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:
73356
Service:
DTV
Call Sign:
WPXN-TV
Channel:
34 (UHF)
File Number:
0000028629
FRN:
0003720042
Date Submitted:
08/30/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ION MEDIA LICENSE COMPANY, LLC

Doing Business As: ION MEDIA LICENSE COMPANY, LLC

Bianca Frye

601 Clearwater Park Road

West Palm Beach, FL 33401

United States

+1 (561) 682-4110 BiancaFrye@ionmedia.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

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 Relocate from current site (ESB) to 1WTC. Will be using the master antenna equipment at the new facility and installing new transmitters and RF systems to the master combiner. See attached Transition Plan Exhibit for more information.

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 Auxiliary Transmitter
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 Ultimate
Year 2002
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 10 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 THU9-12 EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 19 kW
Justification for New Transmitter See attached Ultimate and Optimum Transmitter Exhibit. New location requires additional TPO.

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical and mechanical installation for replacement transmitter.
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

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 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 DCX
Year 2002
Type Inductive Output Tube
IOT Power Type Three
Power Capacity 60 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9-16 EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.5 kW
Justification for New Transmitter We do not agree with your "upgrade" characterization. We have calculated our ERP and headroom requirements in accordance with the reimbursement rules. See attached revised Transmitter Exhibit, including Upgrade Disclaimer.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical and mechanical installation for replacement transmitter.
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

Removal of Existing Equipment

Removal of existing transmitters and equipment

RF Interconnect

Interconnect between transmitter and combiner

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Lease New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? 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 Side Mount
Antenna position in stack Not in Stack
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: 180.0 kW
Manufacturer
Model TFU-24DSC-R CT170 SP-DC
Year 2003

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Lease New
Is this a request for upgraded equipment? No
Ownership Leased
Owner Durst - 1WTC
Is antenna shared? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 4
Number of Panels/Bays 40
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 35.0 %
Other Antenna Type N/A
ERP: 100.0 kW
Manufacturer
Model PEP40E
Year 2017
Justification for New Antenna Current slot antenna can not be re-channeled.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type Additional Module
Number of channels supported 4
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
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? 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

Enter a list of RF channel numbers.

RF Channel Number
36
35
34

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 Lease New
Ownership Leased
Owner Durst - 1WTC
Is antenna shared? Yes
Is antenna directional? No
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
Antenna position in stack Middle
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 4
Number of Panels/Bays 96
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 35.0 %
Other Antenna Type N/A
ERP: 100.0 kW
Manufacturer
Model PEP96L
Year 2017
Justification for New Antenna Required for on-air operation during channels transition.

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? Yes
Type Additional Module
Number of channels supported 4
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
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 an antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
35
34
36

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? No

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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Add 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? Located on Building
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 1263701
Coordinates (NAD83) Latitude (NAD83) 40° 42' 46.8" N-
Longitude (NAD83) 074° 00' 47.3" W-
Overall Structure Height 1791.97 feet
Support Structure Height 1334.63 feet
Ground Elevation Above Mean Sea Level (AMSL) 14.11 feet
Structure Type BTWR - Building with Tower
Tower Owner Port Authority of New York and New Jersey
Date Constructed 05/10/2013

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
47535 WNBC DTV
73333 WNJU DTV
1328 WABC-TV DTV
18795 WNET DTV
9610 WCBS-TV DTV
73881 WPIX 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: No study needed
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 Located on Building
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Professional Engineering Services for the Removal of Exterior Systems

Professional Engineering Services for the Removal of Exterior Systems

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? Located on Building
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? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1007048
Coordinates (NAD83) Latitude (NAD83) 40° 44' 54.0" N-
Longitude (NAD83) 073° 59' 09.0" W-
Overall Structure Height 1453.39 feet
Support Structure Height 1249.98 feet
Ground Elevation Above Mean Sea Level (AMSL) 50.85 feet
Structure Type B - Building
Tower Owner EMPIRE STATE BUILDING COMPANY
Date Constructed 01/01/1931

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
29022 WXNY-FM FM
73333 WNJU DTV
28203 WBLS FM
23004 WAXQ FM
18795 WNET DTV
70493 WZME DTV
1328 WABC-TV DTV
67866 WEBR-CD DTV
19615 WQHT FM
51249 WBAI FM
74197 WWOR-TV DTV
60555 WFUT-DT DTV
67846 WFAN-FM FM
43952 WMBC-TV DTV
61641 WSKQ-FM FM
58579 WBMP FM
9610 WCBS-TV DTV
73355 WNYC-FM FM
25442 WNEW-FM FM
6595 WKTU FM
63781 WEPN-FM FM
46978 WQXR-FM FM
47535 WNBC DTV
22206 WNYW DTV
51663 WPAT-FM FM
74215 WXTV-DT DTV
9611 WCBS-FM FM
73887 WPLJ FM
6373 WWPR-FM FM
59953 WHTZ FM
56571 WLTW FM

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Located on Building
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Installation Supervision

management of transmitter installation

Engineering Services

Design and specifying electrical, mechanical and RF systems

Commissioning of combiner

Commissioning of the modules into the combiner for both the main and auxiliary.

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $2,664,030.95 $1,765,042.21 N/A $1,422,170.04 N/A
Total for all systems $6,401,755.81 $5,807,059.05 N/A $1,870,156.63 N/A
Primary Transmitter THU9-16 EVO $1,763,996.74 $1,247,421.00 $904,548.83
Removal of Existing Equipment $475,096.17 $475,096.17 See attached Interior - Advent Industrial P.O. #'s #1011281, #1011251, #1010822, #1010821. Also see attached Interior - Advent Industrial #5588, #5573. $132,224.00 N/A
RF Interconnect $118,190.57 $118,190.57 See attached Myat, Inc. Invoices #00084355, #00084366, #CR00000528, #00084369. Attached BGS Invoice #0406842. Attached RFS invoices #27010377, #27010375, #7240357. $118,190.57 N/A
Other Electrical Service: Electrical and mechanical installation for replacement transmitter. $159,960.00 $159,960.00 See attached Bel-Air Construction Inc. Invoices #1081-01, #1081-02, #1081-03, #1081-CO3. $159,960.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $6,737.00 Per FCC procedure, as the actual cost for this expense is greater than what was previously estimated, ION has updated the cost estimate to reflect our latest invoices. Please see Feldman Brothers #2369067-00 & Feldman Brothers #2350187-00 attachments. $6,737.00 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $487,437.26 Estimated cost updated to reflect actual costs. See attached Rohde & Schwarz #9500063568 & Rohde & Schwarz #9500076567. $487,437.26 N/A
Switchgear - industrial 800 amp $38,200.00 $0.00 N/A $0.00 N/A
Auxiliary Transmitter THU9-12 EVO $900,034.21 $517,621.21 $517,621.21
Transformer 3 phase/480v - 150 KVA $25,550.00 $6,737.00 Per FCC procedure, as the actual cost for this expense is greater than what was previously estimated, ION has updated the cost estimate to reflect our latest invoice. Please see Feldman Brothers #2369067-00 & Feldman Brothers #2350187-00 attachments. $6,737.00 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $358,600.00 See Rohde & Schwarz Invoices #9500063568 & #9500076567 $358,600.00 N/A
Switchgear - industrial 800 amp $38,200.00 $0.00 N/A $0.00 N/A
Other Electrical Service: Electrical and mechanical installation for replacement transmitter. $152,284.21 $152,284.21 Updated to reflect actual costs to date. $152,284.21 N/A

Components

Actual Information Description File Name
Removal of Existing Equipment

Component Description:
25% payment for AIA/ENG services for permitting needed for removal of equipment from Empire State Building. Per FCC guidance, detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$12,725.00

Component Description:
Progress payment #1 for removal of equipment from transmitter room at Empire State Building (net of non-removal costs). Per FCC guidance, detailed cost breakdown, explanation of variance and supporting documentation attached. This invoice has been paid.
Amount:
$19,750.95

Component Description:
55% progress payment for AIA/ENG services for permitting necessary for removal of equipment from Empire State Building. Per FCC guidance, detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$27,995.00

Component Description:
Progress payment #3 for removal of equipment from transmitter room at Empire State Building (net of non-removal costs). Per FCC guidance, detailed cost breakdown, explanation of variance and supporting documentation attached. This invoice has been paid.
Amount:
$22,964.45

Component Description:
20% startup payment for removal of equipment from transmitter room (net of non-removal costs). Per FCC guidance, detailed cost breakdown, explanation of variance and supporting documentation attached. This invoice has been paid.
Amount:
$26,334.60

Component Description:
20% startup payment for removal of transmission line (net of non-removal costs). Per FCC guidance, detailed cost breakdown, explanation of variance and supporting documentation attached. This invoice has been paid.
Amount:
$15,274.00

Component Description:
20% final payment for AIA/ENG services for permitting necessary for removal of equipment from Empire State Building (net of non-removal costs). Per FCC guidance, detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$7,180.00

Component Description:
Progress payment #1 for removal of equipment from transmitter room at Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$19,750.95

Component Description:
55% progress payment for AIA/ENG services for permitting necessary for removal of equipment from Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$27,995.00

Component Description:
25% startup payment for AIA/ENG services for permitting necessary for removal of equipment from Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$12,725.00

Component Description:
Progress payment #2 for removal of equipment from transmitter room at Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$9,901.80

Component Description:
Progress payment #3 for removal of equipment from transmitter room at Empire State Building. Supporting documentation attached.
Amount:
$36,414.45

Component Description:
20% final payment for AIA/ENG services for permitting necessary for removal of equipment from Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$10,180.00

Component Description:
20% startup payment for removal of transmission line, equipment and restoration of Empire State Building facility. Supporting documentation attached. This invoice has been paid.
Amount:
$71,061.00
RF Interconnect

Component Description:
Credit Memo against Myat, Inc. #00084355 "Cost of RF Interconnect Components to Join Transmitter with Transmission Line". / Approved on 2/24/2018.
Amount:
($1,800.00)

Component Description:
Cost of RF Interconnect Air-cooled Motor Flanged Input. Supporting documentation attached. This invoice has been paid.
Amount:
$17,438.38

Component Description:
Cost of RF Interconnect Components to Join Transmitter with Transmission Line. Supporting documentation attached. This invoice has been paid.
Amount:
$7,246.13

Component Description:
10% "acceptance payment" for rigid transmission line patch panel (RF interconnect) to combiner. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$9,245.70

Component Description:
50% "prior to ship payment" for rigid transmission line patch panel (RF interconnect) to combiner. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$46,228.50

Component Description:
40% "with order payment" for rigid transmission line patch panel (RF interconnect) to combiner. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$36,982.80

Component Description:
Cost of RF Interconnect components to self-monitor quality of RF Signal to Transmitter. Supporting documentation attached. This invoice has been paid.
Amount:
$1,338.02

Component Description:
Cost of Additional RF Interconnect Components to Join Transmitter with Transmission Line. Supporting documentation attached. This invoice has been paid.
Amount:
$1,511.04
Other Electrical Service: Electrical and mechanical installation for replacement transmitter.

Component Description:
Full cost of remaining electrical installation of primary transmitter and RF system. Supporting documentation attached. This invoice has been paid.
Amount:
$10,368.00

Component Description:
Payment No. 1 for electrical installation of primary transmitter. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$29,704.75

Component Description:
Payment No. 3 for electrical installation of primary transmitter. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$15,266.32

Component Description:
Payment No. 2 for electrical installation of primary transmitter. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$104,620.93
Transformer 3 phase/480v - 150 KVA

Component Description:
Cost of transformers for primary transmitter. Supporting documentation and cost breakdown attached. This invoice has been paid.
Amount:
$2,243.42

Component Description:
Cost of transformers for primary transmitter. Supporting documentation and cost breakdown attached. This invoice has been paid.
Amount:
$4,493.58
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
25% "down-payment" for Rohde & Schwarz Primary Transmitter. Supporting documentation and cost breakdown attached. This invoice has been paid.
Amount:
$121,859.31

Component Description:
75% "remaining balance" payment for Rohde & Schawrz primary transmitter. Supporting documentation and cost breakdown attached.
Amount:
$365,577.95
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 150 KVA

Component Description:
Cost of transformers for auxiliary transmitter. Supporting documentation and cost breakdown attached. This invoice has been paid.
Amount:
$4,493.58

Component Description:
Cost of transformers for auxiliary transmitter. Supporting documentation and cost breakdown attached. This invoice has been paid.
Amount:
$2,243.42
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
75% "remaining balance" payment for Rhode & Schwarz Auxiliary transmitter. Supporting documentation and cost breakdown attached.
Amount:
$268,950.00

Component Description:
25% "down-payment" for Rohde & Schwarz Auxiliary Transmitter. Supporting documentation and cost breakdown attached. This invoice has been paid.
Amount:
$89,650.00
Switchgear - industrial 800 amp Information not provided.
Other Electrical Service: Electrical and mechanical installation for replacement transmitter.

Component Description:
Full cost to install Air Separator & Drip Pan to keep air out of Auxiliary Transmitter Cooling Lines. Supporting documentation attached. This invoice has been paid.
Amount:
$2,692.21

Component Description:
Payment No. 1 for electrical installation of auxiliary transmitter. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$29,704.75

Component Description:
Payment No. 3 for electrical installation of auxiliary transmitter. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$15,266.33

Component Description:
Payment No. 2 for electrical installation of auxiliary transmitter. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$104,620.92

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 $2,361,860.00 $208,154.68 N/A $208,154.68 N/A
Total for all systems $6,401,755.81 $5,807,059.05 N/A $1,870,156.63 N/A
Interim Antenna PEP96L $1,180,930.00 $104,077.34 $104,077.34
Adding a module to existing combiner (without antenna) $84,200.00 $100,327.34 See attached Radio Frequency Systems Invoice #27010375, #27010377, #7240357 $100,327.34 Variance between Actual and Estimated Costs is only 34 cents.
Sweep test of existing antenna $6,730.00 $3,750.00 Updated to reflect actual costs to date. $3,750.00 N/A
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized $1,090,000.00 $0.00 N/A $0.00 N/A
Primary Antenna PEP40E $1,180,930.00 $104,077.34 $104,077.34
Adding a module to existing combiner (without antenna) $84,200.00 $100,327.34 See attached Radio Frequency Systems Invoice #27010375, #27010377, #7240357 $100,327.34 Variance for Actual vs. Estimated Costs is only 34 cents.
Sweep test of existing antenna $6,730.00 $3,750.00 Updated to reflect actual costs to date. $3,750.00 N/A
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized $1,090,000.00 $0.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Adding a module to existing combiner (without antenna)

Component Description:
50% "prior to ship payment" for interim single channel VPT combiner system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$50,163.67

Component Description:
10% "acceptance payment" for interim single channel VPT combiner system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$10,032.74

Component Description:
40% "with order payment" for interim single channel VPT combiner system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$40,130.93
Sweep test of existing antenna

Component Description:
1/2 of cost of Radio Frequency Systems, Inc. proof of performance for 1WTC combiner and commissioning. Supporting documentation attached. This invoice has been paid.
Amount:
$3,750.00
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized Information not provided.
Adding a module to existing combiner (without antenna)

Component Description:
10% "acceptance payment" for primary single channel VPT combiner system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$10,032.73

Component Description:
50% "prior to ship payment" for primary single channel VPT combiner system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$50,163.67

Component Description:
40% "with order payment" for primary single channel VPT combiner system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$40,130.94
Sweep test of existing antenna

Component Description:
1/2 of cost of Radio Frequency Systems, Inc. proof of performance for 1WTC combiner and commissioning. Supporting documentation attached. This invoice has been paid.
Amount:
$3,750.00
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $881,320.00 $3,263,508.20 N/A $37,320.00 N/A
Total for all systems $6,401,755.81 $5,807,059.05 N/A $1,870,156.63 N/A
Primary Tower BTWR $460,320.00 $3,263,508.20 $37,320.00
Professional Engineering Services for the Removal of Exterior Systems $39,320.00 $39,320.00 Professional Design ENG Services for the Preparation and Submission of Applications and Permitting to the NYC Department of Buildings and the NYC Landmark Commission. Please see attached Advent Industrial Quote. $37,320.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $3,224,188.20 See attached Advent Industrial Corporation Quote "ION Antenna Removal / Facade Restoration" for $3,205,076 + Advent Industrial Corporation Invoice #5589 for 19,112.20 N/A N/A
Primary Tower B $421,000.00 $0.00 $0.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
Professional Engineering Services for the Removal of Exterior Systems

Component Description:
20% final payment for ENG Services for permitting necessary for removal of exterior equipment from Empire State Building (net of non-removal costs). Per FCC guidance, detailed cost breakdown, explanation of variance, and supporting documentation attached.
Amount:
$5,864.00

Component Description:
50% deposit for ENG services for permitting necessary for removal of exterior equipment from Empire State Building. Per FCC guidance, detailed cost breakdown, explanation of variance, and supporting documentation attached. This invoice has been paid.
Amount:
$19,660.00

Component Description:
30% progress payment for ENG services for permitting necessary for removal of exterior equipment from Empire State Building. Per FCC guidance, detailed cost breakdown, explanation of variance, and supporting documentation attached.
Amount:
$11,796.00

Component Description:
20% final payment for ENG Services for permitting necessary for removal of exterior equipment from Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$7,864.00

Component Description:
30% progress payment for ENG services for permitting necessary for removal of exterior equipment from Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$11,796.00

Component Description:
50% deposit for ENG services for permitting necessary for removal of exterior equipment from Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$19,660.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) 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 $371,405.86 $451,389.96 N/A $171,570.86 N/A
Total for all systems $6,401,755.81 $5,807,059.05 N/A $1,870,156.63 N/A
Outside Professional Services $371,405.86 $451,389.96 $171,570.86
Engineering Services $142,890.86 $142,890.86 See attached Hanson Architects & Engineers Invoices #1061877, #1063493, #1062322, #1063471 $142,890.86 N/A
Commissioning of combiner $28,680.00 $28,680.00 See attached Radio Frequency System Invoices #27010375, #27010377, #7232195. $28,680.00 N/A
Installation Supervision $25,000.00 $25,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $0.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $0.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $0.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $0.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $3,500.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $74,646.90 Per FCC procedure, as the actual cost for this expense is greater than what was previously estimated, ION has updated the cost estimate to reflect our latest invoice. Please see Cooley #501527-146 for supporting documentation. $0.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $14,359.30 Per FCC procedure, as the actual cost for this expense is greater than what was previously estimated, ION has updated the cost estimate to reflect our latest invoice. Please see Cooley #501527-146 for supporting documentation. $0.00 N/A
Prepare request for Special Temporary Authorization $4,100.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $37,062.90 Per FCC procedure, as the actual cost for this expense is greater than what was previously estimated, ION has updated the cost estimate to reflect our latest invoice. Please see Cooley #501527-146 for supporting documentation. $0.00 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

Components

Actual Information Description File Name
Engineering Services

Component Description:
Per FCC guidance, this invoice is being re-submitted. 20% Payment for Project Scope of Work, Site Survey and Plans & Specifications for Vacating Empire State Building (net of non-removal costs). Supporting documentation attached.
Amount:
$9,200.00

Component Description:
Per FCC guidance, this invoice is being re-submitted. 80% Payment for Project Scope of Work, Site Survey and Plans & Specifications for Vacating Empire State Building (net of non-removal costs). Supporting documentation attached.
Amount:
$36,800.00

Component Description:
80% Payment for Design Coordination, Engineering & Construction Documents, Engineering Services during Construction Phase and Project Expenses. Per FCC guidance, explanation of variance and supporting documentation attached. This invoice has been paid.
Amount:
$77,512.69

Component Description:
20% Payment for Design Coordination, Engineering & Construction Documents, Engineering Services during Construction Phase and Project Expenses. Per FCC guidance, explanation of variance and supporting documentation attached. This invoice has been paid.
Amount:
$19,378.17

Component Description:
20% Payment for Design Coordination, Engineering & Construction Documents, Engineering Services during Construction Phase and Project Expenses. Supporting documentation attached. This invoice has been paid.
Amount:
$19,378.17

Component Description:
20% Payment for Project Scope of Work, Site Survey and Plans & Specifications for Vacating Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$9,200.00

Component Description:
80% Payment for Design Coordination, Engineering & Construction Documents, Engineering Services during Construction Phase and Project Expenses. Supporting documentation attached. This invoice has been paid.
Amount:
$77,512.69

Component Description:
80% payment for Project Scope of Work, Site Survey and Plans & Specifications for Vacating Empire State Building. Supporting documentation attached. This invoice has been paid.
Amount:
$36,800.00
Commissioning of combiner

Component Description:
10% "acceptance payment" for commissioning of combiner. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$2,868.00

Component Description:
40% "with order payment" for commissioning of combiner. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$11,472.00

Component Description:
50% "prior to ship payment" for commissioning of combiner. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$14,340.00
Installation Supervision Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Attorney fees for services rendered negotiating lease and other matters for shared New York City tower site of ION Media License Company, LLC, WPXN-TV. Hourly supporting documentation attached. This invoice has been paid.
Amount:
$74,646.90
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Attorney fees for services rendered preparing and filing FCC Form 2100, Construction Permit Application of ION Media License Company, LLC, WPXN-TV. Hourly supporting documentation attached. This invoice has been paid.
Amount:
$14,359.30
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare and or review reimbursement form

Component Description:
Attorney fees for preparing, reviewing and revising the Reimbursement Form (FCC Form 2100 Schedule 399) in connection with the expedited relocation from ESB to 1WTC as part of NYC television repack project of ION Media License Company, LLC, WPXN-TV.
Amount:
$37,062.90
Address transition timing and coordination issues w/ other stations and wireless 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 $123,139.00 $118,964.00 N/A $30,941.05 N/A
Total for all systems $6,401,755.81 $5,807,059.05 N/A $1,870,156.63 N/A
Other Expenses $123,139.00 $118,964.00 $30,941.05
Non-zoning permits $25,000.00 $25,000.00 N/A $8,992.05 N/A
DTV Medical Facility Notification $11,550.00 $8,500.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $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
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $21,949.00 $21,949.00 N/A $21,949.00 N/A
Equipment Storage $10,000.00 $10,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 The amount is yet to be determined (TBD) and ION will submit on-air announcement costs when finalized. N/A N/A
MVPD Notification of Channel Change $3,000.00 $3,000.00 N/A N/A N/A
Local Zoning $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Non-zoning permits

Component Description:
80% Payment for Tenant Alteration Application (TAA). IMPORTANT NOTE: Per FCC guidance, TAA filing fees have been excluded from request. Associated explanation of variance, cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$7,193.64

Component Description:
20% Payment for Tenant Alteration Application (TAA). IMPORTANT NOTE: TAA filing fees are not included in this invoice. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$1,798.41

Component Description:
20% Payment for Tenant Alteration Application (TAA) plus TAA Filing Fee for the Port Authority of NY/NJ. Cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$1,798.41

Component Description:
80% Payment for Tenant Alteration Application (TAA) plus TAA Filing Fee for the Port Authority of NY/NJ. Cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$21,193.64
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application 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.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Cost for Administrative, Logistics, Dock Labor, Freight for Equipment Delivery of Mixed Components Supporting documentation attached. This invoice has been paid.
Amount:
$1,180.00

Component Description:
Cost for Administrative, Logistics, Dock Labor, Crate Modification Materials & Freight for Equipment Delivery of Mixed Components. Supporting documentation attached. This invoice has been paid.
Amount:
$1,869.00

Component Description:
Cost for Administrative, Logistics, Labor, & Freight for Equipment Delivery of Mixed Components. Supporting documentation attached. This invoice has been paid.
Amount:
$7,050.00

Component Description:
Cost of freight for RFS combiner module system. Detailed cost breakdown and supporting documentation attached. This invoice has been paid.
Amount:
$10,000.00

Component Description:
Cost for Administrative, Logistics, Dock Labor, Freight for Equipment Delivery of Mixed Components. Supporting documentation attached. This invoice has been paid.
Amount:
$1,850.00
Equipment Storage Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.
Local Zoning Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $6,401,755.81 $5,807,059.05 $1,870,156.63

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.

Mario Vasquez

Vice President - Finance, Operations


08/30/2018

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.

Mario Vasquez

Vice President - Finance, Operations


08/30/2018

Attachments

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