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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:
69733
Service:
DTV
Call Sign:
KVPT
Channel:
32 (UHF)
File Number:
0000027967
FRN:
0001634948
Date Submitted:
05/03/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Valley Public Television, Inc.

Doing Business As: ValleyPBS

Phyllis Brotherton

1544 VAN NESS AVENUE

FRESNO, CA 93721

United States

 +1 (559) 266-1800 pbrotherton@valleypbs.org Not-for-Profit

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

Ann Bobeck

Legal Counsel

Covington and Burling LLP

Ann Bobeck

One CityCenter

850 10th Street NW

Washington , DC 20001

United States

 +1 (202) 662-5719 abobeck@cov.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. No
Briefly describe transition plan Decommission side mount antenna, install new interim broadband antenna and new interim broadband transmitter. Decommission top mount antenna, install new top mount Ch 32 antenna and new main 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 Diamond
Year 2004
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 7.8 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 ULXTE-16
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 10.8 kW
Justification for New Transmitter The current transmitter (Harris - Diamond) can not be re-tuned to be used for the new frequency. Kindly find attached a letter from the manufacturer that states this.

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 N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Grounding work and other electrical work
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

Uninstall fees

Uninstalling the current transmitters to make room for the new transmitter

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model ULXTE-30
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 15.4 kW
Justification for New Transmitter Interim transmitter needed to stay on-air while top-mount antenna and old transmitter are replaced.

Interim 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 N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Grounding work and other electrical work
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
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Engineering assistance - transmitter install

Services by David Gregory, transmitter engineer, to assist in transmitter install on repack project.

Roll-off container rental

Services by Miramonte Sanitation for roll off container rental and dumping at transmitter site during repack project.

Portable Restroom Rental

Services by United Site Services for portable restrooms at transmitter site during repack project.

Antennas

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

Primary Antenna

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Add 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 this antenna currently shared with any other stations? No
Is this antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class 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: 250.0 kW
Manufacturer
Model ATW20HS6H-HTS-40H
Year 2004

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? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
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: 213.0 kW
Manufacturer
Model ATW18H6-ETC3-32H
Year 2017
Justification for New Antenna Current antenna cannot broadcast on new frequency 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? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Uninstall fees

Uninstall current antenna

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? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 8
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 213.0 kW
Manufacturer
Model TFU-8WB-R S230
Year 2017
Justification for New Antenna Need interim antenna to stay on-air while main antenna and transmitter are being replaced.

Interim Antenna

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Other Antenna Costs

Section Question Response
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 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? No

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? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Andrew
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 250 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type 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 175 feet per run

Auxiliary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use Transmission line for patch panel to switch between primary and aux antenna
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length Other
Other Segment Length 10 feet
Number of parallel runs 0
Length 10 feet per run
Justification for New Transmission Line Connecting transmitter to existing transmission line. Used existing line. Needed a small amount of additional transmission line to connect to existing transmission. Used for patch panel to switch between primary and aux antenna.

Auxiliary 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? Terrain Constrained
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1014534
Coordinates (NAD83) Latitude (NAD83) 36° 44' 45.0" N-
Longitude (NAD83) 119° 16' 55.0" W-
Overall Structure Height 244.75 feet
Support Structure Height 199.80 feet
Ground Elevation Above Mean Sea Level (AMSL) 3395.96 feet
Structure Type NTOWER - Multiple Structures
Tower Owner Valley Public Television, Inc.
Date Constructed 01/01/1953


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 Terrain constrained
Helicopter Services Required Are helicopter services required? Yes

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 120
Explanation We do not have the qualified staff to manage the scale and complexity of this type of 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 No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations 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 3
Justification We do not have the qualified staff with the expertise to do this in-house.

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 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

Other Distribution Transmission System Expense

Equipment to provide capability of dual transport stream during overlap Sept 14 testing to Nov. 30, to ensure smooth transition.

Tower Lease Agreement modifications

renegotiate the lease for the current tower site and transmitter

Zoning and local permits

fees for local permit by Fresno county planning commission

Interest on LIne of Credit

Interest charges on line of credit used solely for repack expenses. FCC reimbursements were paid back on this line of credit as soon as received.

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 $1,553,964.77 $1,348,374.33 N/A $522,226.31 N/A
Total for all systems $3,328,043.78 $2,837,364.67 N/A $1,289,349.08 N/A
Interim Transmitter ULXTE-30 $929,294.77 $770,804.33 $7,584.32
Portable Restroom Rental $3,500.00 $3,500.00 Portable restroom rental not originally estimated. See quote under File Name: KVPT Repack Estimate Site Services for portable restroom rental at Transmitter site. Quote includes previously submitted costs under Primary Transmitter section. $997.54 N/A
Roll-off container rental $1,694.77 $1,694.77 Cost of roll-off container rental not originally estimated. See quote under File name: KVPT Quote Miramonte for Roll-off container rental for transimtter site. This quote includes previously submitted and paid invoices under Primary Transmitter line item. $1,681.58 N/A
UHF inside RF system including switching $147,500.00 $140,000.00 N/A N/A N/A
Other Electrical Service: Grounding work and other electrical work $10,000.00 $10,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Engineering assistance - transmitter install $30,000.00 $30,000.00 Costs for engineering assistance at transmitter site. Quote is under file name: KVPT Repack Estimate David Gregory for Engineering Assistance, transmitter install. Quote includes costs already submitted and reimbursed under Primary Transmitter section. $4,905.20 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $535,609.56 N/A N/A N/A
Primary Transmitter ULXTE-16 $624,670.00 $577,570.00 $514,641.99
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $450,000.00 Original estimate included only the Gates Air transmitter quote and, inadvertently, did not include other services by vendors for installation, parts, supplies, site services, etc.. $429,424.49 Original estimate included only the Gates Air transmitter quote and, inadvertently, did not include other services by vendors for installation, parts, supplies, site services, etc.
Uninstall fees $67,570.00 $67,570.00 remove both existing transmitters to make room for new transmitters. Increase in actual charges from original estimate due to work by our contracted engineer not included in original estimate. $67,531.65 Additional decommissioning work was necessary for decommissioning by David Gregory, not accounted for in the original estimate.
Other Electrical Service: Grounding work and other electrical work $10,000.00 $10,000.00 N/A $4,029.40 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $13,656.45 N/A

Components

Actual Information Description File Name
Portable Restroom Rental

Component Description:
Portable restroom rental, Aug. 2018, resubmission with corrected documents
Amount:
$126.99

Component Description:
Portable restroom rental at transmitter site.
Amount:
$126.99

Component Description:
Portable Restroom Rental Dec. 2018
Amount:
$126.99

Component Description:
Portable Restroom Rental Oct. 2018
Amount:
$126.99

Component Description:
Portable restroom rental at transmitter site, Sept. 2018
Amount:
$126.99

Component Description:
Resubmission of site services with vendor quote and under new line item with estimate. Previously submitted under Primary Transmitter line item and rejected as being over estimate.
Amount:
$117.80

Component Description:
Portable restroom rental, July 2018
Amount:
$126.99

Component Description:
Resubmit United Site Services, 6/14/2018, with vendor quote and new line item with revised estimate, previously submitted under Primary Transmitter costs and rejected for exceeding estimate.
Amount:
$117.80
Roll-off container rental

Component Description:
Resubmission with vendor quote and under new line item with estimate. Previously submitted under Primary Transmitter line item and rejected due to exceeding estimate of that line item.
Amount:
$443.64

Component Description:
roll off container charges December 2018. Resubmitted with quote.
Amount:
$340.58

Component Description:
Roll off container rental October, 2018
Amount:
$125.00

Component Description:
Rental charges for roll off container for June, 2018
Amount:
$125.00

Component Description:
Roll-off container charges Nov, 2018
Amount:
$125.00

Component Description:
Roll off container rental and disposal fees Sept. 2018
Amount:
$272.36

Component Description:
Roll off container charges for Sept. 2018
Amount:
$125.00

Component Description:
Roll off container rental and disposal, July, 2018, resubmission to correct documents
Amount:
$125.00
UHF inside RF system including switching Information not provided.
Other Electrical Service: Grounding work and other electrical work Information not provided.
Switchgear - industrial 800 amp Information not provided.
Engineering assistance - transmitter install

Component Description:
TX engineer, Nov. 2018, work on transmission line, decommissioning equip
Amount:
$1,295.73

Component Description:
Install recharge system and patch panel electrical work.
Amount:
$362.74

Component Description:
Engineering Services, repack
Amount:
$37.50

Component Description:
Engineering work, repack
Amount:
$947.42

Component Description:
Engineering services, prep for changeover to new transmitter.
Amount:
$723.91

Component Description:
Engineering services, repack
Amount:
$25.00

Component Description:
Engineering work on new TX, resubmitted to include cover letter explaining typo on invoice. Resubmission to correct invoice total.
Amount:
$1,512.90
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW Information not provided.
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Rental charges on dumpster at transmitter site, disposal of repack debris, April. 2018
Amount:
$125.00

Component Description:
NC Male Crimp, for repack
Amount:
$7.77

Component Description:
Final installment on new transmitter, ULXTE16, mask filter system, RF Accessories, electrical and installation
Amount:
$133,855.46

Component Description:
Fuel for engineer to go to transmitter site.Balance of Valero invoice, non-repack related.
Amount:
$74.87

Component Description:
2nd of 3 payments on transmitter, including Change Order No. 1 attached with invoice.
Amount:
$130,919.62

Component Description:
field service, electrical contract work. 2nd pmt, $16666.67
Amount:
$16,666.67

Component Description:
Fuel for engineer to go to transmitter site.Balance of Valero Invoice non-repack related. Resubmission corrected invoice amount and invoice type and number.
Amount:
$94.66

Component Description:
Delivery of distilled water to flush heat exchanger for new transmitter
Amount:
$170.00

Component Description:
Patch bay, transmitter to dummy load. All future David Gregory payments will be submitted under new line item with estimate under Interim Transmitter.
Amount:
$4,090.88

Component Description:
Gates Air, Adapter and freight, connect TX to dummy load and main antenna
Amount:
$1,405.43

Component Description:
UPS, shipping charges for ASI converters for repack. Total invoice 224.80, repack portion and reimbursable amount 68.59.
Amount:
$68.59

Component Description:
Please refer to new submission 9/5/18 under new line item Portable Restroom Rental under Interim Transmitter Section.
Amount:
N/A

Component Description:
Site services, April, 2018, portable restrooms, water, etc.
Amount:
$117.80

Component Description:
Engineering work, transmitter site, remote control circuitry, testing, install power strips. construct and install manifold for new antennas.
Amount:
$1,459.74

Component Description:
Parts for repack, Heat shrink, patch cable.
Amount:
$34.61

Component Description:
Please refer to submission under new line item Roll Off Containers under Interim Transmitter category.
Amount:
N/A

Component Description:
Please see new submission under Other Prof. Services, "Add'l Field Eng." to coincide with quote and estimate for this category.
Amount:
N/A

Component Description:
Second Resubmission: David Gregory, maintenance engineer, assist with proof of performance transmitter, decommissioning prep for new transmitter, corrected invoice for typo on total.
Amount:
$1,331.25

Component Description:
Portable restrooms and supplies at transmitter site for the period 3/21-4/17/18
Amount:
$117.80

Component Description:
Prep for install of new transmitter. Checked on specs for new transmitter/antenna.
Amount:
$137.50

Component Description:
Delivery, set up, site services, portapotties.
Amount:
$189.50

Component Description:
Tech service to program channel change.
Amount:
$500.00

Component Description:
Reimburse for payment to Gates Air 1/3 down payment on transmitter
Amount:
$130,653.79

Component Description:
Miramonte Sanitation, delivery fees and rental for dumpster March, 2018
Amount:
$76.12

Component Description:
Gates Air, Interlock and Freight, to connect TX to dummy load and main antenna
Amount:
$2,583.13

Component Description:
Resubmission: David Gregory, engineer, work with install of new transmitter. Repack portion of invoice: $4,401.50 with proper invoice date, rates per hour, etc.
Amount:
$4,401.50

Component Description:
Portable restrooms and supplies at repack site for period Feb. 21-Mar.20, 2018
Amount:
$117.80

Component Description:
Please refer to new line item submitted on 9/5/2018 under Portable Restroom Rental under Interim Transmitter category.
Amount:
N/A

Component Description:
Portion of invoice for engineer work at transmitter, prep site for install of new transmitter
Amount:
$225.00
Uninstall fees

Component Description:
Resubmission: David Gregory, Maintenance engineer, decommissioning work, invoice with proper format, invoice date, rate, etc.
Amount:
$862.50

Component Description:
Field service, KVPT de-install 3rd pmt, $22223.04. Resubmitted with higher estimated cost due to additional engineering cost. Quote with all pages and PO attached.
Amount:
$22,223.04

Component Description:
Down payment on decommissioning
Amount:
$22,223.08

Component Description:
2nd pmt on decommissioning
Amount:
$22,223.03
Other Electrical Service: Grounding work and other electrical work

Component Description:
Research cement bits for repack ground install, work with electrician for grounding installation. Resubmission with revised invoice and cover letter regarding partial reimbursement as requested by FCC.
Amount:
$225.00

Component Description:
Parts to hard wire to mount patch panel for repack install.
Amount:
$63.55

Component Description:
Electrical work, steel plating and bracing for cover plates on trenches at TX.
Amount:
$323.79

Component Description:
Electrical work, TX
Amount:
$250.00

Component Description:
Electrical cable and adaptors for new transmitter
Amount:
$21.95

Component Description:
A/C work for new transmitter
Amount:
$1,231.11

Component Description:
Welding ground wires, inspecting electrical work, clean up.
Amount:
$154.56

Component Description:
Prep for new transmitter remote control circuitry, wiring, cabling, monitor circuits, testing transmitted signal.
Amount:
$2,843.34

Component Description:
Electrical parts, adaptor, antenna, heat shrink. Resubmitted docs with PO per request of FCC.
Amount:
$147.21
Switchgear - industrial 800 amp Information not provided.
Service entrance 3 phase/800 amp/208 volt

Component Description:
Electrical work, prep for transmitter install
Amount:
$13,656.45

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 $845,575.00 $495,935.37 N/A $482,607.17 N/A
Total for all systems $3,328,043.78 $2,837,364.67 N/A $1,289,349.08 N/A
Interim Antenna TFU-8WB-R S230 $407,410.00 $112,861.93 $105,446.23
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $97,853.49 Add'l charges were incurred and work needed due not contemplated in original estimate, primarily due to weather delays, add'l crane charges, etc. $97,853.49 Additional work was needed and charges incurred which exceeded the original estimate, primarily due to weather delays, additional charges for crane, etc. See PO and invoice explanations.
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
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $5,000.00 Side mount brackets $2,584.30 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $5,008.44 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $5,008.44 N/A
Primary Antenna ATW18H6-ETC3-32H $438,165.00 $383,073.44 $377,160.94
Uninstall fees $141,935.00 $141,935.00 includes removal of existing antennas and installation of main and interim antenna $141,935.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $487.50 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $234,738.44 Add'l work and parts were needed for removal and replacement of main antenna. $234,738.44 Add'l work and parts were needed for removal and replacement of main antenna

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
Freight charges on Aux Antenna
Amount:
$1,385.20

Component Description:
tower load study for aux antenna
Amount:
$885.00

Component Description:
Shipping and handling, Aux Antenna
Amount:
$3,250.00

Component Description:
Add'l labor and charges for install of Aux Antenna
Amount:
$25,842.10

Component Description:
Aux Antenna and gear, resubmission with vendor quote and PO.
Amount:
$66,491.19
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
David Gregory, engineer, work on transmission lines for new antenna
Amount:
$412.50

Component Description:
Home Depot charge through Am Express, mounting brackets
Amount:
$65.87

Component Description:
RF Specialties, items for running TX line to side mount antenna AUX.
Amount:
$974.04

Component Description:
Pick up side mount brackets, began work on connections for side mount antenna.
Amount:
$1,131.89
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
Gear for Aux Antenna
Amount:
$5,008.44
Uninstall fees

Component Description:
Balance of final payment on Main Antenna, attributable to installation portion
Amount:
$48,043.34

Component Description:
1/2 of 50% down payment on main antenna attributable to installation of antenna
Amount:
$93,891.66
Sweep test of existing antenna

Component Description:
David Gregory, engineer, assist Gates Air in sweep test and site survey, meet at site, work on transmission lines, coordinate with Gates Air on repack project
Amount:
$487.50

Component Description:
David Gregory, reimburse for Home Depot charge, parts for rerouting transmission line. Resubmission including copy of Home Depot bill and explanation of use of parts purchased in repack.
Amount:
$68.64
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Coupling equip for install of main antenna
Amount:
$274.26

Component Description:
Add'l sales tax due on ERI Antenna. Wrong rate charged on original invoice. Resubmitting with quote and letter of explanation regarding the tax calculation error. Resubmitted with detail letter of tax calculation.
Amount:
$3,344.39

Component Description:
Services regarding surveying for True North for proper mounting of antenna on tower for max signal.
Amount:
$2,000.00

Component Description:
Installation parts for main antenna
Amount:
$1,769.71

Component Description:
Add'l work and charges for removal and replacement of main antenna
Amount:
$17,968.42

Component Description:
1/2 of 50% down payment on Gates Air invoice for main antenna
Amount:
$93,891.66

Component Description:
Documentation of Gates Air quote for cost differential between v-pol and h-pol on Main Antenna of $24,250.00
Amount:
N/A

Component Description:
Final payment on antenna attributable to equipment, less ineligible portion
Amount:
$115,490.00

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 $0.00 $3,275.96 N/A $3,275.96 N/A
Total for all systems $3,328,043.78 $2,837,364.67 N/A $1,289,349.08 N/A
Primary Transmission Line $0.00 $0.00 $0.00
Auxiliary Transmission Line $0.00 $3,275.96 $3,275.96
Rigid Transmission Line - copper, 3 1/8" $0.00 $3,275.96 Primarily used existing transmission line. A small amount of additional transmission line was needed to connect to patch panel used to switch between primary and aux antenna. $3,275.96 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 3 1/8"

Component Description:
A small amount of new transmission line was needed to connect to patch panel to switch between primary and aux antenna
Amount:
$3,275.96

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 $655,300.00 $623,100.00 N/A $69,232.88 N/A
Total for all systems $3,328,043.78 $2,837,364.67 N/A $1,289,349.08 N/A
Primary Tower NTOWER $655,300.00 $623,100.00 $69,232.88
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A $46,189.60 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $23,100.00 N/A $23,043.28 N/A
Tower Helicopter Lift $50,000.00 $50,000.00 N/A N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Minor tower reinforcement/modifications

Component Description:
Resubmission: David Gregory, engineer, oversee crew for safety check on tower, prep for installation work, with proper invoice date, invoice number, rate, etc. .
Amount:
$2,746.49

Component Description:
Beckman Tower, removal and disposal of old antenna mounts and conduits in prep for install of new repack antenna and mounts.
Amount:
$8,900.00

Component Description:
Tower modification, platform removal,
Amount:
$4,000.00

Component Description:
Tower crew, removal of old lighting and conduit to reduce load and make room for new equipment. Repack portion of invoice. Balance of $6,666.67 ineligible. The balance will not be submitted for reimbursement.
Amount:
$3,333.33

Component Description:
Provide and install a safety climb, prep for install of tower equipment, repack, resubmission 2 to correct invoice number, resubmission 3 to had cover letter and vendor quote as requested.
Amount:
$4,267.48

Component Description:
Design and build mount, mount aux antenna with proper heading
Amount:
$9,609.78

Component Description:
Tower mapping and inspection, in prep for installation of new equipment. Resubmission 2 with corrected invoice to include labor hours and rates.
Amount:
$14,600.00

Component Description:
Re-plumb aux antenna to patch bay, move and retune.
Amount:
$3,000.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Gates Air, Tower Site Survey, tower study, etc.
Amount:
$23,011.85

Component Description:
Fed Ex overnight postage charge for to Gates Air
Amount:
$31.43
Tower Helicopter Lift Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) 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 $164,920.00 $266,250.00 N/A $188,991.81 N/A
Total for all systems $3,328,043.78 $2,837,364.67 N/A $1,289,349.08 N/A
Outside Professional Services $164,920.00 $266,250.00 $188,991.81
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $1,349.95 N/A
Project management of the transition $18,960.00 $110,000.00 $25,000 to Gates Air to negotiate with all vendors, hire subcontractors, etc. $85,000 to professional consultant, Chis Homer, to provide oversight of repack project, due to lack of in-house expertise. $60K plus travel exp. $83,842.40 N/A
Additional Field Engineering Service, 3 Days $10,000.00 $10,000.00 N/A $9,950.30 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $12,000.00 Additional attorney fees required related to request for extension of STA and auxiliary license application, modification of CP. Additional attorney fees required to assist with review and final filings. $5,934.60 Underestimated legal fees. Additional needed to request STA extension and modified CP.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $7,500.00 Add'l work was needed to amend/revise FCC submissions. $7,462.46 Underestimated. More work that anticipated. Issues with online FCC forms, assistance from legal.
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $7,000.00 More consultant engineering work than anticipated on channel reassignment, maximizing signal strength, tech. app. to increase ERP.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,600.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $2,500.00 Add'l consulting engineer work was needed to amend aux antenna CP. $2,402.80 Required to amend Ch. 40 aux CP applicaton and complete Ch. 32 Aux app. Additional work required.
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $8,000.00 Add'l attorney support was needed for repack transition, including resolving issues with LP channel displaced. $7,907.20 Underestimated. Additional legal advice needed, including work to determine if need to move the tower from current lease site.
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $2,382.10 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $58,160.00 N/A

Components

Actual Information Description File Name
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Covington, attorney fees for preparation of Repack Progress report for filing with FCC
Amount:
$513.80

Component Description:
Covington, attorney fees related to repack, July 2018. Resubmission, corrected to remove not repack related charges, balance of invoice not related to repack.
Amount:
$404.25

Component Description:
Attorney Fees, repack filing forms, resubmission to correct Total Invoice Amount and Reimbursable portion. Am unable to add "&" sign to vendor name, as requested. System will not accept it.
Amount:
$431.90
Project management of the transition

Component Description:
2nd Resubmission: Chris Homer, outside consultant, project manager for repack, Jan. billing, fees plus travel/lodging costs, corrected for proper format, hourly rate and hours, corrected to remove extraordinary charges not reimbursable.
Amount:
$6,006.85

Component Description:
2nd Resubmission: Chris Homer, Repack project manager, fees and costs, Feb. 2018, revised for hours, rate, etc. with letter of justification for one trip hotel charge, also corrected for extraordinary expenses removed not reimbursable.
Amount:
$9,592.62

Component Description:
Project Management, repack, Aug, 2018, resubmitted to include cover letter explanation of expense charges, and resubmit 3 to include quote.
Amount:
$6,876.98

Component Description:
Project Mgmt repack, services Nov. 2018
Amount:
$4,500.00

Component Description:
Project Management, May, 2018
Amount:
$5,000.00

Component Description:
Repack project management, April, 2018, plus travel/lodging, meals.
Amount:
$6,489.11

Component Description:
Project management for repack project, services for October, 2018. Resubmission with Quote.
Amount:
$6,610.02

Component Description:
Project Management and engineering consulting services, Aug 2018, resubmission to include quote.
Amount:
$5,000.00

Component Description:
Repack project management services, June, 2018
Amount:
$6,441.06

Component Description:
Gates Air 1/3 down payment on Project Management for the transition
Amount:
$8,333.33

Component Description:
Chris Homer, project mgmt, finalizing schedule 387 and invoices. Work with vendors on feed.
Amount:
$500.00

Component Description:
Project Mgmt services, final purchase orders and invoices, coverage analysis, review and finalize FCC submissions. $5890.30 Dec 2018
Amount:
$5,890.30

Component Description:
August flight change fee and certified mail cost for FAA mailing. Resubmission to provide explanation regarding airline charge
Amount:
$206.70

Component Description:
Repack project management, Sept, 2018 less credit memo for overcharge error, resubmission to include quote.
Amount:
$6,609.58

Component Description:
Resubmission, Chris Homer, project manager, engineering consultant for repack project, fees for March, 2018, corrected with extraordinary expenses not reimbursable removed.
Amount:
$5,785.85
Additional Field Engineering Service, 3 Days

Component Description:
Gates Air 2nd payment on service check on existing transmitter to assure reliability to operate during period while operating interim facilities prior to cutover to new channel.
Amount:
$3,316.77

Component Description:
Resubmission of final pmt. for field service under proper line item where originally estimated and previous paid invoices for this activity.
Amount:
$3,316.76

Component Description:
Down payment on service check on transmitter to assure reliability to operate during period while operating interim facilities prior to cutover to new channel.
Amount:
$3,316.77
RF Exposure Measurements Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal Cousel for from 399 and 1876.
Amount:
$284.90

Component Description:
Covington, attorney fees for prep of STA application
Amount:
$1,098.65

Component Description:
Legal fees, auxiliary STA extension and modified CP.
Amount:
$4,551.05
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Covington, FCC legal, Form 2100
Amount:
$1,065.75

Component Description:
Covington, FCC legal, repack, Form 2100
Amount:
$1,464.75

Component Description:
Covington, FCC legal, CP, Form 2100
Amount:
$2,131.50

Component Description:
Covington, FCC legal, CP
Amount:
$635.25

Component Description:
Attorney fees, amend app for FCC, conf. calls re: aux CP, and revise viewer notification document. Resubmission to include cover letter explanation as to why invoice total is more than amount requested, i.e. non-repack expenses.
Amount:
$2,165.21
Perform engineering study for new channel assignment and antenna development

Component Description:
Portion of Hammett Edison invoice consulting engineering in conjunction with Form 2100.
Amount:
$7,000.00

Component Description:
Consulting engineering work, channel reassignment work, maximize signal strength, etc.
Amount:
$3,969.90
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Consulting engineering for From 2100
Amount:
$2,600.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Consulting engineer services for channel reassignment, amend aux CP, etc.
Amount:
$2,402.80
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Covington, FCC legal advice, repack planning and transition
Amount:
$1,085.70

Component Description:
Covington, FCC legal advice, planning repack transition
Amount:
$1,977.15

Component Description:
Legal fees, repack transition/coordination
Amount:
$761.25

Component Description:
Attorney fees, review transition phase plan, work with vendor on transition timeline. Resubmission includes cover letter to explain why total amt of invoice exceeds amount requested, i.e. balance is for non-repack expenses.
Amount:
$1,158.85

Component Description:
Attorney fees, From 387 report, 3 Qtr Dig transition report. resolve issues with post-transition issue with LP station
Amount:
$2,924.25
Prepare request for Special Temporary Authorization Information not provided.
Prepare and or review reimbursement form

Component Description:
Attorney fees, assist with Form 399 reimbursement submissions. Corrected for invoice total per request of FCC.
Amount:
$325.50

Component Description:
Hammett Edison engineering consulting, review and vet Form 399, confirm compliance with FCC. Balance of invoice is reported under "Perform Engineering Study."
Amount:
$2,056.60
Comprehensive coverage verification via field study, if needed

Component Description:
Engineering Consulting on measurements on post repack coverage for signal strength, comprehensive coverage verification. Resubmitted with quote.
Amount:
$27,100.00

Component Description:
1st installment on post-transition field testing for Ch. 32 main antenna.
Amount:
$27,100.00

Component Description:
Testing to allow for broadcast from new auxiliary antenna. Resubmission includes engineer name on invoice as requested by FCC, and cover letter justification of expenditure. Unable to add "&" in vendor name. System won't allow it.
Amount:
$3,960.00

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 $108,284.01 $100,429.01 N/A $23,014.95 N/A
Total for all systems $3,328,043.78 $2,837,364.67 N/A $1,289,349.08 N/A
Other Expenses $108,284.01 $100,429.01 $23,014.95
Interest on LIne of Credit $15,000.00 $15,000.00 Interest on line of credit used exclusively for repack expenditures. FCC reimbursements were paid back on this line. Repack is complete. Interest charges will continue until all FCC reimbursements are received. $0.00 N/A
Zoning and local permits $10,000.00 $10,000.00 N/A $6,666.66 N/A
Tower Lease Agreement modifications $10,000.00 $10,000.00 N/A N/A N/A
Other Distribution Transmission System Expense $28,942.19 $28,942.19 Not contemplated in original estimates for repack. Cost of microwave link to provide capability of dual stream transmission on Ch. 40 and 32 from KVPT receive site to Bakersfield site, during overlap period from Sept. 14 through November 30, 2018. $0.00 N/A
MVPD Notification of Channel Change $10,000.00 $10,000.00 N/A $1,447.95 N/A
Develop and air announcement of upcoming channel change $11,151.82 $11,151.82 Production costs for spot creation to notify viewers of rescan and costs to assist viewers, on phones and in person, to rescan their televisions exceeded original estimates. $11,118.94 N/A
Equipment Storage $0.00 $0.00 included in other quotes N/A N/A
Equipment Delivery and Handling Charges $0.00 $0.00 included in other quotes N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $0.00 $0.00 included in other quotes N/A N/A
Non-zoning permits $5,000.00 $5,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A $31.40 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $3,750.00 N/A $3,750.00 N/A

Components

Actual Information Description File Name
Interest on LIne of Credit

Component Description:
Interest charges on line of credit used exclusively for repack expenses. See backup documentation and cover letter explanation.
Amount:
$10,484.93
Zoning and local permits

Component Description:
Building permit application, submittals, plan check. Resubmit for proper TIN#
Amount:
$6,666.66
Tower Lease Agreement modifications Information not provided.
Other Distribution Transmission System Expense

Component Description:
Microwave to provide dual stream transmission capability during transition period Sept. 14 through Nov. 30, 2018. See Justification Letter attached.
Amount:
$28,942.19
MVPD Notification of Channel Change

Component Description:
Legal fees, draft MVPD notices, PSA scripts, viewer notifications. Repack portion of invoice. Balance not repack related and not reimbursable.
Amount:
$1,447.95
Develop and air announcement of upcoming channel change

Component Description:
Invoice for reimbursement to ValleyPBS for spot production of public announcements for rescan. Rejected for additional info. Added payroll checks for proof of payment. Also note adjusted invoice amt due to incorrect hourly rate billed for Soghomonian.
Amount:
$4,819.88

Component Description:
Phone bank answering service to handle spillover calls from viewers regarding assistance to rescan, resubmission to include cover letter explanation and add'l documentation of calls. Balance of invoice is non-repack.
Amount:
$5,931.02

Component Description:
Repack post cards for mailing to viewers, community, and at events, notification of "Plan to Rescan"
Amount:
$368.04
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.
Non-zoning permits Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application

Component Description:
Federal Express overnight for Form 1876 to FCC.
Amount:
$31.40
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
KVPT Medical Mailings Notification per FCC repack requirements.
Amount:
$3,750.00

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $3,328,043.78 $2,837,364.67 $1,289,349.08

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.

Kadidia Cooper

CFO


05/03/2019

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.

Kadidia Cooper

CFO


05/03/2019

Attachments

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