| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
WTNZ LICENSE SUBSIDIARY, LLC Doing Business As: WTNZ LICENSE SUBSIDIARY, LLC |
RSA TOWER, 20TH FLOOR 201 MONROE STREET MONTGOMERY, AL 36104 United States |
+1 (334) 206-1400 | fcclms@raycommedia.com | Limited Liability Company |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
The Preparer is same as the reimbursement contact. |
|
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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 | Move station to another ATC tower facility. Install new main and backup transmitter |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Retune Existing |
| Use | Auxiliary (Backup) | |
| Ownership | Owned | |
| Owner | 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 | Harris |
| Model | UAX | |
| Year | 2011 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1.1 kW |
| Section | Question | Response |
|---|---|---|
| New IOT Tubes | Number of Tubes (including accessories) needed | N/A |
| New Mask Filter | ||
| Power | 1.5 kW | |
| Other Power | N/A | |
| New Exciter | Is a new exciter needed? | No |
| Section | Question | Response |
|---|---|---|
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Power | N/A | |
| Rigid Conduit and Wiring | No | |
| Size | N/A | |
| Length | N/A | |
| Other Electrical Service | No | |
| Description | N/A | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Type | N/A | |
| Size | N/A | |
| 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 |
| 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 | DCX | |
| Year | 2005 | |
| Type | Inductive Output Tube | |
| IOT Power Type | Single | |
| Power Capacity | 20 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | Yes | |
| Manufacturer | ||
| Model | ULXTE-50 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Liquid Cooled | |
| Solid State Power capacity | 30.1 kW | |
| Justification for New Transmitter | Existing transmitter cannot be retuned Manufacturer data attached Headroom analysis attached |
| Section | Question | Response |
|---|---|---|
| Electrical Service | Service Entrance (3 phases 800A 208V) | Yes |
| Switchgear (industrial 800 amp) | Yes | |
| Transformer (480V) | Yes | |
| Power | 500 kVA | |
| Rigid Conduit and Wiring | Yes | |
| Size | 3 inches | |
| Length | 100.0 feet | |
| Other Electrical Service | Yes | |
| Description | Service panel and distribution for new ATC suite. | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 10 tons | |
| Other Size | N/A | |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | Yes |
| Size | 800.0 square feet | |
| 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 |
| Name | Description |
|---|---|
removal of existing equipment |
Station must abandon existing ATC suite and remove its equipment |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Antenna Description | Type of change | Purchase New |
| Antenna Use | Primary (Main) | |
| Description of Use | N/A | |
| Ownership | Leased | |
| Owner | American Tower | |
| Site | N/A | |
| Is the existing antenna shared with another station or stations? | Yes | |
| Is the existing antenna directional? | No | |
| 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 | Bottom | |
| Polarization | Horizontal | |
| Type | Broadband Panel | |
| Number of Stations Supported | 3 | |
| Number of Panels | 10 | |
| Design power capacity in use | 50.0 % | |
| Lower Limit | 470.00 MHz | |
| Upper Limit | 608.00 MHz | |
| Other Antenna Type | N/A | |
| ERP: | 460.0 kW | |
| Manufacturer | ||
| Model | TUD-O5-16/80H-2-B | |
| Year | 2003 |
| Facility ID | Call Sign |
|---|---|
| 52628 | WPXK-TV |
| 71082 | WATE-TV |
| 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? | No | |
| Will antenna be located on or in close proximity to an antenna farm? | Yes | |
| New Antenna Manufacturer and Types | Class | Full Power |
| Mounting | Top 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: | 280.0 kW | |
| Manufacturer | ||
| Model | TFU-24GTH-R 04 | |
| Year | 2019 | |
| Justification for New Antenna | Existing leased antenna will not meet spec for channel 15. Sweep data attached. Station must relocate. |
| 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 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 |
| Name | Description |
|---|---|
Antenna Pedestal |
Required 10' pedestal for arbor arm installation |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmission Line Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Description of Use | N/A | |
| Ownership | Leased | |
| Owner | American Tower | |
| Site | N/A | |
| Is the existing transmission line shared with another station or stations? | Yes | |
| Is Transmission Line in operating condition? | Yes | |
| Existing Transmission Line Manufacturer and Type | Manufacturer | |
| Type | Rigid | |
| Diameter | 8 3/16 inches | |
| Other Diameter | N/A | |
| Segment Length | Broadband | |
| Other Segment Length | N/A | |
| Number of parallel runs | 2 | |
| Length | 1600 feet per run |
| Facility ID | Call Sign |
|---|---|
| 71082 | WATE-TV |
| 52628 | WPXK-TV |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Rigid | |
| Diameter | 6 1/8 inches | |
| Other Diameter | N/A | |
| Segment Length | 20 inches | |
| Other Segment Length | N/A | |
| Number of parallel runs | 1 | |
| Length | 1500 feet per run | |
| Justification for New Transmission Line | Station is changing sites and is not able to lease. |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Modify Existing |
| Tower Use | Primary (Main) | |
| Description of Use | N/A | |
| Ownership | Leased | |
| Is this tower consider Complex? | Candelabra | |
| Is this tower currently shared with any other stations? | Yes | |
| One or more FM, AM or TV radio broadcaster(s) | Yes | |
| Others Types of Users | No | |
| Is tower documented for structural analysis? | No | |
| Is tower compliant with Rev G? | No | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1222895 | |
| Coordinates (NAD83) | Latitude (NAD83) | 35° 59' 44.4" N- |
| Longitude (NAD83) | 083° 57' 23.1" W- | |
| Overall Structure Height | 1534.10 feet | |
| Support Structure Height | 1399.92 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 1314.94 feet | |
| Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
| Tower Owner | American Towers LLC | |
| Date Constructed | 04/03/2003 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 69161 | WUOT | FM |
| 35908 | WVLT-TV | DTV |
| 18267 | WKOP-TV | DTV |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | Study needed for tower with candelabra |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | Candelabra |
| Helicopter Services Required | Are helicopter services required? | Yes |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 300 | |
| Explanation | Pattern analysis Antenna Spec Transmitter Spec Building drawings Installation Supervision Accounting Internal Legal | |
| 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 | No | |
| Address transition timing and coordination issues w/ other stations and wireless providers | No | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
| RF exposure measurements | No | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 1 | |
| Justification | system sweep |
| 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 | Yes | |
| 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 |
| Name | Description |
|---|---|
ATC Expenses |
Defined American Tower charges attached |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $1,330,330.00 | $1,234,421.89 | N/A | $154,053.23 | N/A |
| Total for all systems | $2,970,335.00 | $2,699,708.64 | N/A | $155,803.23 | N/A |
| Primary Transmitter ULXTE-50 | $1,222,100.00 | $1,222,250.29 | $151,267.85 | ||
| UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW | $947,000.00 | $976,350.29 | Quote attached | $151,267.85 | N/A |
| Service entrance 3 phase/800 amp/208 volt | $14,400.00 | $13,700.00 | N/A | N/A | N/A |
| Switchgear - industrial 800 amp | $38,200.00 | $36,300.00 | N/A | N/A | N/A |
| removal of existing equipment | $35,000.00 | $35,000.00 | N/A | N/A | N/A |
| Other -- Building Addition Size: 800.0 | $45,000.00 | $45,000.00 | N/A | N/A | N/A |
| 10 Ton system | $38,900.00 | $15,000.00 | N/A | N/A | N/A |
| Other Electrical Service: Service panel and distribution for new ATC suite. | $50,000.00 | $50,000.00 | N/A | N/A | N/A |
| 3" Rigid Conduit and Wiring (Cost per foot) | $5,200.00 | $4,900.00 | N/A | N/A | N/A |
| Transformer 3 phase/480v - 500 KVA | $48,400.00 | $46,000.00 | N/A | N/A | N/A |
| Auxiliary Transmitter UAX | $108,230.00 | $12,171.60 | $2,785.38 | ||
| UHF and VHF - minor banding issues | $105,200.00 | $12,171.60 | Quote attached (GA-00021682 ) | $2,785.38 | N/A |
| 1.5 kW mask filter | $3,030.00 | $0.00 | included in tx quote | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW | |
| Service entrance 3 phase/800 amp/208 volt | Information not provided. |
| Switchgear - industrial 800 amp | Information not provided. |
| removal of existing equipment | Information not provided. |
| Other -- Building Addition Size: 800.0 | Information not provided. |
| 10 Ton system | Information not provided. |
| Other Electrical Service: Service panel and distribution for new ATC suite. | Information not provided. |
| 3" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
| Transformer 3 phase/480v - 500 KVA | Information not provided. |
| UHF and VHF - minor banding issues | |
| 1.5 kW mask filter | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $286,030.00 | $253,838.05 | N/A | $0.00 | N/A |
| Total for all systems | $2,970,335.00 | $2,699,708.64 | N/A | $155,803.23 | N/A |
| Primary Antenna TFU-24GTH-R 04 | $286,030.00 | $253,838.05 | $0.00 | ||
| Antenna Pedestal | $20,000.00 | $20,000.00 | estimated until ATC provides quote | N/A | N/A |
| Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | $12,300.00 | $10,298.00 | quote attached | N/A | N/A |
| UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized | $247,000.00 | $217,140.05 | quote attached | N/A | N/A |
| Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $303,000.00 | $205,548.70 | N/A | $0.00 | N/A |
| Total for all systems | $2,970,335.00 | $2,699,708.64 | N/A | $155,803.23 | N/A |
| Primary Transmission Line | $303,000.00 | $205,548.70 | $0.00 | ||
| Rigid Transmission Line - copper, 6 1/8" | $303,000.00 | $205,548.70 | Quote attached | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $799,000.00 | $769,000.00 | N/A | $0.00 | N/A |
| Total for all systems | $2,970,335.00 | $2,699,708.64 | N/A | $155,803.23 | N/A |
| Primary Tower GTOWER | $799,000.00 | $769,000.00 | $0.00 | ||
| Tower Helicopter Lift | $200,000.00 | $200,000.00 | estimated until quote is obtained | N/A | N/A |
| Minor tower reinforcement/modifications | $158,000.00 | $150,000.00 | estimated pending structural analysis completion | N/A | N/A |
| Structural engineering tower load study for a documented tower with candelabra | $20,000.00 | $19,000.00 | ATC RFP attached | N/A | N/A |
| Complex Tower (includes, for example, those with candelabras and/or stacked antennas) | $421,000.00 | $400,000.00 | estimated | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $160,530.00 | $153,375.00 | N/A | $1,750.00 | N/A |
| Total for all systems | $2,970,335.00 | $2,699,708.64 | N/A | $155,803.23 | N/A |
| Outside Professional Services | $160,530.00 | $153,375.00 | $1,750.00 | ||
| Additional Field Engineering Service, 1 Days | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,625.00 | Per invoices submitted | $1,625.00 | N/A |
| Project management of the transition | $47,400.00 | $45,000.00 | N/A | N/A | N/A |
| Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | $125.00 | 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 |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | 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 - Negotiation of lease and other matters for shared locations | $4,210.00 | $4,000.00 | N/A | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Additional Field Engineering Service, 1 Days | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
| Project management of the transition | Information not provided. |
| Perform engineering study for new channel assignment and antenna development | |
| Prepare engineering section of 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. |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Attorney Fees - Negotiation of lease and other matters for shared locations | Information not provided. |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $91,445.00 | $83,525.00 | N/A | $0.00 | N/A |
| Total for all systems | $2,970,335.00 | $2,699,708.64 | N/A | $155,803.23 | N/A |
| Other Expenses | $91,445.00 | $83,525.00 | $0.00 | ||
| ATC Expenses | $19,630.00 | $19,630.00 | ATC document attached | N/A | N/A |
| DTV Medical Facility Notification | $11,550.00 | $3,750.00 | Group quote attached | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,000.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
| Non-zoning permits | $3,000.00 | $3,000.00 | N/A | N/A | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $25,000.00 | $25,000.00 | N/A | N/A | N/A |
| Equipment Delivery and Handling Charges | $2,970.00 | $2,970.00 | On site forklift rental estimate Representative quote attached | N/A | N/A |
| Equipment Storage | $20,000.00 | $20,000.00 | Dielectric letter attached | N/A | N/A |
| Develop and air announcement of upcoming channel change | $2,850.00 | $2,850.00 | estimate for on air rescan announcement production Quote attached | N/A | N/A |
| MVPD Notification of Channel Change | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $2,970,335.00 | $2,699,708.64 | $155,803.23 |
| 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 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Robert Thurber VP Engineering 10/23/2018 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Robert Thurber VP, Engineering 10/23/2018 |
