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:
0000028227
FRN:
0022357883
Facility ID:
167309
Repack Channel:
50 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
01/02/2019

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NRJ TV III CA LICENSE CO., LLC

Robert Andrews

722 S. DENTON TAP ROAD

SUITE 130

COPPELL, TX 75019

United States

+1 (972) 947-3391 bob@nrjventures.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

The Preparer is same as the reimbursement contact.

 

 

 

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 Use existing transmitter with interim antenna and leased line on CH50, while primary antenna/transmitter are being replaced.

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  
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 NV7500
Year 2005
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 7.8 kw
Other Transmitter Type  

Primary Transmitter

Back to Top

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 ULXTE-12
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 8.5 kw
Other Transmitter Type  
Justification for New Transmitter Existing Transmitter is not retunable per the manufacturer due to lack of parts and support. See attached letter from Rohde Schwarz

Primary Transmitter

Back to Top

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 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

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

Interim Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use  
Change Type Purchase
Manufacturer
Model None
Transmitter Type Other Type
IOT Power Type  
Other  
Power capacity  
Solid State Cooling  
Solid State Power Capacity  
Other Transmitter Type None
Justification for New Transmitter No interim transmitter

Interim Transmitter

Back to Top

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 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  
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Class A
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Circular
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: 15.00 kW
Manufacturer
Model AL 8O-50-PLC
Year 2005

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? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Class A
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Circular
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: 10.70 kW
Manufacturer
Model AL8O-32-PLC
Year 2018
Justification for New Antenna Existing antenna not broadband will not tune to ch 32.

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? 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

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Class A
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: 15.00 kW
Manufacturer
Model AL8O-50-PLE
Year 2018
Justification for New Antenna Antenna needed for interim operation. Complex tower, with substantial re-pack work required which would result in extensive off-air time.

Interim 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? 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

Interim 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 Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer ERI
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 820 feet per run

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

Back to Top

New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Lease New
Type Flexible Air
Diameter Other inches 2 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 820 feet per run
Justification for New Transmission Line Lease existing unused 2" Flexline already on tower for Interim Antenna

Interim 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 Modify Existing
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? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1012836
Coordinates (NAD83) Latitude (NAD83) 34° 13' 55.0" N-
Longitude (NAD83) 118° 04' 21.0" W-
Overall Structure Height 972.43 feet
Support Structure Height 899.60 feet
Ground Elevation Above Mean Sea Level (AMSL) 5658.40 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC.
Date Constructed 01/01/1986

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
24518 KDOC-TV DTV
9612 KCBS-FM FM
3167 KNET-CD DTV
191101 KSFV-CD DTV

Other Types of Users

Users
KMRZ-LD
KHIZ-LD
KEDD-LD

Primary Tower

Back to Top

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: No reinforcements needed

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

Name Description

Tower and Antenna Crew on-site expenses

Travel, Per Diem, Lodging for on site installation crews.

Interim Tower Lease Cost

Need to pay for temporary use of tower for interim transmission facilities

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 120
Explanation This is a complex site with multiple stations doing work and requiring extensive co-ordination and planning. 120 at $100 per hour.
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 No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Project Management expenses

Travel, Per Diem, Lodging for on-site visits for proj mgt

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 Yes
Non-zoning permits No
BLM or NFS Coordination Yes
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? No

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 $625,000.00 $274,479.35 N/A $174,292.38 N/A
Total for all systems $1,294,013.00 $579,590.35 N/A $332,196.79 N/A
Interim Transmitter None $143,500.00 $5,000.00 $0.00
None $0.00 $0.00 N/A N/A N/A
UHF inside RF system including switching $143,500.00 $5,000.00 N/A N/A N/A
Primary Transmitter ULXTE-12 $481,500.00 $269,479.35 $174,292.38
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $481,500.00 $269,479.35 See Quote Q-76843 $174,292.38 N/A

Components

Actual Information Description File Name
None Information not provided.
UHF inside RF system including switching Information not provided.
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
33% of ULXTE-12 Transmitter
Amount:
$87,146.19

Component Description:
Pre-shipment installment for ULXTE-12 Transmitter
Amount:
$87,146.19

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 $64,300.00 $62,800.00 N/A $28,276.22 N/A
Total for all systems $1,294,013.00 $579,590.35 N/A $332,196.79 N/A
Interim Antenna AL8O-50-PLE $32,150.00 $31,400.00 $14,138.11
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $25,600.00 $25,000.00 N/A $14,138.11 N/A
Primary Antenna AL8O-32-PLC $32,150.00 $31,400.00 $14,138.11
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $25,600.00 $25,000.00 N/A $14,138.11 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A

Components

Actual Information Description File Name
Sweep test of existing antenna Information not provided.
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
Final invoice for Primary and Interim Antennas, including freight and tax. 50% attributable to primary/50% to interim
Amount:
$11,473.36

Component Description:
30% Deposit Interim antenna - AL8-32-PLC
Amount:
$2,664.75
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
30% Deposit Main antenna - AL8-32-PLC
Amount:
$2,664.75

Component Description:
Final invoice for Primary and Interim Antennas, including freight and tax. 50% attributable to primary/50% to interim
Amount:
$11,473.36
Sweep test of existing antenna 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 $0.00 $0.00 N/A $0.00 N/A
Total for all systems $1,294,013.00 $579,590.35 N/A $332,196.79 N/A
Interim Transmission Line $0.00 $0.00 $0.00
Flexible Air Transmission Line - 2" 1 parallel runs 820 feet $0.00 $0.00 Leasing Existing Line at $0 N/A N/A
Primary Transmission Line $0.00 $0.00 $0.00

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 $507,100.00 $160,476.00 N/A $100,738.00 N/A
Total for all systems $1,294,013.00 $579,590.35 N/A $332,196.79 N/A
Primary Tower GTOWER $507,100.00 $160,476.00 $100,738.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $409,500.00 $80,000.00 N/A $46,800.00 N/A
Interim Tower Lease Cost $38,400.00 $38,400.00 Temporary Lease of Tower space for interim antenna $38,400.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $25,600.00 $15,538.00 N/A $15,538.00 N/A
Structural engineering tower load study for well documented tower $12,300.00 $5,238.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $0.00 N/A
Tower and Antenna Crew on-site expenses $21,300.00 $21,300.00 Expenses for on-site tower and antenna crews N/A N/A

Components

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

Component Description:
50% final payment for tower rigging costs to install both an interim channel 50 antenna and the permanent channel 32 antenna.
Amount:
$12,150.00

Component Description:
50% down payment for tower rigging costs to install both an interim channel 50 antenna and the permanent channel 32 antenna.
Amount:
$12,150.00

Component Description:
First installment (25%) of KNLA share of tower upgrade costs charged by American Tower. Remainder of this invoice is in 399 in Project Management category
Amount:
$7,500.00

Component Description:
Second installment (50%) of KNLA share of tower upgrade costs charged by American Tower. Remainder of this invoice is in 399 in Project Management category
Amount:
$15,000.00
Interim Tower Lease Cost

Component Description:
1 year tower lease for interim antenna
Amount:
$38,400.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower Mapping costs billed to KNLA by tower landlord American Tower
Amount:
$10,300.00

Component Description:
Tower structural load study costs billed to KNLA by landlord American Tower
Amount:
$5,238.00
Structural engineering tower load study for well documented tower Information not provided.
Tower and Antenna Crew on-site expenses 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 $79,395.00 $63,880.00 N/A $16,745.19 N/A
Total for all systems $1,294,013.00 $579,590.35 N/A $332,196.79 N/A
Outside Professional Services $79,395.00 $63,880.00 $16,745.19
Project Management expenses $6,880.00 $6,880.00 On-site expenses for project management $372.69 N/A
RF Exposure Measurements $20,500.00 $12,000.00 N/A $0.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A $207.00 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,095.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $650.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A $1,750.00 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 request for Special Temporary Authorization $1,535.00 $1,750.00 invoice $1,750.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $125.00 N/A
Project management of the transition $18,480.00 $12,000.00 N/A $11,890.50 N/A

Components

Actual Information Description File Name
Project Management expenses

Component Description:
Expense Reimbursement
Amount:
$372.69
RF Exposure Measurements Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Professional Services
Amount:
$207.00
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare and or review reimbursement form Information not provided.
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:
Interference study of repack ch 32
Amount:
$650.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare engineering portion of FCC Application for Construction Permit
Amount:
$1,750.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Prepare Request for Special Temporary Authorization
Amount:
$1,750.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Attorney Fee for reviewing KNLA-CD's baseline post-repack CP filing
Amount:
$125.00
Project management of the transition

Component Description:
Project Management
Amount:
$728.75

Component Description:
Second installment (50%) of KNLA share of tower upgrade costs charged by American Tower. This portion is for project management activity. The remainder of this invoice is in the 399 in the Complex Towers category
Amount:
$4,440.00

Component Description:
First installment (25%) of KNLA share of tower upgrade costs charged by American Tower. This portion is for project management activity. The remainder of this invoice is in the 399 in the Complex Towers category
Amount:
$2,220.00

Component Description:
Project Management
Amount:
$125.00

Component Description:
Project Management
Amount:
$4,376.75

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 $18,218.00 $17,955.00 N/A $12,145.00 N/A
Total for all systems $1,294,013.00 $579,590.35 N/A $332,196.79 N/A
Other Expenses $18,218.00 $17,955.00 $12,145.00
Develop and air announcement of upcoming channel change $450.00 $450.00 Contractor to produce announcements N/A N/A
Equipment Delivery and Handling Charges $1,170.00 $1,170.00 Actual costs for labor to assist with transmitter delivery and placement on site at Mt Wilson $1,170.00 N/A
Local Zoning $750.00 $750.00 ATC estimate N/A N/A
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A $10,785.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A $190.00 N/A
BLM or NFS Coordination $1,000.00 $1,000.00 ATC estimate N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,000.00 $2,000.00 Disposal of old antenna. N/A N/A

Components

Actual Information Description File Name
Develop and air announcement of upcoming channel change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Costs for 2 men for 9 hours to assist with offloading transmitter from delivery truck and setting in place in transmitter room at Mt.Wilson.
Amount:
$1,170.00
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
Notification to Medical Facilities of Upcoming Channel Change
Amount:
$10,785.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request

Component Description:
Filing fee for STA for interim antenna operation
Amount:
$190.00
BLM or NFS Coordination Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,294,013.00 $579,590.35 $332,196.79

Construction Status

Back to Top
Question Response
Is construction complete? 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.

Jeff Hazelrigg

CFO


01/02/2019

Attachments

Back to Top