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:
28324
Service:
DTV
Call Sign:
KTBU
Channel:
33 (UHF)
File Number:
0000028551
FRN:
0016584138
Date Submitted:
03/08/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KTBU LICENSING, INC.

Doing Business As: KTBU LICENSING, INC.

Spanish Broadcasting System, Inc.

7007 NW 77TH AVE.

MIAMI, FL 33166

United States

+1 (305) 441-6901 licensemanagement@sbscorporate.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

Nancy A. Ory , Ory .

Lerman Senter PLLC

Nancy A. Ory

Lerman Senter PLLC

2001 L Street, NW, Suite 400

Washington, DC 20036

United States

+1 (202) 416-6791 nory@lermansenter.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan KTBU will transition to a temporary side mount antenna at the current tower site while the old antenna is removed and a new top mount broad-band antenna is installed. KTBU will purchase and install a new transmitter to operate on channel 33.

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 HP60DDP
Year 2006
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 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 THU9-30 EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 46 kW
Justification for New Transmitter Current IOT based transmitter and combiner can't be re-tuned for channel 33.

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 150 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 2000.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 1500.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Interim Transmitter Installation

Installation of new transmitter into existing RF system, tuning, proofing.

Ice Shield for HVAC equipment

Ice protection for new outdoor HVAC equipment outside the combiner room. The total estimated area is 300 sq. ft.

New Electrical Sub-Panels

New HVAC electrical sub-panels for new AC units required for the repack combiner area fed off of the existing 480/208 main panel. This equipment is required to provide the existing power to the HVAC units.

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 Lease 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? Yes
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 8
Design power capacity in use 50.0 %
Lower Limit 638.00 MHz
Upper Limit 722.00 MHz
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model RD32A-D
Year 2002

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

Facility ID Call Sign
31870 KYAZ

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 Lease New
Is this a request for upgraded equipment? Yes
Ownership Leased
Owner American Tower Corporation
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 Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 4
Number of Panels/Bays 14
Lower Limit 515.00 MHz
Upper Limit 605.00 MHz
Design power capacity in use 90.0 %
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model PEPL42C
Year 2017
Justification for New Antenna Current Antenna will not support post repack assigned channel 33.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 3
Frequencies of channels supported Upper and lower frequency
Frequency 515.0 MHz - 605.0 MHz
Do you need a combiner output splitter/switcher for dual feed lines? Yes
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 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

Name Description

Combiner Installation

Combiner installation cost for three (3) (or 6 modules, 2 per channel) constant impedance waveguide modules and three (3) directional filter modules, for 3 repacked frequency transmitters

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 Corporation
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 Horizontal
Type Broadband Slot
Number of Stations Supported 2
Number of Panels/Bays 24
Lower Limit 470.00 MHz
Upper Limit 692.00 MHz
Design power capacity in use 95.0 %
Other Antenna Type N/A
ERP: 60.0 kW
Manufacturer
Model TFU-24WB-C160
Year 2018
Justification for New Antenna Interim Antenna required to dismantle current top mount and remain on-air while new antenna is installed.

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? 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? B
Feed Line Size 7 3/16 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? No

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Interim Antenna Rental

Rental of Interim Antenna

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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 2200 feet per run

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

Facility ID Call Sign
31870 KYAZ

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? Yes
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 2
Length 2100 feet per run
Justification for New Transmission Line Material cost for two (2) 7-3/16" Broadband rigid transmission lines, three (6) elbows (3 each line) and a nitrogen generator for pressurization control on the dual lines. Two (2) lines at 2100' each or 4200' total.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Internal Transmission Line

Material cost for two (2) 7/316" Transmission lines to connect Transmitter and combiner. Two (2) lines at 200' or 400' total.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? Candelabra
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1059622
Coordinates (NAD83) Latitude (NAD83) 29° 33' 45.2" N-
Longitude (NAD83) 095° 30' 35.9" W-
Overall Structure Height 1974.06 feet
Support Structure Height 1844.14 feet
Ground Elevation Above Mean Sea Level (AMSL) 74.15 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC.
Date Constructed 08/30/2000

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
69531 KZJL DTV
13200 KUVM-CD DTV
22204 KRIV DTV
53847 KXLN-DT DTV
31870 KYAZ DTV
51569 KTXH DTV

Primary Tower

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Tower Modification Costs

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

Basic drawing package for municipality permitting.

Ground and Building - Permit Drawing Packag

Basic drawing package for municipality permitting.

Construction Project Management -Tower Modifications reinforcements and facilities

(17.5) hours on modification project management and (42.5) hours for RF installation project management.

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 95
Explanation Project management fee for the transition of broadcasters. Scheduling and management of the timelines and schedules occurring during the repack.
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 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 2
NEPA Section 106 environmental review Yes
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service 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

RF System Test

Testing of the combiner to ensure all one (1) frequencies are tuned for optimal patterns.

Migratory Bird Assessment - Permitting

Migratory Bird Assessment / Permitting (if needed)

Site Coordination Meeting

Site coordination meetings with all broadcasters, contractors and vendors involved with the site deliveries and construction. This cost is for travel and logistics expenses accrued.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? No

Other Expenses

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Other Expenses Not Listed

Name Description

Grading

Cost of preparation and staging of hoists and equipment on the soft soil area around tower site. Due to the heavy weights of the equipment needed to perform the antenna gin pole removals/Installation, the equipment may sink in soft soil conditions.

Road upgrades to support heavy equipment transportation exclusive to Repack activities

Repairs and upgrades to roadway due to excessive traffic and weight loads associated with the repack.

Site Secuirty Company during construction for theft prevention and vandalism

Site security for installation and storage of Transmission line and materials for 30 days X 12 hours. The materials are a high risk of theft due to the material makeup such as copper, brass and aluminum.

Site Survey

Complete Site Survey to determine existing site parameters, determine equipment needs, develop action plan for repack.

Compound Fencing

The removal and installation of existing fencing in compound area where the construction and additional equipment is being installed, some of the fencing will require replacement and reconfiguration once all repack construction is completed.

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 $1,730,251.00 $1,650,201.00 N/A $246,985.50 N/A
Total for all systems $5,845,001.00 $3,048,611.00 N/A $246,985.50 N/A
Primary Transmitter THU9-30 EVO $1,730,251.00 $1,650,201.00 $246,985.50
10 Ton system $38,900.00 $37,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,400,000.00 N/A $246,985.50 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $52,000.00 $50,000.00 N/A N/A N/A
Other -- Building Addition Size: 1500.0 $25,000.00 $25,000.00 Building space upgrade, converting large suite area to the new repack combiner area, split from a private suite in room 106. 300 Sqft concrete pad for new HVAC N/A N/A
Ice Shield for HVAC equipment $8,000.00 $8,000.00 Ice protection for new outdoor HVAC equipment outside the combiner room. The total estimated area is 300 sq. ft. N/A N/A
Interim Transmitter Installation $68,351.00 $68,351.00 Cost to route and plumb new transmitter into existing RF system. Once new external line and antenna are complete the transmitter will be re-plumbed into it. This is necessary to make space within the existing transmitter suite. N/A N/A
New Electrical Sub-Panels $1,250.00 $1,250.00 New HVAC electrical sub-panels for new AC units required for the repack combiner area fed off of the existing 480/208 main panel. This equipment is required to provide the existing power to the HVAC units. N/A N/A

Components

Actual Information Description File Name
10 Ton system Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Amount represents 25% of KTBU's share of overall American Tower project cost and relates to multiple line items.
Amount:
$246,985.50
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Other -- Building Addition Size: 1500.0 Information not provided.
Ice Shield for HVAC equipment Information not provided.
Interim Transmitter Installation Information not provided.
New Electrical Sub-Panels 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 $1,407,730.00 $359,420.00 N/A $0.00 N/A
Total for all systems $5,845,001.00 $3,048,611.00 N/A $246,985.50 N/A
Interim Antenna TFU-24WB-C160 $74,450.00 $73,600.00 $0.00
Interim Antenna Rental $57,600.00 $57,600.00 Interim Antenna Rental N/A N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $16,000.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 60 - 65 kW input, directional,, horizontally polarized $0.00 $0.00 No cost to purchase/antenna will be leased. N/A N/A
Primary Antenna PEPL42C $1,333,280.00 $285,820.00 $0.00
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized $1,090,000.00 $149,920.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $54,000.00 N/A N/A N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $50,000.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $16,000.00 N/A N/A N/A
Combiner Installation $9,500.00 $9,500.00 Installation and tuning of combiner modules. N/A N/A

Components

Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,525,400.00 $426,800.00 N/A $0.00 N/A
Total for all systems $5,845,001.00 $3,048,611.00 N/A $246,985.50 N/A
Primary Transmission Line $1,525,400.00 $426,800.00 $0.00
Rigid Transmission Line - copper, 7 3/16" broadband $1,398,600.00 $300,000.00 N/A N/A N/A
Internal Transmission Line $126,800.00 $126,800.00 Internal transmission line from transmitter room to combiner room. $317 per foot at 400 feet. N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $879,500.00 $336,500.00 N/A $0.00 N/A
Total for all systems $5,845,001.00 $3,048,611.00 N/A $246,985.50 N/A
Primary Tower GTOWER $879,500.00 $336,500.00 $0.00
Tower Permit Drawing Package $5,000.00 $5,000.00 Basic drawing package for municipality permitting. N/A N/A
Ground and Building - Permit Drawing Packag $5,000.00 $5,000.00 Basic drawing package for municipality permitting. N/A N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $19,000.00 N/A N/A N/A
Construction Project Management -Tower Modifications reinforcements and facilities $7,500.00 $7,500.00 (17.5) hours on modification project management and (42.5) hours for RF installation project management. 60 Hrs x $125hr N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $200,000.00 N/A N/A N/A
Major tower reinforcement/modifications $421,000.00 $100,000.00 N/A $0.00 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 $186,930.00 $162,500.00 N/A $0.00 N/A
Total for all systems $5,845,001.00 $3,048,611.00 N/A $246,985.50 N/A
Outside Professional Services $186,930.00 $162,500.00 $0.00
RF Exposure Measurements $21,050.00 $5,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 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 N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 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 N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A 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
RF System Test $5,000.00 $5,000.00 Testing of the combiner to ensure all frequencies are tuned for optimal patterns. N/A N/A
Migratory Bird Assessment - Permitting $500.00 $500.00 Study to prove no disruption to migratory birds for permitting. N/A N/A
Site Coordination Meeting $10,000.00 $10,000.00 Travel and logistical expenses for planning, construction, and installation. N/A N/A
Project management of the transition $15,010.00 $14,250.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 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

Components

Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $115,190.00 $113,190.00 N/A $0.00 N/A
Total for all systems $5,845,001.00 $3,048,611.00 N/A $246,985.50 N/A
Other Expenses $115,190.00 $113,190.00 $0.00
Compound Fencing $2,000.00 $2,000.00 Compound fencing must be removed for repack work and then reinstalled once completed. N/A N/A
Site Secuirty Company during construction for theft prevention and vandalism $6,000.00 $6,000.00 Site security for installation and storage of Transmission line and materials for 30 days X 12 hours. The materials are a high risk of theft due to the material makeup such as copper, brass and aluminum. N/A N/A
Road upgrades to support heavy equipment transportation exclusive to Repack activities $2,500.00 $2,500.00 The cost associated damage to the access road/driveway caused by trenching (i.e. electrical and foundation installations) and equipment mobilization (i.e. excessive weighted and constant traffic that doesn’t normally occur) associated with the repack. N/A N/A
Grading $2,000.00 $2,000.00 Estimated costs to address soil conditions at base of tower. Costs to grade and repair soil disturbed by heavy machinery and equipment. N/A N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 Estimated cost for creation of announcement and air-time required. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
Site Survey $5,000.00 $5,000.00 Site Survey to determine repack action plan. N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $0.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $1,500.00 $1,500.00 Estimate for local zoning costs N/A N/A
Non-zoning permits $2,000.00 $2,000.00 Local permit cost for representation change for permit/application. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $60,000.00 $60,000.00 Estimated costs for removal and disposal of old transmitter, line, and RF sections. N/A N/A
Equipment Delivery and Handling Charges $10,000.00 $10,000.00 Additional shipping and delivery charges for larger items. N/A N/A
Equipment Storage $6,000.00 $6,000.00 Rental of a storage unit for $500/month for 1 year to receive transmitter equipment 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 $5,845,001.00 $3,048,611.00 $246,985.50

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

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

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Joseph A Garcia

Senior Executive Vice President


03/08/2018

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (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 AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  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.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  5. 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 (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. 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.

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

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

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Joseph A Garcia

Senior Executive Vice President


03/08/2018

Attachments

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