Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
1136
Service:
DTV
Call Sign:
KUCW
Channel:
35 (UHF)
File Number:
0000028266
FRN:
0009961889
Date Submitted:
06/04/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NEXSTAR BROADCASTING, INC.

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv 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

Elizabeth Ryder

General Counsel

Nexstar Broadcasting, Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv

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 DTV Utah is a complex site with 8 stations sharing two main antennas as well as aux antenna, combiner system, tower and building. Replacement antenna panels, combiner, and transmitters will be required. DTVU is still finalizing its transition plan.

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 DCX-1H
Year 2001
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 20 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9evo-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31 kW
Justification for New Transmitter Existing transmitter is obsolete and can not be re-tuned to the new channel. See attached quotes. Upgrading to a SS at one power step up from the required TPO. Single tube IOT is the max reimbursement, but Gates quote is lower. R&S unit is less cost.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 30 tons
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

Remote Control Wiring

Wire Up Existing Remote Control

Removal of Existing Equipment

Remove existing equipment from Farnsworth Peak site.

Plan Transmitter Layout and Develop Installation Drawings

Develop installation layout. Develop installation drawings

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-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 12.9 kW
Justification for New Transmitter KUCW Allocated costs for DTV Utah interim transmitter. One transmitter will be used to cycle through transmitter change outs on the site.

Interim 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) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 800.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 50 tons
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

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 Leased
Owner DTV Utah
Site N/A
Is the existing antenna shared with another station or stations? Yes
Is the existing 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 Top
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels 48
Design power capacity in use 100.0 %
Lower Limit 602.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 200.0 kW
Manufacturer
Model 773 928
Year 1999

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

Facility ID Call Sign
68889 KTVX
1136 KUCW
35823 KUTV
36607 KJZZ-TV
6359 KSL-TV
6823 KBYU-TV
69396 KUED
69582 KUEN

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? 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 Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels/Bays 48
Lower Limit 482.00 MHz
Upper Limit 608.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 2000.0 kW
Manufacturer
Model 759 25063
Year 2017
Justification for New Antenna The current panel antenna is finely tuned to a specific band, but cannot be retuned to the new band.

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 8
Frequencies of channels supported Upper and lower frequency
Frequency 488.0 MHz - 608.0 MHz
Do you need a combiner output splitter/switcher for dual feed lines? Yes
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Antenna Installation

Costs for antenna install.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? Terrain Constrained
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1062408
Coordinates (NAD83) Latitude (NAD83) 40° 39' 33.0" N-
Longitude (NAD83) 112° 12' 10.0" W-
Overall Structure Height 308.40 feet
Support Structure Height 308.40 feet
Ground Elevation Above Mean Sea Level (AMSL) 9035.32 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner DTV UTAH, LC
Date Constructed 10/28/1999

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
68889 KTVX DTV
6823 KBYU-TV DTV
6359 KSL-TV DTV
36607 KJZZ-TV DTV
35823 KUTV DTV
1136 KUCW DTV
69396 KUED DTV
69582 KUEN DTV

Other Types of Users

Users
Multi User Site

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 documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major 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? No

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 800
Explanation This extremely complex project requires coordination between 8 different stations and the umbrella organization, DTV Utah.
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 No
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 30
Justification On site RF Engineer to supervise construction of station facilities.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Allocation Consulting

DTVU RF Consultant Analysis of Repack Allocations, interference issues, and spectrum issues.

Building Structural Engineering

Structural Engineer to review and analyze building and 2nd floor weights and combiner issues.

Prepare and File FCC Progress Reports

Prepare and file FCC Quarterly Progress Reports

RF Consultant

DTVU RF Consulting Engineer for antenna and combiner system design.

Reimbursement Reviews

Reimbursement Reviews with FCC and Contractors.

Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application

Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits 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

Accounting

DTV Utah Accounting and Allocation of Costs to stations.

DTV Utah Operating Agreement Equity Equalization

Per 1988 Operating Agreement. See Exhibit M attached.

KSTU Mask Filter

Adjacent Channel Mask Filter for KSTU. See Exhibit N attached.

Sales and Use Tax

Sales and Use Tax

Removal and Disposal of Existing Equipment

Removal and Disposal of Common Equipment, Antenna Panels, Combiner, Rigging, Mountain Road access, packing materials

Road Maintenance

Showplowing Grating and repairs to existing road to remote mountain top.

Site Access and Transportation

Snow Cat; Helicopter site access, road clearing and plowing etc.

Temporary Sanitation

Required for work on the mountaintop.

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 $2,104,700.00 $1,129,832.67 N/A $944,533.75 N/A
Total for all systems $4,362,866.82 $2,588,160.07 N/A $1,662,452.27 N/A
Interim Transmitter ULXTE-20 $1,003,800.00 $263,062.67 $227,363.75
50 Ton system $266,000.00 $133,000.00 Revised to increase amount to 1/6 vs 1/8 as well as design and engineering changes required due to a new heat exchanger design for the transmitters. $132,819.35 Actual design HVAC designs called for more cooling than originally estimated. Additionally, original application included estimated costs at 1/8. Reimbursements are approved to be filed at 1/6 costs.
UHF inside RF system including switching $147,500.00 $23,333.34 1/8 Shared cost, updated to 1/6 Shared cost $7,438.31 N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $94,045.00 1/8 Shared Cost, updated to 1/6 Shared Cost. $83,460.30 Original FCC estimated at 1/8. Approval received for 1/6 total costs. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Switchgear - industrial 800 amp $38,200.00 $5,809.33 Revised to reflect 1/6th of shared cost. $3,645.79 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $4,375.00 1/8th shared cost. N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $2,500.00 1/8th Shared Cost N/A N/A
Primary Transmitter THU9evo-20 $1,100,900.00 $866,770.00 $717,170.00
Plan Transmitter Layout and Develop Installation Drawings $15,000.00 $15,000.00 Develop transmitter layout plan and installation drawings N/A N/A
Removal of Existing Equipment $25,000.00 $25,000.00 Removal of IOT Transmitter, mask filter, 2 beam supplies, 2 heat exchangers, glycol, and oil from transformers from mountain top. N/A N/A
Remote Control Wiring $3,500.00 $3,500.00 Wire up existing remote control to new transmitter N/A N/A
Other -- HVAC Service Type: C Size:30 (Other) $25,000.00 $25,000.00 KUCW Allocated costs for modification of DTV Utah HVAC Systems. N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 Catalog $0.00 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 Catalog N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,400.00 $9,800.00 Catalog N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $717,170.00 See attached Rohde & Schwarz quote 802-049535.1. $717,170.00 N/A

Components

Actual Information Description File Name
50 Ton system

Component Description:
Final billing for transmitter and HVAC cooling system project
Amount:
$739.43

Component Description:
Project billing for KUCW transmitter hood and HVAC system
Amount:
$767.00

Component Description:
Progress payment for group HVAC project and individual stations transmitter HVAC. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$8,627.50

Component Description:
HVAC Progress payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$11,160.91

Component Description:
Mechanical design for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$933.33

Component Description:
Cooling system evaluation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation - Invoice amount corrected
Amount:
$153.79

Component Description:
Credit memo as result of internal project audit by the vendor.
Amount:
($2,083.71)

Component Description:
Electrical work for smoke detectors, duct lighting and HVAC louver transformers
Amount:
$200.61

Component Description:
Progress payment - mechanical design for transmitter HVAC. Updated quote attached.
Amount:
$933.33

Component Description:
Cooling system evaluation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. - Invoice amount updated
Amount:
$153.79

Component Description:
HVAC mechanical and structural work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$3,652.40

Component Description:
Progress payment - mechanical design for transmitter HVAC project. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$933.33

Component Description:
Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$18,623.80

Component Description:
Mechanical design for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$266.66

Component Description:
HVAC mechanical design work for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$2,400.00

Component Description:
Mechanical design for transmitter HVAC project. Amount requested specific to KUCW.
Amount:
$6,200.00

Component Description:
Advance payment to secure the equipment and materials before transmitters are installed. Amount specific to KUCW.
Amount:
$9,357.00

Component Description:
Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$11,163.83

Component Description:
Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$14,166.66

Component Description:
Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$16,416.66

Component Description:
Advance payment to secure the equipment and materials before transmitters are installed. Amount requested specific to KUCW.
Amount:
$27,022.00

Component Description:
Progress payment for August time spent working on the group HVAC project and station transmitter HVAC. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$2,118.15
UHF inside RF system including switching

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoices 233001 & 230017 and Microsmi invoice 268011. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table.
Amount:
$101.43

Component Description:
Computer to interface with the control systems and transmitter
Amount:
$190.05

Component Description:
Partial billing for additional transmission line and gas barrier line
Amount:
$557.63

Component Description:
25% Downpayment - transmission line material
Amount:
$201.09

Component Description:
Syncservers and related equipment for transmission system.
Amount:
$2,589.33

Component Description:
Additional flex line
Amount:
$308.50

Component Description:
Final invoice for transmission line material
Amount:
$603.26

Component Description:
Shipping of new transmission line rework
Amount:
$727.51

Component Description:
Additional transmission line elbows
Amount:
$917.06

Component Description:
Shipping and handling charges for equipment on invoice 267999.
Amount:
$6.06

Component Description:
Syncservers for transmission system.
Amount:
$1,236.39
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Ross Video HD/SD/SDI equipment. Sales tax not charged on shipping charges. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$459.77

Component Description:
Ross 2RU 3G/HD/SD SDI Audio Monitoring Bridge. Sales tax not charged on shipping. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$514.00

Component Description:
Sencore HD/SD/SDI equipment. Sales tax not charged on shipping. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$660.43

Component Description:
Transmitter install. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$5,412.88

Component Description:
Transmitter Prog Pay #3. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$21,682.94

Component Description:
Transmitter ProgPay 2 - 1/3 Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$27,365.14

Component Description:
Transmitter Prog Pay #1. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$27,365.14
Switchgear - industrial 800 amp

Component Description:
Installation of electrical panels and transformer for the interim transmitter
Amount:
$3,149.19

Component Description:
Installation of electrical panels and transformer for the interim transmitter
Amount:
$496.60
Transformer 3 phase/480v - 300 KVA Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Plan Transmitter Layout and Develop Installation Drawings Information not provided.
Removal of Existing Equipment Information not provided.
Remote Control Wiring Information not provided.
Other -- HVAC Service Type: C Size:30 (Other) Information not provided.
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 300 KVA Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Main transmitter, installment #1
Amount:
$179,292.48

Component Description:
Main transmitter, installment #2
Amount:
$358,585.00

Component Description:
Main transmitter, installment #3
Amount:
$179,292.52

Component Description:
Transmitter system 25% down payment
Amount:
$179,292.48

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 $589,830.00 $695,357.24 N/A $591,128.47 N/A
Total for all systems $4,362,866.82 $2,588,160.07 N/A $1,662,452.27 N/A
Primary Antenna 759 25063 $589,830.00 $695,357.24 $591,128.47
Antenna Installation $59,200.00 $59,200.00 Revised to increase amount to 1/6 vs 1/8 shared cost, as well as adding for inspection of the transmission line to ensure the integrity of the line after the antenna removal. See Exhibit D. $55,337.23 Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. FCC application filed based on 1/8 estimated cost. Approval received for reimbursement at 1/6 costs.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $16,000.00 Revised to increase amount to 1/6 vs 1/8 shared cost, as well as adding for an increase in the elbow complex design caused by the antenna configuration. $12,421.39 Original estimate based on 1/6 reimbursement for Transmission line material and installation. SOW: S&I Elbow complex
New combiner, cost per channel (without antenna) $84,200.00 $317,000.00 Revised to increase amount to 1/6 vs 1/8 as well as adding for additional equipment necessary for unanticipated management of the system. See Exhibit E. $273,375.05 See in attachment-FCC Incentive Auction Repack Reimbursement Request and Explanation. Original estimated cost for 1/8, approved reimbursement share 1/6.
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized $300,000.00 $300,000.00 Revised to increase amount to 1/6 vs 1/8 as well as adding an increase for the addition of nitrogen generators. $246,837.56 Original 399 budget submitted at 1/8 costs. Received approval to submit 1/6 costs.
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $0.00 Included in combiner costs. N/A N/A
Sweep test of existing antenna $6,730.00 $3,157.24 Revised to increase to 1/6th of the shared cost. $3,157.24 Original estimate submitted at 1/8 costs, reimbursement approved at 1/6 costs. Please see FCC Incentive auction repack reimbursement request and explanation.

Components

Actual Information Description File Name
Antenna Installation

Component Description:
Q1 2018 Use tax accrual for invoice GTIA 1011 - Revised
Amount:
$17.81

Component Description:
Installation services for antenna
Amount:
$4,445.72

Component Description:
Use tax for GTIA-1021 invoice. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$53.45

Component Description:
Transmission Line final payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$798.45

Component Description:
Site Survey 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$1,310.83

Component Description:
Bullet Installation 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$1,748.05

Component Description:
Installation 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$11,754.09

Component Description:
Installation 25% Progress Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$23,508.19

Component Description:
Installation Final Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$11,754.09
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Materials needed for reroute of transmission line
Amount:
$992.51

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoice 75050, and GTI invoice GTIA-1057. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table.
Amount:
$529.50

Component Description:
Field service for reroute of transmission line and elbows
Amount:
$1,309.50

Component Description:
Progress Invoice - 50% down payment for transmission line material and installation
Amount:
$4,794.94

Component Description:
Final billing for additional transmission line and installation services. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$4,794.94
New combiner, cost per channel (without antenna)

Component Description:
50% Progress payment for installation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$22,679.29

Component Description:
Materials for the combiner and transmission line
Amount:
$1,401.51

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoices: 273003, 235015, 250008, 237008, 242051, 236006. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table.
Amount:
$11,070.12

Component Description:
Combiner - Prog Payment 2. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Invoice amount updated.
Amount:
$90,717.50

Component Description:
Down Payment #2 - Combiner monitoring & control. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. - Invoice amount updated.
Amount:
$5,123.06

Component Description:
Final payment for combiner monitoring and control system
Amount:
$3,906.86

Component Description:
Digi-Key for new combiner
Amount:
$213.19

Component Description:
Down payment #3 combiner monitoring and control
Amount:
$2,561.53

Component Description:
Freight for new combiner cable purchase
Amount:
$4.51

Component Description:
Combiner and transmission line materials
Amount:
$406.25

Component Description:
Cable spools for new combiner
Amount:
$277.43

Component Description:
RG223 cable for new combiner
Amount:
$196.25

Component Description:
Additional freight, shipping and handling for waveguide sections
Amount:
$443.17

Component Description:
Combiner and transmission line materials
Amount:
$406.25

Component Description:
Installation of 20A, High-Density Plug strip and Power for combiner rack
Amount:
$106.33

Component Description:
Cabling and materials for new combiner
Amount:
$246.05

Component Description:
Bracke power divider for new combiner
Amount:
$237.33

Component Description:
Pressure gauge 2 Port
Amount:
$61.85

Component Description:
Down payment #2 - Combiner monitoring & control. Please see FCC Incentive Auction Repack Reimbursement request. Invoice amount updated.
Amount:
$5,123.06

Component Description:
Combiner - Prog Payment 2. Invoice amount updated.
Amount:
$90,717.50

Component Description:
Sales and use tax accrual for period: 10/1/2018 - 12/31/2018. Includes Burk invoices 68513-DP, 68513-2, 69115
Amount:
$1,075.62

Component Description:
Fedex Air freight of waveguide sections to Dielectric and back to DTV Utah twice.
Amount:
$2,325.91

Component Description:
Installation services for transmission line. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$6,727.52

Component Description:
Electrical work related to cable tray for combiner
Amount:
$356.52

Component Description:
Shared and station specific electrical work for new combiner
Amount:
$990.90

Component Description:
Down Payment # 1 - Combiner monitoring & control. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$5,123.06

Component Description:
80KW Cooling System. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$3,320.18

Component Description:
Combiner - Prog Pay 1 Down payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation: 1/8 - 17,009.53 1/6 - 22,679.37 Each member will request reimbursement of $22,679.37
Amount:
$22,679.37

Component Description:
Combiner - Prog Pay 3. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$90,717.49
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized

Component Description:
Q4 2017 State of Utah Use tax accrual for South-Tek invoice STS87757-1
Amount:
$284.98

Component Description:
Electrical work for feed-line to tower and nitrogen generator
Amount:
$116.48

Component Description:
Re-tuning of antenna to remove null areas in broadcast pattern.
Amount:
$3,333.33

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for GTI (Antenna) invoice GTIA-1054. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of return table.
Amount:
$12,759.12

Component Description:
Sales tax paid on South-Tek invoice STS87757-1. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$284.98

Component Description:
Nitrogen Generation. Tax requested separately. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$4,160.41

Component Description:
Antenna Factory Test. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$5,142.50

Component Description:
Antenna 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$7,710.92

Component Description:
Antenna Progress Payment 25%. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$47,876.97

Component Description:
Supply Kathrein Antenna Material - 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$47,876.97

Component Description:
Anetnna Structural 25% Progress Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$7,710.92

Component Description:
Structural 25% Progress Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$6,400.09

Component Description:
Supply Kathrein Antenna Material - 5% Final Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$9,575.39

Component Description:
New antenna system final billing for line items 2, 3, 6 &7 per quote. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$7,710.92

Component Description:
Supply Kathrein Antenna Material - 45% Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$86,178.56
Combiner output splitting/switching for dual feed lines, if applicable Information not provided.
Sweep test of existing antenna

Component Description:
Rental of impedance transformer used to test the CH.24 system. Please see FCC Incentive auction repack reimbursement request and explanation. Updated Quote
Amount:
$329.16

Component Description:
Test existing Kathrein UHF Antenna System. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$2,828.08

Cost Information

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Transmission Line

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 $854,600.00 $135,333.34 N/A $2,413.47 N/A
Total for all systems $4,362,866.82 $2,588,160.07 N/A $1,662,452.27 N/A
Primary Tower TOWER $854,600.00 $135,333.34 $2,413.47
Major tower reinforcement/modifications $421,000.00 $66,666.67 Revised to increase amount to 1/6 vs 1/8 $1,515.15 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $66,666.67 Revised to increase amount to 1/6 vs 1/8 N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $2,000.00 Revised to increase to 1/6 vs 1/8 $898.32 N/A

Components

Actual Information Description File Name
Major tower reinforcement/modifications

Component Description:
Installation of new tower lighting system
Amount:
$1,515.15
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Tower analysis services
Amount:
$671.66

Component Description:
Structural Engineering & Design services - May 2017
Amount:
$226.66

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 $401,505.00 $216,010.00 N/A $45,443.61 N/A
Total for all systems $4,362,866.82 $2,588,160.07 N/A $1,662,452.27 N/A
Outside Professional Services $401,505.00 $216,010.00 $45,443.61
Reimbursement Reviews $10,600.00 $10,600.00 Reimbursement Reviews with FCC and E&Y $1,200.00 N/A
Project management of the transition $126,400.00 $37,500.00 Catalog $31,580.50 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Catalog $625.00 N/A
Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application $2,500.00 $2,500.00 See KGA subcontractor invoice 918-1032 $2,500.00 N/A
RF Consultant $16,000.00 $16,000.00 KUCW Allocation of costs RF Consulting Engineer for antenna and combiner system design. Vendor specs and system range testing. N/A N/A
Prepare and File FCC Progress Reports $18,000.00 $18,000.00 Prepare and file FCC Progress Reports $300.00 N/A
Building Structural Engineering $20,000.00 $20,000.00 KUCW Allocated cost estimate for cost related to structural analysis of building N/A N/A
Allocation Consulting $15,000.00 $15,000.00 KUCW Allocation of RF Engineering costs to review channel assignments, allocatoins, interference issues, alternative channels. Support can not construct filings. N/A N/A
Additional Field Engineering Service, 30 Days $45,000.00 $45,000.00 RF Engineer to supervise construction and installation of KUCW equipment N/A N/A
RF Exposure Measurements $21,050.00 $2,500.00 1/8 Shared Costs N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $10,000.00 1/8 Shared Cost N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $550.00 N/A $275.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Catalog $876.75 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,610.00 Increased over predetermined cost due to the complexity of the KPNZ lease negotiation matter $4,609.29 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Catalog N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Catalog $29.16 N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 Catalog $2,500.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 Catalog $933.33 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 Catalog N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 Catalog N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Catalog $14.58 N/A

Components

Actual Information Description File Name
Reimbursement Reviews

Component Description:
FCC Invoice Compliance Audit
Amount:
$1,200.00
Project management of the transition

Component Description:
Project management services 1.1.19 through 1.31.19, item 1 from invoice summary
Amount:
$75.00

Component Description:
James & James project management for equipment installation and documentation - August 2018
Amount:
$2,803.83

Component Description:
James and James Consulting - Project Management - December 2018
Amount:
$182.02

Component Description:
Project management services, item 2 from invoice summary
Amount:
$1,300.00

Component Description:
James and James Consulting - project management - September 2018
Amount:
$1,497.06

Component Description:
James and James consulting - project management - July 2018
Amount:
$1,046.00

Component Description:
James and James consulting and project management - May 2018 for Station Specific Costs
Amount:
$256.94

Component Description:
James and James consulting and project management - April 2017
Amount:
$1,102.36

Component Description:
James and James consulting and project management - October 2017
Amount:
$696.62

Component Description:
James and James consulting and project management - October 2018
Amount:
$1,057.25

Component Description:
James and James consulting and project management - February 2018
Amount:
$358.38

Component Description:
James and James consulting and project management - May 2017
Amount:
$916.41

Component Description:
RF Consulting services provided by Ray Carnovale contracted through GTIA for project management services.
Amount:
$1,750.00

Component Description:
James and James consulting and project management - April 2018 for Station Specific Costs
Amount:
$94.74

Component Description:
James and James consulting and project management - December 2017
Amount:
$545.14

Component Description:
James and James consulting - project management - May 2018
Amount:
$837.25

Component Description:
James and James consulting and project management - April 2018
Amount:
$521.19

Component Description:
James and James consulting and project management - March 2017
Amount:
$699.66

Component Description:
James and James consulting and project management - November 2018
Amount:
$754.52

Component Description:
Project management services, item 1 from invoice summary
Amount:
$300.00

Component Description:
James and James consulting and project management - January 2018
Amount:
$359.67

Component Description:
James and James consulting and project management - June 2018
Amount:
$1,215.74

Component Description:
James and James consulting and project management - September 2017
Amount:
$445.45

Component Description:
RF Consulting services provided by Ray Carnovale contracted through GTIA for project management services.
Amount:
$2,763.54

Component Description:
James and James consulting and project management - March 2018
Amount:
$525.66

Component Description:
James and James Consulting - Project Management June 2018 for Station Specific Costs
Amount:
$577.95

Component Description:
James and James consulting and project management - August 2017
Amount:
$703.95

Component Description:
James and James Consulting - Project Management July 2018 for Station Specific Costs
Amount:
$288.41

Component Description:
James and James consulting and project management - Compliance Audit Adjustment
Amount:
$17.82

Component Description:
James and James consulting and project management - November 2017
Amount:
$742.45

Component Description:
James and James consulting and project management - June 2017
Amount:
$916.62

Component Description:
James and James consulting and project management - July 2017
Amount:
$891.87

Component Description:
Project management services 9.29.18 through 10.26.18, item 1 from invoice summary
Amount:
$225.00

Component Description:
Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates. Services from January 27, 2018 through February 23, 2018.
Amount:
$225.00

Component Description:
Project management services 12.1.18 through 12.31.18.
Amount:
$225.00

Component Description:
Project management services 5.26.18 through 6.29.18.
Amount:
$450.00

Component Description:
Project management services 7.28.18 through 9.28.18.
Amount:
$675.00

Component Description:
See cover letter items 1-5 - project management of the transition and progress report preparation including services provided by subcontractor Kessler and Gehman Associates. Station specific costs.
Amount:
$3,537.00

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from June 30, 2018 through July 27, 2018.
Amount:
$225.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Prepare engineering section of a License to Cover, item 3 from invoice summary
Amount:
$625.00
Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application

Component Description:
Minor Modification of CP Application
Amount:
$2,500.00
RF Consultant Information not provided.
Prepare and File FCC Progress Reports

Component Description:
Prepare Form 387, item 2 from invoice summary
Amount:
$150.00

Component Description:
Prepare Form 387, item 3 from invoice summary
Amount:
$150.00
Building Structural Engineering Information not provided.
Allocation Consulting Information not provided.
Additional Field Engineering Service, 30 Days Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
Prepare and submit FAA filing
Amount:
$275.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal fees associated with special temporary authorization filing. Please see cover letter justification as to why full legal amount is reflected in invoice.
Amount:
$876.75
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Legal consulting - lease negotiations
Amount:
$357.00

Component Description:
Legal consulting - lease negotiations
Amount:
$68.00

Component Description:
Legal consulting - lease negotiations
Amount:
$137.08

Component Description:
Legal consulting - lease negotiations
Amount:
$362.91

Component Description:
Legal consulting - lease negotiations
Amount:
$640.66

Component Description:
Legal consulting - lease negotiations
Amount:
$415.83

Component Description:
Legal consulting - lease negotiations
Amount:
$165.91

Component Description:
Legal consulting - lease negotiations
Amount:
$501.40

Component Description:
Legal consulting - lease negotiations
Amount:
$1,960.50
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

Component Description:
Legal fees for construction permit application
Amount:
$29.16
Prepare request for Special Temporary Authorization

Component Description:
Prepare request for STA, item 3 from invoice summary
Amount:
$1,500.00

Component Description:
See cover letter item 6 - Prepare and submit STD filing
Amount:
$1,000.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare station Forms 2100
Amount:
$933.33
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Legal fees addressing transition timing
Amount:
$14.58

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 $412,231.82 $411,626.82 N/A $78,932.97 N/A
Total for all systems $4,362,866.82 $2,588,160.07 N/A $1,662,452.27 N/A
Other Expenses $412,231.82 $411,626.82 $78,932.97
Temporary Sanitation $3,000.00 $3,000.00 1/8 Cost Share $1,212.50 N/A
Site Access and Transportation $25,000.00 $25,000.00 KUCW specific plus allocated cost estimate for site access and transportation: Snow Cat; Helicopter Access, Road Clearing, Plowing; etc. $1,979.98 N/A
Road Maintenance $10,000.00 $10,000.00 1/8 Cost Share N/A N/A
Removal and Disposal of Existing Equipment $5,000.00 $5,000.00 Removal and disposal of KUCW equipment and other general garbage down the mountain. N/A N/A
KSTU Mask Filter $9,500.00 $9,500.00 1/8 Shared Cost changed to 1/6 shared cost $9,329.69 Please see the FCC Incentive Auction Repack Reimbursement Request and Explanation for details.
DTV Utah Operating Agreement Equity Equalization $223,083.00 $223,083.00 See Exhibit M N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 Catalog $4,549.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 Catalog N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 Catalog N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 Catalog N/A N/A
Non-zoning permits $5,900.00 $5,900.00 KUCW allocated cost estimate for permits DTV Utah N/A N/A
Equipment Storage $5,758.82 $5,758.82 1125 per month for 16 months plus pod storage on the mountains. Revised to increase amount to 1/6 vs 1/8 $5,758.82 N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Production costs to develop and air channel change announcement N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 Estimate to notify MVPD of channel change. N/A N/A
Accounting $5,800.00 $5,800.00 KUCW allocated costs estimate for DTV Utah cost accounting for project and bookkeeping. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $27,500.00 $27,500.00 KUCW allocated cost estimate for combiner and other common equipment to be removed from building, transported down mountain, and disposed. Rigging. $3,623.33 N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 KUCW specific costs plus allocated cost estimate for delivery and handling of equipment up the mountain. $7,819.15 N/A
Sales and Use Tax $45,000.00 $45,000.00 Estimated tax on equipment $44,660.50 N/A

Components

Actual Information Description File Name
Temporary Sanitation

Component Description:
Dumpster service at site
Amount:
$225.00

Component Description:
Dumpster service at site
Amount:
$225.00

Component Description:
Dumpster service at site
Amount:
$150.00

Component Description:
Dumpster service at site
Amount:
$312.50

Component Description:
Dumpster service at site
Amount:
$300.00
Site Access and Transportation

Component Description:
Transportation to top of the mountain for staff and equipment while road was closed by snow.
Amount:
$216.66

Component Description:
Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals.
Amount:
$507.50

Component Description:
Transportation to top of the mountain for staff and equipment while road was closed by snow.
Amount:
$216.66

Component Description:
Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals.
Amount:
$362.50

Component Description:
Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals.
Amount:
$676.66
Road Maintenance Information not provided.
Removal and Disposal of Existing Equipment Information not provided.
KSTU Mask Filter

Component Description:
Mask Filter, components and transport. See quote items 1, 2 &5.
Amount:
$4,691.66

Component Description:
Q3 2018 Sales and Use Tax - Specific component: Dielectric invoice 75049. See cover letter and return breakout.
Amount:
$321.37

Component Description:
Installation Services for Mask Filter. See quote items 3 & 4.
Amount:
$4,316.66
DTV Utah Operating Agreement Equity Equalization Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Service Notification of Medical Facilities for KUCW.
Amount:
$2,385.00

Component Description:
MVPD Notification Services - Notification of Cable and Satellite MVPD Providers of new RF Channel and Transport Stream Parameters on Repack Channel for KUCW
Amount:
$2,164.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Non-zoning permits Information not provided.
Equipment Storage

Component Description:
Warehouse Storage - October 2018
Amount:
$308.33

Component Description:
Warehouse Storage - February 2018
Amount:
$187.50

Component Description:
Warehouse Storage - May 2018
Amount:
$187.50

Component Description:
Warehouse Storage - September 2018
Amount:
$308.33

Component Description:
Labor to set storage containers on site
Amount:
$33.33

Component Description:
Warehouse Storage - July 2018
Amount:
$308.33

Component Description:
Warehouse Storage - May 2018 rental price increase
Amount:
$120.83

Component Description:
Warehouse Storage - October 2017
Amount:
$187.50

Component Description:
Warehouse Storage - April 2018
Amount:
$187.50

Component Description:
Warehouse Storage - November 2018
Amount:
$308.33

Component Description:
Warehouse Storage - August 2018
Amount:
$308.33

Component Description:
Warehouse Storage - June 2018
Amount:
$308.33

Component Description:
Warehouse Storage - January 2018
Amount:
$187.50

Component Description:
Warehouse Storage - December 2017
Amount:
$187.50

Component Description:
Warehouse Storage - November 2017
Amount:
$187.50

Component Description:
Warehouse Storage - March 2018
Amount:
$187.50

Component Description:
Pallet jack
Amount:
$139.68

Component Description:
Warehouse Storage - Sept 2017
Amount:
$187.50

Component Description:
Storage pods for on site equipment storage
Amount:
$1,927.50
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.
Accounting Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Station specific hauling and removal of equipment and debris - KUCW
Amount:
$900.00

Component Description:
Station specific hauling and removal of equipment and debris - KUCW
Amount:
$1,650.00

Component Description:
Hauling and removal of used downtherm equipment
Amount:
$173.33

Component Description:
Station specific hauling and removal of equipment and debris - KUCW
Amount:
$900.00
Equipment Delivery and Handling Charges

Component Description:
Equipment handling and transportation - radio parts - split between KTVX & KUCW
Amount:
$225.00

Component Description:
Equipment handling and transportation - radio parts - split between KTVX & KUCW
Amount:
$225.00

Component Description:
Reach lift man basket rental from 05/14/18 - 08/06/18
Amount:
$264.99

Component Description:
Equipment delivery and handling - May 2018 - antenna combining system
Amount:
$68.75

Component Description:
Reach lift man basket rental from 08/06/18 to 10/01/18
Amount:
$176.98

Component Description:
Equipment delivery and handling - October 2017
Amount:
$77.91

Component Description:
Equipment delivery and handling - Antenna Equipment
Amount:
$28.33

Component Description:
Equipment delivery and handling - January 2018
Amount:
$14.16

Component Description:
Equipment delivery and handling - August 2018
Amount:
$62.50

Component Description:
Equipment delivery and handling - June 2018 -DTV Group radio parts
Amount:
$100.00

Component Description:
Forklift equipment rental 09/19/17 - 10/17/17
Amount:
$503.82

Component Description:
Equipment delivery and handling - December 2017
Amount:
$42.50

Component Description:
Invoice from KSL for payment of Howe Rental invoices for forklift rental 10/17/17 - 11/14/17 and 11/14/17 - 12/12/17.
Amount:
$955.98

Component Description:
Equipment delivery and handling - June 2018 - KUCW radio parts
Amount:
$562.50

Component Description:
Equipment delivery and handling - September 2017
Amount:
$70.83

Component Description:
Transport of Reach Forklift up mountain
Amount:
$40.83

Component Description:
Equipment delivery and handling - September 2018
Amount:
$99.16

Component Description:
Equipment delivery and handling - December 2018
Amount:
$28.33

Component Description:
Equipment delivery and handling - June 2018 - KUCW radio parts
Amount:
$562.50

Component Description:
Equipment delivery and handling - May 2018 - Group and station specific handling
Amount:
$425.00

Component Description:
Equipment delivery and handling - April 2018
Amount:
$85.00

Component Description:
Equipment delivery and handling - May 2018 - antenna combining system
Amount:
$68.75

Component Description:
Equipment delivery and handling - February 2018
Amount:
$14.16

Component Description:
Equipment delivery and handling - December 2017
Amount:
$100.00

Component Description:
Equipment delivery and handling - November 2017
Amount:
$56.66

Component Description:
Forklift equipment rental 10/01/18 - 10/31/18
Amount:
$385.58

Component Description:
Forklift Rental 08/06/18 - 10/01/18
Amount:
$1,020.24

Component Description:
Forklift rental 05/14/18 - 08/06/18
Amount:
$1,553.69
Sales and Use Tax

Component Description:
Tax due on transmitter
Amount:
$44,660.50

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,362,866.82 $2,588,160.07 $1,662,452.27

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.

Elizabeth Ryder

General Counsel


06/04/2019

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.

Elizabeth Ryder

General Counsel


06/04/2019

Attachments

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