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:
35380
Service:
DTV
Call Sign:
KOIN
Channel:
25 (UHF)
File Number:
0000028763
FRN:
0009961889
Date Submitted:
08/23/2019

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 See attached 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 Sigma
Year 2000
Type Inductive Output Tube
IOT Power Type Three
Power Capacity 75 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 ULXTED-72
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 47.2 kW
Justification for New Transmitter Existing transmitter cannot be converted to repacked channel per manufacturer and is no longer supported. We will upgrade to an SS at one step up from required TPO.

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 Yes
Size 3 inches
Length 150.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 THU9EVO-4
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 6.5 kW
Justification for New Transmitter A new interim transmitter is required at an alternate site because the existing site does not have the capacity to install a new transmitter until the old transmitter is taken off air.

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 Yes
Size 3 inches
Length 150.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

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 Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? Yes
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels 80
Design power capacity in use 100.0 %
Lower Limit 580.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 3000.0 kW
Manufacturer
Model PHP80E
Year 2005

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

Facility ID Call Sign
10192 KRCW-TV
21649 KATU

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? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 3
Number of Panels/Bays 64
Lower Limit 470.00 MHz
Upper Limit 630.00 MHz
Design power capacity in use 85.0 %
Other Antenna Type N/A
ERP: 3000.0 kW
Manufacturer
Model TUM25-O4-16/64H-2-R-T
Year 2017
Justification for New Antenna Current antenna does not achieve omni pattern and was not designed for the lower frequency range needed by two of the stations. Parts are unavailable and manufacturer no longer supports the product.

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 3
Frequencies of channels supported RF channel
Frequency N/A
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 8 3/16 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

Enter a list of RF channel numbers.

RF Channel Number
33
24
25

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels/Bays 8
Lower Limit 539.00 MHz
Upper Limit 587.00 MHz
Design power capacity in use 15.0 %
Other Antenna Type N/A
ERP: 50.0 kW
Manufacturer
Model TUM-O4-8/32H-1-R-T
Year 2018
Justification for New Antenna Station must build interim facilities to be able to be on air by the transition date and to remain on air while the main site is rigged.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 3
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
33
24
25

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Interim Antenna Rental During Transition

Rental Antenna needed to allow for higher power output while the main and Aux. antennas are being installed

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 5 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 4
Length 1000 feet per run

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

Facility ID Call Sign
21649 KATU
10192 KRCW-TV

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 2
Length 1010 feet per run
Justification for New Transmission Line Line is no longer manufactured and will not support new antenna.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 900 feet per run
Justification for New Transmission Line Required for interim facility.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? 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 No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1207367
Coordinates (NAD83) Latitude (NAD83) 45° 30' 57.8" N-
Longitude (NAD83) 122° 44' 03.1" W-
Overall Structure Height 989.82 feet
Support Structure Height 920.92 feet
Ground Elevation Above Mean Sea Level (AMSL) 1059.04 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Sylvan Tower Co., LLC
Date Constructed 02/09/2000

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
10192 KRCW-TV DTV
21649 KATU DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: No 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

Name Description

Larger Capacity Gin Pole Rental

Antenna when delivered was 2,000 lbs heavier than was specified by mfg. so a larger capacity was needed for safety purposes.

FM Array Re-Alignment

Additional Tower Work needed due to FM array re-alignment.

Additional insurance coverage

added insurance coverage to existing umbrella policy.

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 750
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 15
Justification Complexity of tower site and shared systems will require additional time on site.

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? Yes
Is Remediation needed? Yes
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 No
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

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,867,300.00 $1,743,475.00 N/A $1,586,060.00 N/A
Total for all systems $4,993,156.00 $4,616,303.97 N/A $3,775,787.92 N/A
Interim Transmitter THU9EVO-4 $333,900.00 $324,700.00 $283,605.00
3" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,500.00 N/A $5,100.78 N/A
Switchgear - industrial 800 amp $38,200.00 $37,150.00 N/A $25,191.64 N/A
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $266,000.00 N/A $243,805.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $14,050.00 N/A $9,507.58 N/A
Primary Transmitter ULXTED-72 $1,533,400.00 $1,418,775.00 $1,302,455.00
3" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,500.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $37,150.00 N/A N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $14,050.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,360,075.00 See attached quotes. The SS quote is less than the $1,388,470 for a 2 tube IOT. So we have used the cost of the SS as the reimbursable estimate. $1,302,455.00 N/A

Components

Actual Information Description File Name
3" Rigid Conduit and Wiring (Cost per foot)

Component Description:
Electrical services related to Interim transmitter
Amount:
$5,100.78
Switchgear - industrial 800 amp

Component Description:
Electrical services related to Interim transmitter
Amount:
$25,191.64
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
Downpayment 25% Aux Transmitter
Amount:
$60,951.25

Component Description:
Aux Transmitter 75% balance due
Amount:
$182,853.75
Service entrance 3 phase/800 amp/208 volt

Component Description:
Electrical services related to Interim transmitter
Amount:
$9,507.58
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
25% down payment on transmitter; see also quote from Rohde and Schwarz
Amount:
$353,238.75

Component Description:
Remaining cost is net of $210,000 not to be reimbursed by FCC. Net cost of Rohde and Schwarz invoices agrees to quote attached.
Amount:
$143,238.75

Component Description:
Electrical services for main transmitter
Amount:
$99,500.00

Component Description:
50% downpayment; see also quote from Rohde and Schwarz
Amount:
$706,477.50

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 $987,236.00 $946,868.22 N/A $940,468.22 N/A
Total for all systems $4,993,156.00 $4,616,303.97 N/A $3,775,787.92 N/A
Interim Antenna TUM-O4-8/32H-1-R-T $127,717.00 $23,087.00 $23,087.00
Interim Antenna Rental During Transition $23,087.00 $23,087.00 See PCI proposal 19352-5 $23,087.00 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $0.00 Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Plan was approved by FCC. N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $0.00 Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Plan was approved by FCC. N/A N/A
UHF - High Power Top Mount Three Station broadband panel antenna horizontally polarized $0.00 $0.00 Sinclair is purchasing the interim antenna and line and shall be reimbursed for 100% of the interim antenna and line. Nexstar is purchasing the main antenna and line and shall be reimbursed for 100% of the main antenna and line. Plan was approved by FCC. N/A N/A
Sweep test of existing antenna $6,730.00 $0.00 Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Plan was approved by FCC. N/A N/A
Primary Antenna TUM25-O4-16/64H-2-R-T $859,519.00 $923,781.22 $917,381.22
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $35,520.00 Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Plan was approved by FCC. $35,520.00 N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $258,222.22 Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Plan was approved by FCC. $258,222.22 N/A
New combiner, cost per channel (without antenna) $84,200.00 $0.00 See "Combiner output splitting/switching for dual feed lines" component. N/A N/A
UHF - High Power Top Mount Three Station broadband panel antenna elliptically or circularly polarized $623,639.00 $623,639.00 Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Plan was approved by FCC. $623,639.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Plan was approved by FCC. $0.00 N/A

Components

Actual Information Description File Name
Interim Antenna Rental During Transition

Component Description:
Interim antenna rental while antennae are being installed
Amount:
$23,087.00
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
New combiner, cost per channel (without antenna) Information not provided.
UHF - High Power Top Mount Three Station broadband panel antenna horizontally polarized Information not provided.
Sweep test of existing antenna Information not provided.
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex, installment #1, line 3 of invoice
Amount:
$15,984.00

Component Description:
Elbow complex, installment #2, line 3 of invoice
Amount:
$15,984.00

Component Description:
Elbow complex, balance due; see cover letter
Amount:
$3,552.00
Combiner output splitting/switching for dual feed lines, if applicable

Component Description:
Combiners, installment #1, line 26 of invoice
Amount:
$147,339.00

Component Description:
Combiner, balance due from change order; see cover letter
Amount:
($36,455.78)

Component Description:
Combiners, installment #2, line 26 of invoice
Amount:
$147,339.00
New combiner, cost per channel (without antenna) Information not provided.
UHF - High Power Top Mount Three Station broadband panel antenna elliptically or circularly polarized

Component Description:
Main antenna, installment #1, line 1 of invoice
Amount:
$266,303.25

Component Description:
Main antenna, installment #2, line 1 of invoice
Amount:
$266,303.25

Component Description:
Antenna, change order
Amount:
$31,854.00

Component Description:
Balance due, Antenna; see cover letter.
Amount:
$59,178.50
Sweep test of existing antenna

Component Description:
Sweep test, installment #1, line 23 of invoice
Amount:
$2,880.00

Component Description:
Sweep test was not performed by Dielectric, credit against amounts previously submitted; see cover letter.
Amount:
($5,760.00)

Component Description:
Sweep test, installment #2, line 23 of invoice
Amount:
$2,880.00

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 $1,014,780.00 $532,491.00 N/A $532,491.00 N/A
Total for all systems $4,993,156.00 $4,616,303.97 N/A $3,775,787.92 N/A
Interim Transmission Line $208,800.00 $0.00 $0.00
Rigid Transmission Line - copper, 6 1/8" broadband $208,800.00 $0.00 Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Plan was approved by FCC. N/A N/A
Primary Transmission Line $805,980.00 $532,491.00 $532,491.00
Rigid Transmission Line - copper, 8 3/16" broadband $805,980.00 $532,491.00 Nexstar is purchasing the main antenna system and shall be reimbursed for 100% of the main antenna system. Sinclair is purchasing the interim antenna system and shall be reimbursed for 100% of the interim antenna system. Plan was approved by FCC. $532,491.00 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8" broadband Information not provided.
Rigid Transmission Line - copper, 8 3/16" broadband

Component Description:
Transmission line, installment #1, line 4 of invoice
Amount:
$239,620.95

Component Description:
Transmission line, installment #2, line 4 of invoice
Amount:
$239,620.95

Component Description:
Transmission line, balance due; see cover letter
Amount:
$53,249.10

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 $710,350.00 $986,661.75 N/A $648,261.53 N/A
Total for all systems $4,993,156.00 $4,616,303.97 N/A $3,775,787.92 N/A
Primary Tower TOWER $710,350.00 $986,661.75 $648,261.53
FM Array Re-Alignment $93,000.00 $93,000.00 See Spartacus Gin Pole change order 8/2/19 $92,792.70 N/A
Larger Capacity Gin Pole Rental $168,000.00 $168,000.00 See Spartacus Gin Pole quote 7/23/19 $167,957.95 N/A
Additional insurance coverage $15,750.00 $15,750.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,300.00 N/A $8,705.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $697,611.75 Nexstar is paying for and being 100% reimbursed for the main antenna system installation on the Primary Tower and Sinclair is paying for and being 100% reimbursed for the interim antenna system installation on the Interim Tower. Plan approved by FCC. $378,805.88 N/A

Components

Actual Information Description File Name
FM Array Re-Alignment

Component Description:
Elbow complex plumbing
Amount:
$92,792.70
Larger Capacity Gin Pole Rental

Component Description:
Gin Pole rental and additional work
Amount:
$167,957.95
Additional insurance coverage Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Structural analysis required for permit
Amount:
$8,705.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Antenna and line installation, installment #1
Amount:
$318,805.88

Component Description:
Antenna removal and aux antenna installation
Amount:
$60,000.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $258,570.00 $253,100.00 N/A $33,818.37 N/A
Total for all systems $4,993,156.00 $4,616,303.97 N/A $3,775,787.92 N/A
Outside Professional Services $258,570.00 $253,100.00 $33,818.37
Additional Field Engineering Service, 15 Days $81,000.00 $81,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,500.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,050.00 N/A $550.00 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,050.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,170.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,305.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,120.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,070.00 N/A $1,000.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,535.00 N/A $625.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,070.00 N/A N/A N/A
Project management of the transition $118,500.00 $115,500.00 N/A $29,280.87 N/A
Prepare and or review reimbursement form $2,630.00 $2,560.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,170.00 N/A $2,362.50 N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 15 Days Information not provided.
RF Exposure Measurements Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
Prepare FAA filing, item 4 from invoice summary
Amount:
$550.00
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Prepare STA filing, item 6 from invoice summary
Amount:
$1,000.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
License to cover application, item 5 from invoice summary
Amount:
$625.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Project management of the transition

Component Description:
Project management services 4.27.19 through 5.31.19
Amount:
$333.37

Component Description:
Project management services 3.30.19 through 4.26.19
Amount:
$900.00

Component Description:
Project management services May 2019
Amount:
$100.00

Component Description:
Project management services March 2019
Amount:
$225.00

Component Description:
Project management services 6.1.19 through 6.28.19
Amount:
$300.00

Component Description:
Project management services February 2019
Amount:
$123.50

Component Description:
Project management services through 4.28.18
Amount:
$1,800.00

Component Description:
Project management services 11.2018
Amount:
$125.00

Component Description:
Project management services, item 4 from invoice summary
Amount:
$975.00

Component Description:
Project management services, item 1 from invoice summary
Amount:
$1,350.00

Component Description:
Project management services, item 3 from invoice summary
Amount:
$4,650.00

Component Description:
FCC Transition Study and Design
Amount:
$1,387.50

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

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$675.00

Component Description:
Project management services 01.2019
Amount:
$50.00

Component Description:
FCC Transition Study and Design
Amount:
$1,650.00

Component Description:
Project management services 09.2018
Amount:
$250.00

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

Component Description:
Project management services 5/26/18 through 6/29/18
Amount:
$675.00

Component Description:
Project management services 12.2018
Amount:
$150.00

Component Description:
Project management services 10.2018
Amount:
$275.00

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$900.00

Component Description:
Project management services, item 5 from invoice summary
Amount:
$6,424.00

Component Description:
Project management, item 1 from invoice summary
Amount:
$6,825.00

Component Description:
Project management services 10.27.18 through 1.31.19
Amount:
$525.00

Component Description:
Project management services 6/30/18 through 7/27/18
Amount:
$300.00

Component Description:
FCC Study Transition and Design
Amount:
$3,051.31

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:
$900.00
Prepare and or review reimbursement form Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering study for new channel assignment
Amount:
$525.00

Component Description:
Engineering study for new channel assignment
Amount:
$1,050.00

Component Description:
Engineering study for new channel assignment
Amount:
$175.00

Component Description:
Engineering study for new channel assignment
Amount:
$787.50

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 $151,020.00 $149,958.00 N/A $34,688.80 N/A
Total for all systems $4,993,156.00 $4,616,303.97 N/A $3,775,787.92 N/A
Other Expenses $151,020.00 $149,958.00 $34,688.80
MVPD Notification of Channel Change $2,500.00 $2,500.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $6,500.00 $6,500.00 Develop and produce spots and crawls for viewer notification. N/A N/A
Equipment Storage $25,000.00 $25,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $11,175.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 See Radio Tower proposal attached. $18,621.00 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $1,000.00 $1,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $195.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $333.00 N/A N/A N/A
AM Pattern Disturbance -- Impact study $7,890.00 $7,680.00 N/A N/A N/A
AM Pattern Disturbance -- Remedy $21,050.00 $20,500.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,250.00 N/A $4,892.80 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Round trip freight cost for interim antenna rental
Amount:
$9,200.00

Component Description:
Freight cost allocation; see cover letter
Amount:
$11,175.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Transmitter removal
Amount:
$18,621.00
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
AM Pattern Disturbance -- Impact study Information not provided.
AM Pattern Disturbance -- Remedy Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities
Amount:
$4,892.80

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,993,156.00 $4,616,303.97 $3,775,787.92

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


08/23/2019

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


08/23/2019

Attachments

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