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

FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

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

(REFERENCE COPY - Not for submission)FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

File Number:
0000028722
FRN:
0018223693
Facility ID:
36003
Repack Channel:
19 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
05/13/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAY TELEVISION LICENSEE, LLC

Robert Folliard

4370 Peachtree Road

Atlanta, GA 30319

United States

+1 (202) 750-1585 Robert.Folliard@gray.tv Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Samuel Hariton

Widelity

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan KYTV proposes to use the existing KYCW-LD channel 19 equipment as its auxiliary during the transition. They will be replacing their transmitter, antenna, and transmission line.

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  
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model CD3400P4
Year 2000
Type Inductive Output Tube
IOT Power Type Other
Description 4
Power capacity 69.2 kw
Solid State Cooling  
Solid State Power Capacity  
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-150
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 87 kw
Other Transmitter Type  
Justification for New Transmitter Our existing transmitter is a 4 IOT channel 44 that cannot be retuned, see GatesAir memo 1/1/2017.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power
Rigid Conduit and Wiring No
Size
Length
Other Electrical Service Yes
Description The new transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type
Size
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
Antenna position in stack Top
Polarization Horizontal
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 967.00 kW
Manufacturer
Model TFU-24GTH-R 04
Year 2000

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Top-mount stacked
Antenna position in stack Top
Polarization Circular
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.00 kW
Manufacturer
Model TFU 24JTH/VP-R 04
Year 2018
Justification for New Antenna Existing antenna is channel 44 and cannot be retuned to new channel.

Primary Antenna

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Other Antenna Costs

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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Top Plate Adapter

Top plate adapter to match tower top and antenna bolt pattern.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.00 kW
Manufacturer
Model ATW29HS3-ESO-19H
Year 2008
Justification for New Antenna Station is utilizing a repurposed antenna and will incur installation costs only for this interim antenna.

Interim Antenna

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Other Antenna Costs

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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 8 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1970 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Refurbish Transmission Line

Cleaning / refurbishment of transmission line due to long term wear and replacement of inner components as recommended by Precision Communications Inc.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) No
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1218324
Coordinates (NAD83) Latitude (NAD83) 37° 10' 26.0" N-
Longitude (NAD83) 092° 56' 28.1" W-
Overall Structure Height 1999.32 feet
Support Structure Height 1885.15 feet
Ground Elevation Above Mean Sea Level (AMSL) 1546.90 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Gray Television Group, Inc.
Date Constructed 11/28/2000


Other Types of Users

Users
KYCW-LD 11135
Wireless ISP

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 N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Minor Modification

Modification for new top plate adapter

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 900
Explanation Strategic Support
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 3
Justification We may need additional support because we are forgoing an auxiliary system and will need to guarantee quick on-air since it is being done after our period date.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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

Name Description

Floor Mounting Hardware for Mask Filter

Floor Mounting Hardware for Mask Filter

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 $2,666,445.37 $2,502,936.28 N/A $2,495,690.15 N/A
Total for all systems $3,732,757.10 $3,826,368.61 N/A $3,090,505.80 N/A
Primary Transmitter ULXTE-150 $2,666,445.37 $2,502,936.28 $2,495,690.15
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW $2,560,000.00 $2,396,490.91 N/A $2,389,244.78 N/A
Other Electrical Service: The new transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors. $106,445.37 $106,445.37 AC Electrical Systems Inc. Invoice #KTW221-2 $106,445.37 N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW

Component Description:
ULXTE-150 Trasmitter
Amount:
$1,655,646.06

Component Description:
expense report
Amount:
$1,802.74

Component Description:
Kirk Lemons Expense Report re: CBR# 18-FCC018
Amount:
$1,150.00

Component Description:
ULXTE-150 Transmitter
Amount:
$131,930.34

Component Description:
ULXTE-150 Transmitter
Amount:
$598,715.64
Other Electrical Service: The new transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.

Component Description:
Electrical Demolition and Construction, Fordland Transmitter Site
Amount:
$51,000.00

Component Description:
Electrical Demolition and Construction, Fordland Transmitter Site
Amount:
$55,325.00

Component Description:
Electrical labor
Amount:
$120.37

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 $353,462.50 $489,489.10 N/A $109,450.27 N/A
Total for all systems $3,732,757.10 $3,826,368.61 N/A $3,090,505.80 N/A
Interim Antenna ATW29HS3-ESO-19H $20,232.50 $20,082.50 $0.00
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, horizontally polarized $13,682.50 $13,682.50 Using a re-purposed antenna as the interim, seeking reimbursement for installation costs only. N/A N/A
Primary Antenna TFU 24JTH/VP-R 04 $333,230.00 $469,406.60 $109,450.27
Top Plate Adapter $18,330.00 $18,330.00 N/A $4,582.50 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $12,768.00 Please see the attached DTVPros quote JEHQ1261-06 and invoice # 156-3. $3,192.00 N/A
Sweep test of existing antenna $6,550.00 $8,620.00 invoices $8,620.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $281,500.00 $426,496.60 Please see the attached DTVPros invoice # 156-3 $89,863.77 N/A
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) $14,850.00 $3,192.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***DTV pros quote JEHQ1261-01 $3,192.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, horizontally polarized Information not provided.
Top Plate Adapter

Component Description:
Primary Antenna Top Plate Adapter
Amount:
$5,499.00

Component Description:
Top plate adapter
Amount:
$4,582.50

Component Description:
Top plate adapter New Primary Antenna
Amount:
$4,582.50
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex
Amount:
$3,192.00
Sweep test of existing antenna

Component Description:
Primary Antenna Sweep Test
Amount:
$1,600.00

Component Description:
Sweep Test for New Primary Antenna System
Amount:
$1,920.00

Component Description:
Engineering services to perform Line sweep of KYTV antenna/line installation
Amount:
$3,500.00

Component Description:
Sweep test New Primary Antenna
Amount:
$1,600.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Flange assy 8-3/16 fxd solder, freight, shipping and handling
Amount:
$1,106.58

Component Description:
New Primary Antenna-UHF High Power Top Mount
Amount:
$40,344.18

Component Description:
UHF-HIGH POWERTOP MOUNT (200-1000KW)
Amount:
$40,344.18

Component Description:
Primary Antenna, Top Mount
Amount:
$48,413.01
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Primary Antenna Elbow Complex
Amount:
$3,192.00

Component Description:
Please deny this component
Amount:
N/A

Component Description:
Primary Antenna Elbow Complex
Amount:
$3,830.40

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 $206,186.85 $206,186.85 N/A $63,098.22 N/A
Total for all systems $3,732,757.10 $3,826,368.61 N/A $3,090,505.80 N/A
Primary Transmission Line $206,186.85 $206,186.85 $63,098.22
Refurbish Transmission Line $206,186.85 $206,186.85 N/A $63,098.22 N/A

Components

Actual Information Description File Name
Refurbish Transmission Line

Component Description:
Refurbish Primary Transmission Line
Amount:
$52,581.85

Component Description:
Transmission Line
Amount:
$52,581.85

Component Description:
New Inner Conductors for Existing Primary Transmission Line
Amount:
$63,098.22

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 $237,300.00 $371,402.00 N/A $307,562.00 N/A
Total for all systems $3,732,757.10 $3,826,368.61 N/A $3,090,505.80 N/A
Primary Tower TOWER $237,300.00 $371,402.00 $307,562.00
Tall Tower (greater than 500') $205,000.00 $325,000.00 Precision Comm Inc e174790-6 $281,160.00 N/A
Structural engineering tower load study for well documented tower $12,300.00 $26,402.00 PO 40204, proposal P18-_686_002 Per invoices received $26,402.00 a
Minor Modification $20,000.00 $20,000.00 original entry of $2,000 was a typo $0.00 N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500')

Component Description:
Antenna Replacement
Amount:
$49,400.00

Component Description:
Tower Rigging/Replacement of Existing Antenna
Amount:
$68,820.00

Component Description:
Antenna Replacement
Amount:
$48,850.00

Component Description:
Perform Electrical Testing
Amount:
$1,500.00

Component Description:
February weather day Addendum
Amount:
$49,000.00

Component Description:
Antenna replacement
Amount:
$63,590.00
Structural engineering tower load study for well documented tower

Component Description:
STNLSA STNL Structural Analysis - applied load analysis on the tower
Amount:
$3,000.00

Component Description:
STNLSA STNL Structural Analysis
Amount:
$2,076.00

Component Description:
Structural analysis and report
Amount:
$6,250.00

Component Description:
STNL Structural Analysis
Amount:
$6,500.00

Component Description:
STNLSA STNL Structural Analysis
Amount:
$1,750.00

Component Description:
STNLSA STNL Structural Analysis
Amount:
$1,750.00

Component Description:
Final 50% invoiced on Engineering Review of Applied Load Check
Amount:
$2,076.00

Component Description:
STNLSA STNL Structural Analysis
Amount:
$3,000.00
Minor Modification Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $173,440.00 $169,150.00 N/A $72,691.55 N/A
Total for all systems $3,732,757.10 $3,826,368.61 N/A $3,090,505.80 N/A
Outside Professional Services $173,440.00 $169,150.00 $72,691.55
Additional Field Engineering Service, 3 Days $5,400.00 $5,400.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A $490.50 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $432.50 N/A
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $3,437.50 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A N/A N/A
Project management of the transition $138,600.00 $135,000.00 N/A $68,331.05 N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 3 Days Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal services
Amount:
$490.50
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:
For professional services rendered through November 30, 2018
Amount:
$70.00

Component Description:
For professional services Rendered through October 31, 2018
Amount:
$362.50
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform engineering study for new channel assignment
Amount:
$2,700.00

Component Description:
Channel study to identify any linked stations that would be affected by transition prior to scheduled date.
Amount:
$175.00

Component Description:
Develop technical parameters for interim side mount antenna
Amount:
$562.50
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$3,957.10

Component Description:
Project Mgt
Amount:
$2,896.05

Component Description:
Project Management
Amount:
$2,414.35

Component Description:
Project Mgt
Amount:
$830.80

Component Description:
Project Management
Amount:
$2,103.75

Component Description:
Project Management
Amount:
$5,773.15

Component Description:
Project Management
Amount:
$1,902.90

Component Description:
Project management
Amount:
$2,517.65

Component Description:
Project Management
Amount:
$1,857.60

Component Description:
Project Management
Amount:
$2,462.30

Component Description:
Project Mgt
Amount:
$2,618.80

Component Description:
Project management
Amount:
$1,325.55

Component Description:
Project Management
Amount:
$2,776.85

Component Description:
Project Mgt
Amount:
$913.95

Component Description:
Project Management
Amount:
$2,953.65

Component Description:
Project Management
Amount:
$4,254.40

Component Description:
Project Mgt
Amount:
$28.20

Component Description:
Project Mgt
Amount:
$802.25

Component Description:
Project Management
Amount:
$4,250.65

Component Description:
Professional Services
Amount:
$507.50

Component Description:
Project Management
Amount:
$2,856.85

Component Description:
Project Management
Amount:
$3,813.75

Component Description:
Project Management
Amount:
$2,175.25

Component Description:
Project Management
Amount:
$3,733.80

Component Description:
Transition Related Project Management Costs
Amount:
$2,850.00

Component Description:
Project Management
Amount:
$3,079.55

Component Description:
Project Management
Amount:
$2,674.40

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 $95,922.38 $87,204.38 N/A $42,013.61 N/A
Total for all systems $3,732,757.10 $3,826,368.61 N/A $3,090,505.80 N/A
Other Expenses $95,922.38 $87,204.38 $42,013.61
Floor Mounting Hardware for Mask Filter $12,252.12 $12,252.12 Please see the attached GatesAir quotes Q-79428 and Q-79477 N/A N/A
MVPD Notification of Channel Change $1,114.76 $1,114.76 N/A $1,114.76 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A $2,362.50 N/A
Equipment Storage $3,000.00 $3,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $17,700.00 $17,700.00 N/A $1,608.85 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $45,077.50 $45,077.50 See attached Sunbelt Environmental Services, Inc. “Waste Disposal Cost Proposal” for $4,795. See attached Comark quote 4034 KYTV Itemization of Existing Transmitter Removal Proposal, for $33,700. $36,737.50 a
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A $190.00 N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $2,545.00 N/A N/A N/A

Components

Actual Information Description File Name
Floor Mounting Hardware for Mask Filter Information not provided.
MVPD Notification of Channel Change

Component Description:
Professional services
Amount:
$1,114.76
Develop and air announcement of upcoming channel change

Component Description:
Prepare MVPD Channel Change (Repack) Notifications
Amount:
$2,000.00

Component Description:
Total professional services, total disbursements
Amount:
$362.50
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Forklift rental
Amount:
$311.13

Component Description:
Forklift rental
Amount:
$281.02

Component Description:
Forklift rental
Amount:
$351.72

Component Description:
Forklift rental
Amount:
$309.78

Component Description:
Forklift rental
Amount:
$355.20
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Remove Air Cooled Transmitter, Harris Brand, filter and transmission line, and Exciter cabinet.
Amount:
$9,500.00

Component Description:
Repack disposal of Ch. 44 transmitter
Amount:
$8,340.00

Component Description:
Quoted price $30,000 minus scrap value
Amount:
$26,917.50

Component Description:
Analysis of oil within four transformers to determine whether the oils contain PBCS
Amount:
$320.00
FCC Filing Fees - Special Temporary Authorization request

Component Description:
KYTV-610-STA FCC Filing Fees
Amount:
$190.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,732,757.10 $3,826,368.61 $3,090,505.80

Construction Status

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Question Response
Is construction complete? No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

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

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

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

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

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

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

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

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

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

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

Robert J. Folliard , III .

Assistant Secretary


05/13/2019

Attachments

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