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:
0000028337
FRN:
0004284899
Facility ID:
41212
Repack Channel:
34 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
11/27/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MISSION BROADCASTING, INC.

30400 DETROIT ROAD

SUITE 304

WESTLAKE, OH 44145

United States

+1 (440) 526-2227 missionbroadcasting@gmail.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

William T Godfrey , Jr. .

Consulting Engineers

Kessler and Gehman Associates, Inc.

William T. Godfrey, Jr.

Kessler and Gehman Associates, Inc.

507-D NW 60th Street

Gainesville, FL 32607

United States

+1 (352) 332-3157 bill@kesslerandgehman.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. Yes
Briefly describe transition plan See attached updated transition plan narrative, quotes and line analysis.

Transmitters

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

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 40QXD2
Year 2001
Type Inductive Output Tube
IOT Power Type Two
Description  
Power capacity 60 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 HPTV-PRLX-U20
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 34.0 kw
Other Transmitter Type  
Justification for New Transmitter Baseline ERP: 906 kW RMS Gain: 17.5 Azimuth Gain: 2.8 TX Line Loss: 0.663 H-pol Only TPO: 27.8 kW (Post-Filter) Comark HPTV-PRLX-U18 (30.0 kW) 1 Step Up: Comark HPTV-PRLX-U20 (34.0 kW) Upgrade: HPTV-PRLX-U32 See attached Comark quote

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) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 500.0 feet
Other Electrical Service Yes
Description Remove beam supplies and install transformers.
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? Yes
Size 400.0 square feet
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

Standby Exciter and Switch

Standby Exciter with Automatic Change Over Switch

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 single
Antenna position in stack Not in Stack
Polarization Horizontal
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 ATW22H5-HSP5L-38H
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Top-mount single
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-24ETT/VP-R CT150
Year 2018
Justification for New Antenna Existing main antenna is a single channel slot coaxial top-mount which cannot accommodate the assigned channel. It is considered an upgrade but is fully reimbursable since additional gain is required to offset the change from waveguide to 8-3/16" line.

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 8 3/16 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Top Plate Mods

The existing top plate will need to be studied and possibly modified to support and interface with the new top-mount replacement antenna.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 906.00 kW
Manufacturer
Model TUA-P4-4/10U-1 SM
Year 2018
Justification for New Antenna An interim antenna is necessary to keep station on the air during primary antenna replacement and for the duration of the assigned phase.

Interim Antenna

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Other Antenna Costs

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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 2016 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 8 3/16 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 2016 feet per run
Justification for New Transmission Line Existing line is old style Andrew circular waveguide which has channel-specific mode filters that have not been made in close to 30 years and cannot be re-purposed for assigned post-auction channel.

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 20'
Other Segment Length
Number of parallel runs 1
Length 1800 feet per run
Justification for New Transmission Line An interim transmission line is necessary for the interim antenna to keep station on the air during primary antenna replacement and for the duration of the assigned phase.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex?
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? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1036554
Coordinates (NAD83) Latitude (NAD83) 34° 26' 31.0" N-
Longitude (NAD83) 092° 13' 04.0" W-
Overall Structure Height 1898.93 feet
Support Structure Height 1850.37 feet
Ground Elevation Above Mean Sea Level (AMSL) 337.92 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Mission Broadcasting, Inc.
Date Constructed 08/22/2001

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
2770 KETS 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 undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Waveguide Removal

Removal and disposal of over 2,000 ft of waveguide that cannot be re-purposed.

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 750
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
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 Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 20
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

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 Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Sales Tax

Sales and use tax for goods and services

Shipping Costs

Shipping costs are not typically included in quotes and must be added as an additional expense.

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 $1,261,851.00 $1,238,476.00 N/A $1,033,088.45 N/A
Total for all systems $4,466,309.00 $4,006,895.30 N/A $2,204,562.90 N/A
Primary Transmitter HPTV-PRLX-U20 $1,261,851.00 $1,238,476.00 $1,033,088.45
Service entrance 3 phase/800 amp/208 volt $14,050.00 $13,700.00 N/A $13,700.00 N/A
Other Electrical Service: Remove beam supplies and install transformers. $41,050.00 $41,050.00 Electrical and installation costs per Land Communications quote; Total costs of $94,725 allocated between Other Electrical service, 3" Rigid Conduit, Switchgear and Service Entrance; installation was not provided by manufacturer $41,050.00 N/A
Standby Exciter and Switch $25,000.00 $25,000.00 N/A N/A N/A
Other -- Building Addition Size: 400.0 $96,000.00 $96,000.00 Based on industry standard rate of $240 per sq ft. Additional building modifications may be required for heat exchanger pads, transformers and pumps space, interim line feed-through, etc. and shelter to protect such equipment from the environment. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $25,000.00 $3,675.00 N/A $3,675.00 N/A
Transformer 3 phase/480v - 300 KVA $35,850.00 $35,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 N/A $36,300.00 N/A
UHF - Liquid Cooled Solid State Transmitter 34.0 kW $987,751.00 $987,751.00 See attached Comark quote P#3511PRLXU20-011918-R4 $938,363.45 N/A

Components

Actual Information Description File Name
Service entrance 3 phase/800 amp/208 volt

Component Description:
Revised invoice provided
Amount:
($13,700.00)

Component Description:
Transmitter installation and electrical
Amount:
$13,700.00

Component Description:
Electrical service, balance due
Amount:
$6,850.00

Component Description:
Electrical service, installment #1
Amount:
$6,850.00
Other Electrical Service: Remove beam supplies and install transformers.

Component Description:
Revised invoice provided
Amount:
($41,050.00)

Component Description:
Transmitter installation and electrical
Amount:
$41,050.00

Component Description:
Electrical service, balance due
Amount:
$20,525.00

Component Description:
Electrical service, installment #1
Amount:
$20,525.00
Standby Exciter and Switch Information not provided.
Other -- Building Addition Size: 400.0 Information not provided.
3" Rigid Conduit and Wiring (Cost per foot)

Component Description:
Transmitter installation and electrical
Amount:
$3,675.00

Component Description:
Revised invoice provided
Amount:
($3,675.00)

Component Description:
Electrical service, balance due
Amount:
$1,837.50

Component Description:
Electrical service, installment #1
Amount:
$1,837.50
Transformer 3 phase/480v - 300 KVA Information not provided.
Switchgear - industrial 800 amp

Component Description:
Transmitter installation and electrical
Amount:
$36,300.00

Component Description:
Revised invoice provided
Amount:
($36,300.00)

Component Description:
Electrical service, balance due
Amount:
$18,150.00

Component Description:
Electrical service, installment #1
Amount:
$18,150.00
UHF - Liquid Cooled Solid State Transmitter 34.0 kW

Component Description:
Items 1 and 2 of invoice; see also sales tax
Amount:
$493,875.50

Component Description:
Items 1 and 2 of invoice; see also sales tax
Amount:
$444,487.95

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 $677,365.00 $602,358.50 N/A $429,257.66 N/A
Total for all systems $4,466,309.00 $4,006,895.30 N/A $2,204,562.90 N/A
Interim Antenna TUA-P4-4/10U-1 SM $349,465.00 $338,968.00 $238,556.20
UHF - High Power, Side Mount, basic slot antenna, 906 kW input, directional,, horizontally polarized $303,245.00 $303,245.00 Cost revised up from 235,000 based on Dielectric equipment quote 700440CMZ-1 attached and Precision Communications installation quote 18849-5 attached. $227,195.50 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $5,000.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $12,623.00 Cost revised down from 22,000 based on Dielectric quote 700440CMZ-1 attached. $11,360.70 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $11,700.00 N/A N/A N/A
Primary Antenna TFU-24ETT/VP-R CT150 $327,900.00 $263,390.50 $190,701.46
Top Plate Mods $25,000.00 $25,000.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) $14,850.00 $13,583.00 See attached Dielectric quote $12,224.70 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $281,500.00 $218,407.50 See attached Dielectric quote $178,476.76 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 906 kW input, directional,, horizontally polarized

Component Description:
Interim antenna installation, installment #1
Amount:
$130,630.00

Component Description:
Aux Antenna component, line 1 of invoice, installment #2
Amount:
$48,282.75

Component Description:
Aux antenna component, line 1 of invoice, installment #1
Amount:
$48,282.75
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)

Component Description:
Mounting bracket component, line 2 of invoice, installment #1
Amount:
$5,680.35

Component Description:
Mounting brackets, line 2 of invoice, installment #2
Amount:
$5,680.35
Sweep test of existing antenna Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Top Plate Mods Information not provided.
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex, installment #1, line 2 of invoice
Amount:
$6,112.35

Component Description:
Elbow complex, installment #2, line 2 of invoice
Amount:
$6,112.35
Sweep test of existing antenna Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Primary antenna, installment #1, line 1 of invoice
Amount:
$89,238.38

Component Description:
Primary antenna, installment #2, line 1 of invoice
Amount:
$89,238.38

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 $1,036,008.00 $698,620.80 N/A $614,302.92 N/A
Total for all systems $4,466,309.00 $4,006,895.30 N/A $2,204,562.90 N/A
Interim Transmission Line $354,600.00 $254,998.80 $229,498.92
Rigid Transmission Line - copper, 6 1/8" $354,600.00 $254,998.80 Revised down from 345,600 based on Dielectric quote 700440CMZ-1 attached. $229,498.92 N/A
Primary Transmission Line $681,408.00 $443,622.00 $384,804.00
Rigid Transmission Line - copper, 8 3/16" $681,408.00 $443,622.00 See attached Dielectric quote $384,804.00 N/A

Components

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

Component Description:
Transmission line, line 3 of invoice, installment #1
Amount:
$114,749.46

Component Description:
Transmission line, line 3 of invoice, installment #2
Amount:
$114,749.46
Rigid Transmission Line - copper, 8 3/16"

Component Description:
Rigid transmission line, installment #2, line 3 of invoice
Amount:
$192,402.00

Component Description:
Rigid transmission line, installment #1, line 3 of invoice
Amount:
$192,402.00

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $869,600.00 $850,000.00 N/A $7,250.00 N/A
Total for all systems $4,466,309.00 $4,006,895.30 N/A $2,204,562.90 N/A
Primary Tower TOWER $869,600.00 $850,000.00 $7,250.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $25,600.00 $25,000.00 N/A $7,250.00 N/A
Major tower reinforcement/modifications $409,500.00 $400,000.00 N/A N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $400,000.00 1,850 ft tower N/A N/A
Waveguide Removal $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Structural analysis, installment #1
Amount:
$1,750.00

Component Description:
Structural analysis, balance due
Amount:
$2,750.00

Component Description:
Structural analysis, installment #1
Amount:
$2,750.00
Major tower reinforcement/modifications Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Waveguide Removal 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 $199,040.00 $195,250.00 N/A $10,075.00 N/A
Total for all systems $4,466,309.00 $4,006,895.30 N/A $2,204,562.90 N/A
Outside Professional Services $199,040.00 $195,250.00 $10,075.00
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 N/A 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 N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $2,275.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 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
ASR modification (prepare FCC Form 854) $2,050.00 $2,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,050.00 $2,000.00 N/A N/A N/A
Additional Field Engineering Service, 20 Days $50,000.00 $50,000.00 Based on $2,500 per site visit plus expenses times 20 days for construction administration services. N/A N/A
Project management of the transition $115,500.00 $112,500.00 N/A $7,800.00 N/A

Components

Actual Information Description File Name
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 Information not provided.
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 Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Revise Storyboard if needed, Interference Study, create CP and recalculate ERP if COR changed, transition plan document, create 399, coverage maps, & upload draft documents to ASANA
Amount:
$525.00

Component Description:
Repack plan and revision, 399 form info
Amount:
$1,750.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
Additional Field Engineering Service, 20 Days Information not provided.
Project management of the transition

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$1,575.00

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from January 1, 2018 through January 26, 2018.
Amount:
$2,550.00

Component Description:
Project management services 5.26.18 through 6.29.18, including KGA form 387 transition plan progress report.
Amount:
$450.00

Component Description:
Project management services 3.31.18 through 4.27.18
Amount:
$1,800.00

Component Description:
Project management services 6.30.18 through 7.27.18
Amount:
$1,425.00

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 $422,445.00 $422,190.00 N/A $110,588.87 N/A
Total for all systems $4,466,309.00 $4,006,895.30 N/A $2,204,562.90 N/A
Other Expenses $422,445.00 $422,190.00 $110,588.87
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A N/A N/A
Local Zoning $1,000.00 $1,000.00 N/A N/A N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $22,000.00 $22,000.00 Disposal costs per Quote from USA Commercial/Kevin Ballentine $22,000.00 N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A N/A N/A
Equipment Storage $10,000.00 $10,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Costs to produce spots and crawls for viewer notification. N/A N/A
Sales Tax $296,000.00 $296,000.00 Sales and use tax for goods and services based on state and local tax rates. $85,625.67 N/A
Shipping Costs $25,000.00 $25,000.00 Most likely will exceed $25,000 when actual shipping costs are provided. 399 will be updated at that time. N/A N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A $2,963.20 N/A

Components

Actual Information Description File Name
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification Information not provided.
Local Zoning Information not provided.
Non-zoning permits Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal costs
Amount:
$22,000.00
Equipment Delivery and Handling Charges Information not provided.
Equipment Storage Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Sales Tax

Component Description:
Sales tax on components, installment #1
Amount:
$45,066.14

Component Description:
Sales tax due on components, installment #2
Amount:
$40,559.53
Shipping Costs Information not provided.
MVPD Notification of Channel Change

Component Description:
Medical notification
Amount:
$2,963.20

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,466,309.00 $4,006,895.30 $2,204,562.90

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.

Dennis P. Thatcher

President


11/27/2018

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.

Dennis P. Thatcher

President


11/27/2018

Attachments

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