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:
25455
Service:
DTV
Call Sign:
WJZ-TV
Channel:
11 (High VHF)
File Number:
0000027143
FRN:
0021079769
Date Submitted:
03/01/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CBS TELEVISION LICENSES LLC

Doing Business As: CBS TELEVISION LICENSES LLC

Daniel G. Ryson

1725 DeSales St. NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4074 dryson@cbs.com Limited Liability Company

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

Daniel G. Ryson

Associate Director of Spectrum Management

CBS

Daniel G. Ryson

1725 DeSales Street NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4074 dryson@cbs.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 Please see attached statement.

Transmitters

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

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Alternate Main
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 Platinum PTCD20P2i
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 8.0 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model VAXTE-12
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 9.6 kW
Justification for New Transmitter GatesAir/Harris has stipulated that it cannot and will not attempt to retune any Platinum Series transmitters. Non-Upgraded transmitter is VAXTE-8 (Attachment 20). Proposed transmitter is VAXTE-12 (Attachment 22).

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 70.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Shipping

Transmitter Shipping

State Sales Tax

6% Maryland State Sales Tax on Transmitter Hardware and Shipping

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 Platinum PTCD20P2i
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 8.0 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? Yes
Manufacturer
Model VAXTE-12
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 9.6 kW
Justification for New Transmitter GatesAir/Harris has stipulated that it cannot and will not attempt to retune any Platinum Series transmitters. Non-Upgraded transmitter is VAXTE-8 (Attachment 2A). Proposed transmitter is VAXTE-12 (Attachment 21).

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 2 inches
Length 70.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Shipping

Transmitter Shipping

State Sales Tax

6% Maryland State Sales Tax on Transmitter Hardware and Shipping

Advanced Site Survey

Site survey will determine actual site conditions and determine the materials and components required for system installation/integration of the customers site with the GatesAir Equipment. Please see Attachment 29.

Antennas

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

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use Backup Antenna
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 Middle
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: 4.5 kW
Manufacturer
Model TW-9B13R
Year 1999

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Backup Antenna
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 4
Lower Limit 167.00 MHz
Upper Limit 213.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 7.5 kW
Manufacturer
Model TLS-V4BB
Year 2018
Justification for New Antenna The existing Aux antenna is CH 13 specific and part of a stack that must be removed to install WMAR's new CH 27 antenna

Auxiliary 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? Broadband
Feed Line Size 3 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 33.8 kW
Manufacturer
Model THV-9A13/VP-R C150SP
Year 2009

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? Yes
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: 30.0 kW
Manufacturer
Model THV- 9A11/VP-R O4
Year 2018
Justification for New Antenna Please see attached statement and Attachment 23.

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

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change 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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1198 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Additional Rigid Line

50 Feet of 6 1/8-Inch Rigid Line

Auxiliary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use When main not available
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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1176 feet per run

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Additional Rigid Line

50 Feet of 3 1/8-Inch Rigid Line

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? Candelabra
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 No
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 1035558
Coordinates (NAD83) Latitude (NAD83) 39° 20' 05.0" N-
Longitude (NAD83) 076° 39' 02.0" W-
Overall Structure Height 997.36 feet
Support Structure Height 889.10 feet
Ground Elevation Above Mean Sea Level (AMSL) 318.24 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner Television Tower Inc
Date Constructed 08/26/1964

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
74196 WWMX FM
1916 WJZ-FM FM
59442 WMAR-TV DTV
65693 WIYY FM
65696 WBAL-TV DTV
28637 WLIF FM

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 tower with candelabra
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 Candelabra
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Candelabra Mapping

Field mapping of candelabra to be used in Structural Analysis.

Antenna Pedestal and Mount

Main Antenna Pedestal and Interim Antenna Mount (see Attachment 9).

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 250
Explanation Lack of in-house resources.
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 No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare and file Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
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 Yes
Prepare or Review FCC Form 399 for Reimbursement No
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 No
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

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 Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? 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? No
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 $713,928.55 $466,439.40 N/A $153,709.17 N/A
Total for all systems $1,969,401.55 $1,576,289.40 N/A $258,406.59 N/A
Primary Transmitter VAXTE-12 $365,673.88 $253,820.92 $88,814.57
Advanced Site Survey $15,992.22 $15,992.22 Per Quote from GatesAir. Please see Attachment 29. $15,992.22 N/A
State Sales Tax $11,861.66 $11,861.66 6% Sales Tax on Attachment 2A Items A-D and estimated transmitter shipping. N/A N/A
Transmitter Shipping $4,500.00 $4,500.00 Estimated Transmitter Shipping N/A N/A
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $331,500.00 $218,467.04 Please see Attachment 2A. Includes costs for installation, shipping, and old transmitter disconnection. Shipping and Sales Tax Listed Separately. $72,822.35 N/A
2" Rigid Conduit and Wiring (Cost per foot) $1,820.00 $3,000.00 Please see attached statement. N/A N/A
Auxiliary Transmitter VAXTE-12 $348,254.67 $212,618.48 $64,894.60
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $331,500.00 $194,683.81 Please see Attachment 20. Includes costs for installation, shipping, and old transmitter disconnection. Shipping and Sales Tax Listed Separately. $64,894.60 N/A
2" Rigid Conduit and Wiring (Cost per foot) $1,820.00 $3,000.00 Please see attached statement. N/A N/A
Transmitter Shipping $4,500.00 $4,500.00 Estimated Transmitter Shipping N/A N/A
State Sales Tax $10,434.67 $10,434.67 6% Sales Tax on Attachment 20 Items A-D and estimated transmitter shipping. N/A N/A

Components

Actual Information Description File Name
Advanced Site Survey

Component Description:
Transmitter Site Survey. See quote provided in Attachment 29.
Amount:
$15,992.22
State Sales Tax Information not provided.
Transmitter Shipping Information not provided.
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
Primary Transmitter Down Payment. Also Includes RF Accessories, Electrical, Installation, and Removal. Seeking reimbursement cost for non-upgraded VAXTE-8 Transmitter not upgraded VAXTE-12 Transmitter. Both shown in Attachment 24B.
Amount:
$72,822.35
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
Interim Transmitter Down Payment. Also Includes RF Accessories, Electrical, Installation, and Removal. Seeking reimbursement cost for non-upgraded VAXTE-8 Transmitter not upgraded VAXTE-12 Transmitter. Both shown in Attachment 25A.
Amount:
$64,894.60
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transmitter Shipping Information not provided.
State Sales Tax Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $452,908.00 $450,638.00 N/A $54,650.52 N/A
Total for all systems $1,969,401.55 $1,576,289.40 N/A $258,406.59 N/A
Primary Antenna THV- 9A11/VP-R O4 $354,158.00 $353,828.00 $0.00
High VHF - High Power Top Mount One Station elliptically or circularly polarized $347,428.00 $347,428.00 See Attachment 23. N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Auxiliary Antenna TLS-V4BB $98,750.00 $96,810.00 $54,650.52
High VHF - High Power Side Mount One Station elliptically or circularly polarized $59,530.00 $59,530.00 N/A $54,650.52 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 3 1/8. feedline (if needed) $9,340.00 $8,880.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A

Components

Actual Information Description File Name
High VHF - High Power Top Mount One Station elliptically or circularly polarized Information not provided.
Sweep test of existing antenna Information not provided.
High VHF - High Power Side Mount One Station elliptically or circularly polarized

Component Description:
Interim Antenna 45% payment prior to shipment.
Amount:
$27,325.26

Component Description:
Interim Antenna - 45% Down payment
Amount:
$27,325.26
Sweep test of existing antenna Information not provided.
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $16,750.00 $16,750.00 N/A $0.00 N/A
Total for all systems $1,969,401.55 $1,576,289.40 N/A $258,406.59 N/A
Primary Transmission Line $11,050.00 $11,050.00 $0.00
Additional Rigid Line $11,050.00 $11,050.00 N/A N/A N/A
Auxiliary Transmission Line $5,700.00 $5,700.00 $0.00
Additional Rigid Line $5,700.00 $5,700.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $678,700.00 $547,067.00 N/A $46,971.90 N/A
Total for all systems $1,969,401.55 $1,576,289.40 N/A $258,406.59 N/A
Primary Tower GTOWER $678,700.00 $547,067.00 $46,971.90
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $17,367.00 Provided cost includes WJZ-TV's pro rata share shown in Attachment 7 PLUS 100% of the additional WJZ-TV study shown in Attachment 26. This study is due to Dielectric revising the primary antenna mechanical properties. $6,900.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 It is believed that 100% of the Widelity Cost Catalog estimate is justifiable. Please see Statement. $40,071.90 Please see note at the top of Attachment 18 page 4: Air fare receipt was split with another trip so WJZ-TV invoice shows only 1/6 of this cost. See Attachment 19 for CBS Purchase Order.
Minor tower reinforcement/modifications $158,000.00 $50,000.00 1/3 of Widelity Cost Catalog estimate, WJZ-TV's pro-rata amount after sharing expenses with two other repacking DTV stations. N/A N/A
Antenna Pedestal and Mount $77,700.00 $77,700.00 Main antenna pedestal (required to maintain overall FAA/FCC tower height) and auxiliary antenna mount. See Attachment 9. N/A N/A
Candelabra Mapping $2,000.00 $2,000.00 Please see Attachment 6. This is the WJZ-TV pro-rata anticipated cost after costs are shared with two other repacking DTV stations. N/A N/A

Components

Actual Information Description File Name
Structural engineering tower load study for a documented tower with candelabra

Component Description:
Structural Study - Evaluates Existing (Pretransition) Antennas Plus New Auxiliary/Interim Antennas. Cost is WJZ-TV's Portion Only.
Amount:
$1,200.00

Component Description:
Tower structural reanalysis following change in antenna specifications. This cost is 100% attributable to WJZ-TV and not shared with other stations. See also Attachment 26.
Amount:
$3,700.00

Component Description:
Update structural design to incorporate revised pedestal heights. This is WBZ-TV's cost only. Other stations billed separately.
Amount:
$2,000.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Down payment for Aux/Interim Antenna Installation. See Quote and Invoice in Attachment 28A.
Amount:
$39,851.00

Component Description:
Travel Expenses - Rigging Logistics Meeting. This amount is WJZ-TV's expense. Other stations were billed separately.
Amount:
$220.90
Minor tower reinforcement/modifications Information not provided.
Antenna Pedestal and Mount Information not provided.
Candelabra Mapping 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 $62,120.00 $57,000.00 N/A $3,075.00 N/A
Total for all systems $1,969,401.55 $1,576,289.40 N/A $258,406.59 N/A
Outside Professional Services $62,120.00 $57,000.00 $3,075.00
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 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
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,375.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $5,000.00 N/A $1,700.00 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
Project management of the transition $39,500.00 $37,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees - Negotiation of lease and other matters for shared locations 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.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare Engineering Section of 90-day FCC Application for Construction Permit.
Amount:
$1,375.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Preliminary interference study to determine appropriate ERP at two elevations.
Amount:
$950.00

Component Description:
Repeat channel interference study using revised version of FCC OET TVStudy Software.
Amount:
$750.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition 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 $44,995.00 $38,395.00 N/A $0.00 N/A
Total for all systems $1,969,401.55 $1,576,289.40 N/A $258,406.59 N/A
Other Expenses $44,995.00 $38,395.00 $0.00
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $15,000.00 $15,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $6,000.00 $6,000.00 N/A N/A N/A
Non-zoning permits $5,000.00 $5,000.00 N/A N/A N/A
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $5,000.00 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 $1,969,401.55 $1,576,289.40 $258,406.59

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.

Andrew J Siegel

Assistant Secretary


03/01/2019

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.

Andrew J Siegel

Assistant Secretary


03/01/2019

Attachments

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