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:
0000026383
FRN:
0001800168
Facility ID:
63840
Repack Channel:
9 (High VHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
08/29/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SUNBEAM TELEVISION CORPORATION

Doing Business As: SUNBEAM TELEVISION CORPORATION

ROBERT LEIDER

1401 79TH STREET CAUSEWAY

MIAMI, FL 33141

United States

+1 (305) 751-6692 RLEIDER@WSVN.COM Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan We share the same tower

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 Aux Unit
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 Platinum PTCD40P41
Year 1999
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 10 kw
Other Transmitter Type  

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Description of Use Aux Transmitter
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model VAXTE-16R44
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 8 kw
Other Transmitter Type  
Justification for New Transmitter Current transmitter is channel specific

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) No
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 3 inches
Length 20.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 30 tons
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  

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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  
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 Platinum PTCD40P4I
Year 2008
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 16 kw
Other Transmitter Type  

Primary Transmitter

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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? Yes
Manufacturer
Model VAXTE-16R44
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 16 kw
Other Transmitter Type  
Justification for New Transmitter Current transmitter only made for channel 7, cannot retune

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) No
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 3 inches
Length 20.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 30 tons
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

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
Antenna position in stack Top
Polarization Elliptical
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: 158.00 kW
Manufacturer
Model THV-10A7/VP P210
Year 2009

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? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
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: 158.00 kW
Manufacturer
Model THV-10A9/VP P200 D9
Year 2017
Justification for New Antenna Old Antenna was made for 7 only. Our new antenna paperwork says the antenna is circularly or elliptically polarized, and the antenna model number does have the VP in it.

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 4 1/16 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? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type 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 Middle
Polarization Horizontal
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 11.70 kW
Manufacturer
Model TLS-V4BB
Year 2017
Justification for New Antenna current can only do 7

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 3 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? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

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 4 1/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1065 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? Yes
Type Rigid
Diameter 4 1/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1065 feet per run
Justification for New Transmission Line Old line was for channel 7

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 3 1/8 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 2
Length 800 feet per run
Justification for New Transmission Line Old line was for 7

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Candelabra
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1262187
Coordinates (NAD83) Latitude (NAD83) 25° 58' 01.0" N-
Longitude (NAD83) 080° 12' 42.0" W-
Overall Structure Height 1041.98 feet
Support Structure Height 952.09 feet
Ground Elevation Above Mean Sea Level (AMSL) 6.89 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Miami Tower LLC
Date Constructed 08/22/2009

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
53113 WPLG DTV

Primary Tower

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Tower Modification Costs

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

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? 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 No
Quantity N/A
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 No
Quantity N/A
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 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

Herman Hurst

Consulting Engineer for construction permit

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 Yes
FCC License to Cover Application Yes
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? No
Does this relocation require Equipment Storage? No
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

EIA Length

T/L 4-50 EIA Length 10 to 15' Fixed

Elbow 4-50 Digit Main

Elbow 4-50 Digit 7x14

Taxes

Taxes, with Matching Documentation

Freight

Freight costs, which I am told need no matching quote.

Support Pole

Ch 9 antenna is 30 feet shorter then Ch 7 Antenna and we need to maintain the same height as Ch 7 antenna. Therefore we have to construct a 30' base pole for ch 9 antenna.

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 $717,967.99 $670,521.86 N/A $314,273.29 N/A
Total for all systems $2,156,719.83 $1,721,642.60 N/A $1,196,374.92 N/A
Primary Transmitter VAXTE-16R44 $380,417.99 $380,047.99 $224,408.67
Other -- HVAC Service Type: C Size:30 (Other) $33,500.00 $33,500.00 One HVAC needs to be replaced N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $1,000.00 $980.00 N/A N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,050.00 $13,700.00 N/A N/A N/A
High VHF - Air Cooled Solid State Transmitter 16 kW $331,867.99 $331,867.99 N/A $224,408.67 N/A
Auxiliary Transmitter VAXTE-16R44 $337,550.00 $290,473.87 $89,864.62
Other -- HVAC Service Type: C Size:30 (Other) $0.00 $0.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $1,000.00 $980.00 N/A N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,050.00 $13,700.00 N/A N/A N/A
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $322,500.00 $275,793.87 Quote includes Freight, but not taxes (which we will do separately). Freight will be included in "Other" area. Quote in file "GatesAir_Invoice_TE10004389_Quote_GA-00022212_Fixed" $89,864.62 Note, this 33% down does not include charges for freight which will be done separately.

Components

Actual Information Description File Name
Other -- HVAC Service Type: C Size:30 (Other) Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
High VHF - Air Cooled Solid State Transmitter 16 kW

Component Description:
Main Transmitter Site Survey, quote is file "Gates Air Site Survey Quote"
Amount:
$17,770.00

Component Description:
Main Transmitter, 2nd Deposit
Amount:
$104,361.00

Component Description:
Main Transmitter, 1st Deposit
Amount:
$102,277.67
Other -- HVAC Service Type: C Size:30 (Other) Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
Aux Transmitter, 1/3 down payment. Note fixed Quote and fixed Invoice to correct Gates' rounding issues.
Amount:
$89,864.62

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 $494,660.00 $426,721.12 N/A $404,250.80 N/A
Total for all systems $2,156,719.83 $1,721,642.60 N/A $1,196,374.92 N/A
Interim Antenna TLS-V4BB $73,240.00 $58,936.32 $58,032.00
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $8,530.88 N/A $8,048.00 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,580.00 $7,445.44 See attached quote $7,024.00 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $6,400.00 Sweep Test
High VHF - High Power Side Mount One Station horizontally polarized $36,560.00 $36,560.00 Freight not included $36,560.00 Freight costs not included (lines 4 on invoice). Tax will also be done separately
Primary Antenna THV-10A9/VP P200 D9 $421,420.00 $367,784.80 $346,218.80
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $22,000.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,320.00 $8,592.00 Cost for Elbow complex, invoice line 2 $8,592.00 See attached note, elbow complex is for line 2
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $6,834.00 Price includes Tax, paid directly to the Florida Department of Revenue
High-VHF, One station antenna -- top mount, elliptically or circularly polarized $383,000.00 $330,792.80 Tax, freight not included. They will be done in Other costs. Note, matching quote is file: "Main_Antenna_-_44893_Confirmation" which also includes other items including Elbow Complex and Transmission wire that are invoices elsewhere. $330,792.80 See note in attached file.

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Line 2 of invoice. Tax will be done separately.
Amount:
$8,048.00
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
Line 3 of invoice. Tax will be done separately.
Amount:
$7,024.00
Sweep test of existing antenna

Component Description:
Sweep Test
Amount:
$6,400.00
High VHF - High Power Side Mount One Station horizontally polarized

Component Description:
Freight not included. Tax will be done separately
Amount:
$36,560.00
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
See attached note. Price for Elbow is Invoice line 2
Amount:
$8,592.00
Sweep test of existing antenna

Component Description:
Price includes Tax, paid directly to the Florida Department of Revenue
Amount:
$6,834.00
High-VHF, One station antenna -- top mount, elliptically or circularly polarized

Component Description:
See note in attached file. Amount here is for Antenna only, not including elbow complex or Fright or Elbow 4-50.
Amount:
$330,792.80

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 $308,570.00 $196,809.78 N/A $122,844.55 N/A
Total for all systems $2,156,719.83 $1,721,642.60 N/A $1,196,374.92 N/A
Interim Transmission Line $161,600.00 $78,598.58 $0.00
Rigid Transmission Line - copper, 3 1/8" $161,600.00 $78,598.58 N/A N/A N/A
Primary Transmission Line $146,970.00 $118,211.20 $122,844.55
Rigid Transmission Line - copper, 4 1/16" $146,970.00 $118,211.20 See file "Dielectric 44893 Transmission Line Item 5" (on line 5) $122,844.55 87005 has been moved to Other/Freight already.

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 3 1/8" Information not provided.
Rigid Transmission Line - copper, 4 1/16"

Component Description:
Freight for Transmission Line, working on getting a matching quote.
Amount:
$1,612.55

Component Description:
Freight and taxes to be included in "other" costs. Cost for transmission line is line 1.
Amount:
$111,520.00

Component Description:
Freight for Transmission Line, moved to Other expenses, freight. Can't kill the line.
Amount:
N/A

Component Description:
Freight for Transmission Line, moved to Other expenses, but I don't see a way to remove this line.
Amount:
N/A

Component Description:
Transmission Line and 1 day of Engineer (lines 1 and 5). Freight to be done in "Other" expenses area. Matches quote 44893 (not all of quote 44893 is in this invoice). Tax will be submitted separately, please ignore hand tax notes.
Amount:
$9,712.00

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 $428,950.00 $214,286.00 N/A $195,286.00 N/A
Total for all systems $2,156,719.83 $1,721,642.60 N/A $1,196,374.92 N/A
Primary Tower TOWER $428,950.00 $214,286.00 $195,286.00
Structural engineering tower load study for a documented tower with candelabra $19,450.00 $16,936.00 Uploaded FDH Velocitel Stainless Structural Analysis Quote $16,936.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $197,350.00 N/A $178,350.00 N/A

Components

Actual Information Description File Name
Structural engineering tower load study for a documented tower with candelabra

Component Description:
Tower Study & Structural Analysis (see file FDH Velocitel Stainless Structural Analysis.pdf)
Amount:
$8,468.00

Component Description:
Structural Analysis - see quote "FDH Velocitel Stainless Structural Analysis.pdf"
Amount:
$8,468.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Tower Install
Amount:
$78,350.00

Component Description:
Tower Install
Amount:
$70,000.00

Component Description:
Tower Removal
Amount:
$30,000.00

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 $26,260.00 $33,250.00 N/A $14,072.16 N/A
Total for all systems $2,156,719.83 $1,721,642.60 N/A $1,196,374.92 N/A
Outside Professional Services $26,260.00 $33,250.00 $14,072.16
Herman Hurst $4,500.00 $4,500.00 Consulting Engineer 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 FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $5,055.00 Additional time required.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 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 and or review reimbursement form $2,560.00 $10,000.00 Legal bills are higher then estimation. $9,017.16 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Herman Hurst Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Permit Application
Amount:
$5,055.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare and or review reimbursement form

Component Description:
Legal Fees
Amount:
$507.00

Component Description:
Legal Fees
Amount:
$118.00

Component Description:
Legal Fees
Amount:
$520.00

Component Description:
Legal Fees
Amount:
$7,872.16
Perform engineering study for new channel assignment and antenna development 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 $180,311.84 $180,053.84 N/A $145,648.12 N/A
Total for all systems $2,156,719.83 $1,721,642.60 N/A $1,196,374.92 N/A
Other Expenses $180,311.84 $180,053.84 $145,648.12
Support Pole $110,090.00 $110,090.00 ch 7 antenna is 30 feet taller then new ch 9 antenna. New support pole is needed to maintain FCC height requirement. Taxes to be done separately. $110,090.00 Taxes to be done separately
Freight $9,722.99 $9,722.99 Was told to put all freight costs in one line in other costs. Freight costs in invoices: Dielectric 25015, 14001, 123003, 87005, 104011 $9,722.99 Freight costs in invoices: Dielectric 25015, 14001, 123003, 87005, 104011
Taxes $21,179.13 $21,179.13 Was told to put all taxes in one line in other costs. Taxes here are from Invoices: 25015 $21,179.13 Taxes from Invoices: 25015
Elbow 4-50 Digit Main $4,656.00 $4,656.00 See info in file Dielectric Invoice 25015 Revised. This is invoiced lines 3 & 4 $4,656.00 See note in file, this is invoice lines 3 & 4
EIA Length $3,510.72 $3,510.72 N/A N/A N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 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 - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Support Pole

Component Description:
Price does not include tax, which will be done in Other page
Amount:
$55,045.00

Component Description:
Deposit
Amount:
$55,045.00
Freight

Component Description:
Freight for transmission line received. Was told there does not need to be a matching quote.
Amount:
$1,612.55

Component Description:
Freight for items received. Was told there does not need to be a matching quote.
Amount:
$1,567.73

Component Description:
Freight for items received. Was told there does not need to be a matching quote.
Amount:
$62.51

Component Description:
Line 5 on this invoice. Was told there needs to be no matching quote.
Amount:
$5,688.65

Component Description:
Freight for items received (line 4 of the invoice). I was told by FCC support that freight costs do not need matching quotes.
Amount:
$791.55
Taxes

Component Description:
Taxes for Invoice 25015. We will put together something from Accounting to show where we paid this amount.
Amount:
$21,179.13
Elbow 4-50 Digit Main

Component Description:
See attached note. Invoice lines 3 & 4.
Amount:
$4,656.00
EIA Length Information not provided.
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,156,719.83 $1,721,642.60 $1,196,374.92

Construction Status

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Question Response
Is construction complete? 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.

Moreau Dugas , Dugas .

Director of Engineering


08/29/2018

Certification

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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.

Moreau Dugas , Dugas .

Director of Engineering


08/29/2018

Attachments

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