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:
38591
Service:
DTV
Call Sign:
KLTS-TV
Channel:
17 (UHF)
File Number:
0000028074
FRN:
0001720192
Date Submitted:
01/09/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

LOUISIANA EDUCATIONAL TELEVISION AUTHORITY

Doing Business As: Louisiana Public Broadcasting

Donald R Ballard

7733 PERKINS RD

BATON ROUGE, LA 70810

United States

+1 (225) 767-4273 dballard@lpb.org Government Entity

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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan 1.Install an interim antenna on channel 24 at our present licensed ERP or as close to it as we can obtain with our existing transmitter. 2.Purchase a replacement top mount antenna and line for the repack channel 17 with new mask filter and transmitter.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use 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 HU0015KAD
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 15 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model CTX728
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 23 kW
Justification for New Transmitter Required transmitter to operate on repack channel. Existing mask filter can not be retuned. A lower gain antenna is required to keep the tower height in compliance with the FAA resulting in a higher required TPO than the existing transmitter.

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) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 4 inches
Length 500.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 20 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 600.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Shipping and Handling

Manufacturer delivery

Transmitter Install equipment rental

Heavy lift equipment rental.

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
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: 350.0 kW
Manufacturer
Model TFU-47J
Year 1978

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? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top 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: 280.0 kW
Manufacturer
Model ATC-BCE4280-V0-17
Year 2019
Justification for New Antenna Existing antenna can not be retuned by the manufacturer and must be replaced for the new repack channel.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

Alive has put TBD on the quote. This is an arbitrary number

Interim Antenna

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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? No
New Antenna Manufacturer and Type 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: 350.0 kW
Manufacturer
Model ATC-BCSE24M-U1
Year 2018
Justification for New Antenna KLTS-DT wishes to broadcast at close to full power while the main transmission system is replaced for the repack channel.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an 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

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

Alive has put TBD on the attached quote. This is an arbitrary number

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1316 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1316 feet per run
Justification for New Transmission Line Existing line is not compatible with the repack channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 5 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 1300 feet per run
Justification for New Transmission Line KLTS-DT would like to remain on the air while the existing transmission system is replaced for the repack channel.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
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? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 32° 40' 40.1" N-
Longitude (NAD83) 093° 55' 30.7" W-
Overall Structure Height 1080.04 feet
Support Structure Height 1006.88 feet
Ground Elevation Above Mean Sea Level (AMSL) 250.00 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner LOUISIANA EDUCATIONAL TELEVISION AUTHORITY DBA KLTS
Date Constructed 05/26/1978

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
4317 KDAQ FM

Other Types of Users

Users
Bluebird Wirele

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Serious Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 500
Explanation We will need outside assistance with project management due to insufficient staffing levels to support a major project.
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 22
Justification We do not have comprehensive internal resources. Consulting RF Engineers are needed to meet the analytical, coordination, and FCC compliance needs of the station.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? 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

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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 $1,179,000.00 $1,124,000.00 N/A $160,476.21 N/A
Total for all systems $3,872,847.00 $3,710,289.00 N/A $1,240,855.83 N/A
Primary Transmitter CTX728 $1,179,000.00 $1,124,000.00 $160,476.21
Transmitter Install equipment rental $22,000.00 $22,000.00 Rental of heavy duty equipment will be required to install the transmitter and the heat exchanger. $2,976.21 N/A
Shipping and Handling $22,000.00 $22,000.00 N/A N/A N/A
Other -- Building Addition Size: 600.0 $22,000.00 $22,000.00 N/A N/A N/A
20 Ton system $115,500.00 $110,000.00 This building is going to require adjustments to the environmental controls due to the location in a more northern latitude (additional heating) N/A N/A
4" Rigid Conduit and Wiring (Cost per foot) $50,500.00 $48,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $900,000.00 N/A $157,500.00 N/A

Components

Actual Information Description File Name
Transmitter Install equipment rental

Component Description:
KLTS_40' Standard_Transmission Line_Storage_Invoice_9005301179_11-14-2018
Amount:
$167.58

Component Description:
KLTS_40' Standard_Transmission Line_Storage_Invoice_9004638287_7-25-2018
Amount:
$167.58

Component Description:
KLTS_40' Standard_Transmission Line_Storage_Invoice_9005474069_12-12-2018.
Amount:
$167.58

Component Description:
KLTS_Mobile Mini Quote_40' _Facility ID
Amount:
N/A

Component Description:
KLTS_25x10_Transmission Line Storage_Invoice 9004909714_9-11-2018_Removal OF Late Fee.pdf
Amount:
($24.96)

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9004590392_7-17-2018
Amount:
$166.39

Component Description:
KLTS_40 Standard_Transmission Line_Storage_Invoice_9004474838_6-27-2018.
Amount:
$529.58

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9005079553_10-9-2018
Amount:
$166.39

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9005423929_12-4-2018_minus late fee
Amount:
$166.39

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9004428891_6-19-2018.
Amount:
$610.39

Component Description:
KLTS_40' Standard_Transmission Line_Storage_Invoice_9004798203_8-22-2018_Removal Of Late Fee.
Amount:
($25.14)

Component Description:
KLTS_40' Standard_Transmission Line_Storage_Invoice_9004798203_8-22-2018
Amount:
$192.72

Component Description:
KLTS_40' Standard Transmission Line_Storage_Invoice_9005128195_10-17-2018_Removal Of Late Fee.
Amount:
($25.14)

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9004751392_8-14-2018.
Amount:
$191.35

Component Description:
KLTS_Mobile Mini Quote_25'_Facility ID
Amount:
N/A

Component Description:
KLTS_25x10_Transmission Line Storage_Invoice 9004751392_8-14-2018_Removal OF Late Fee
Amount:
($24.96)

Component Description:
KLTS_40' Standard_Transmission Line_Storage_Invoice_9005128195_10-17-2018
Amount:
$192.72

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9004909714_9-11-2018.
Amount:
$191.35

Component Description:
KLTS_25x10_Transmission Line_Storage_Invoice_9005249838_11-6-2018
Amount:
$166.39
Shipping and Handling Information not provided.
Other -- Building Addition Size: 600.0 Information not provided.
20 Ton system Information not provided.
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
KLTS_Channel 17 Transmitter_1st Downpayment_INVOICE_E1703345
Amount:
$157,800.00

Component Description:
Heartland Video_KLTS - Shreveport Rebrander Quote_WISQ48350_11-27-17
Amount:
N/A

Component Description:
N/A
Amount:
N/A

Component Description:
KLTS_Channel 17 Transmitter_1st Downpayment_INVOICE_E1703345_Corrected Amount
Amount:
$157,500.00

Component Description:
Heartland Video_KLTS Rebrander_Invoice 63487_1-31-18
Amount:
$12,812.47

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 $628,370.00 $599,500.00 N/A $282,935.00 N/A
Total for all systems $3,872,847.00 $3,710,289.00 N/A $1,240,855.83 N/A
Interim Antenna ATC-BCSE24M-U1 $297,840.00 $284,400.00 $101,950.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $216,000.00 N/A $95,500.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 N/A $6,450.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A $0.00 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
Shipping $22,000.00 $22,000.00 Alive has put TBD on the attached quote. This is an arbitrary number that should cover the cost with some left over. $0.00 N/A
Primary Antenna ATC-BCE4280-V0-17 $330,530.00 $315,100.00 $180,985.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $275,000.00 N/A $166,400.00 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 6 1/8. feedline (if needed) $12,300.00 $11,700.00 N/A $8,300.00 N/A
Shipping $22,000.00 $22,000.00 Alive has put TBD on the quote that is attached. This is an arbitrary number that should cover the cost with value left over. $6,285.00 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
KLTS_Alive INV 1963 6 Bay Antenna Proposal, Quote-Invoice- Elbow, Harness_Station Letters and Facility ID_Updated_1-3-19
Amount:
$37,500.00

Component Description:
KLTS Alive Side Mount Wide Band Antenna_Proposal 043018_Revised-6-11-18
Amount:
N/A

Component Description:
KLTS_Alive INV 1842 Int Antenna_Station Call Letters and Facility ID
Amount:
$29,000.00

Component Description:
KLTS_Alive Updated Quote_INV 1963 Aux Antenna, Elbow, Harness.
Amount:
$37,500.00

Component Description:
KLTS_Alive INV 1842 Int Antenna_Station Call Letters and Facility ID_Corrected
Amount:
$29,000.00

Component Description:
KLTS_Alive_INV 2051 Interim Antenna Final Payment_11-8-18
Amount:
$29,000.00
Sweep test of existing antenna Information not provided.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
KLTS_Alive INV 1960 Int Elbow Complex_Station Call Letters and Facility ID_6-19-18
Amount:
$2,150.00

Component Description:
KLTS_Alive Telecom INV 1844 Interim Elbox Complex_11-29-17_Deposit
Amount:
$2,150.00

Component Description:
KLTS_Alive INV 1844 Int Elbow Complex_Station Call Letters and Facility ID_Corrected
Amount:
$2,150.00

Component Description:
KLTS_Alive_Updated Quote_INV 1960 Int Elbow Complex
Amount:
$2,150.00

Component Description:
KLTS_Alive INV 1844 Int Elbow Complex_Station Call Letters and Facility ID
Amount:
$2,150.00
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Shipping Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
KLTS_Alive Telecom INV 1847 Main Elbox Complex_11-29-17_Deposit
Amount:
$4,150.00

Component Description:
KLTS_Alive Telecom INV 1845 Main Antenna_11-29-17_Deposit
Amount:
$104,000.00

Component Description:
KLTS_Alive_INV 2054_ CH 17 Main Antenna_11-8-18.
Amount:
$62,400.00

Component Description:
KLTS_Alive _Top Mount Antenna Proposal_9-01-17
Amount:
N/A

Component Description:
KLTS_Alive INV 1845 Main Antenna_Station Call Letters And Facility ID_Corrected
Amount:
$104,000.00
Sweep test of existing antenna Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
KLTS_Alive Telecom INV 1847 Main Elbox Complex_11-29-17_Deposit
Amount:
$4,150.00

Component Description:
KLTS_Alive_INV 2053_ 6 inch 75 ohm Elbow Complex_11-8-18
Amount:
$4,150.00
Shipping

Component Description:
KLTS_Alive_INV 2056_ Shipping_11-8-18
Amount:
$6,285.00

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 $402,332.00 $382,672.00 N/A $299,450.00 N/A
Total for all systems $3,872,847.00 $3,710,289.00 N/A $1,240,855.83 N/A
Interim Transmission Line $136,500.00 $130,000.00 $99,750.00
Flexible Air Transmission Line - dielectric, 5" $136,500.00 $130,000.00 N/A $99,750.00 N/A
Primary Transmission Line $265,832.00 $252,672.00 $199,700.00
Rigid Transmission Line - copper, 6 1/8" $265,832.00 $252,672.00 N/A $199,700.00 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 5"

Component Description:
KLTS_Alive_INV 2052 Interim TX Line Final Payment_11-8-18
Amount:
$33,250.00

Component Description:
KLTS_Alive Telecom INV 1843 Interim Transmission Line_11-29-17_Deposit
Amount:
$33,250.00

Component Description:
KLTS_Alive INV 1843 Int TX Line_Station Call Letters and Facility ID_Corrected
Amount:
$33,250.00

Component Description:
KLTS_Alive INV 1843 Int TX Line_Station Call Letters and Facility ID
Amount:
$33,250.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
KLTS_Alive INV 1961_6 inch TX Line_ Station Call Letters and Facility ID_6-19-18
Amount:
$99,850.00

Component Description:
KLTS_Alive INV 1848 Main TX Line_Station Call Letters and Facility ID_Corrected
Amount:
$99,850.00

Component Description:
KLTS_Alive Telecom INV 1848 Main Transmission Line_11-29-17_Deposit
Amount:
$99,850.00

Component Description:
KLTS_Alive Updated Quote_INV 1961 TX Line
Amount:
$99,850.00

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,288,800.00 $1,242,867.00 N/A $477,608.00 N/A
Total for all systems $3,872,847.00 $3,710,289.00 N/A $1,240,855.83 N/A
Primary Tower GTOWER $1,288,800.00 $1,242,867.00 $477,608.00
Serious tower reinforcement/modifications $1,052,000.00 $1,000,000.00 N/A $477,608.00 N/A
Tall Tower (greater than 500') $210,500.00 $217,867.00 Please see attached tower crew quote. N/A N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Serious tower reinforcement/modifications

Component Description:
KLTS_Tower Services Interim Antenna & Transmission Line Services_Invoice 2100_11-30-18_Corrected
Amount:
$20,000.00

Component Description:
KLTS_Tower Services Interim Antenna & Transmission Line Services_Invoice 2099
Amount:
$50,000.00

Component Description:
KLTS_Tower Services 5 inch Interim Transmission Line Services_Invoice 2100
Amount:
$20,000.00

Component Description:
KLTS_Tower Services Interim Antenna & Transmission Line Services_Invoice 2099_11-30-18_Corrected.pdf
Amount:
$50,000.00

Component Description:
KLTS_MEI_Vendor Quote and Invoice_1805103V0_5-17-18
Amount:
$2,500.00

Component Description:
KLTS_Tower Services Reinforcements_Invoice_2060_from_Coast_to_Coast_Tower_Service_Inc_9-21-18.
Amount:
$60,148.00

Component Description:
Structural Analysis
Amount:
$6,000.00

Component Description:
Structural Design Modification
Amount:
$8,000.00

Component Description:
Structural Damage Repair Design
Amount:
$3,000.00

Component Description:
KLTS_Tower Reinforcement_Invoice_2054_from_Coast_to_Coast_Tower_Service_Inc_8-31-18.
Amount:
$40,000.00

Component Description:
KLTS_Coast To Coast Tower Modification Antenna install Deposit_Invoice 1920_10-20-17
Amount:
$217,960.00

Component Description:
KLTS_Maximize_Side Mount Antenna Structural Analysis_Malouf Engineering_Invoice-1805103V0_5-17-2018.
Amount:
$2,500.00
Tall Tower (greater than 500') Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
KLTS_Maximize_Side Mount Antenna Structural Analysis_Malouf Engineering_Invoice-1805103V0_5-17-2018
Amount:
$2,500.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $332,795.00 $320,250.00 N/A $20,386.62 N/A
Total for all systems $3,872,847.00 $3,710,289.00 N/A $1,240,855.83 N/A
Outside Professional Services $332,795.00 $320,250.00 $20,386.62
Additional Field Engineering Service, 22 Days $100,000.00 $100,000.00 N/A $5,500.00 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
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
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A $1,281.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Project management of the transition $79,000.00 $75,000.00 N/A $5,527.62 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $78.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $8,000.00 due to the complexity of channel reassignment
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 22 Days

Component Description:
KLTS Geo technical survey
Amount:
$5,500.00
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.
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 - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application

Component Description:
Review of 399
Amount:
$829.50

Component Description:
KLTS_Construction Permit Matters_5-14-18.
Amount:
$139.50

Component Description:
Status of financial forms
Amount:
$312.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Project management of the transition

Component Description:
Professional Services Repack_KLTS_10-18-17_Invoice 667582_Page 5
Amount:
$39.00

Component Description:
KLTS TV repack Site Survey
Amount:
$5,488.62
Prepare and or review reimbursement form

Component Description:
Professional Services Repack_KLTS_11-22-17_Invoice 670596_Page 5
Amount:
$78.00
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:
Perform TV Study Coverage
Amount:
$8,000.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.

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 $41,550.00 $41,000.00 N/A $0.00 N/A
Total for all systems $3,872,847.00 $3,710,289.00 N/A $1,240,855.83 N/A
Other Expenses $41,550.00 $41,000.00 $0.00
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $10,000.00 $10,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 N/A N/A N/A
MVPD Notification of Channel Change $10,000.00 $10,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,872,847.00 $3,710,289.00 $1,240,855.83

Reimbursement Status

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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

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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.

Donald Ray Ballard , Mr .

Television Manager


01/09/2019

Certification

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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.

Donald Ray Ballard , Mr .

Television Manager


01/09/2019

Attachments

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