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:
64550
Service:
DTV
Call Sign:
WQOW
Channel:
25 (UHF)
File Number:
0000027502
FRN:
0030885057
Date Submitted:
09/27/2018

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WXOW-WQOW LICENSE, LLC

Doing Business As: WXOW-WQOW LICENSE, LLC

Brady Dreasler

P.O. BOX 909

QUINCY, IL 62306

United States

+1 (217) 223-5100 bdreasler@quincyinc.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

Tony zumMallen

President

QCommunications, LLC

Tony zumMallen

705B SE Melody LN #314

Lees Summit, MO 64063

United States

+1 (816) 729-1177 tony@qcom1.com

Broadcaster Information and Transition Plan

Back to Top
Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Transition from ch15 to ch25 will allow the use of the current antenna however the transmission line will require modifications.

Transmitters

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

Primary Transmitter

Back to Top

Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use 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 Diamond
Year 2001
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 16 kW

Primary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 20 kW
Justification for New Transmitter Necessary to facilitate the channel reassignment. Existing Transmitter is not tunable per manufacturer.

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 300.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 25 tons
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

Back to Top

Other Transmitter Cost Not Listed

Name Description

Site Survey - TX

Site survey and report are required to be performed before the new transmitter and components installation plan can be finalized.

Transmitter-Disconnect

Disconnect transmitter and components from existing configuration and move within building to make way for new facilities.

Securirty - Site

This site requires security once the new transmission line and equipment arrive on site to be installed. Estimated length of 4-6 weeks.

Transmitter training

Transmitter training - offsite - 1 week in duration at mfg site.

Transmitter Site Preperation

Site Preparation for Repack Interim and Main Transmitter installation Performing work that is not in the installation SOW on site to prepare for the GatesAir installation crew arrival to ensure there are no delays to the installation crews plans

Antennas

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

Primary Antenna

Back to Top

Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
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
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels 32
Design power capacity in use 50.0 %
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 200.0 kW
Manufacturer Dielectric
Model TUP-SP4-8-1
Year 2000

Primary Antenna

Back to Top

Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

Primary Antenna

Back to Top

Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? 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 1
Number of Panels/Bays 8
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 100.0 kW
Manufacturer
Model TFU-8WB
Year 2017
Justification for New Antenna 6-14-18-ZEROED all Interim facility EST pricing per call with Raphael Sznajder. The 399 tool will not DELETE the TX, ANT or LINE. Deleting returns an error message. WQOW will not be requiring an INTERIM due to an engineering work around.

Interim Antenna

Back to Top

Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 4 1/16 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

Back to Top

Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 993 feet per run

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

Disconnect Interior RF

Disconnect interior transmission line and filters from existing configuration and move within the building to make way for new facilities.

Refurbish Transmission Line

Refurbish instead of replace. Per Resonant Results, Ltd, Field Report.

Interim Transmission Line

Back to Top

New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 4 1/16 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 975 feet per run
Justification for New Transmission Line 6-14-18-ZEROED all Interim facility EST pricing per call with Raphael Sznajder. The 399 tool will not DELETE the TX, ANT or LINE. Deleting returns an error message. WQOW will not be requiring an INTERIM due to an engineering work around.

Interim Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
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? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 44° 47' 59.0" N-
Longitude (NAD83) 091° 27' 57.0" W-
Overall Structure Height 961.00 feet
Support Structure Height 888.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 888.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Gray Television Group, Inc.
Date Constructed 09/25/1956


Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

STRUCTURAL ENGINEERING

TOWER ANALYSIS

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 614
Explanation Scope & significance of project (QMI has multiple stations repacked) require outside management services to augment existing internal personnel to assist turnkey management of and ensure timely and safe execution of channel relocation.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations 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 No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Legal General Repack issues

See uploaded- QMI Repack Invoice Memo for Shared Legal Expenses (Matter 104411 00054) for Form 399

Quarterly reporting

Preparation and submittal of the FCC required quarterly report 387 by attorney.

Vendor Travel Expenses

Reimbursable Vendor Travel expenses for working in the field on behalf of the station for the Repack project - see quote for estimated expenses.

Other Expenses

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

Back to Top

Other Expenses Not Listed

Information not provided.

Cost Information

Back to Top

Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $940,000.00 $896,800.00 N/A $591,950.72 N/A
Total for all systems $3,137,275.00 $1,802,753.00 N/A $671,473.60 N/A
Primary Transmitter ULXTE-40 $940,000.00 $896,800.00 $591,950.72
Transmitter Site Preperation $6,500.00 $6,500.00 Site Preparation for RepackMain Transmitter installation Performing work that is not in the installation SOW on site to prepare for the GatesAir installation crew arrival to ensure there are no delays to the installation crews installation pl $6,500.00 N/A
Transmitter training $3,300.00 $3,300.00 Transmitter training - offsite - 1 week in duration at mfg site. N/A N/A
Securirty - Site $17,500.00 $17,500.00 This site requires security once the new transmission line and equipment arrive on site to be installed. Estimated length of 4-6 weeks. N/A N/A
Transmitter-Disconnect $20,000.00 $20,000.00 Disconnect transmitter and components from existing configuration and move within building to make way for new facilities. N/A N/A
Site Survey - TX $20,000.00 $20,000.00 Site survey and report are required to be performed before the new transmitter and components installation plan can be finalized. $7,500.00 N/A
25 Ton system $91,500.00 $87,000.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,500.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $34,118.94 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $650,000.00 N/A $538,134.28 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $5,697.50 N/A

Components

Actual Information Description File Name
Transmitter Site Preperation

Component Description:
WQOW- MAIN SITE PREP - INV QC18-056
Amount:
$6,500.00
Transmitter training Information not provided.
Securirty - Site Information not provided.
Transmitter-Disconnect Information not provided.
Site Survey - TX

Component Description:
WQOW-SITE SURVEY-INV-QC18-029
Amount:
$7,500.00
25 Ton system Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA Information not provided.
Switchgear - industrial 800 amp

Component Description:
Gates WQOW - quote Q-59383 - RF Access - C inv
Amount:
$17,059.47

Component Description:
WQOW - MAIN TX INV-TE10004378-2 quote Q-59383 - RF Access - C inv
Amount:
$17,059.47
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
WQOW- MAIN TX -INV TE10004378-2 LINES A B and E - see Q59383
Amount:
$269,067.14

Component Description:
DEP ON MAIN TX WQOW - A B and E - see Q59383
Amount:
$269,067.14
Service entrance 3 phase/800 amp/208 volt

Component Description:
Gates WQOW - TX quote Q-59383 Electric - D Electric
Amount:
$2,848.75

Component Description:
WQOW - MAIN TX INV-TE10004378-2 Q-59383 LINE D Electric- 5-29 - correct amount.
Amount:
$2,848.75

Cost Information

Back to Top

Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $389,220.00 $241,400.00 N/A $0.00 N/A
Total for all systems $3,137,275.00 $1,802,753.00 N/A $671,473.60 N/A
Interim Antenna TFU-8WB $135,490.00 $0.00 $0.00
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $0.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $0.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 4 1/16. feedline (if needed) $10,950.00 $0.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $0.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $0.00 N/A N/A N/A
Primary Antenna TUP-SP4-8-1 $253,730.00 $241,400.00 $0.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $235,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $302,350.00 $163,900.00 N/A $0.00 N/A
Total for all systems $3,137,275.00 $1,802,753.00 N/A $671,473.60 N/A
Interim Transmission Line $138,450.00 $0.00 $0.00
Rigid Transmission Line - copper, 4 1/16" $138,450.00 $0.00 N/A N/A N/A
Primary Transmission Line $163,900.00 $163,900.00 $0.00
Disconnect Interior RF $12,500.00 $12,500.00 Disconnect interior RF transmission line and filters from existing configuration and move within the building to make way for new facilities. N/A N/A
Refurbish Transmission Line $151,400.00 $151,400.00 Per Resonant Results, Ltd, Field Report 2/17/17 the transmission line can be refurbished to operate on the new channel allocation. Cost estimate is for 950' tower and sweep test and Plumb and Tensioning. N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $222,500.00 $212,000.00 N/A $5,750.00 N/A
Total for all systems $3,137,275.00 $1,802,753.00 N/A $671,473.60 N/A
Primary Tower TOWER $222,500.00 $212,000.00 $5,750.00
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A N/A N/A
STRUCTURAL ENGINEERING $12,000.00 $12,000.00 Structural engineering to determine if tower will hold interim antenna and new config at current requirements $5,750.00 N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500') Information not provided.
STRUCTURAL ENGINEERING

Component Description:
WQOW-TOWER TECH-INV-17-116
Amount:
$5,750.00

Cost Information

Back to Top

Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $238,810.00 $228,258.00 N/A $70,822.88 N/A
Total for all systems $3,137,275.00 $1,802,753.00 N/A $671,473.60 N/A
Outside Professional Services $238,810.00 $228,258.00 $70,822.88
Vendor Travel Expenses $13,408.00 $13,408.00 Reimbursable Vendor Travel expenses for working in the field on behalf of the station for the Repack project - see quote for estimated expenses. QC-17003 $1,927.18 N/A
Quarterly reporting $5,000.00 $5,000.00 Preparation and submittal of the FCC required quarterly report 387 by PM and attorney. N/A N/A
Legal General Repack issues $10,000.00 $10,000.00 see exhibit memo - QMI Repack Invoice Memo for Shared Legal Expenses (Matter 104411 00054) for Form 399 $4,077.20 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $4,506.00 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
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,970.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $2,400.00 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
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $97,012.00 $92,100.00 N/A $55,942.50 N/A

Components

Actual Information Description File Name
Vendor Travel Expenses

Component Description:
WQOW-PM- TRAVEL EXP - INV QC17-143 - ITEMS 1010-1015
Amount:
$817.07

Component Description:
WQOW-PM TRAVEL - INV 1THRU3-18 - INV QC18-048 LINES 1010,1014 AND 1015
Amount:
$1,110.11
Quarterly reporting Information not provided.
Legal General Repack issues

Component Description:
General Legal- OCT17-WQOW-inv
Amount:
$322.28

Component Description:
WQOW-BROOKS-MAY18-INV 3953761
Amount:
$445.50

Component Description:
General Legal - SEPT-WQOW-inv
Amount:
$80.57

Component Description:
WQOW-BROOKS AUG18 INV 3957121
Amount:
$148.50

Component Description:
WQOW-BROOKS - JULY18 INV 3955734
Amount:
$495.00

Component Description:
General Legal- JULY17-WQOW-inv
Amount:
$275.00

Component Description:
General Legal- NOV17-WQOW-inv
Amount:
$221.57

Component Description:
WQOW-BROOKS-MAR18 INV-3951198
Amount:
$445.50

Component Description:
General Legal - AUG17-WQOW-inv
Amount:
$117.85

Component Description:
WQOW-BROOKS-JUNE18- INV 3954664
Amount:
$1,287.00

Component Description:
WQOW-BROOKS LEGAL INV 3952581-APRIL18
Amount:
$297.00

Component Description:
WQOW-BROOKS-LEGAL JAN-18-INV 3949056
Amount:
$297.00

Component Description:
General Legal- JUNE17 - WQOW inv
Amount:
$266.44

Component Description:
General Legal- MAY17-WQOW
Amount:
$190.85
Comprehensive coverage verification via field study, if needed 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-WQOW-NOV17-inv
Amount:
$94.00

Component Description:
LEGAL AUGUST17 - WQOW
Amount:
$470.00

Component Description:
LEGAL - JULY17 WQOW
Amount:
$1,861.00

Component Description:
LEGAL-MAY17-WQOW
Amount:
$453.00

Component Description:
LEGAL APRIL17 - WQOW
Amount:
$517.00

Component Description:
Legal-WQOW-OCT17-inv
Amount:
$329.00

Component Description:
LEGAL JUNE17-WQOW
Amount:
$359.00

Component Description:
LEGAL-WQOW-SEPT17
Amount:
$423.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
CP APPLICATION- WQOW - LOHNES ENGR
Amount:
$1,970.00
Perform engineering study for new channel assignment and antenna development

Component Description:
NEW CHANNEL ASSIGN ENGR-LOHNES INV-WQOW
Amount:
$2,400.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
WQOW-PM-1THRU3 18 - INV QC18-048
Amount:
$9,562.50

Component Description:
WQOW - QCOMM PM 4THRU7-18 INV QC18-069
Amount:
$18,660.00

Component Description:
WQOW-PM- SEPT-DEC-17- INV QC18-019
Amount:
$12,270.00

Component Description:
WQOW-PM-INV-QC17-143 - ITEM 4004
Amount:
$15,450.00

Cost Information

Back to Top

Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $60,995.00 $60,395.00 N/A $2,950.00 N/A
Total for all systems $3,137,275.00 $1,802,753.00 N/A $671,473.60 N/A
Other Expenses $60,995.00 $60,395.00 $2,950.00
MVPD Notification of Channel Change $5,000.00 $5,000.00 Required FCC notification. N/A N/A
Equipment Delivery and Handling Charges $8,000.00 $8,000.00 Transport, forklift rental and handling fees from staging area to transmitter site. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 Rent 40 yard dumpster with multiple pickups. Estimated 6- months on site. Potential hazardous waste management issues. N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 Required FCC announcements and good will public relations must we upheld. The production airing and disseminating of these announcements are fundamental to our operations. N/A N/A
Equipment Storage $10,000.00 $10,000.00 Expecting multiple staggered equipment deliveries from different vendors and need to store and stage new equipment prior to installation date. Anticipate from 6-24 months of storage time. $0.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $2,950.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
WQOW-RF NOTE- MEDICAL - INV 1059
Amount:
$2,950.00

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,137,275.00 $1,802,753.00 $671,473.60

Reimbursement Status

Back to Top
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

Back to Top
Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

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

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

BRADY DREASLER

CORPORATE DIRECTOR OF ENGINEERING


09/27/2018

Certification

Back to Top
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.

BRADY DREASLER

CORPORATE DIRECTOR OF ENGINEERING


09/27/2018

Attachments

Back to Top