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:
0000027982
FRN:
0001615582
Facility ID:
14040
Repack Channel:
33 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
09/12/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ROCKY MOUNTAIN PUBLIC MEDIA, INC.

Doing Business As: ROCKY MOUNTAIN PUBLIC MEDIA, INC.

DANNA LUO

1089 BANNOCK STREET

DENVER, CO 80204

United States

+1 (303) 892-6666 dannaluo@rmpbs.org Not-for-Profit

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

James Schoedler

JB Schoedler Associates LLC

1069 S Downing Street

Denver, CO 80209

United States

+1 (303) 725-9043 jschoedler@usa.net

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 To transition from CH 18 to CH 33 KRMA must replace its antenna, transmission line, and main transmitter. The backup transmitter will be retuned. Installation will take place in 2018 so that testing can begin on 12/1/18 or soon thereafter.

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 Low Power Backup
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Innovator LX
Year 2009
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 3 kw
Other Transmitter Type  

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Description of Use Auxiliary Backup Transmitter
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model UAXTE-6R44
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 3.6 kw
Other Transmitter Type  
Justification for New Transmitter KRMA originally requested funds to retune the existing Axcera transmitter, but after submitting sample rf modules to UBS/Axcera for re-tuning, the company has advised that due to the age and design of the modules the re-tuning will not be possible.

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 Power CD
Year 2009
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? No
Manufacturer
Model ULXTE-50
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 31.7 kw
Other Transmitter Type  
Justification for New Transmitter Refer to attached Transition Plan exhibit.

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) No
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 1 inches
Length 1.0 feet
Other Electrical Service Yes
Description Disconnection of existing.
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

Name Description

Site Survey

Engineering visit to specify transmitter installation.

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 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: 1000.00 kW
Manufacturer
Model TFU-32DSC/VP-R C190
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? 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? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.00 kW
Manufacturer
Model TFU-38DSC/VP-R C190
Year 2018
Justification for New Antenna Existing antenna does not cover new 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? Single Channel
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Freight

Shipping from manufacturer to offload point in Denver.

Transportation to site

Transportation to site on 4-wheel drive road.

Installation

Removal of old antenna and installation of new.

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 8 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 379 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Segment Length 19 ¾ '
Other Segment Length
Number of parallel runs 1
Length 379 feet per run
Justification for New Transmission Line Existing transmission line is not suitable for new channel

Primary 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? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
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 1023484
Coordinates (NAD83) Latitude (NAD83) 39° 40' 17.4" N-
Longitude (NAD83) 105° 13' 08.0" W-
Overall Structure Height 273.95 feet
Support Structure Height 271.98 feet
Ground Elevation Above Mean Sea Level (AMSL) 7685.60 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Bear Creek Development Corporation
Date Constructed 11/08/1988

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
57219 KCEC DTV
83535 KVOD FM

Other Types of Users

Users
2-way radio
Cellular

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
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 500
Explanation Overall project management and coordination of procurement process.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
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 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? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination 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? 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

Replacement Coaxial Switching System

Dielectric has advised that re-use of the existing waveguide switching system is not practical. A replacement coaxial system is required instead.

Temporary Antenna Installation

A temporary antenna installation on the tower ice bridge is required during installation of the new antenna.

Electrical Design Engineering

Electrical requirements of new main and auxiliary transmitters require extensive electrical rework. Contractor requested drawings and panel schedules from an electrical designer.

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 $1,071,546.86 $1,070,946.86 N/A $756,805.01 N/A
Total for all systems $1,927,962.66 $1,846,471.66 N/A $947,260.03 N/A
Primary Transmitter ULXTE-50 $902,485.16 $901,885.16 $645,563.87
Site Survey $6,500.00 $6,500.00 Site survey is required to determine plan for replacement transmitter installation. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 31.7 kW $868,085.16 $868,085.16 This amount is based on revised proposal obtained from Gates Air. See attached exhibit: Quote G-63421. $645,563.87 N/A
Transformer 3 phase/480v - 150 KVA $24,900.00 $24,300.00 N/A N/A N/A
1" Rigid Conduit and Wiring $1,500.00 $1,500.00 N/A N/A N/A
Other Electrical Service: Disconnection of existing. $1,500.00 $1,500.00 N/A N/A N/A
Auxiliary Transmitter UAXTE-6R44 $169,061.70 $169,061.70 $111,241.14
UHF - Air Cooled Solid State Transmitter 3.6 kW $169,061.70 $169,061.70 See GatesAir quote Q-63424 uploaded with this application. $111,241.14 N/A

Components

Actual Information Description File Name
Site Survey Information not provided.
UHF - Liquid Cooled Solid State Transmitter 31.7 kW

Component Description:
Invoice #2 for Main Transmitter - 25% installment due 5/30/2018
Amount:
$214,271.29

Component Description:
Initial payment with order for ULXTE-50 Transmitter System
Amount:
$217,021.29

Component Description:
25% Payment due 8/30/18 for main transmitter
Amount:
$214,271.29
Transformer 3 phase/480v - 150 KVA Information not provided.
1" Rigid Conduit and Wiring Information not provided.
Other Electrical Service: Disconnection of existing. Information not provided.
UHF - Air Cooled Solid State Transmitter 3.6 kW

Component Description:
1/3 payment due prior to shipping for Auxiliary/Backup Transmitter
Amount:
$55,620.57

Component Description:
1/3 Down Payment for Auxiliary/Backup Transmitter
Amount:
$55,620.57

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 $449,520.00 $455,080.00 N/A $159,063.12 N/A
Total for all systems $1,927,962.66 $1,846,471.66 N/A $947,260.03 N/A
Primary Antenna TFU-38DSC/VP-R C190 $449,520.00 $455,080.00 $159,063.12
Installation $79,850.00 $79,850.00 Installation cost determined by Rex Industries proposal 217-301 attached to Form 399. N/A N/A
Transportation to site $0.00 $0.00 Included in antenna installation cost. N/A N/A
Freight $9,500.00 $9,500.00 Freight Cost to Denver, Colorado provided in Dielectric email dated 6/22/17 (attached to Form). N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $2,500.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $29,000.00 Custom Mounting Bracket Cost provided in Dielectric Quotation SKM0003 N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $13,730.00 Estimated cost based on Dielectric quotation. N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized $320,500.00 $320,500.00 This amount was included in the approved Form 399 but inadvertently deleted in a subsequent reimbursement request. This change is to restore the amount to the budget. $159,063.12 N/A

Components

Actual Information Description File Name
Installation Information not provided.
Transportation to site Information not provided.
Freight Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized

Component Description:
Initial payment with order for TFU-38DSC/VP-R high power antenna.
Amount:
$159,063.12

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 $74,663.00 $73,887.00 N/A $0.00 N/A
Total for all systems $1,927,962.66 $1,846,471.66 N/A $947,260.03 N/A
Primary Transmission Line $74,663.00 $73,887.00 $0.00
Rigid Transmission Line - copper, 6 1/8" $74,663.00 $73,887.00 Estimated cost is based on Dielectric cost proposal. N/A N/A

Components

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 $94,200.00 $12,000.00 N/A $5,339.90 N/A
Total for all systems $1,927,962.66 $1,846,471.66 N/A $947,260.03 N/A
Primary Tower TOWER $94,200.00 $12,000.00 $5,339.90
Structural engineering tower load study for well documented tower $12,300.00 $12,000.00 N/A $5,339.90 N/A
Short Tower (less than 500') $81,900.00 $0.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Invoice for structural study for mounting interim antenna during main antenna replacement.
Amount:
$1,000.00

Component Description:
Tower Analysis - Main Tower - January Labor - Includes PO #22547
Amount:
$3,275.00

Component Description:
Tower Analysis - Main Tower - Labor for December 2017 - Includes PO #22547
Amount:
$1,064.90
Short Tower (less than 500') 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 $128,475.00 $125,250.00 N/A $18,302.00 N/A
Total for all systems $1,927,962.66 $1,846,471.66 N/A $947,260.03 N/A
Outside Professional Services $128,475.00 $125,250.00 $18,302.00
Project management of the transition $77,000.00 $75,000.00 N/A $12,750.00 N/A
RF Exposure Measurements $20,500.00 $20,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,095.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $4,952.00 N/A
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 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 $600.00 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $0.00 N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project Management Fees - June 2018
Amount:
$975.00

Component Description:
Project Management Fees - May 2018
Amount:
$1,218.75

Component Description:
Project Management Fees - July-August 2018
Amount:
$1,575.00

Component Description:
Project Management Fees - June 2017 (includes all line items except 6/26 and 6/27).
Amount:
$1,275.00

Component Description:
Repack Project Management Fees - January 2018
Amount:
$731.25

Component Description:
Project Management Fees - February 2018
Amount:
$506.25

Component Description:
Project Management Fees - March 2018
Amount:
$450.00

Component Description:
Legal Advice related to management of project
Amount:
$50.00

Component Description:
Project Management Fees - October 2017
Amount:
$225.00

Component Description:
Legal advice related to management of project
Amount:
$150.00

Component Description:
Legal advice related to management of project - line items for 2/6 and 2/14 only
Amount:
$300.00

Component Description:
Legal advice related to management of project - line item from 2/6/2018 only.
Amount:
$50.00

Component Description:
Project Management Fees - September 2017
Amount:
$450.00

Component Description:
Project Management Fees for April 2017.
Amount:
$600.00

Component Description:
Project Management Fees - May 2017
Amount:
$1,125.00

Component Description:
Legal Advice related to management of project - January 2018
Amount:
$800.00

Component Description:
Project Management Fees - November 2017
Amount:
$300.00

Component Description:
Project Management Fees - July 2017 (all line items except 7/6/17)
Amount:
$656.25

Component Description:
Project Management Fees - April 2018
Amount:
$225.00

Component Description:
Project Management Fees - August 2017
Amount:
$150.00

Component Description:
Legal advice related to management of project - December 2017
Amount:
$50.00

Component Description:
Project Management Fees for the month of December 2017
Amount:
$937.50
RF Exposure Measurements 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 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:
Legal Fees
Amount:
$2,418.00

Component Description:
Legal Fees
Amount:
$600.00

Component Description:
Legal Fees
Amount:
$878.00

Component Description:
Legal Fees
Amount:
$917.00

Component Description:
Legal Fees
Amount:
$139.00
Prepare request for Special Temporary Authorization Information not provided.
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

Component Description:
Engineering Fees for Preparation of CP Application - line items for 6/26 and 6/27/17.
Amount:
$450.00

Component Description:
Engineering Fees for CP Application - line item for 7/6 only
Amount:
$150.00
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare and or review reimbursement form 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 $109,557.80 $109,307.80 N/A $7,750.00 N/A
Total for all systems $1,927,962.66 $1,846,471.66 N/A $947,260.03 N/A
Other Expenses $109,557.80 $109,307.80 $7,750.00
MVPD Notification of Channel Change $2,500.00 $2,500.00 N/A $1,963.00 N/A
Electrical Design Engineering $3,000.00 $3,000.00 Cost estimate based on verbal quote from Green Mountain Electrical Consultants. $2,800.00 N/A
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A $2,987.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $48,495.00 $48,495.00 N/A N/A N/A
Equipment Delivery and Handling Charges $4,500.00 $4,500.00 Cost based on local towing company 4WD vehicle to transport transmitter(s) to/from site. Three days @ $1500 per day. N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 N/A N/A N/A
Temporary Antenna Installation $10,000.00 $10,000.00 See Rex Industries email dated 6/30/17 attached to Form 399. N/A N/A
Replacement Coaxial Switching System $23,312.80 $23,312.80 See Dielectric quote 180074ASM uploaded with this application to replace an existing waveguide switching system (main and backup transmitter, antenna and load) that Dielectric advises cannot be used on the new channel. N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
DTV Notification Invoice 001908 - MVPD Notifications
Amount:
$1,963.00
Electrical Design Engineering

Component Description:
Engineering of transmitter electrical facilities
Amount:
$2,800.00
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Invoice 001909 - Medical Notifications
Amount:
$2,987.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Temporary Antenna Installation Information not provided.
Replacement Coaxial Switching System Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,927,962.66 $1,846,471.66 $947,260.03

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.

DANNA LUO

CHIEF FINANCIAL OFFICER


09/12/2018

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.

DANNA LUO

CHIEF FINANCIAL OFFICER


09/12/2018

Attachments

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