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:
0000026837
FRN:
0023890601
Facility ID:
74173
Repack Channel:
7 (High VHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
10/10/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WVTM Hearst Television Inc.

Doing Business As: WVTM Hearst Television Inc.

150 Fayetteville Street

Suite 1700

Raleigh, NC 27601

United States

+1 (919) 838-0300 mprak@brookspierce.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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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

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 backup to main transmitter
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 Platinum PTCD1OP1-i
Year 2008
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 4 kw
Other Transmitter Type  

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Description of Use backup to main Tx
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model VAXTE-6R44
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 4.8 kw
Other Transmitter Type  
Justification for New Transmitter Per original transmitter manufacturer, existing transmitter cannot be converted to post transition channel. See attached GatesAir EOL and HTV transmitter statements.

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 Yes
Size 3 inches
Length 250.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Additional RF components

Additional RF components required for transmitter operation and integration into current RF environment per GatesAir quote.

Shipping

transmitter shipping

Sales Tax

transmitter sales tax

Electrical Accessories

manufacturer required surge protection

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 Platinum PTCD1OP1-i
Year 2008
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 4 kw
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 VAXTE-6R44
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 4.8 kw
Other Transmitter Type  
Justification for New Transmitter Per original transmitter manufacturer, existing transmitter cannot be converted to post transition channel. See attached GatesAir EOL and HTV transmitter statements.

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) No
Power
Rigid Conduit and Wiring Yes
Size 2 inches
Length 300.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Electrical Accessories

Manufacturer required surge protection

Additional RF components

Additional RF components required for transmitter operation and integration into current RF environment per GatesAir quote.

Sales Tax

transmitter sales tax

Shipping

transmitter shipping

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 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: 20.00 kW
Manufacturer
Model THV-9A13/VP-R-04
Year 2008

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? No
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: 20.00 kW
Manufacturer
Model THV-7A7/VP-R 04
Year 2019
Justification for New Antenna Current antenna is channel specific and cannot be used on post-transition channel. Antenna must be replaced.

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 3 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

antenna shipping

Sales Tax

antenna sales tax

Additional RF components

line size and impedance matching, & custom line section required for installation

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 Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 8
Lower Limit 174.00 MHz
Upper Limit 213.00 MHz
Design power capacity in use 35.0 %
Other Antenna Type N/A
ERP: 20.00 kW
Manufacturer
Model TLS-V8BB
Year 2019
Justification for New Antenna WVTM does not own an auxiliary antenna. Therefore, an interim antenna is required to facilitate move to post-transition channel.

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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax

antenna sales tax

Shipping

antenna shipping

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 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 7 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1180 feet per run

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 4 1/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1010 feet per run
Justification for New Transmission Line transmission line required to support interim antenna

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sales Tax

sales tax

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? 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? Yes
ASR Number 1036003
Coordinates (NAD83) Latitude (NAD83) 33° 29' 26.0" N-
Longitude (NAD83) 086° 47' 48.0" W-
Overall Structure Height 1075.12 feet
Support Structure Height 965.21 feet
Ground Elevation Above Mean Sea Level (AMSL) 973.74 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner WVTM Hearst Television Inc.
Date Constructed 04/24/1982


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: Minor 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? No
Number of Hours N/A
Explanation N/A
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Transmitter Site Survey

Transmitter planning survey & transmitter building drawings

Non-Catalog legal expenses

Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues

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 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 Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $356,618.44 $356,068.44 N/A $208,418.45 N/A
Total for all systems $1,487,037.44 $1,427,188.44 N/A $486,696.50 N/A
Primary Transmitter VAXTE-6R44 $189,362.61 $189,062.61 $105,506.62
Shipping $4,500.00 $4,500.00 transmitter shipping N/A N/A
High VHF - Air Cooled Solid State Transmitter 4.8 kW $127,979.95 $127,979.95 GatesAir quote sections A, B & E. This is the transmitter, mask filter, installation and proof per the FCC "transmitter" definition. $105,506.62 N/A
2" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,500.00 N/A N/A N/A
Electrical Accessories $1,942.49 $1,942.49 manufacturer required surge protection N/A N/A
Additional RF components $29,770.17 $29,770.17 Additional RF components required for transmitter operation and integration into current RF environment per GatesAir quote. N/A N/A
Sales Tax $17,370.00 $17,370.00 transmitter sales tax per attached GatesAir quote N/A N/A
Auxiliary Transmitter VAXTE-6R44 $167,255.83 $167,005.83 $102,911.83
High VHF - Air Cooled Solid State Transmitter 4.8 kW $128,994.41 $128,994.41 GatesAir quote sections A, B & E. This is the transmitter, mask filter, installation and proof per the FCC "transmitter" definition. $102,911.83 N/A
3" Rigid Conduit and Wiring (Cost per foot) $12,500.00 $12,250.00 N/A N/A N/A
Additional RF components $4,532.93 $4,532.93 Additional RF components required for transmitter operation and integration into current RF environment per GatesAir quote. N/A N/A
Shipping $4,500.00 $4,500.00 shipping per GatesAir quote N/A N/A
Sales Tax $14,786.00 $14,786.00 transmitter sales tax per attached GatesAir quote N/A N/A
Electrical Accessories $1,942.49 $1,942.49 manufacturer required surge protection N/A N/A

Components

Actual Information Description File Name
Shipping Information not provided.
High VHF - Air Cooled Solid State Transmitter 4.8 kW

Component Description:
Main transmitter 1st deposit
Amount:
$17,444.00

Component Description:
Main transmitter 2nd deposit
Amount:
$88,062.62
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Electrical Accessories Information not provided.
Additional RF components Information not provided.
Sales Tax Information not provided.
High VHF - Air Cooled Solid State Transmitter 4.8 kW

Component Description:
Aux transmitter 1st deposit
Amount:
$14,849.21

Component Description:
Aux transmitter 2nd deposit
Amount:
$88,062.62
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Additional RF components Information not provided.
Shipping Information not provided.
Sales Tax Information not provided.
Electrical Accessories Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $453,051.00 $435,789.00 N/A $181,631.25 N/A
Total for all systems $1,487,037.44 $1,427,188.44 N/A $486,696.50 N/A
Interim Antenna TLS-V8BB $102,751.00 $86,195.00 $35,728.65
High VHF - High Power Side Mount One Station horizontally polarized $61,840.00 $61,840.00 antenna cost per attached Dielectric quote $35,728.65 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $0.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $6,144.00 N/A $0.00 N/A
Sales Tax $6,798.00 $6,798.00 estimated antenna sales tax based on Alabama state and local sales tax rate of 10% N/A N/A
Shipping $5,013.00 $5,013.00 antenna shipping per attached Dielectric quote $0.00 N/A
Primary Antenna THV-7A7/VP-R 04 $350,300.00 $349,594.00 $145,902.60
Additional RF components $10,200.00 $10,200.00 additional RF components required for antenna installation $0.00 N/A
Sales Tax $29,134.00 $29,134.00 estimated antenna sales tax based on Alabama state and local sales tax rate of 10% N/A N/A
Shipping $7,608.00 $7,608.00 N/A $0.00 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,580.00 $7,024.00 N/A $0.00 N/A
High VHF - High Power Top Mount One Station elliptically or circularly polarized $289,228.00 $289,228.00 antenna price for comparable replacement antenna per attached Dielectric quote $145,902.60 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $0.00 N/A

Components

Actual Information Description File Name
High VHF - High Power Side Mount One Station horizontally polarized

Component Description:
WVTM Dielectric Interim Antenna payments 1&2 - 45%; $35,728.65
Amount:
$35,728.65
Sweep test of existing antenna Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Sales Tax Information not provided.
Shipping Information not provided.
Additional RF components Information not provided.
Sales Tax Information not provided.
Shipping Information not provided.
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
High VHF - High Power Top Mount One Station elliptically or circularly polarized

Component Description:
WVTM Dielectric Main Antenna payments 1&2 - 45%: $145,902.60
Amount:
$145,902.60
Sweep test of existing antenna Information not provided.

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 $150,280.00 $119,896.00 N/A $49,048.20 N/A
Total for all systems $1,487,037.44 $1,427,188.44 N/A $486,696.50 N/A
Interim Transmission Line $150,280.00 $119,896.00 $49,048.20
Rigid Transmission Line - copper, 4 1/16" $139,380.00 $108,996.00 N/A $49,048.20 N/A
Sales Tax $10,900.00 $10,900.00 estimated transmission line sales tax based on Alabama state and local sales tax rate of 10% N/A N/A
Primary Transmission Line $0.00 $0.00 $0.00

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 4 1/16"

Component Description:
WVTM Dielectric Interim transmission line payments 1&2 - 45%; $49,048.20
Amount:
$49,048.20
Sales Tax 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 $384,100.00 $375,000.00 N/A $19,950.00 N/A
Total for all systems $1,487,037.44 $1,427,188.44 N/A $486,696.50 N/A
Primary Tower GTOWER $384,100.00 $375,000.00 $19,950.00
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 $19,950.00 N/A
Tall Tower (greater than 500') $205,000.00 $200,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $153,500.00 $150,000.00 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:
WVTM tower rigorous analysis 2
Amount:
$3,500.00

Component Description:
WVTM tower rigorous analysis 1
Amount:
$3,500.00

Component Description:
WVTM Tower Mapping
Amount:
$5,200.00

Component Description:
WVTM tower engineering evaluation 1
Amount:
$3,875.00

Component Description:
WVTM Tower Engineering Evaluation invoice 2
Amount:
$3,875.00
Tall Tower (greater than 500') Information not provided.
Minor tower reinforcement/modifications 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 $94,640.00 $93,350.00 N/A $27,648.60 N/A
Total for all systems $1,487,037.44 $1,427,188.44 N/A $486,696.50 N/A
Outside Professional Services $94,640.00 $93,350.00 $27,648.60
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A $988.90 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $764.50 N/A
Non-Catalog legal expenses $20,000.00 $20,000.00 Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues $2,120.20 N/A
Transmitter Site Survey $20,600.00 $20,600.00 Transmitter planning survey & transmitter building drawings per attached quote $20,600.00 N/A
RF Exposure Measurements $20,500.00 $20,000.00 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
ASR modification (prepare FCC Form 854) $2,050.00 $2,000.00 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 -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 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 $1,425.00 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
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $1,750.00 N/A

Components

Actual Information Description File Name
Prepare and or review reimbursement form

Component Description:
WVTM Prepare and/or review reimbursement Form 399
Amount:
$988.90
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
WVTM Prepare and File FCC Form 2100, Construction Permit Application
Amount:
$764.50
Non-Catalog legal expenses

Component Description:
WVTM non-catalog legal 1
Amount:
$2,120.20
Transmitter Site Survey

Component Description:
WVTM GatesAir transmitter site survey. PO attached to invoice. Supporting quote in Attachments.
Amount:
$20,600.00
RF Exposure Measurements Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover 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

Component Description:
WVTM CP engineering section
Amount:
$1,425.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
WVTM CP engineering study 1
Amount:
$800.00

Component Description:
WVTM CP engineering study 2
Amount:
$950.00

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 $48,348.00 $47,085.00 N/A $0.00 N/A
Total for all systems $1,487,037.44 $1,427,188.44 N/A $486,696.50 N/A
Other Expenses $48,348.00 $47,085.00 $0.00
DTV Medical Facility Notification $11,250.00 $10,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Equipment Storage $30,500.00 $30,500.00 Estimate for 1 year of antenna storage. See attached Dielectric document. N/A N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 Attorney review to ensure FCC compliance N/A N/A
MVPD Notification of Channel Change $2,500.00 $2,500.00 Attorney assistance in coordinating MVPD notification N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,487,037.44 $1,427,188.44 $486,696.50

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.

John Drain

Hearst Television SVP Chief Financial Officer


10/10/2018

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.

Douglas Durkee

Hearst Television Manager of Spectrum Repack


10/10/2018

Attachments

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