GatesAir quote N/A N/A
Transmitter de-install $23,058.00 $23,058.00 removal of old transmitter $5,790.00 N/A
Electrical Accessories $1,943.00 $1,943.00 Transmitter manufacturer required surge protection per attached GatesAir quote N/A N/A
Shipping $13,500.00 $13,500.00 transmitter shipping per attached GatesAir quote N/A N/A
4" Rigid Conduit and Wiring (Cost per foot) $15,150.00 $14,400.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 50.1 kW $1,391,184.00 $1,391,184.00 GatesAir quote sections A, B & E. This is the transmitter, mask filter, installation and proof per the FCC "transmitter" definition. Also see attached document for transmitter size justification. $415,212.31 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $11,488.00 N/A N/A N/A

Components

Actual Information Description File Name
RF Accessories Information not provided.
Sales Tax Information not provided.
Transmitter de-install

Component Description:
transmitter removal to provide space for repack transmitter
Amount:
$5,790.00
Electrical Accessories Information not provided.
Shipping Information not provided.
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 50.1 kW

Component Description:
Transmitter 1st deposit
Amount:
$151,024.44

Component Description:
Transmitter 2nd deposit
Amount:
$264,187.87
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 300 KVA 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 $467,660.00 $381,100.00 N/A $186,999.75 N/A
Total for all systems $3,816,430.00 $3,267,068.00 N/A $765,724.06 N/A
Interim Antenna TFU-24WB/VP-1-R S230 $201,630.00 $128,000.00 $0.00
Combiner Installation $5,000.00 $5,000.00 WKCF portion of combiner installation per attached ATC documentation N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $6,000.00 N/A N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $20,000.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 1000 kW input, directional,, elliptically or circularly polarized $92,000.00 $92,000.00 WKCF portion of interim antenna per attached ATC documentation N/A N/A
Sweep test of existing antenna $6,730.00 $5,000.00 N/A N/A N/A
Primary Antenna TFU-24GIH-RS180 $266,030.00 $253,100.00 $186,999.75
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $11,700.00 N/A $0.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $235,000.00 N/A $186,999.75 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Combiner Installation Information not provided.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
New combiner, cost per channel (without antenna) Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 1000 kW input, directional,, elliptically or circularly polarized Information not provided.
Sweep test of existing antenna Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Dielectric WKCF, Main Antenna; 9.19.2017; $186,999.75 payments 1&2 - 45%
Amount:
$186,999.75
Sweep test of existing antenna 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 $727,500.00 $478,725.00 N/A $132,934.50 N/A
Total for all systems $3,816,430.00 $3,267,068.00 N/A $765,724.06 N/A
Interim Transmission Line $353,800.00 $123,525.00 $0.00
Rigid Transmission Line - copper, 6 1/8" broadband $353,800.00 $123,525.00 WKCF portion of transmission line per attached ATC documentation N/A N/A
Primary Transmission Line $373,700.00 $355,200.00 $132,934.50
Rigid Transmission Line - copper, 6 1/8" $373,700.00 $355,200.00 N/A $132,934.50 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8" broadband Information not provided.
Rigid Transmission Line - copper, 6 1/8"

Component Description:
WKCF Dielectric transmission line payments 1&2 - 45%; $132,934.50
Amount:
$132,934.50

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 $610,900.00 $437,555.00 N/A $0.00 N/A
Total for all systems $3,816,430.00 $3,267,068.00 N/A $765,724.06 N/A
Primary Tower GTOWER $610,900.00 $437,555.00 $0.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 see attached tower rigging explanation N/A N/A
Tower Project Management $2,500.00 $2,500.00 per attached ATC documentation N/A N/A
Ground and Building A-E Permit Drawing Package $4,700.00 $4,700.00 per attached ATC documentation N/A N/A
Tower Permit Drawing Package $4,700.00 $4,700.00 per attached ATC documentation N/A N/A
Minor tower reinforcement/modifications $158,000.00 $12,500.00 N/A N/A N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $13,155.00 per attached ATC documentation N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $205,630.00 $194,475.00 N/A $24,787.50 N/A
Total for all systems $3,816,430.00 $3,267,068.00 N/A $765,724.06 N/A
Outside Professional Services $205,630.00 $194,475.00 $24,787.50
RF System Test $5,000.00 $5,000.00 Testing of the combiner to ensure all frequencies are tuned for optimal patterns per attached ATC documentation. N/A N/A
Migratory Bird Assessment -Permitting $875.00 $875.00 per attached ATC documentation N/A N/A
Transmitter Site Survey $20,600.00 $20,600.00 Transmitter planning survey & transmitter building drawings $20,600.00 N/A
Site Coordination Meeting $1,000.00 $1,000.00 per attached ATC documentation N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $250.00 per attached ATC documentation N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
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 $2,012.50 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $2,175.00 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 N/A N/A
Project management of the transition $120,080.00 $114,000.00 N/A N/A N/A

Components

Actual Information Description File Name
RF System Test Information not provided.
Migratory Bird Assessment -Permitting Information not provided.
Transmitter Site Survey

Component Description:
WKCF GatesAir Site survey
Amount:
$20,600.00
Site Coordination Meeting Information not provided.
RF Exposure Measurements Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
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:
Prepare engineering section of FCC Form 2100, Construction Permit Application
Amount:
$2,012.50
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
engineering study for new channel assignment
Amount:
$1,375.00

Component Description:
engineering study for new channel assignment
Amount:
$800.00
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 Information not provided.
Project management of the transition Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $110,930.00 $109,365.00 N/A $0.00 N/A
Total for all systems $3,816,430.00 $3,267,068.00 N/A $765,724.06 N/A
Other Expenses $110,930.00 $109,365.00 $0.00
ATC one-time tower rental $57,600.00 $57,600.00 ATC one-time tower rental during market repack period per attached ATC documentation. N/A N/A
MVPD Notification of Channel Change $2,500.00 $2,500.00 Attorney assistance in coordinating MVPD notification N/A N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 Attorney review to ensure FCC compliance N/A N/A
Equipment Delivery and Handling Charges $5,000.00 $5,000.00 per attached ATC documentation N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $10,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
Local Zoning $750.00 $750.00 per attached ATC documentation N/A N/A
Equipment Storage $30,500.00 $30,500.00 Estimate for 1 year of antenna storage. See attached Dielectric document. N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,816,430.00 $3,267,068.00 $765,724.06

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.

John Drain

Hearst Television SVP Chief Financial Officer


02/26/2018

Attachments

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