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:
55379
Service:
DTV
Call Sign:
KDLT-TV
Channel:
21 (UHF)
File Number:
0000027436
FRN:
0018223693
Date Submitted:
05/04/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RED RIVER BROADCAST CO., LLC

Doing Business As: RED RIVER BROADCAST CO., LLC

Kathy Lau

P.O. BOX 9115

FARGO, ND 58106

United States

+1 (701) 277-1515 KLAU@KVRR.COM Limited Liability Company

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

Michael Streby

Chief Engineer

KDLT

Michael Streby

3600 S. Westport Ave.

Sioux Falls, SD 57106

United States

+1 (605) 361-5555 streby@kdlt.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 Transition to CH 21 from current CH 47

Transmitters

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

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Replace current Aux unit
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 Affinity
Year 2006
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 2 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model EC703
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2.5 kW
Justification for New Transmitter Replace current backup transmitter

Auxiliary Transmitter

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Other Transmitter Costs

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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

State and Local Taxes

State and local sales taxes

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 DCX1M
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? No
Manufacturer
Model HPTV-PRLX-U48
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 68.5 kW
Justification for New Transmitter Comark has sent notification that the DCX Millennium series has reached end of life status. See attached letter titled "Comark EOL" for additional details.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 4 inches
Length 200.0 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

Site Survey

Layout and design of installation includes sweep of old feedline

State and Local Taxes

Sales Tax State and Local

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
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: 1000.0 kW
Manufacturer
Model TFU-36GTH-R04
Year 2006

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? No
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 Top
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: 589.0 kW
Manufacturer
Model TFU-27JTH/VP-R04
Year 2017
Justification for New Antenna Current Antenna will not work on the new freq.

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 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

Top Plate Adaptor

New antenna mounting

Support pole

To maintain center of radiation

State and Local Taxes

State and local sales tax of 6.5%

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 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: 321.0 kW
Manufacturer
Model TFU-24DSC-V/P-R-03
Year 2018
Justification for New Antenna Side mount gives ability to reach translators during primary top mount installation

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? S
Feed Line Size 7 3/16 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

Name Description

State and Local Taxes

State and Local sales tax of 6.5%

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 2000 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 2200 feet per run
Justification for New Transmission Line Old line cannot be used for new channel frequency

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

State and Local Taxes

State and local sales tax of 6.5%

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 1600 feet per run
Justification for New Transmission Line Interim line for temporary transmitter and will be transferred to the new backup once the transition is complete. Phase dates require that we change over mid winter so we need to have the work done in the summer prior.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

State and Local Taxes

State and local sales tax of 6.5%

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? Candelabra
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? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1042104
Coordinates (NAD83) Latitude (NAD83) 43° 30' 18.0" N-
Longitude (NAD83) 096° 33' 23.0" W-
Overall Structure Height 1998.66 feet
Support Structure Height 1882.52 feet
Ground Elevation Above Mean Sea Level (AMSL) 1426.82 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner RED RIVER BROADCAST CO., LLC
Date Constructed 08/19/1998


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 Candelabra
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

State and Local Taxes

State and local sales tax of 6.5%

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Number of Hours N/A
Explanation N/A
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) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 2
Justification site survey to sweep line and determine the ability to reuse any components.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change 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)? 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? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Employee time

recover salary expenses on time spent on repack project.

Modify Recieve antenna

to increase signal strength reception of the translator sites

State and Local Taxes

State and Local Sales Tax 6.5%

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 $2,406,914.00 $2,295,714.00 N/A $1,953,636.00 N/A
Total for all systems $5,501,670.35 $5,022,048.85 N/A $3,722,657.66 N/A
Primary Transmitter HPTV-PRLX-U48 $2,217,264.00 $2,114,664.00 $1,838,616.00
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW $1,999,000.00 $1,900,000.00 N/A $1,710,000.00 N/A
State and Local Taxes $129,064.00 $129,064.00 N/A $112,216.00 N/A
Site Survey $16,400.00 $16,400.00 N/A $16,400.00 N/A
4" Rigid Conduit and Wiring (Cost per foot) $20,200.00 $19,200.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
Auxiliary Transmitter EC703 $189,650.00 $181,050.00 $115,020.00
State and Local Taxes $11,050.00 $11,050.00 N/A $7,020.00 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $120,000.00 N/A $108,000.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW

Component Description:
Primary Transmitter 60%
Amount:
$1,140,000.00

Component Description:
Primary Transmitter 30% down
Amount:
$570,000.00
State and Local Taxes

Component Description:
Sales Tax 60% Primary Transmitter
Amount:
$74,100.00

Component Description:
State taxes 30% Primary Transmitter
Amount:
$37,050.00

Component Description:
State Tax
Amount:
$1,066.00
Site Survey

Component Description:
Site Survey
Amount:
$16,400.00
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
State and Local Taxes

Component Description:
Sales Tax on 60% of the Aux Transmitter @ 6.5%
Amount:
$4,680.00

Component Description:
State taxes Auxillary Transmitter 30% down
Amount:
$2,340.00
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Aux Transmitter 60%
Amount:
$72,000.00

Component Description:
Auxillary Transmitter 30% down
Amount:
$36,000.00
Service entrance 3 phase/800 amp/208 volt Information not provided.
Switchgear - industrial 800 amp 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 $1,257,545.00 $965,331.50 N/A $747,722.32 N/A
Total for all systems $5,501,670.35 $5,022,048.85 N/A $3,722,657.66 N/A
Interim Antenna TFU-24DSC-V/P-R-03 $745,839.00 $491,495.50 $415,616.40
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $193,800.00 N/A $148,257.00 N/A
State and Local Taxes $15,799.00 $15,799.00 Based on 6.5% of estimated cost 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 N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,900.00 N/A $16,753.50 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $15,960.00 Per current quote $12,209.40 N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $148,257.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $148,257.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,760.00 N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $84,379.50 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $84,379.50 N/A
Primary Antenna TFU-27JTH/VP-R04 $511,706.00 $473,836.00 $332,105.92
State and Local Taxes $31,293.00 $31,293.00 6.5% State sales tax $0.00 N/A
Support pole $145,883.00 $145,883.00 Necessary to maintain antenna center of radiation per license application $104,297.02 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $246,780.00 N/A $188,786.70 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,760.00 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $19,080.00 Per current quote $14,596.20 N/A
Top Plate Adaptor $24,400.00 $24,400.00 N/A $18,666.00 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
Invoice Horizontal costs only 2nd invoice line 30
Amount:
$74,128.50

Component Description:
Invoice interim antenna Horizontal Only Cost Line #30
Amount:
$74,128.50
State and Local Taxes Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Line #32
Amount:
$8,376.75

Component Description:
Line 32 45% before shipping
Amount:
$8,376.75
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Line # 33
Amount:
$6,104.70

Component Description:
Line 33 45% before shipping
Amount:
$6,104.70
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
Line # 30 Horizontal Component of antenna Due upon ordering
Amount:
$74,128.50

Component Description:
Line # 30 Horizontal Component of Antenna 45% prior to shipping
Amount:
$74,128.50
Sweep test of existing antenna

Component Description:
Line # 55
Amount:
$2,880.00

Component Description:
Line #55 45% before shipping
Amount:
$2,880.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
Line # 30 & 31
Amount:
$84,379.50
State and Local Taxes Information not provided.
Support pole

Component Description:
Line # 60
Amount:
$52,148.52

Component Description:
Line #60 45% before shipping
Amount:
$52,148.50
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Line # 1 Horizontal component of antenna. Due upon ordering
Amount:
$94,393.35

Component Description:
Line #1 Horizontal component of antenna 45% prior to shipping
Amount:
$94,393.35
Sweep test of existing antenna

Component Description:
Line # 29
Amount:
$2,880.00

Component Description:
Line # 29 45% before shipping
Amount:
$2,880.00
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Line # 4
Amount:
$7,298.10

Component Description:
Line # 4 45% prior to shipping
Amount:
$7,298.10
Top Plate Adaptor

Component Description:
Line # 59
Amount:
$9,333.00

Component Description:
Line #59 45% before shipping
Amount:
$9,333.00

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 $1,008,896.00 $781,468.00 N/A $553,020.02 N/A
Total for all systems $5,501,670.35 $5,022,048.85 N/A $3,722,657.66 N/A
Interim Transmission Line $341,832.00 $305,271.00 $215,522.68
State and Local Taxes $18,632.00 $18,632.00 6.5% of estimated cost $0.00 N/A
Rigid Transmission Line - copper, 6 1/8" $323,200.00 $286,639.00 N/A $215,522.68 N/A
Primary Transmission Line $667,064.00 $476,197.00 $337,497.34
State and Local Taxes $29,064.00 $29,064.00 6.5% of estimated cost N/A N/A
Rigid Transmission Line - copper, 7 3/16" $638,000.00 $447,133.00 N/A $337,497.34 N/A

Components

Actual Information Description File Name
State and Local Taxes Information not provided.
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Line # 4
Amount:
$107,761.34

Component Description:
Line #34 45% prior to shipping
Amount:
$107,761.34
State and Local Taxes Information not provided.
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Line # 5
Amount:
$168,748.67

Component Description:
Line # 5 45% prior to shipping
Amount:
$168,748.67

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 $472,126.00 $631,226.00 N/A $377,112.30 N/A
Total for all systems $5,501,670.35 $5,022,048.85 N/A $3,722,657.66 N/A
Primary Tower TOWER $472,126.00 $631,226.00 $377,112.30
State and Local Taxes $38,526.00 $38,526.00 6.5% of estimated cost $961.80 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $580,700.00 Stacked top mount and interim side mount, plus removal of old run $358,400 + $151300 + $71000. This is a stack at 2000', very difficult and dangerous work. $376,150.50 N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A

Components

Actual Information Description File Name
State and Local Taxes

Component Description:
Taxes for completed work on quote 1980
Amount:
$961.80
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Line 1 & 2 Labor 45% prior to arrival
Amount:
$164,513.25

Component Description:
Invoice on quote 1980, work completed to date
Amount:
$47,124.00

Component Description:
Line # 1 & 2
Amount:
$164,513.25
Structural engineering tower load study for well documented tower 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 $148,065.00 $140,750.00 N/A $0.00 N/A
Total for all systems $5,501,670.35 $5,022,048.85 N/A $3,722,657.66 N/A
Outside Professional Services $148,065.00 $140,750.00 $0.00
Additional Field Engineering Service, 2 Days $10,000.00 $10,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 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
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 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
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 request for Special Temporary Authorization $2,050.00 $1,500.00 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
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 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 $208,124.35 $207,559.35 N/A $91,167.02 N/A
Total for all systems $5,501,670.35 $5,022,048.85 N/A $3,722,657.66 N/A
Other Expenses $208,124.35 $207,559.35 $91,167.02
MVPD Notification of Channel Change $3,000.00 $3,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $45,000.00 $45,000.00 N/A N/A N/A
Equipment Storage $12,000.00 $12,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $78,349.00 $78,349.00 Est. Comark + Dielectric 25349 +53000 $70,514.10 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $20,000.00 $20,000.00 Equipment removal without salvage value $18,000.00 N/A
State and Local Taxes $12,668.00 $12,668.00 6.5% of estimated cost $2,652.92 N/A
Modify Recieve antenna $5,027.35 $5,027.35 Allows cable head ends to continue to receive translators. N/A N/A
Employee time $20,000.00 $20,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 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
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Delivery and Handling of primary and aux transmitter 60%
Amount:
$15,209.40

Component Description:
Line #'s 28 &54
Amount:
$23,850.00

Component Description:
Delivery & Handling of Primary & Auxillary transmitters 30% down
Amount:
$7,604.70

Component Description:
Line # 28 & Line 54 45% due prior to shipping
Amount:
$23,850.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal costs Primary and Aux Transmitters
Amount:
$12,000.00

Component Description:
Disposal costs of Primary & Auxillary transmitters 30% down
Amount:
$6,000.00
State and Local Taxes

Component Description:
State taxes on disposal of primary and aux transmitters 60%
Amount:
$780.00

Component Description:
State taxes on delivery and handling of primary and aux transmitters
Amount:
$988.61

Component Description:
State taxes on disposal costs of Primary & Auxillary Transmitters 30%
Amount:
$390.00

Component Description:
State taxes on Delivery & Handling of Primary & Auxillary Transmitters 30%
Amount:
$494.31
Modify Recieve antenna Information not provided.
Employee time Information not provided.
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,501,670.35 $5,022,048.85 $3,722,657.66

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.

Kathy Lau

COO


05/04/2018

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.

Kathy Lau

coo


05/04/2018

Attachments

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