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:
0000029080
FRN:
0008120529
Facility ID:
24485
Repack Channel:
12 (High VHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
12/04/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

UNIVERSITY BROADCASTING, INC.

Doing Business As: KGEB

Bill Lee

7777 SOUTH LEWIS AVENUE

TULSA, OK 74171

United States

+1 (918) 488-5300 blee@oru.edu 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

Joseph C. Chautin III

Hardy, Carey, Chautin & Balkin

1080 West Causeway Approach

Mandeville, LA 70471

United States

+1 (985) 629-0777 jchautin@hardycarey.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Remove old Analog ant., waveguide, TX, strobe light from Analog antenna, replace with new VHF Antenna ,Strobe light, and TX line. Remove old Analog TX, plate supply, BP filter; set new VHF Transmitter, TX Room only shared with KWHB- Separate UHF-antenna.

Transmitters

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

Primary Transmitter

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Add 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 NV-7250
Year 2002
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 3.45 kw
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model THV9
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 3.9 kw
Other Transmitter Type  
Justification for New Transmitter Cannot re-tune Rohde & Schwarz UHF Transmitter to VHF. Can't build out on 14 due to Land Mobile issues, so FCC granted CP Mod on Ch. 12 instead. Current Rohde & Schwarz UHF Transmitter is no longer supported.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size
Length
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 Top-mount single
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 50.00 kW
Manufacturer
Model SWEDT160M/49
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? 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? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Top-mount single
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 75.00 kW
Manufacturer
Model THV-7A12-R O4
Year 2018
Justification for New Antenna Can't re-tune UHF Channel 49 antenna to VHF Channel 12.

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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Mounting bracket for top mount antenna

Top Mount antenna needs a bracket to mount the antenna to a 4 foot thick concrete & steel shear wall.

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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Add 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 this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 1 5/8 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 75 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 Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 200 feet per run
Justification for New Transmission Line Can't use existing line as it will be in use during testing time, as well as not in the location needed to mount the VHF Ch. 12 antenna.

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 Leased
Is this tower consider Complex? Located on Building
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? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1013337
Coordinates (NAD83) Latitude (NAD83) 36° 02' 35.0" N-
Longitude (NAD83) 095° 57' 12.0" W-
Overall Structure Height 699.14 feet
Support Structure Height 662.07 feet
Ground Elevation Above Mean Sea Level (AMSL) 623.68 feet
Structure Type BANT - Building with an Antenna
Tower Owner ORAL ROBERTS UNIVERSITY
Date Constructed 08/01/1995


Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: No study needed
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Located on Building
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Remove Analog 53 antenna

Need to remove Analog 53 Antenna and undocumented mount to make room for Ch. 12 antenna, replace strobe light.

Remove Ch. 49 Antenna

After transition to Ch. 12 need to remove Ch. 49 antenna and transmission line. along with waveguide from Analog antenna being removed to allow new VHF Antenna installation mount new LED Strobe on new VHF 12 antenna

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 643
Explanation Planning/ CP Transition Pre-Planning, Planning and Construction, then commissioning after construction. Additionally, KGEB will hire an outside firm to facility to handle reimbursement filing and ensure a timely transition.
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 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 No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study 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

Attorney Fees Channel 14 Related Expenses

Legal fees related to the station dealing with Channel 14 assignment

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 No
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? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $304,550.00 $257,129.06 N/A $205,677.06 N/A
Total for all systems $1,760,326.40 $1,033,458.54 N/A $546,322.78 N/A
Primary Transmitter THV9 $304,550.00 $257,129.06 $205,677.06
Transformer 3 phase/480v - 150 KVA $24,900.00 $24,300.00 N/A $3,659.20 N/A
Switchgear - industrial 800 amp $37,150.00 $36,300.00 Run circuits for THV-9 transmitter, dummy load, etc $5,488.80 N/A
High VHF - Liquid Cooled Solid State Transmitter 3.3 . 6.5 kW $242,500.00 $196,529.06 N/A $196,529.06 N/A

Components

Actual Information Description File Name
Transformer 3 phase/480v - 150 KVA

Component Description:
Electrical Work done at CityPlex Towers
Amount:
$3,659.20
Switchgear - industrial 800 amp

Component Description:
KGEB-110-1st Primary Transmitter - 800 amp. Switchgear
Amount:
$5,488.80
High VHF - Liquid Cooled Solid State Transmitter 3.3 . 6.5 kW

Component Description:
25% down payment Transmitter THV9-3
Amount:
$49,132.27

Component Description:
DP 75% net 30 after invoice
Amount:
$147,396.79

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 $420,848.20 $174,205.93 N/A $144,632.73 N/A
Total for all systems $1,760,326.40 $1,033,458.54 N/A $546,322.78 N/A
Primary Antenna THV-7A12-R O4 $420,848.20 $174,205.93 $144,632.73
High-VHF, One station antenna -- top mount, elliptically or circularly polarized $383,000.00 $136,507.73 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $136,507.73 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A
Mounting bracket for top mount antenna $31,298.20 $31,298.20 ANSI Certified mounting bracket for Top Mounted Antenna to Concrete reinforced Shear wall. Current Mount from 1995 does not meet current standards Final Estimate increased due to design change and cost of steel. $8,125.00 N/A

Components

Actual Information Description File Name
High-VHF, One station antenna -- top mount, elliptically or circularly polarized

Component Description:
Fabricate antenna wall mounting bracket pedestals in accordance with Hodge structural engineers drawing 17082.
Amount:
$23,173.20

Component Description:
High VHF TV ANT THV 7A 12-R VP-04 H-POL Pricing
Amount:
$113,334.53
Sweep test of existing antenna Information not provided.
Mounting bracket for top mount antenna

Component Description:
TV Antenna Wall MOunting Bracket Design
Amount:
$2,125.00

Component Description:
Professional services for antenna
Amount:
$375.00

Component Description:
TV Antenna Wall Mounting Bracket Design
Amount:
$2,500.00

Component Description:
Professional services
Amount:
$1,000.00

Component Description:
TV Antenna Wall Mounting Bracket Design
Amount:
$2,125.00

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 $11,400.00 $10,100.09 N/A $4,579.55 N/A
Total for all systems $1,760,326.40 $1,033,458.54 N/A $546,322.78 N/A
Primary Transmission Line $11,400.00 $10,100.09 $4,579.55
Flexible Air Transmission Line - dielectric, 3" $11,400.00 $10,100.09 N/A $4,579.55 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
New Primary Transmission Line
Amount:
$4,579.55

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 $762,750.00 $337,460.26 N/A $127,196.26 N/A
Total for all systems $1,760,326.40 $1,033,458.54 N/A $546,322.78 N/A
Primary Tower BANT $762,750.00 $337,460.26 $127,196.26
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $122,710.26 X-Ray analysis of 4 foot thick Shear Wall, concrete core drilling for attachment. Site Survey of roof shear Wall by antenna installation company to verify path of transmission line to new antenna mount location. $122,710.26 Z
Minor tower reinforcement/modifications $153,500.00 $15,000.00 N/A $4,486.00 N/A
Remove Ch. 49 Antenna $71,275.00 $71,275.00 Remove DT-49 antenna after sign off, remove Heliax line and cover Heliax line hole in steel cover, clean up roof top. N/A N/A
Remove Analog 53 antenna $2,400.00 $2,400.00 Removal of Analog antenna incorporated in Helicopter lift quote. N/A N/A
Tower Helicopter Lift $126,075.00 $126,075.00 Remove old Antenna Ch. 53 Analog, Prep wall for new TIAA/ ANSI compliant antenna mount. Hang and rig new VHF Ch. 12 Digital Antenna with new strobe , Lift old TX Heat ex.Lift new TX Heat ex. Run 3" Heliax from transmitter room to new Ch. 12 antenna. N/A N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Tower rigging services - tall tower (greater than 500')
Amount:
$36,677.57

Component Description:
Tower Rigging Services
Amount:
$86,032.69
Minor tower reinforcement/modifications

Component Description:
Professional Engineering Services
Amount:
$1,486.00

Component Description:
Travel and site visit to inspect proposed antenna installation for DTV Repack work, consultation on installation procedures, engineering and cost related to this work.
Amount:
$3,000.00
Remove Ch. 49 Antenna Information not provided.
Remove Analog 53 antenna Information not provided.
Tower Helicopter Lift Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $232,277.00 $226,325.00 N/A $54,131.98 N/A
Total for all systems $1,760,326.40 $1,033,458.54 N/A $546,322.78 N/A
Outside Professional Services $232,277.00 $226,325.00 $54,131.98
Project management of the transition $99,022.00 $96,450.00 N/A $31,645.55 Final work for project management will be submitted upon completion of Antenna installation.
Attorney Fees Channel 14 Related Expenses $5,000.00 $5,000.00 Estimated cost $3,302.00 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
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $572.00 N/A
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 Needed STA due to inability to construct on UHF 14 due to Land Mobile Interference issues. Needed STA to allow time to prepare CP Major Mod for move to VHF Ch. 12 $190.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A $574.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $16,625.00 Additional studies needed to prove which channels were suitable to construct on due to inability to construct on Ch. 14 due to LM interference with two LM licensees on roof of antenna location. Ch. 14 should not have been assigned in the first place. $16,625.00 Awaiting explanation
RF Exposure Measurements $20,500.00 $10,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $81,900.00 $80,000.00 N/A $1,223.43 N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project Management
Amount:
$286.00

Component Description:
Project Management
Amount:
$2,870.75

Component Description:
Project Management
Amount:
$2,386.30

Component Description:
Project Management
Amount:
$6,904.70

Component Description:
Project Management
Amount:
$3,161.40

Component Description:
Project Management
Amount:
$78.00

Component Description:
Planning CP Site visit - Transition Preplanning Revised to show cost split for travel expenses between KGEB & KWHB
Amount:
$1,200.00

Component Description:
Project management
Amount:
$2,454.70

Component Description:
Project management
Amount:
$3,661.10

Component Description:
Project Management
Amount:
$744.00

Component Description:
Project Management
Amount:
$754.00

Component Description:
399 processing
Amount:
$156.00

Component Description:
Project Management
Amount:
$832.00

Component Description:
Project Management
Amount:
$1,144.00

Component Description:
Project Management
Amount:
$5,012.60
Attorney Fees Channel 14 Related Expenses

Component Description:
Channel 14 Related Issues
Amount:
$1,482.00

Component Description:
Channel 14 Related Issues
Amount:
$650.00

Component Description:
Attorney - Channel 14 Related Expenses
Amount:
$364.00

Component Description:
Channel 14 Issues
Amount:
$156.00

Component Description:
Channel 14 Issues
Amount:
$650.00
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

Component Description:
Form 2100 - Construction Permit Application
Amount:
$468.00

Component Description:
Form 2100 - Construction Permit Application
Amount:
$104.00
Prepare request for Special Temporary Authorization

Component Description:
FCC Filing Fee, Special Temporary Authorization (STA)
Amount:
$190.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare and or review reimbursement form

Component Description:
Prepare and Review Reimbursement Form
Amount:
$494.00

Component Description:
Prepare and Review Reimbursement Form
Amount:
$80.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Eng. study work for new ch14 assign ant development. Conduct a search of the VHF and UHF bands to determine the availability of an alternate channel.Prepare early transition waiver supporting statement.Prep app for ch. 12.
Amount:
$5,500.00

Component Description:
RF Consulting Engineering to determine correct mask filter to avoid interference.
Amount:
$5,000.00

Component Description:
Engineering study work for new channel 14 assignment and antenna development. Conduct a search of the VHF & UHF bands to determine the availability of an alternate channel.
Amount:
$2,625.00

Component Description:
Study potential for KGEB to operate on VHF Channel 12
Amount:
$1,000.00

Component Description:
Auction Repack Work: Engineering study work for new channel 14 assignment and antenna development. Conduct a search of the VHF and UHF bands to determine the availability of an alternate channel.
Amount:
$2,500.00
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
Cityplex Towers Antenna Mount Pull Test
Amount:
$1,223.43

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 $28,501.20 $28,238.20 N/A $10,105.20 N/A
Total for all systems $1,760,326.40 $1,033,458.54 N/A $546,322.78 N/A
Other Expenses $28,501.20 $28,238.20 $10,105.20
MVPD Notification of Channel Change $2,723.20 $2,723.20 postage and certified letters to MVPD for channel change. See attached invoice. $2,723.20 N/A
Develop and air announcement of upcoming channel change $500.00 $500.00 Voice over talent fees for MVPD spots N/A N/A
Equipment Storage $3,000.00 $3,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $5,000.00 $5,000.00 Estimate to deliver transmitter, antenna, transmission line, and antenna mount $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 Disposal of analog l transmitter, bandpass filter, to facilitate installation in transmitter room $3,700.00 N/A
Local Zoning $500.00 $500.00 estimated cost for zoning permits N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A $3,492.00 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 STA # 0000024881 / Document # PGC2960746 - filed due to inability to construct on assigned Channel 14 due to Land Mobile interference issues on tower. $190.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
MVPD Notification Services
Amount:
$2,723.20
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Electrical work to remove and dispose of (1) 4KVA dry type transformer, (3) cabinet units and (1) rack
Amount:
$3,700.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Electrical work to remove and dispose of (1) 4KVA dry type transformer, (3) cabinet units and (1) rack mounted pump unit.
Amount:
$3,700.00
Local Zoning Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities - transmitter medical facility notification.
Amount:
$3,492.00
FCC Filing Fees - Special Temporary Authorization request

Component Description:
FCC Filing Fee, Special Temporary Authorization (STA)
Amount:
$190.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,760,326.40 $1,033,458.54 $546,322.78

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.

Laura Bishop

Vice President


12/04/2018

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.

Laura Bishop

Vice President


12/04/2018

Attachments

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