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:
65942
Service:
DTV
Call Sign:
WMPT
Channel:
21 (UHF)
File Number:
0000027913
FRN:
0003857380
Date Submitted:
04/06/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MARYLAND PUBLIC BROADCASTING COMMISSION

Doing Business As: MARYLAND PUBLIC BROADCASTING COMMISSION

Larry D. Unger, President & CEO

11767 OWINGS MILLS BOULEVARD

OWINGS MILLS, MD 21117

United States

+1 (410) 356-5600 lunger@mpt.org Government Entity

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

Joseph L. Snelson , Jr .

Technical Consultant

Meintel, Sgrignoli & Wallace

1282 Smallwood Drive, Suite 372

Waldorf, MD 20603

United States

+1 (303) 344-8037 joe.snelson@mswdtv.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. No
Briefly describe transition plan Current transmission system consists of a main/aux transmitter feeding a transmission line connected to an antenna. An interim antenna and line will be needed as the main antenna must be removed and replaced. See attached 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 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 CCT-U-DCX2
Year 1999
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40.0 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 HPTV-PRLX-U48
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 75 kW
Justification for New Transmitter See previous submissions regarding upgrade from IOT to solid state. This increase of power is part a multi-station agreement provided to the FCC to accommodate moving WETA to channel 31.

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 Yes
Description Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor.
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

CIF Mask Filter

Constant Impedance mask Filter. Current mask filter is a CIF.

Site Design and Survey

Incorporates all aspects of the transmitter room design, including power distribution requirements, equipment placement, RF system layout, plumbing, and remote control.

8-Pole MAsk Filter

A more rigid mask filter to protect adjacent land mobile stations on Ch. 20 in Philadelphia.

Remote Control Interface

License required to interface transmitter into current remote control system

Coolant

The coolant used for the transmitter heat exchanger is not included in the transmitter price

Rigid Coax Line

Rigid interconnection coax lines from transmitter to filter to antenna switch.

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 Top
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: 516.0 kW
Manufacturer
Model TFU-24-GTH-R04
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? 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: 1000.0 kW
Manufacturer
Model TFU-20GTH/VP-R O4
Year 2018
Justification for New Antenna Current antenna tuned for channel 42 and cannot be retuned. Applicant is proposing to replace with similar make and model tuned to channel 21 with elliptical polarization. part a multi-station agreement provided to the FCC to accommodate moving WETA.

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

Name Description

Mounting Pole

62.7 ft. mounting pole to bring Center of Radiation to current height.

Wedding Cake Adaptor

Joins antenna to mounting pole

RF Feed Though Components

Elbows and cut line segments to feed antenna to tower top plate

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 Broadband Panel
Number of Stations Supported 1
Number of Panels/Bays 32
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 516.0 kW
Manufacturer
Model TUA-O4-8/32H-1-R SM
Year 2018
Justification for New Antenna See attached narrative regarding Interim facility.

Interim Antenna

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Other Antenna Costs

Section Question Response
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? 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 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 935 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 7 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 935 feet per run
Justification for New Transmission Line Current line will be used for the interim facility, This line will be used for the repack facility on channel 21. This is part of an agreement provided to the FCC to move WMPT to Ch. 21 to accommodate moving WETA to channel 31.

Primary 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? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1225569
Coordinates (NAD83) Latitude (NAD83) 39° 00' 36.7" N-
Longitude (NAD83) 076° 36' 31.8" W-
Overall Structure Height 902.88 feet
Support Structure Height 786.08 feet
Ground Elevation Above Mean Sea Level (AMSL) 146.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Maryland Public Broadcasting Commission
Date Constructed 04/01/2003


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 documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: No 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

Information not provided.

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 400
Explanation Applicant has limited internal resources to oversee installing and commissioning this repack project. It will rely on outside services to manage all work required.
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 Yes
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

Name Description

Progress Reporting

Prepare and file 10 required progress reports on FCC Form 2100, Schedule 387 on a quarterly basis with the FCC.

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 No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

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 $2,126,470.00 $2,133,045.00 N/A $1,021,806.82 N/A
Total for all systems $3,584,041.00 $3,565,627.80 N/A $1,279,854.76 N/A
Primary Transmitter HPTV-PRLX-U48 $2,126,470.00 $2,133,045.00 $1,021,806.82
CIF Mask Filter $40,690.00 $40,690.00 Constant Impedance mask Filter. Current mask filter is a CIF. N/A N/A
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. $42,600.00 $42,600.00 Electrical contractor to connect transmitter into existing electrical panel. Includes material and labor for three transmitter cabinets. Attached quote is for each cabinet. N/A N/A
8-Pole MAsk Filter $15,000.00 $15,000.00 A more rigid mask filter to protect adjacent land mobile stations on Ch. 20 in Philadelphia. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW $1,999,000.00 $2,005,575.00 See attached quote. An increase of power is part a multi-station agreement provided to the FCC to accommodate moving WETA to channel 31. $1,019,695.00 N/A
Remote Control Interface $2,940.00 $2,940.00 License required to interface transmitter into current remote control system. N/A N/A
Coolant $3,000.00 $3,000.00 The coolant used for the transmitter heat exchanger is not included in the transmitter price. Cost reflects what is need for two transmitter cabinets. N/A N/A
Rigid Coax Line $7,940.00 $7,940.00 Rigid interconnection coax lines from transmitter to filter to antenna switch. NOTE: The full length will not be used. These will be cut to desired length for interconnection purposes inside building. N/A N/A
Site Design and Survey $15,300.00 $15,300.00 Incorporates all aspects of the transmitter room design, including power distribution requirements, equipment placement, RF system layout, plumbing, and remote control. $2,111.82 N/A

Components

Actual Information Description File Name
CIF Mask Filter Information not provided.
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. Information not provided.
8-Pole MAsk Filter Information not provided.
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW

Component Description:
System WMPT PRLX u48 D21
Amount:
$1,019,695.00
Remote Control Interface Information not provided.
Coolant Information not provided.
Rigid Coax Line Information not provided.
Site Design and Survey

Component Description:
Site Survey expense for all 6 locations.
Amount:
$2,111.82

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 $741,721.00 $660,467.00 N/A $122,585.85 N/A
Total for all systems $3,584,041.00 $3,565,627.80 N/A $1,279,854.76 N/A
Interim Antenna TUA-O4-8/32H-1-R SM $271,740.00 $266,348.00 $116,825.85
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A $953.10 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $10,298.00 N/A $4,634.10 N/A
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 516 horizontally polarized $222,900.00 $222,900.00 See attached narrative regarding Interim facility. $100,305.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,750.00 N/A $10,933.65 N/A
Primary Antenna TFU-20GTH/VP-R O4 $469,981.00 $394,119.00 $5,760.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $213,885.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $12,383.00 See attached revised quote. N/A N/A
Mounting Pole $122,215.00 $122,215.00 Mounting pole to bring Center of Radiation to current height. N/A N/A
Wedding Cake Adaptor $18,330.00 $18,330.00 Joins antenna to mounting pole N/A N/A
RF Feed Though Components $20,906.00 $20,906.00 Elbows and cut line segments to feed antenna to tower top plate N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,760.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
trans test 6-75
Amount:
$953.10
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
complex broadband antenna input 45% with order 45% prior to shipping 10% net 30
Amount:
$4,634.10
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 516 horizontally polarized

Component Description:
UHF Broadband panel 45% with order 45% prior to shipping 10% net 30
Amount:
$100,305.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
6-75 pressure cap, includes gague, allows atenna to be capped and pressurized after installed on tower.
Amount:
$372.60

Component Description:
t/l 6-75 e/a length 15'to 20' fixed FLG 1 end/swivel flg 1 end
Amount:
$773.55

Component Description:
side mount brackets 45% with order 45% prior to shipping 10% Net 30
Amount:
$9,787.50
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Mounting Pole Information not provided.
Wedding Cake Adaptor Information not provided.
RF Feed Though Components Information not provided.
Sweep test of existing antenna

Component Description:
repack sweep includes 1 on site engineer for one day ,travel expenses and report
Amount:
$2,880.00

Component Description:
repack sweep on site field engineer 45% with order 45% prior to shipping 10% net 30
Amount:
$2,880.00

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 $271,150.00 $179,550.80 N/A $80,669.59 N/A
Total for all systems $3,584,041.00 $3,565,627.80 N/A $1,279,854.76 N/A
Primary Transmission Line $271,150.00 $179,550.80 $80,669.59
Rigid Transmission Line - copper, 7 3/16" $271,150.00 $179,550.80 N/A $80,669.59 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Rigid Transmission line copper 45% upon ordering 45% prior to shipment 10% net 30
Amount:
$877.50

Component Description:
rigid transmission line copper tlscr's 45% upon ordering 45% prior to shipping 10% net 30
Amount:
$2,011.50

Component Description:
Line copper 7 3/16 45% upon ordering 45% prior to shipment Balance Net 30
Amount:
$77,780.59

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 $223,100.00 $379,755.00 N/A $5,000.00 N/A
Total for all systems $3,584,041.00 $3,565,627.80 N/A $1,279,854.76 N/A
Primary Tower TOWER $223,100.00 $379,755.00 $5,000.00
Structural engineering tower load study for well documented tower $12,600.00 $7,000.00 N/A $5,000.00 N/A
Tall Tower (greater than 500') $210,500.00 $372,755.00 See attached quote. N/A N/A

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Structural engineering
Amount:
$2,500.00

Component Description:
Structural analysis Annapolis.
Amount:
$2,500.00
Tall Tower (greater than 500') 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 $130,490.00 $126,250.00 N/A $0.00 N/A
Total for all systems $3,584,041.00 $3,565,627.80 N/A $1,279,854.76 N/A
Outside Professional Services $130,490.00 $126,250.00 $0.00
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $5,000.00 Fees related to multi-party resolution agreement with Maryland Public TV, WETA and HME Equity Fund II, LLC. Involved several stations moving channels to accommodate WETA moving from ch 14 to 31. 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 $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 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
Project management of the transition $63,200.00 $60,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Progress Reporting $35,000.00 $35,000.00 Prepare and file 10 required progress reports on FCC Form 2100, Schedule 387 on a quarterly basis with the FCC. 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

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 $91,110.00 $86,560.00 N/A $49,792.50 N/A
Total for all systems $3,584,041.00 $3,565,627.80 N/A $1,279,854.76 N/A
Other Expenses $91,110.00 $86,560.00 $49,792.50
MVPD Notification of Channel Change $1,000.00 $1,000.00 Notification will need to be made to MVPD's as required. Applicant to explore using an outside firm to determine which facilities will need to be notified and send the appropriate notification letters. N/A N/A
Equipment Storage $9,840.00 $9,840.00 Station may receive antenna and transmission line prior to tower crew availability. No on-site storage is available. Obtained estimate from manufacturer for 60 days of storage. N/A N/A
DTV Medical Facility Notification $11,550.00 $7,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $41,145.00 $41,145.00 See transmitter quote for equipment removal from building. $20,572.50 N/A
Equipment Delivery and Handling Charges $27,575.00 $27,575.00 See attached transmitter quote. Estimating $10,000 for two antennas and mounting pole. $29,220.00 Line items did not include the proof and installation.

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Equipment Storage Information not provided.
DTV Medical Facility Notification Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
50% deposit for removal and disposal of existing transmitter. 45% due with installation/5% due upon proof
Amount:
$20,572.50
Equipment Delivery and Handling Charges

Component Description:
50% deposit on check out and proof parallax. 45% due upon installation, 5% due upon proof.
Amount:
$6,550.00

Component Description:
50% for shipping, Offloading, and placement. 45% due upon installation, 5% due upon proof
Amount:
$8,787.50

Component Description:
50% deposit on Installation, 45% due upon installation, 5% due upon proof
Amount:
$13,882.50

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,584,041.00 $3,565,627.80 $1,279,854.76

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.

Holly Davenport

Fiscal accounts clerk


04/06/2018

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.

HOlly Davenport

Fiscal Accounts Clerk


04/06/2018

Attachments

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