Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
59014
Service:
DTV
Call Sign:
KOAA-TV
Channel:
25 (UHF)
File Number:
0000028162
FRN:
0002710192
Date Submitted:
10/29/2018

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SANGRE DE CRISTO COMMUNICATIONS, LLC

Doing Business As: SANGRE DE CRISTO COMMUNICATIONS, LLC

CHIEF ENGINEER

2200 7TH AVENUE

PUEBLO, CO 81003

United States

+1 (719) 544-5781 qh@koaa.com Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

Quentin Henry

Chief Engineer

Sangre de Christo Communications, LLC

Quentin Henry

2200 7th Avenue

Pueblo, CO 81003

United States

+1 (719) 671-9013 qh@koaa.com

Broadcaster Information and Transition Plan

Back to Top
Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Continue operation on existing tower, transmission line and antenna. Build a new tower and install new transmission line and antenna. Modification of the existing tower is more expensive than the new tower construction.

Transmitters

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

Primary Transmitter

Back to Top

Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model SigmaCD
Year 2004
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 23.6 kW

Primary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-50
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31.7 kW
Justification for New Transmitter Existing transmitter will not re-tune to new frequency.

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 4. inches
Length 200.0 feet
Other Electrical Service Yes
Description The replacement of power company pole transformers and power lines between power pole transformers and the building is needed to accommodate the added load during the transition period.
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? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Name Description

Old transmitter DE-INSTALL

DE-INSTALL of old transmitter and all associated equipment.

Antennas

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

Primary Antenna

Back to Top

Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change 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 Side Mount
Antenna position in stack Middle
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: 880.0 kW
Manufacturer
Model TFU 24DSB C270 (SP) (C)
Year 2006

Primary Antenna

Back to Top

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? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-23JSC/VP-R C270 D25 PER C-70120-4
Year 2017
Justification for New Antenna The existing antenna can not be re tuned to the new frequency.

Primary Antenna

Back to Top

Other Antenna Costs

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

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

Back to Top

Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change 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
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 260 feet per run

Primary Transmission Line

Back to Top

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
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 22
Length 20 feet per run
Justification for New Transmission Line Both transmitters have to be on the air at the same time for the transition period. Continued operation of current transmitter on current tower, and new transmitter on new tower.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

Existing Tower

Section Question Response
Existing Tower Description Type of change Construct New
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
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? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 38° 44' 42.0" N-
Longitude (NAD83) 104° 51' 41.0" W-
Overall Structure Height 220.00 feet
Support Structure Height 150.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 9430.00 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner Cheyenne Propagation
Date Constructed 06/01/1978


Primary Tower

Back to Top

Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 199.00 feet
Justification for New Tower New tower construction cost less than modifications needed to the existing 1978 tower.

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

Back to Top
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 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 Yes
Quantity 1
NEPA Section 106 environmental review Yes
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

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Engineering study

coverage mapping of new channel assignment and equipment

KOAA repack 28 to repack 25 by Entravision

Entravision in Denver wants to be placed on channel 28. This move forces KOAA to move to channel 25. Co-channel to channel 24 KRDO. Additional studies are required.

New Tower design analysis

Tower load analysis and deign for new tower

Other Expenses

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

Back to Top

Other Expenses Not Listed

Information not provided.

Cost Information

Back to Top

Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,125,715.43 $1,147,860.43 N/A $0.00 N/A
Total for all systems $2,637,880.53 $2,255,278.51 N/A $108,516.28 N/A
Primary Transmitter ULXTE-50 $1,125,715.43 $1,147,860.43 $0.00
Old transmitter DE-INSTALL $18,280.85 $18,280.85 DE-INSTALL of the old transmitter, lines, electrical power supplies, and all associated equipment to a staging area for disposal. N/A N/A
10 Ton system $38,900.00 $37,000.00 N/A N/A N/A
Other Electrical Service: The replacement of power company pole transformers and power lines between power pole transformers and the building is needed to accommodate the added load during the transition period. $65,000.00 $65,000.00 replacing transformers, feedline to building, and pole install. N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $0.00 Colorado Springs Utility is not charging for this "Transformer 3 phase/480V-300KVA" upgrade. This expense went from $35,850.00 to $0 N/A N/A
Switchgear - industrial 800 amp $38,200.00 $67,479.00 Both transmitters must be ran on the same electrical service at the same time, requiring added capacity.. N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $45,966.00 Both transmitters must be ran on the same electrical service at the same time requiring additional capacity. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 31.7 kW $902,134.58 $902,134.58 Maximized from the Entravision displacement of KOAA to channel 25 from FCC assigned repack channel 28. N/A N/A
4." Rigid Conduit and Wiring $12,000.00 $12,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $272,377.10 $269,159.10 N/A $0.00 N/A
Total for all systems $2,637,880.53 $2,255,278.51 N/A $108,516.28 N/A
Primary Antenna TFU-23JSC/VP-R C270 D25 PER C-70120-4 $272,377.10 $269,159.10 $0.00
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized $227,667.10 $227,667.10 Previous antenna could not be retuned to new frequency. N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $8,592.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,500.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $62,480.00 $55,047.60 N/A $0.00 N/A
Total for all systems $2,637,880.53 $2,255,278.51 N/A $108,516.28 N/A
Primary Transmission Line $62,480.00 $55,047.60 $0.00
Rigid Transmission Line - copper, 4 1/16" $62,480.00 $55,047.60 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $944,773.00 $523,773.00 N/A $9,975.00 N/A
Total for all systems $2,637,880.53 $2,255,278.51 N/A $108,516.28 N/A
Primary Tower GTOWER $0.00 $0.00 $0.00
Primary Tower $944,773.00 $523,773.00 $9,975.00
New tower $523,773.00 $523,773.00 The modifications needed to get the tower safe for the interim antenna and rigging exceed the cost of a new tower. A new tower is less expensive than the needed modifications. $9,975.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
New tower

Component Description:
One invoice of many for this line. This specifically is for structural analysis & report, add'l loading configurations & PE sealed docs
Amount:
$5,100.00

Component Description:
One of several invoices for this line. This is specific for geotechnical survey & report with reimbursement of $4875 being requested.
Amount:
$4,875.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.

Cost Information

Back to Top

Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $211,800.00 $239,263.38 N/A $98,541.28 N/A
Total for all systems $2,637,880.53 $2,255,278.51 N/A $108,516.28 N/A
Outside Professional Services $211,800.00 $239,263.38 $98,541.28
Engineering study $14,000.00 $14,000.00 N/A $14,000.00 N/A
RF Exposure Measurements $21,050.00 $17,500.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $75,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 NEPA study for the new tower construction located 50 foot away from the existing tower. N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $25,000.00 KOAA had to run the legal services twice due to the KCEC Denver Entravision being assigned channel 14 and the FCC requesting KOAA move from repack 28 to repack 25 $0.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Actual attorney fees for normal repack construction permit process for form 2100 and 399 came in higher than the estimated cost. $0.00 Additional fees due to FCC requested move of KOAA repack channel 28 to channel 25 due to Entravision channel 14 Denver issue
Prepare and or review reimbursement form $2,630.00 $20,298.50 Had to have 2 repack processes due to FCCs request for KOAA to repack a second time due to channel 14 Denver being assigned to Entravision. $20,298.50 This may not be the final for this section. Costs are coming in much higher than original estimate for various issues including amendments to the applications.
Perform engineering study for new channel assignment and antenna development $7,360.00 $8,464.88 had to repack twice on the FCCs request due Denver Entravision channel 14 $8,464.88 Several invoices comprise this section. Cohen, Dippell & Everist to date bring the total to $8464.88.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A 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
New Tower design analysis $6,000.00 $6,000.00 Engineering analysis of tower loading and design of the new tower. $9,975.00 due to mountain terrain actual is coming in higher than original estimate.
KOAA repack 28 to repack 25 by Entravision $50,000.00 $50,000.00 Additional consulting engineering expense due to Entravision wanting to occupy the KOAA repack channel 28. That would displace KOAA to channel 25 that is co-channel to KRDO 24. $45,802.90 additional invoices will be added to this estimated cost line of $50,000 as this is one of several.

Components

Actual Information Description File Name
Engineering study

Component Description:
Initial site survey for transmitter antenna components
Amount:
$14,000.00
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.
NEPA Section 106 environmental review, if needed 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.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare and or review reimbursement form

Component Description:
email with engr staff for second tranche of repack funding
Amount:
$81.00

Component Description:
Email for new FCC repack reimbursement process.
Amount:
$171.00

Component Description:
begin initial research relating to preparation of repack applications.
Amount:
$177.50

Component Description:
FCC repack quarterly progress report, release of add'l repack funding, reimbursement issues.
Amount:
$567.00

Component Description:
Research & correspondence on repack reimbursement process
Amount:
$286.50

Component Description:
Review quarterly progress report & email for reimbursement process
Amount:
$648.00

Component Description:
review FCC repack letter, preparing emails for same, repack reimbursement process.
Amount:
$1,424.00

Component Description:
review FCC forms & emails regarding FCC repack reimbursement issues & applications.
Amount:
$1,360.00

Component Description:
review & respond to consulting engineer regarding TV repack applications.
Amount:
$964.00

Component Description:
review & correspondence regarding amendment for repack application.
Amount:
$14,619.50
Perform engineering study for new channel assignment and antenna development

Component Description:
Consult eng serv thru Aug 17 for prelim analysis on TVStudy 2.2 of K30JM-D issues to incentive auction repack & prep of eng response to FCC inquiry on numerous discuss persuant to appl to construct repack facilities DA17-314 C. 28 horiz. and vert. specs
Amount:
$3,267.24

Component Description:
Consulting engineering thru July 2017 to assemble technical issues for prep of engr stmt for application to construct repack facilities for C.28 & prelim study for fill in translator K30JM coverage
Amount:
$3,629.74

Component Description:
Consulting engineering thru 5/31/17 on Longley-Rice analysis for TVStudy 2.2 of repacked C.28
Amount:
$509.50

Component Description:
Consulting & Engineering Services thru 4/27/17 for analysis on TVStudy 2.2 of curr. C. 42 oper. and repack C.28
Amount:
$1,058.40
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
New Tower design analysis

Component Description:
Structural analysis & report for tower.
Amount:
$5,100.00

Component Description:
Geotechnical survey & report.
Amount:
$4,875.00
KOAA repack 28 to repack 25 by Entravision

Component Description:
review request for add'l info from fund administrators
Amount:
$1,792.80

Component Description:
Consulting engr services thru Mar 2018 prelim review of transmitter tower inconsistency for license & contruct permit c28 to c25 change
Amount:
$1,613.90

Component Description:
FCC grant of channel change repack application.
Amount:
$264.50

Component Description:
Consulting engr services Oct/Nov 2017 preliminary analysis for TVstudy 2.2 of K30JM-D related to channel change from 28 to 25
Amount:
$2,446.30

Component Description:
Review of draft channel change agreement provided by Entravision as part of resolution.
Amount:
$20,548.20

Component Description:
Numerous calls and emails with regards to a proposed resolution of Channel 14 issue and possible impact on KOAA repack channel
Amount:
$20,930.00

Cost Information

Back to Top

Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $20,735.00 $20,175.00 N/A $0.00 N/A
Total for all systems $2,637,880.53 $2,255,278.51 N/A $108,516.28 N/A
Other Expenses $20,735.00 $20,175.00 $0.00
MVPD Notification of Channel Change $4,500.00 $4,500.00 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
Develop and air announcement of upcoming channel change $850.00 $850.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
Non-zoning permits $3,500.00 $3,500.00 N/A N/A N/A

Components

Information not provided.

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,637,880.53 $2,255,278.51 $108,516.28

Reimbursement Status

Back to Top
Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

Back to Top
Section Question Response
Submission of Estimated Expenses Statements

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

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

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

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

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

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

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

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

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

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

Evie Hudson

Business Manager


10/29/2018

Certification

Back to Top
Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

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

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

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

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

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

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

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

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

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

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

Evie Hudson

Business Manager


10/29/2018

Attachments

Back to Top