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:
0000028336
FRN:
0004284899
Facility ID:
65247
Repack Channel:
18 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
03/06/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MISSION BROADCASTING, INC.

30400 DETROIT ROAD

SUITE 304

WESTLAKE, OH 44145

United States

+1 (440) 526-2227 missionbroadcasting@gmail.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

William T. Godfrey , Jr. .

Consulting Engineers

Kessler and Gehman Associates, Inc.

William T. Godfrey, Jr.

Kessler and Gehman Associates, Inc.

507-D NW 60th Street

Gainesville, FL 32607

United States

+1 (352) 332-3157 bill@kesslerandgehman.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 See attached document.

Transmitters

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

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup
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 UNKNOWN
Year 2007
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 5 kw
Other Transmitter Type  

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Description of Use Backup/interim
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model UAXTE-12
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 5 kw
Other Transmitter Type  
Justification for New Transmitter Existing transmitter cannot be converted to repacked channel per manufacturer.

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) Yes
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 2 inches
Length 50.0 feet
Other Electrical Service No
Description  
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 5 tons
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  

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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  
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 UNKNOWN
Year 2009
Type Inductive Output Tube
IOT Power Type Two
Description  
Power capacity 50 kw
Solid State Cooling  
Solid State Power Capacity  
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9EVO-20
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 31 kw
Other Transmitter Type  
Justification for New Transmitter Existing transmitter cannot be converted to repacked channel per manufacturer and manufacturer is no longer in business. Updated make/model/power to R&S 31kW instead of a Gates 50kW. Lower cost.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power
Rigid Conduit and Wiring Yes
Size 3 inches
Length 100.0 feet
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? Yes
Size 100.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? Yes
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 Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 64
Design power capacity in use 75.0 %
Lower Limit 600.00 MHz
Upper Limit 630.00 MHz
Other Antenna Type N/A
ERP: 2000.00 kW
Manufacturer
Model 9551516
Year 2007

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
20426 wtwo

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? Yes
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 Top-mount single
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels/Bays 64
Lower Limit 470.00 MHz
Upper Limit 630.00 MHz
Design power capacity in use 75.0 %
Other Antenna Type N/A
ERP: 3000.00 kW
Manufacturer
Model TUA-16/64H-1-R-T
Year 2017
Justification for New Antenna Existing broadband panel has VSWR problem at repacked channel. Manufacturer is no longer in business and no product support is available. It is known that antenna was modified earlier and could have reduced original operating range.

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? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 7 3/16 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

Enter a list of RF channel numbers.

RF Channel Number
35
18

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? Yes
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 Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels/Bays 16
Lower Limit 470.00 MHz
Upper Limit 630.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 500.00 kW
Manufacturer
Model TUA-O4-04/16
Year 2017
Justification for New Antenna Station has no way to remain on the air except to acquire/use an interim antenna.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
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
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

Enter a list of RF channel numbers.

RF Channel Number
35
18

Interim 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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 7 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 910 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
20426 WTWO

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

T Line extension

Add 180 feet of 7" line to existing run to mate with antenna location.

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 No
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1027196
Coordinates (NAD83) Latitude (NAD83) 39° 14' 33.0" N-
Longitude (NAD83) 087° 23' 29.0" W-
Overall Structure Height 999.00 feet
Support Structure Height 892.38 feet
Ground Elevation Above Mean Sea Level (AMSL) 549.86 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Nexstar Broadcasting, Inc.
Date Constructed 07/01/1965

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
20426 WTWO DTV

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: Minor 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

Name Description

Weather Days

Costs associated with tower crew unable to work due to adverse weather

Additional Tower Modifications

Tower should have been classified as "Serious" instead of "Minor".

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 It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
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 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 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 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 No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 15
Justification It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services.

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

Other Expenses

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Other Expenses Not Listed

Name Description

Sales Tax

Sales and Use Tax for goods and services

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 $2,705,400.00 $1,136,645.41 N/A $805,516.41 N/A
Total for all systems $4,899,014.19 $2,956,053.35 N/A $1,290,569.58 N/A
Primary Transmitter THU9EVO-20 $2,417,200.00 $848,445.41 $787,245.41
Other -- Building Addition Size: 100.0 $5,000.00 $5,000.00 Need to move walls, plumbing, electrical wiring, lighting fixtures, etc. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,000.00 $5,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $37,150.00 $37,150.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $922,000.00 $550,518.75 See Rohde & Schwarz quote 802-045384.0 total cost $745,165 less ($8355) discount on full site survey and less ($186,291.25) reported on TM 35-50kW line; $550,518.75 N/A
Service entrance 3 phase/800 amp/208 volt $14,050.00 $14,050.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,434,000.00 $236,726.66 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $236,726.66 N/A
Auxiliary Transmitter UAXTE-12 $288,200.00 $288,200.00 $18,271.00
Other -- HVAC Service Type: H Size:5 (Other) $19,250.00 $19,250.00 N/A $18,271.00 N/A
2" Rigid Conduit and Wiring (Cost per foot) $1,300.00 $1,300.00 N/A N/A N/A
Switchgear - industrial 800 amp $37,150.00 $37,150.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 4 - 6 kW $230,500.00 $230,500.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Other -- Building Addition Size: 100.0 Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Balance due on transmitter system
Amount:
$550,518.75
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
25% Down payment on Transmitter System
Amount:
$186,291.25

Component Description:
Transmitter electrical work
Amount:
$50,435.41

Component Description:
see revised invoice entered on correct model
Amount:
N/A
Other -- HVAC Service Type: H Size:5 (Other)

Component Description:
HVAC per quote, shared cost with WTWO 20426. See also sales tax 746.97
Amount:
$18,271.00
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Air Cooled Solid State Transmitter 4 - 6 kW 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 $930,590.00 $556,383.75 N/A $0.00 N/A
Total for all systems $4,899,014.19 $2,956,053.35 N/A $1,290,569.58 N/A
Interim Antenna TUA-O4-04/16 $295,640.00 $215,640.00 $0.00
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) $9,090.00 $9,090.00 N/A N/A N/A
New combiner, cost per channel (without antenna) $80,000.00 $0.00 Use same combiner as purchased for new primary antenna. N/A N/A
Sweep test of existing antenna $6,550.00 $6,550.00 N/A N/A N/A
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 500 horizontally polarized $200,000.00 $200,000.00 Use shorter antenna and fewer number of bays than full power panel N/A N/A
Primary Antenna TUA-16/64H-1-R-T $634,950.00 $340,743.75 $0.00
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,400.00 $12,903.75 Cost revised from $16400 to $12903.75; see lines 2-4 of Dielectric quote 700304CMZ-2; costs are shared equally between WAWV and WTWO FAC ID 20426; this amount represents WAWV 50% share of cost $0.00 N/A
New combiner, cost per channel (without antenna) $80,000.00 $80,000.00 N/A N/A N/A
Sweep test of existing antenna $6,550.00 $6,550.00 N/A $0.00 N/A
UHF - High Power Top Mount (200-1000 kW), Two Station broadband panel antenna, horizontally polarized $532,000.00 $241,290.00 Cost reduced from $532,000 to $241,290; WAWV and WTWO (FAC ID 20426) are sharing antenna cost; therefore, 50% of the antenna cost on Dielectric quote 700304CMZ-2 is allocated to WAWV $0.00 N/A

Components

Actual Information Description File Name
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
New combiner, cost per channel (without antenna) Information not provided.
Sweep test of existing antenna Information not provided.
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 500 horizontally polarized Information not provided.
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow component, line 2-4 of invoice, shared cost with WTWO 20426.
Amount:
$5,806.68

Component Description:
Other component, line 3 of invoice, shared cost with WTWO 20426.
Amount:
N/A

Component Description:
Other component, line 4 of invoice, shared cost with WTWO 20426.
Amount:
N/A

Component Description:
Other component, line 4 of invoice, shared cost with WTWO 20426.
Amount:
N/A

Component Description:
Other component, line 3 of invoice, shared cost with WTWO 20426.
Amount:
N/A

Component Description:
Elbow component, line 2 -4 of invoice,cost shared with WTWO 20426.
Amount:
$5,806.68
New combiner, cost per channel (without antenna) Information not provided.
Sweep test of existing antenna

Component Description:
Line 5 of invoice, shared cost with WTWO 20426.
Amount:
$1,440.00

Component Description:
Line 5 of invoice, shared cost with WTWO 20426.
Amount:
$1,440.00
UHF - High Power Top Mount (200-1000 kW), Two Station broadband panel antenna, horizontally polarized

Component Description:
Antenna component, line 1 of invoice, shared cost with WTWO 20426.
Amount:
$108,580.50

Component Description:
Antenna component, line 1 of invoice, cost share with WTWO 20426.
Amount:
$108,580.50

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 $57,060.00 $57,060.00 N/A $0.00 N/A
Total for all systems $4,899,014.19 $2,956,053.35 N/A $1,290,569.58 N/A
Primary Transmission Line $57,060.00 $57,060.00 $0.00
T Line extension $57,060.00 $57,060.00 180 feet of 7" BB T-Line. 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 $751,956.19 $751,956.19 N/A $422,453.69 N/A
Total for all systems $4,899,014.19 $2,956,053.35 N/A $1,290,569.58 N/A
Primary Tower TOWER $751,956.19 $751,956.19 $422,453.69
Additional Tower Modifications $326,156.19 $326,156.19 Tower should have been classified as "Serious" instead of "Minor". "Additional Tower Modifications" added to cover 50% share of tower mods PCI quote 17612-6 and 50% share of tower foundation mods PCI quote 17623-6 and addendum plus extra costs invoiced $298,453.69 N/A
Weather Days $41,700.00 $41,700.00 See attached quotes from Precision Communications, Inc. (PCI). $41,700.00 N/A
Tall Tower (greater than 500') $205,000.00 $205,000.00 N/A $82,300.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $25,600.00 $25,600.00 N/A $0.00 N/A
Minor tower reinforcement/modifications $153,500.00 $153,500.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Additional Tower Modifications

Component Description:
Tower foundation modifications, installment #2
Amount:
$16,570.00

Component Description:
Tower modifications, installment #1
Amount:
$82,100.00

Component Description:
Tower foundation modifications, installment #1
Amount:
$16,570.00

Component Description:
Balance due on completion
Amount:
$27,702.50

Component Description:
Tower Modifications (PCI). Installment #2
Amount:
$83,353.00

Component Description:
Tower modifications, balance due on completion
Amount:
$99,860.69
Weather Days

Component Description:
Tower crew (Precision Communications, Inc.) experienced a significant number of weather delays.
Amount:
$25,950.00

Component Description:
Tower crew (Precision Communications, Inc.) experienced a significant number of weather delays.
Amount:
$15,750.00
Tall Tower (greater than 500')

Component Description:
Main antenna replacement installment #1; see also sales tax.
Amount:
$27,400.00

Component Description:
Main antenna replacement balance due on completion
Amount:
$27,500.00

Component Description:
Main antenna replacement installment #2
Amount:
$27,400.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.
Minor tower reinforcement/modifications

Component Description:
Foundation Modification, installment #1
Amount:
$16,570.00

Component Description:
Invoice should be submitted under Additional tower modifications
Amount:
($82,100.00)

Component Description:
Amount due on proposal acceptance for Tower Modifications. See also sales tax $5,747.00.
Amount:
$82,100.00

Component Description:
Foundation Modification, installment #2
Amount:
$16,570.00

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 $196,660.00 $196,660.00 N/A $9,346.00 N/A
Total for all systems $4,899,014.19 $2,956,053.35 N/A $1,290,569.58 N/A
Outside Professional Services $196,660.00 $196,660.00 $9,346.00
Additional Field Engineering Service, 15 Days $81,000.00 $81,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,050.00 $2,050.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,050.00 $2,050.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,170.00 $7,170.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,305.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,120.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $3,070.00 $3,070.00 N/A $1,000.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,535.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,070.00 N/A $0.00 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,170.00 N/A $1,925.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,560.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $2,560.00 N/A $1,225.00 N/A
Project management of the transition $77,000.00 $77,000.00 N/A $5,196.00 N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 15 Days 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Prepare and submit STA, item 6 from invoice summary
Amount:
$1,000.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Services through end of April 2017. Information gathering, creation of transition plan with definition of initial equipment and service needs.
Amount:
$525.00

Component Description:
Services through 7/14/17. Revise storyboard if necessary, interference study, create CP and recalculate ERP if COR changed, transition plan document, create 399, coverage maps and upload draft docs.
Amount:
$700.00

Component Description:
Repack plan and revision, 399 form info, MCI Panel analysis
Amount:
$700.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
See item 2 from invoice summary
Amount:
$1,225.00
Project management of the transition

Component Description:
Project management services 1.1.19 through 1.31.19.
Amount:
$150.00

Component Description:
Project management services 12.1.18 through 12.31.18
Amount:
$75.00

Component Description:
Project management services May 26, 2018 through June 29, 2018.
Amount:
$600.00

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$150.00

Component Description:
Project management services and consultant with supporting invoice
Amount:
$675.00

Component Description:
Prepare FCC Schedule 387, item 3 from invoice summary
Amount:
$150.00

Component Description:
Various project management services, item 5 from invoice summary
Amount:
$871.00

Component Description:
Project management services 10.27.17 through 12.31.17
Amount:
$75.00

Component Description:
See item 1 from invoice summary
Amount:
$225.00

Component Description:
Project management services 10.27.18 through 11.30.18
Amount:
$1,550.00

Component Description:
Prepare FCC schedule 387, item 4 from invoice summary
Amount:
$150.00

Component Description:
Prepare FCC schedule 387, item 2 from invoice summary
Amount:
$300.00

Component Description:
Project management services, item 1 from invoice summary
Amount:
$825.00

Component Description:
Vendor has issued a revised invoice; see 29345R
Amount:
($675.00)

Component Description:
Project management services 1.1.18 through 1.26.18
Amount:
$75.00

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 $257,348.00 $257,348.00 N/A $53,253.48 N/A
Total for all systems $4,899,014.19 $2,956,053.35 N/A $1,290,569.58 N/A
Other Expenses $257,348.00 $257,348.00 $53,253.48
Sales Tax $210,000.00 $210,000.00 Sales and use tax for goods and services based on IN state rates. $53,253.48 N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 Costs to develop and produce spots and crawls for viewer notification N/A N/A
Equipment Storage $1,000.00 $1,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $3,000.00 $3,000.00 N/A N/A N/A
Local Zoning $500.00 $500.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $195.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $333.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $11,250.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A

Components

Actual Information Description File Name
Sales Tax

Component Description:
Sales tax on transmitter system
Amount:
$46,606.00

Component Description:
See corrected invoice
Amount:
N/A

Component Description:
See revised invoice
Amount:
($5,747.00)

Component Description:
Sales tax on tower modification materials
Amount:
$5,747.00

Component Description:
Sales tax on materials included on invoice
Amount:
$153.51

Component Description:
Sales tax on Tower Modifications.
Amount:
$5,747.00

Component Description:
Sales tax on HVAC, shared cost with WTWO 20426.
Amount:
$746.97
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,899,014.19 $2,956,053.35 $1,290,569.58

Construction Status

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Question Response
Is construction complete? No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

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

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

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

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

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

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

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

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

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

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

Dennis P. Thatcher

President


03/06/2019

Attachments

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