Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

File Number:
0000027093
FRN:
0007519408
Facility ID:
55083
Repack Channel:
51 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
09/18/2018

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RANCHO PALOS VERDES BROADCASTERS, INC.

Ronald L. Ulloa

2323 CORINTH AVENUE

LOS ANGELES, CA 90064

United States

+1 (310) 478-0055 rulloa@kxlatv.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

Greg Best

Consulting Engineer

Greg Best Consulting, Inc.

16100 Outlook Ave.

Stilwell, KS 66085

United States

+1 (816) 792-2913 gbconsulting54@gmail.com

Broadcaster Information and Transition Plan

Back to Top
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 File Interim STA. Replace interim backup antenna, transmitter & line. Install and sweep primary T-Line & antenna. Remove & replace primary transmitter .

Transmitters

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

Primary Transmitter

Back to Top

Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use  
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Innovator
Year 2006
Type Inductive Output Tube
IOT Power Type Two
Description  
Power capacity 60 kw
Solid State Cooling  
Solid State Power Capacity  
Other Transmitter Type  

Primary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-50
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 32 kw
Other Transmitter Type  
Justification for New Transmitter Existing transmitter manufacturer is no longer in business and it is not possible to retune the existing transmitter to the repacked channel.

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

Interim Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use  
Change Type Purchase
Manufacturer
Model ULXTE-50
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 32 kw
Other Transmitter Type  
Justification for New Transmitter Existing backup transmitter cannot be converted to repacked channel per manufacturer and manufacturer is no longer in business.

Interim Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

Back to Top

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? 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 Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 4
Number of Panels 30
Design power capacity in use 90.0 %
Lower Limit 578.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 1000.00 kW
Manufacturer
Model PHP30CA-CH51
Year 2006

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

Facility ID Call Sign
24518 KDOC-TV
14000 KJLA
4328 KOCE-TV

Primary Antenna

Back to Top

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? Yes
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: 670.00 kW
Manufacturer
Model ATW24H3-ESC170
Year 2018
Justification for New Antenna Existing antenna cannot be converted to repacked channel per manufacturer. Quotes are provided for both Hpol and Epol antennas to clarify the cost differential and reimbursement request. KXLA expects to be reimbursed for Hpol only costs.

Primary Antenna

Back to Top

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
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power 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

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

Back to Top

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? Yes
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: 670.00 kW
Manufacturer
Model ATW24H3-ESC170
Year 2018
Justification for New Antenna Existing antenna cannot be converted to repacked channel per manufacturer. Quotes are provided for both Hpol and Epol antennas to clarify the cost differential and reimbursement request.

Interim Antenna

Back to Top

Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

Back to Top

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 Flexible Air
Diameter 5 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 4
Length 410 feet per run

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

Facility ID Call Sign
14000 KJLA
24518 KDOC-TV
4328 KOCE-tv

Primary Transmission Line

Back to Top

New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 450 feet per run
Justification for New Transmission Line See attached document on station transmission line systems and justification for new equipment purchase.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

Back to Top

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 Broadband
Other Segment Length
Number of parallel runs 1
Length 400 feet per run
Justification for New Transmission Line See attached T-Line system description documentation regarding existing transmission line system and justification for purchase.

Interim Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

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? No
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? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1221073
Coordinates (NAD83) Latitude (NAD83) 34° 13' 35.3" N-
Longitude (NAD83) 118° 04' 00.9" W-
Overall Structure Height 403.87 feet
Support Structure Height 399.93 feet
Ground Elevation Above Mean Sea Level (AMSL) 5709.90 feet
Structure Type LTOWER - Lattice Tower
Tower Owner American Towers, LLC.
Date Constructed 07/15/2001

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
1234 KACV-FM FM

Primary Tower

Back to Top

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: Minor Reinforcements needed

Primary Tower

Back to Top

Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Information not provided.

Interim Tower

Back to Top

Tower Construction Costs

Section Question Response
Construct New Tower Use Interim
Description of Use N/A
Height 99.10 feet
Justification for New Tower Interim antenna cannot be mounted on Main antenna tower

Interim Tower

Back to Top

Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Other
Helicopter Services Required Are helicopter services required? No

Interim Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

structal engineering and mapping

cost for mapping Interim tower

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 160
Explanation Coordination with vendors, other stations, and logistics due to site conditions.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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

Back to Top

Other Expenses Not Listed

Name Description

Sales or Use tax

Sales/use tax for purchases. KXLA receives a special rate of 3.75%.

Cost Information

Back to Top

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 $2,121,144.76 $2,119,044.76 N/A $1,324,351.92 N/A
Total for all systems $3,949,456.76 $3,409,923.70 N/A $1,547,268.78 N/A
Interim Transmitter ULXTE-50 $1,051,123.23 $1,050,073.23 $659,026.24
UHF - Liquid Cooled Solid State Transmitter 32 kW $1,003,973.23 $1,003,973.23 change order for the load and cooling system $659,026.24 N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,000.00 $9,800.00 N/A N/A N/A
Primary Transmitter ULXTE-50 $1,070,021.53 $1,068,971.53 $665,325.68
UHF - Liquid Cooled Solid State Transmitter 32 kW $1,022,871.53 $1,022,871.53 change order required for the switch and load $665,325.68 N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,000.00 $9,800.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 32 kW

Component Description:
2nd 1/3 payment for interim transmitter
Amount:
$334,657.74

Component Description:
1/3 down payment
Amount:
$324,368.50
Switchgear - industrial 800 amp Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 32 kW

Component Description:
2nd 1/3 main transmitter payment
Amount:
$340,957.18

Component Description:
1/3 down payment
Amount:
$324,368.50
Switchgear - industrial 800 amp Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.

Cost Information

Back to Top

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 $550,440.00 $548,500.00 N/A $179,678.89 N/A
Total for all systems $3,949,456.76 $3,409,923.70 N/A $1,547,268.78 N/A
Interim Antenna ATW24H3-ESC170 $269,220.00 $268,400.00 $100,896.16
UHF - High Power, Side Mount, basic slot antenna, 670 kW input, directional,, elliptically or circularly polarized $235,000.00 $235,000.00 Quote for HPol and EPol antennas are provided to demonstrate the cost differential between the two antennas. KXLA expects to pay for the difference between the Hpol and Epol antenna. $93,471.16 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $22,000.00 N/A $4,500.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $5,000.00 N/A $1,050.00 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $1,875.00 N/A
Primary Antenna ATW24H3-ESC170 $281,220.00 $280,100.00 $78,782.73
UHF - High Power, Side Mount, basic slot antenna, 670 kW input, directional,, elliptically or circularly polarized $235,000.00 $235,000.00 Quote for HPol and EPol antennas are provided to demonstrate the cost differential between the two antennas. KXLA expects to pay for the difference between the Hpol and Epol antenna. $71,357.73 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $1,875.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $11,700.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $22,000.00 N/A $4,500.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $5,000.00 N/A $1,050.00 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 670 kW input, directional,, elliptically or circularly polarized

Component Description:
30% payment for Interim antenna
Amount:
$93,471.16
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
30% payment for Interim side mounts
Amount:
$4,500.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
30% payment for Interim scatter study
Amount:
$1,050.00
Sweep test of existing antenna

Component Description:
30% payment for Interim sweep test
Amount:
$1,875.00
UHF - High Power, Side Mount, basic slot antenna, 670 kW input, directional,, elliptically or circularly polarized

Component Description:
30% deposit of Main antenna
Amount:
$71,357.73
Sweep test of existing antenna

Component Description:
30% payment for Main system sweep
Amount:
$1,875.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
30% payment for Main side mounts
Amount:
$4,500.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
30% payment for Main scatter study
Amount:
$1,050.00

Cost Information

Back to Top

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 $192,100.00 $187,850.00 N/A $43,237.97 N/A
Total for all systems $3,949,456.76 $3,409,923.70 N/A $1,547,268.78 N/A
Interim Transmission Line $90,400.00 $88,400.00 $24,438.17
Rigid Transmission Line - copper, 6 1/8" broadband $90,400.00 $88,400.00 N/A $24,438.17 N/A
Primary Transmission Line $101,700.00 $99,450.00 $18,799.80
Rigid Transmission Line - copper, 6 1/8" broadband $101,700.00 $99,450.00 N/A $18,799.80 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
30% payment for Interim transmission line
Amount:
$24,438.17
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
30% payment for Main transmission line
Amount:
$18,799.80

Cost Information

Back to Top

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 $711,150.00 $183,399.94 N/A $0.00 N/A
Total for all systems $3,949,456.76 $3,409,923.70 N/A $1,547,268.78 N/A
Primary Tower LTOWER $247,700.00 $129,449.94 $0.00
Minor tower reinforcement/modifications $153,500.00 $0.00 N/A N/A N/A
Short Tower (less than 500') $81,900.00 $80,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,300.00 $49,449.94 per cost estimate from ATC N/A N/A
Interim Tower $463,450.00 $53,950.00 $0.00
structal engineering and mapping $53,950.00 $53,950.00 Structural and Mapping cost $0.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $0.00 N/A N/A N/A
New tower $0.00 $0.00 N/A $0.00 N/A

Components

Information not provided.

Cost Information

Back to Top

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 $135,980.00 $132,750.00 N/A $0.00 N/A
Total for all systems $3,949,456.76 $3,409,923.70 N/A $1,547,268.78 N/A
Outside Professional Services $135,980.00 $132,750.00 $0.00
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 N/A N/A N/A
Project management of the transition $24,640.00 $24,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $81,900.00 $80,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

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 $238,642.00 $238,379.00 N/A $0.00 N/A
Total for all systems $3,949,456.76 $3,409,923.70 N/A $1,547,268.78 N/A
Other Expenses $238,642.00 $238,379.00 $0.00
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $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
Sales or Use tax $174,864.00 $174,864.00 N/A N/A N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $40,000.00 $40,000.00 N/A N/A N/A
Equipment Storage $1,500.00 $1,500.00 N/A N/A N/A
BLM or NFS Coordination $5,000.00 $5,000.00 N/A N/A N/A
Local Zoning $2,000.00 $2,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,949,456.76 $3,409,923.70 $1,547,268.78

Construction Status

Back to Top
Question Response
Is construction complete? No

Certification

Back to Top
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.

eddie hernandez

Director of Engineering


09/18/2018

Certification

Back to Top
Section Question Response
Submission of Actual Cost Documentation 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material.

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

  3. 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).

  4. 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.

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

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

  7. 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.

eddie hernandez

Director of Engineering


09/18/2018

Attachments

Back to Top