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:
0000028247
FRN:
0003766417
Facility ID:
53517
Repack Channel:
25 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
11/15/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MORRIS NETWORK OF MISSISSIPPI, INC.

Doing Business As: MORRIS NETWORK OF MISSISSIPPI, INC.

Bobby Berry

301 Poplar Street

MACON, GA 31201

United States

+1 (478) 745-4141 bberry@morrisnetwork.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

Ray Luke

Project Manager

Custom Specialty Services, LLC

Ray Luke

17363 Carlton Cuebas Road

Gulfport, MS 39503

United States

+1 (228) 297-2500 ray.css@att.net

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan WXXV-TV plans to replace its existing antenna,line and transmitter with new ones that will accommodate its new channel. in the interim it will connect its existing transmitter to a interim antenna that will have been used in phase 1 at WCBI-TV.

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 use as backup for main when main transmitter is down for repairs or maintance
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 ranger 1000
Year 2000
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 1.2 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 for main transmitter when main transmitter is down for maintance or repairs
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model UAXTE-2R37
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 1.2 kw
Other Transmitter Type  
Justification for New Transmitter Old transmitter will not re-tune to new channel

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 1 inches
Length 200.0 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

Information not provided.

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use  
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model TC121iD
Year 2006
Type Inductive Output Tube
IOT Power Type Single
Description  
Power capacity 12 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 UAXTE-12R44
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 10 kw
Other Transmitter Type  
Justification for New Transmitter The old transmitter is no longer supported and therefore cannot be re-tuned. While the Form 399 FAQ's instruct to list this as an upgrade, it actually is not, but rather a simple replacement. See attachment.

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 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 175.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

site survey

site survey by Gates/Air for floor plan and electrical drawing of transmitter site

psip generator

PSIP generator need for new transmitter

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? 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 Side-mount
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: 300.00 kW
Manufacturer
Model TFU-31JSC T180
Year 2006

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 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: 190.00 kW
Manufacturer
Model SWCDS28TL/25
Year 2018
Justification for New Antenna Old antenna will not re-tune to new channel

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 4 1/16 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

Primary 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 Rigid
Diameter 4 1/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1550 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 4 1/16 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 1550 feet per run
Justification for New Transmission Line Old line wrong segment length for new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Terrain Constrained
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? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1059698
Coordinates (NAD83) Latitude (NAD83) 30° 44' 49.0" N-
Longitude (NAD83) 089° 03' 30.0" W-
Overall Structure Height 1540.01 feet
Support Structure Height 1478.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 240.15 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner MORRIS NETWORK OF MISSISSIPPI, INC.
Date Constructed 12/15/1986


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: Serious Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 2200
Explanation Station is one of a group of co-owned stations, all of witch are subject to repack. there is no group director of engineering and station has only IT engineer on staff. co-ordination is needed for the entire group's transition in different phases
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 No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
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

Additional legal fees

Additional legal fees for 399 forms and progress reports

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change 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)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

clearing at tower site

Clearing of staging area and guy points for tower crew to perform tower mods

building clean out

Building clean out of old electrical, analog transmitter and equipment to make room for new repack transmitter and equipment

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 $594,950.00 $581,575.00 N/A $113,409.22 N/A
Total for all systems $2,942,003.00 $2,831,185.00 N/A $842,543.42 N/A
Primary Transmitter UAXTE-12R44 $467,450.00 $457,075.00 $88,558.96
site survey $17,200.00 $17,200.00 N/A N/A N/A
10 Ton system $37,900.00 $37,000.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $8,750.00 $8,575.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $24,900.00 $24,300.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 10 - 12 kW $327,500.00 $320,000.00 N/A $88,558.96 N/A
Service entrance 3 phase/800 amp/208 volt $14,050.00 $13,700.00 N/A N/A N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 N/A N/A N/A
psip generator $0.00 $0.00 N/A N/A N/A
Auxiliary Transmitter UAXTE-2R37 $127,500.00 $124,500.00 $24,850.26
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $123,000.00 $120,000.00 N/A $24,850.26 N/A
1" Rigid Conduit and Wiring $4,500.00 $4,500.00 N/A N/A N/A

Components

Actual Information Description File Name
site survey Information not provided.
10 Ton system Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
UHF - Air Cooled Solid State Transmitter 10 - 12 kW

Component Description:
1/3 down payment on main xmitter
Amount:
$88,558.96

Component Description:
Gates quote # Q-59830
Amount:
N/A

Component Description:
1/3 downpayment due for main transmitter.
Amount:
$88,558.96

Component Description:
Transmitter Justification letter
Amount:
N/A
Service entrance 3 phase/800 amp/208 volt Information not provided.
Switchgear - industrial 800 amp Information not provided.
psip generator Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
1/3 downpayment for auxiliary transmitter
Amount:
$24,850.26

Component Description:
1/3 DOWN PAYMENT BACKUP TRANSMITTER
Amount:
$24,850.26

Component Description:
1/3 down payment on backup xmitter
Amount:
$24,850.26

Component Description:
Gates quote # Q-59831
Amount:
N/A
1" Rigid Conduit and Wiring 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 $130,540.00 $6,400.00 N/A $5,650.00 N/A
Total for all systems $2,942,003.00 $2,831,185.00 N/A $842,543.42 N/A
Primary Antenna SWCDS28TL/25 $130,540.00 $6,400.00 $5,650.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $0.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $0.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,320.00 $0.00 N/A N/A N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $5,650.00 N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $87,000.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) Information not provided.
Sweep test of existing antenna

Component Description:
sweep test of antenna and line
Amount:
$5,650.00
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized 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 $213,900.00 $25,000.00 N/A $0.00 N/A
Total for all systems $2,942,003.00 $2,831,185.00 N/A $842,543.42 N/A
Primary Transmission Line $213,900.00 $25,000.00 $0.00
Rigid Transmission Line - copper, 4 1/16" $213,900.00 $25,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,459,100.00 $1,712,240.00 N/A $656,280.00 N/A
Total for all systems $2,942,003.00 $2,831,185.00 N/A $842,543.42 N/A
Primary Tower TOWER $1,459,100.00 $1,712,240.00 $656,280.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $400,000.00 N/A N/A N/A
Serious tower reinforcement/modifications $1,024,000.00 $1,287,240.00 THIS TOWER REQUIRES MAJOR MODS SEE LETTERS WITH INVOICE $643,620.00 MAJOR TOWER MODS NEEDED PLEASE SEE LETTERS WITH INVOICE
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 $12,660.00 N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Serious tower reinforcement/modifications

Component Description:
50% DOWN PAYMENT INVOICE FOR TOWER MODS
Amount:
$643,620.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
tower analysis invoice
Amount:
$6,420.00

Component Description:
TCI Proposal TCI-17-023
Amount:
N/A

Component Description:
TCI W9 FORM
Amount:
N/A

Component Description:
THIS IS A SECOND TOWER ANALYSIS DONE JAN 2018
Amount:
$6,240.00

Component Description:
Tower analysis invoice
Amount:
$6,420.00

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 $480,680.00 $443,400.00 N/A $44,819.20 N/A
Total for all systems $2,942,003.00 $2,831,185.00 N/A $842,543.42 N/A
Outside Professional Services $480,680.00 $443,400.00 $44,819.20
Additional legal fees $8,500.00 $8,500.00 N/A $270.00 N/A
RF Exposure Measurements $20,500.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $81,900.00 $50,000.00 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
Project management of the transition $338,800.00 $328,650.00 N/A $39,809.21 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 request for Special Temporary Authorization $1,535.00 $1,500.00 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 $675.00 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 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 N/A N/A
Prepare and or review reimbursement form $2,560.00 $8,500.00 The standard estimate is inadequate due to exacting details required, the significant time required to submit or clarify such details, and the need for extra contacts to FCC staff to enable making changes. $4,064.99 The general estimate for this category is a significant underestimate due to need to submit further or revised information and cumbersome nature of submissions and need for staff action in order to make them.

Components

Actual Information Description File Name
Additional legal fees

Component Description:
Legal advice and assistance in connection with quarterly repack transition report required by FCC.
Amount:
$112.50

Component Description:
Assist in filing quarterly transition progress report as required by FCC
Amount:
$45.00

Component Description:
Provide advice and counsel concerning notices to MVPD's and medical facilities and timing and required content of same
Amount:
$112.50
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed 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.
Project management of the transition

Component Description:
PROJECT MANAGEMENT INVOICE
Amount:
$398.21

Component Description:
PROJECT MANAGEMENT INVOICE
Amount:
$712.50

Component Description:
PROJECT MANAGEMENT INVOICE
Amount:
$1,762.50

Component Description:
PROJECT MANAGEMENT INVOICE
Amount:
$2,475.00

Component Description:
Project Management hours April 2017
Amount:
$2,812.50

Component Description:
PROJECT MANAGEMENT HOURS JUNE 2017
Amount:
$1,516.50

Component Description:
PROJECT MANAGEMENT INVOICE
Amount:
$2,776.50

Component Description:
CSS OCT 2017 invoice for Project Management hours
Amount:
$4,312.50

Component Description:
PROJECT MANAGEMENT INVOICE with names requested by reviewer
Amount:
$900.00

Component Description:
CSS NOV 2017 invoice for Project Management hours
Amount:
$4,012.50

Component Description:
PROJECT MANAGEMENT INVOICE with names requested by reviewer
Amount:
$2,058.00

Component Description:
PROJECT MANAGEMENT INVOICE with names requested by reviewer
Amount:
$2,062.50

Component Description:
invoice for Project Management with statement requested by reviewer
Amount:
$24,787.50

Component Description:
PROJECT MANAGEMENT INVOICE with names requested by reviewer
Amount:
$3,112.50

Component Description:
PROJECT MANAGEMENT INVOICE with names requested by reviewer
Amount:
$312.00

Component Description:
CSS DEC 2017 invoice for Project Management hours
Amount:
$4,762.50

Component Description:
FEB INVOICE FOR PROJECT MANAGEMENT HOURS
Amount:
$4,162.50

Component Description:
Project Management hours May 2017
Amount:
$1,660.50
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Drafted legal portion of Form 2100 c.p. application
Amount:
$112.50

Component Description:
Provided legal advice as to methods, contents, and filing requirements for Form 2100
Amount:
$112.50

Component Description:
Assist in preparation and filing of Form 2100 c.p. application
Amount:
$450.00
Attorney Fees -Prepare and File 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 Information not provided.
Prepare and or review reimbursement form

Component Description:
Provided advice and counsel in connection with issues with and questions regarding reimbursement request and with technical problems with providing further information
Amount:
$1,012.50

Component Description:
Assisted in determining reason for delay in reimbursement payment after
Amount:
$225.00

Component Description:
Preparation and transmittal of Form 1876 to enable reimbursement plus costs of transmission to FCC charged to client
Amount:
$464.99

Component Description:
Assist in preparation and filing of Schedule 399
Amount:
$540.00

Component Description:
Provided legal advice and assistance with regard to reimbursement amounts, policies, and procedures - remaining $112.50 reimbursement to be requested under separate line item for FCC-required progress reports once established.
Amount:
$315.00

Component Description:
Assist in seeking reimbursement for further expenses and revising prior submissions in response to FCC requests in order to obtain reimbursement
Amount:
$900.00

Component Description:
Provided information and legal advice concerning preparation of Schedule 399 estimate for reimbursement
Amount:
$112.50

Component Description:
Provided bank account and other information required to enable reimbursement payments
Amount:
$157.50

Component Description:
Assisted in revising and resubmitting information supporting reimbursement request and in dealing with technical difficulties
Amount:
$337.50

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 $62,833.00 $62,570.00 N/A $22,385.00 N/A
Total for all systems $2,942,003.00 $2,831,185.00 N/A $842,543.42 N/A
Other Expenses $62,833.00 $62,570.00 $22,385.00
building clean out $16,500.00 $16,500.00 small transmitter room had to be cleared of old electrical, analog transmitter, large heat exchanger and duck work to have space for new repack equipment. $16,500.00 N/A
MVPD Notification of Channel Change $300.00 $300.00 N/A N/A N/A
Equipment Delivery and Handling Charges $19,000.00 $19,000.00 N/A N/A N/A
Local Zoning $0.00 $0.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 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 - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $8,000.00 $8,000.00 N/A N/A N/A
clearing at tower site $5,885.00 $5,885.00 tower crew requires a staging area and that guy points be accessible by work trucks and equipment $5,885.00 N/A
Develop and air announcement of upcoming channel change $300.00 $300.00 N/A N/A N/A

Components

Actual Information Description File Name
building clean out

Component Description:
Invoice 3401 building clean out to make room for new repack equipment
Amount:
$16,500.00
MVPD Notification of Channel Change Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
clearing at tower site

Component Description:
clearing at tower site, required by tower crew for tower mods
Amount:
$5,885.00
Develop and air announcement of upcoming channel change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,942,003.00 $2,831,185.00 $842,543.42

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.

Bobby Berry

Chief Operating Officer


11/15/2018

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.

Bobby Berry

Chief Operating Officer


11/15/2018

Attachments

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