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:
0000028235
FRN:
0021781422
Facility ID:
147
Repack Channel:
34 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
09/05/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

TRIBUNE BROADCASTING HARTFORD, LLC

Doing Business As: TRIBUNE BROADCASTING HARTFORD, LLC

Dean Maluski

285 BROAD STREET

HARTFORD, CT 06115

United States

+1 (860) 527-6161 dmaluski@tribunemedia.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

Bill Vanduynhoven , Vanduynhov .

Director of Engineering operations

Tribune Broadcasting

Bill Vanduynhoven

2211 Rabbit Hill Cir

Dacula, GA 30019

United States

+1 (404) 312-8693 BillV@Tribunemedia.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Replace Antenna and transmission line Replace transmitter

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 Retune Existing
Use Auxiliary (Backup)
Description of Use Auliliary
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 Axcera
Model Inovator HX HU5000BD
Year 2009
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 5 kw
Other Transmitter Type  

Auxiliary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed  
New Mask Filter Power 10 kw
Other Power  
New Exciter Is a new exciter needed? Yes
Exciter Type Single frequency agile

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

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 PowerCD P1
Year 2005
Type Inductive Output Tube
IOT Power Type Single
Description  
Power capacity 30 kw
Solid State Cooling  
Solid State Power Capacity  
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 ULXTE-72
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 44 kw
Other Transmitter Type  
Justification for New Transmitter Current transmitter can not make the required power, adding additional PA cabinets is not an option since they are no longer manufactured.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 2 inches
Length 200.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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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? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
Antenna position in stack Bottom
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: 495.00 kW
Manufacturer
Model TFU-18DSC/VP-R O4 C170
Year 2004

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? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Bottom
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: 565.00 kW
Manufacturer
Model TFU-18DSC/VP-R C170
Year 2019
Justification for New Antenna Current antenna will not operate on assigned channel

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? Broadband
Feed Line Size 7 3/16 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? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 3
Number of Panels/Bays 16
Lower Limit 470.00 MHz
Upper Limit 665.00 MHz
Design power capacity in use 95.0 %
Other Antenna Type N/A
ERP: 1500.00 kW
Manufacturer
Model TFU-WB16
Year 2020
Justification for New Antenna Antenna for operation during tower work for 3 stations. WTIC will install the antenna

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 New
Number of channels supported 3
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? Yes
Broadband or Single Channel? Broadband
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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
45
20
31

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Interim Instantiation

Install interim antenna

Insurance

Additional charge to meet Owner insurance requirement

Lease cost

Temporary lease for Interim antenna

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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 7 3/16 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 1375 feet per run

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

Facility ID Call Sign
14050 WCCT-TV

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 7 3/16 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 1375 feet per run
Justification for New Transmission Line Current shared transmission line is no longer supported by manufacturer and will not work on new channel. Station cannot share with line with WCCT on new assigned channels.

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 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1200 feet per run
Justification for New Transmission Line Transmission line for temporary operation during antenna changes.

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 Leased
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? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 41° 42' 13.0" N-
Longitude (NAD83) 072° 49' 55.0" W-
Overall Structure Height 1338.89 feet
Support Structure Height 1291.98 feet
Ground Elevation Above Mean Sea Level (AMSL) 709.97 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner COMMUNICATIONS SITE MANAGEMENT, LLC
Date Constructed 09/01/1984

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
66465 WTIC-FM FM
1900 WZMX FM
1910 WRCH FM
13602 WEDH DTV
14050 WCCT-TV 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 documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor 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? Yes
Number of Hours 100
Explanation Management services by Landlord
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 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 No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare and file Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
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 No
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 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

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? Yes
Is Remediation needed? Yes
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? 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 $1,621,390.00 $1,497,000.00 N/A $694,566.93 N/A
Total for all systems $3,790,055.00 $3,170,315.00 N/A $1,220,510.98 N/A
Primary Transmitter ULXTE-72 $1,490,400.00 $1,455,000.00 $694,566.93
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,434,000.00 $1,400,000.00 N/A $694,566.93 N/A
Service entrance 3 phase/800 amp/208 volt $14,050.00 $13,700.00 N/A N/A N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $5,000.00 N/A N/A N/A
Auxiliary Transmitter Inovator HX HU5000BD $130,990.00 $42,000.00 $0.00
Single frequency agile exciter $20,500.00 $20,000.00 N/A N/A N/A
10 kW mask filter $8,090.00 $7,000.00 N/A N/A N/A
UHF and VHF - minor banding issues $102,400.00 $15,000.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Transmitter Deposit
Amount:
$342,317.91

Component Description:
second payment for ULXTE-72
Amount:
$352,249.02
Service entrance 3 phase/800 amp/208 volt Information not provided.
Switchgear - industrial 800 amp Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Single frequency agile exciter Information not provided.
10 kW mask filter Information not provided.
UHF and VHF - minor banding issues Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $751,865.00 $732,315.00 N/A $234,453.38 N/A
Total for all systems $3,790,055.00 $3,170,315.00 N/A $1,220,510.98 N/A
Interim Antenna TFU-WB16 $570,365.00 $556,915.00 $157,792.50
Lease cost $65,000.00 $65,000.00 Tower lease for Interim antenna N/A N/A
Insurance $54,940.00 $54,940.00 Tower owner requested insurance above the standard amount. This is an additional cost. N/A N/A
Interim Instantiation $248,650.00 $248,650.00 Installation and tower upgrade to accommodate Interim antenna will be used by 3 stations N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,300.00 $13,000.00 N/A $0.00 N/A
New combiner, cost per channel (without antenna) $80,000.00 $67,000.00 N/A $60,300.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 16 bay,, 1500 kW input, directional,, horizontally polarized $101,925.00 $101,925.00 N/A $91,732.50 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $5,760.00 N/A
Primary Antenna TFU-18DSC/VP-R C170 $181,500.00 $175,400.00 $76,660.88
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $17,000.00 N/A $7,391.25 N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,400.00 $16,000.00 N/A $5,572.13 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $2,880.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 565 kW input, directional,, elliptically or circularly polarized $136,000.00 $136,000.00 N/A $60,817.50 N/A

Components

Actual Information Description File Name
Lease cost Information not provided.
Insurance Information not provided.
Interim Instantiation Information not provided.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
this was put here by mistake and I can't delete it. That is why the dollar amount is zero.
Amount:
N/A
New combiner, cost per channel (without antenna)

Component Description:
Combiners for Interim Antenna deposit
Amount:
$30,150.00

Component Description:
Combiners for Interim Antenna 2nd payment
Amount:
$30,150.00
UHF - High Power, Side Mount, basic slot antenna, 16 bay,, 1500 kW input, directional,, horizontally polarized

Component Description:
2nd payment for Interim Antenna
Amount:
$45,866.25

Component Description:
deposit for interim Antenna
Amount:
$45,866.25
Sweep test of existing antenna

Component Description:
Engineer on site for sweep test 2nd payment
Amount:
$2,880.00

Component Description:
Engineer on site for sweep test deposit
Amount:
$2,880.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Deposit for Side mount brackets
Amount:
$7,391.25
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow Complex 7 3/16 75 OHM feedline deposit.
Amount:
$5,572.13
Sweep test of existing antenna

Component Description:
Eng. for sweep test on site deposit
Amount:
$2,880.00
UHF - High Power, Side Mount, basic slot antenna, 565 kW input, directional,, elliptically or circularly polarized

Component Description:
deposit for VPOL Components
Amount:
$7,627.50

Component Description:
Deposit for Primary Antenna
Amount:
$53,190.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $660,325.00 $500,000.00 N/A $291,490.67 N/A
Total for all systems $3,790,055.00 $3,170,315.00 N/A $1,220,510.98 N/A
Interim Transmission Line $271,200.00 $240,000.00 $173,748.96
Rigid Transmission Line - copper, 6 1/8" broadband $271,200.00 $240,000.00 N/A $173,748.96 N/A
Primary Transmission Line $389,125.00 $260,000.00 $117,741.71
Rigid Transmission Line - copper, 7 3/16" $389,125.00 $260,000.00 N/A $117,741.71 N/A

Components

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

Component Description:
Deposit for Rigid Transmission line - copper 6 1/8
Amount:
$82,306.98

Component Description:
2nd payment for T/L 6-75 EIA Length 15' to 20' fixed flg 1 end/swivel
Amount:
$4,567.50

Component Description:
2nd payment for Rigid Transmission Line - Copper
Amount:
$82,306.98

Component Description:
Deposit payment for T/L 6-75 EIA Length 15' to 20' fixed flg 1 end/swivel
Amount:
$4,567.50
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Deposit for Transmission line
Amount:
$109,353.71

Component Description:
deposit for fixed flg 1 and end/swivel
Amount:
$3,017.25

Component Description:
through complex WTIC 6-1/8" 50 OHM EIA feed - deposit
Amount:
$5,370.75

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 $575,300.00 $262,000.00 N/A $0.00 N/A
Total for all systems $3,790,055.00 $3,170,315.00 N/A $1,220,510.98 N/A
Primary Tower TOWER $575,300.00 $262,000.00 $0.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $170,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $153,500.00 $80,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,300.00 $12,000.00 N/A N/A N/A

Components

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 $50,745.00 $49,500.00 N/A $0.00 N/A
Total for all systems $3,790,055.00 $3,170,315.00 N/A $1,220,510.98 N/A
Outside Professional Services $50,745.00 $49,500.00 $0.00
RF Exposure Measurements $20,500.00 $20,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $3,070.00 $3,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A N/A N/A
Project management of the transition $15,400.00 $15,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $130,430.00 $129,500.00 N/A $0.00 N/A
Total for all systems $3,790,055.00 $3,170,315.00 N/A $1,220,510.98 N/A
Other Expenses $130,430.00 $129,500.00 $0.00
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 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
Local Zoning $15,000.00 $15,000.00 N/A N/A N/A
AM Pattern Disturbance -- Impact study $7,680.00 $7,500.00 N/A N/A N/A
AM Pattern Disturbance -- Remedy $20,500.00 $20,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A N/A N/A
MVPD Notification of Channel Change $11,000.00 $11,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 N/A N/A N/A
Equipment Storage $15,000.00 $15,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,790,055.00 $3,170,315.00 $1,220,510.98

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.

Teri Ann Guillory

Broadcasting Operations


09/05/2018

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