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:
49134
Service:
DTV
Call Sign:
KRDK-TV
Channel:
24 (UHF)
File Number:
0000028885
FRN:
0023903552
Date Submitted:
05/15/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

PARKER BROADCASTING OF DAKOTA LICENSE, LLC

Doing Business As: MAJOR MARKET BROADCASTING OF NORTH DAKOTA, INC.

RAVI KAPUR

2118 WALSH AVENUE, SUITE 208

SANTA CLARA, CA 95050

United States

+1 (415) 886-7284 FCC@CHICAGO22.COM 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

Dennis P. Corbett

Legal Counsel

Telecommunications Law Professionals PLLC

1025 Connecticut Ave, NW Suite 1011

Washington, DC 20036

United States

+1 (202) 789-3115 dcorbett@telecomlawpros.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan We intend to stay on the air as our existing digital antenna is sidemounted near the top of our tower. Our original analog antenna remains on top of the tower. So we will remove that antenna and replace it with the new 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 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 DTT10kSU
Year 2005
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 10 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 ULXTE-24
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 16 kW
Justification for New Transmitter See Exh 1 hereto. Our existing digital transmitter is on RF 38 & the transmitter manufacturer is no longer in business.

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) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 4 inches
Length 400.0 feet
Other Electrical Service Yes
Description Additional voltage regulators, surge suppressors in a rural electrical grid are required.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
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? Yes
Size 1500.0 square feet
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

Heat Exchanger

Construct a crete pad with security fencing, ice bridge protection and security alarms.

Installation

Installation and interconnection of a complete transmitter and associated equipment such as external (indoor) pump module assemblies, Dual Fan Heat Exchangers, tunable Filter, Dual HT Exchanger plumbing kits, dummy load, etc.

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-16
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 10 kW
Justification for New Transmitter Interim transmitter required on existing Channel 38 when the side mounted full power antenna must be turned off when the new top mounted CH 24 antenna is being installed. The Interim transmitter will be connected to new transmission line/broadband antenna

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) No
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 4 inches
Length 100.0 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? 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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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this antenna currently shared with any other stations? No
Is this antenna directional? Yes
Is antenna in operating condition? No
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
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: 285.0 kW
Manufacturer
Model JSH-26/24 SEC-R
Year 2018

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 285.0 kW
Manufacturer
Model JSH-26/24 SEC-R
Year 2018
Justification for New Antenna New antenna is required to accomplish repack of station from channel 38 to channel 24.

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 7 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Antenna Removal

Removal of old antenna

Dehydrator System

Dehydrator system for side mount antenna

Antenna Installation

Installation of new side mount antenna

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type 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: 382.0 kW
Manufacturer
Model TFU-32DSB-M
Year 2005

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? No
Is antenna directional? Yes
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 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: 382.0 kW
Manufacturer
Model ATC-BCE426CM-V1-24
Year 2017
Justification for New Antenna The existing antenna is a single channel antenna and cannot be retuned.

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 7 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

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? 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 Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 1
Lower Limit 530.00 MHz
Upper Limit 620.00 MHz
Design power capacity in use 60.0 %
Other Antenna Type N/A
ERP: 131.79 kW
Manufacturer
Model ATC-BCSH16CC1-U2
Year 2017
Justification for New Antenna A new antenna will be needed for interim site use as the installation of our main antenna will be done in phases over a number of weeks. Because the tower is 2060 feet tall, in a region known for unpredictable weather, install delays are likely.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 3 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? 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

Name Description

Dehydrator

Interim Antenna Dehydrator

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? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 0
Length 2000 feet per run

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 7 3/16 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 0
Length 2200 feet per run
Justification for New Transmission Line New CH 24 antenna will requires 19 3/4 foot line versus 19 1/2 foot for the original CH 38 line.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Existing Line Removal

The original analog coaxial line must be removed in order to install the new CH 24 coaxial line.

Sweep Test

TV/System Sweep (tune and test)

Primary Transmission Line

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Add 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 this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? No
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2133 feet per run

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 7 3/16 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2133 feet per run
Justification for New Transmission Line New vendor

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Old Line Removal

Removal of Old Transmission Line

Sweep Test

System Sweep Tune/Test

Transmission Line Installation

Install of New Transmission Line

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 Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 0
Length 800 feet per run
Justification for New Transmission Line Line to be used with the interim antenna

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? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1038731
Coordinates (NAD83) Latitude (NAD83) 47° 16' 45.0" N-
Longitude (NAD83) 097° 20' 27.0" W-
Overall Structure Height 2059.69 feet
Support Structure Height 1932.72 feet
Ground Elevation Above Mean Sea Level (AMSL) 1064.95 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Parker Broadcasting of Dakota, LLC
Date Constructed 08/03/1998


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: Serious 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? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

FAA Consultant

With the tower height at 2060 feet, we need to be certain we are complying with all federal aviation mandates to ensure the continued safety of the public during and after the installation.

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 150
Explanation This is the 2nd tallest structure in the U.S. We need comprehensive help to ensure continued service & safety, as this tower has fallen twice historically. We will require experts in RF, tower rigging, antenna manufacturing, among other services.
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 Yes
Environmental Assessment Yes
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 5
Justification Our coverage reaches a wide swath of rural North Dakota and Minnesota, extending to the Canadian border. As one of only 5 full service television stations in the region, it's imperative we maintain a strong over-the-air signal to these agrarian areas.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Zoning Permits

We will need to obtain local permits for all aspects of this installation.

Other Expenses

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

Field Engineer

Comprehensive coverage verification needed via field study

RF Consulting Engineer

Perform engineering study for new channel assignment and antenna development

Motor Freight to Site

Motor freight to site of antenna and transmission line

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 $1,735,035.00 $1,566,735.00 N/A $987,121.88 N/A
Total for all systems $4,936,899.97 $4,428,598.57 N/A $2,404,152.35 N/A
Interim Transmitter ULXTE-16 $692,050.00 $657,600.00 $388,360.04
UHF inside RF system including switching $147,500.00 $140,000.00 N/A $21,544.43 Q-77099 replaces Q-65189 with updated cost estimates for Invoice GO1004765A
4" Rigid Conduit and Wiring (Cost per foot) $10,100.00 $9,600.00 N/A $0.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A $4,226.37 Q-77099 replaces Q-65189 with updated cost estimates for Invoice GO1004765A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $470,000.00 N/A $362,589.24 Q-77099 replaces cost invoice quotes in Q-65189 for Invoice GO1004765A-1
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
Primary Transmitter ULXTE-24 $1,042,985.00 $909,135.00 $598,761.84
Installation $0.00 $0.00 See EXH 1 $0.00 N/A
Heat Exchanger $3,800.00 $3,800.00 Quote to be supplied. $3,799.50 N/A
Other -- Building Addition Size: 1500.0 $45,635.00 $45,635.00 See attached quote N/A N/A
30 Ton system $166,000.00 $158,000.00 Transmitter building requires a complete winter/summer HVAC system N/A N/A
Other Electrical Service: Additional voltage regulators, surge suppressors in a rural electrical grid are required. $25,000.00 $25,000.00 See EXH. 1 $1,510.82 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A $2,715.55 Q-77104 reflects updated costs for Q-66104 for Invoice GO1004765B-1
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $31,825.57 Quote Q-77104 replaces Quote Q-65194 for Invoice GO1004765B-1
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $564,000.00 See EXH 1 $558,910.40 Q-77104 reflects updated costs and changes made to original Q-65194 for Invoice GO1004765B-1
4" Rigid Conduit and Wiring (Cost per foot) $40,400.00 $38,400.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF inside RF system including switching

Component Description:
Invoice: "Mask Filter System" Quote: Line Items #13, #14, #15, #16
Amount:
$21,544.43

Component Description:
Updated quote for Mask Filter System and RF Accessories, Line Item #13-15, 16-21
Amount:
$65,011.26
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA

Component Description:
Updated Quote for "Electrical": Line Item #17
Amount:
$1,510.82

Component Description:
Invoice: "Electrical" Quote: Line Items #17, #18
Amount:
$4,226.37
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Q-77099 replaces cost invoice quotes in Q-65189 for Invoice GO1004765A-1, Transmitter and Services, Line Items #1-12, 23-26
Amount:
$362,588.91

Component Description:
Invoice: "Transmitter" and "Installation & Proof" Quote: #1-12, #19-22
Amount:
$362,589.24
Service entrance 3 phase/800 amp/208 volt Information not provided.
Installation Information not provided.
Heat Exchanger

Component Description:
Invoice: portion of "Transmitter" Quote: Line Item #9
Amount:
$3,799.50
Other -- Building Addition Size: 1500.0 Information not provided.
30 Ton system Information not provided.
Other Electrical Service: Additional voltage regulators, surge suppressors in a rural electrical grid are required.

Component Description:
Invoice: portion of "Electrical" Quote: Line Item # 18
Amount:
$1,510.82
Transformer 3 phase/480v - 150 KVA

Component Description:
Updated Cost for Electrical, line item #23
Amount:
$1,510.82

Component Description:
Invoice: portion of "Electrical" Quote: Line item # 19
Amount:
$2,715.55
Switchgear - industrial 800 amp

Component Description:
Invoice: Mask Filter System Quote: Line items #13-17
Amount:
$31,825.57

Component Description:
Update Quote Invoice: Mask Filter System, Line items #14-16, RF Accessories, Line Items #17-22
Amount:
$47,411.31
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
Site Survey
Amount:
$30,597.00

Component Description:
Invoice: portion of "Transmitter" (excluding Heat Exchanger) and all of "Installation and Proof" Quote: Line Items #1-8, #10-12, #20-22
Amount:
$528,313.40

Component Description:
Updated Quote of Invoice: "Transmitter" (excluding heat exchanger) and "Services" Quote: Line Items #1-8,10-13, #24-26
Amount:
$534,023.69
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $811,880.00 $545,336.60 N/A $533,688.00 N/A
Total for all systems $4,936,899.97 $4,428,598.57 N/A $2,404,152.35 N/A
Interim Antenna ATC-BCSH16CC1-U2 $135,120.00 $167,536.60 $155,888.00
Sweep test of existing antenna $6,730.00 $3,000.00 N/A $3,000.00 N/A
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) $9,340.00 $0.00 N/A $0.00 N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $151,036.60 Quote from vendor was higher than estimated cost to accommodate the tower $139,388.00 This amount includes the installation of the interim antenna. The increased cost has a direct correlation to the complexity of the project (e.g., very tall tower, need for interim facilities, etc.)
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $7,000.00 N/A $7,000.00 N/A
Dehydrator $6,500.00 $6,500.00 N/A $6,500.00 N/A
Primary Antenna JSH-26/24 SEC-R $409,130.00 $377,800.00 $377,800.00
Antenna Installation $67,500.00 $67,500.00 Cost equally allocated from total cost for installation of antenna and transmission line. $67,500.00 N/A
Antenna Removal $85,400.00 $85,400.00 Cost equally allocated from total cost for removal of antenna and transmission line. $85,400.00 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $12,900.00 N/A $12,900.00 N/A
Sweep test of existing antenna $6,730.00 $17,200.00 Field Service/Commissioning split evenly between antenna and transmission line testing $17,200.00 N/A
Dehydrator System $8,600.00 $8,600.00 N/A $8,600.00 N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $186,200.00 N/A $186,200.00 N/A
Primary Antenna ATC-BCE426CM-V1-24 $267,630.00 $0.00 $0.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $0.00 N/A $0.00 The increased cost has a direct correlation to the complexity of the project (e.g., very tall tower, need for interim facilities, etc.)
Sweep test of existing antenna $6,730.00 $0.00 N/A $0.00 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $0.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
Sweep test cost component
Amount:
$3,000.00

Component Description:
The total cost of the system sweep for both the interim antenna and primary antenna was $6000.00. Therefore we have split this cost between the system sweep line item for each antenna.
Amount:
$3,000.00
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
Tower Work Installation of interim 500 lbs. 20' long antenna, input complex and 800' of 3" flex transmission line - this amount is split between the Interim Antenna line item and the interim transmission line-item.
Amount:
$19,450.00

Component Description:
.3 of total cost of H-Pol Cavity Slot Side Mount Interim Antenna
Amount:
$20,400.00

Component Description:
.7 of total cost of Interim Antenna installation. The remaining portion of the cost was reimbursed in Alive Invoice 1882.
Amount:
$63,586.60

Component Description:
Remaining balance of total Alive Telecom installation costs
Amount:
$51,938.00

Component Description:
.5 of total cost of H-Pol Cavity Slot Side Mount Interim Antenna
Amount:
$34,000.00

Component Description:
.2 of total cost of H-Pol Cavity Slot Side Mount Interim Antenna
Amount:
$13,600.00

Component Description:
H-POL Cavity Slot Antenna Side Mount Cardioid 16 EL Gain 1.00 Beam Tilt 3-1/8" EIA Input ATC-BCSH16CCI-U2
Amount:
$68,000.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
.3 of total side mount cost
Amount:
$2,100.00

Component Description:
Mounts
Amount:
$7,000.00

Component Description:
.2 of total side mount cost
Amount:
$1,400.00

Component Description:
.5 of total side mount cost
Amount:
$3,500.00
Dehydrator

Component Description:
.2 of total dehydrator system cost
Amount:
$1,300.00

Component Description:
.3 of total dehydrator system cost
Amount:
$1,950.00

Component Description:
.5 of total dehydrator system cost
Amount:
$3,250.00
Antenna Installation

Component Description:
Cost for antenna removal is split evenly between total removal cost for antenna and transmission line.
Amount:
$67,500.00
Antenna Removal

Component Description:
Cost for antenna installation is split evenly between total installation cost for antenna and transmission line.
Amount:
$85,400.00
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Tower Top Elbow Complex
Amount:
$12,900.00
Sweep test of existing antenna

Component Description:
Field Service/Commissioning split evenly between antenna and transmission line testing
Amount:
$17,200.00
Dehydrator System

Component Description:
Dehydrator System
Amount:
$8,600.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
Jampro JSH-26/24 SEC-R Side Mount Antenna
Amount:
$186,200.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
H-POL Coaxial Slot Antenna Top Mount Cardioid 26 EL Gain 1.00 Beam Tilt 6-1/8" EIA Input ATC-BCE426CM-VI-24 Mast and Welding Cake for COR Compliance
Amount:
$248,000.00
Sweep test of existing antenna

Component Description:
The total cost of the system sweep for both the interim antenna and primary antenna was $6000.00. Therefore we have split this cost between the system sweep line item for each antenna.
Amount:
$3,000.00
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow Complex 6-1/8" EIA 75 Ohm
Amount:
$11,500.00

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 $788,670.00 $786,507.00 N/A $786,507.00 N/A
Total for all systems $4,936,899.97 $4,428,598.57 N/A $2,404,152.35 N/A
Interim Transmission Line $0.00 $50,685.00 $50,685.00
Flexible Air Transmission Line - dielectric, 3" $0.00 $50,685.00 Quote from vendor was higher than estimated cost catalog price of 800 ft. at $56/ft. $50,685.00 N/A
Primary Transmission Line $0.00 $0.00 $0.00
Sweep Test $0.00 $0.00 N/A N/A N/A
Existing Line Removal $0.00 $0.00 Costs included in Tall Tower, cost amount relocated $0.00 Cost amount included in Tall Tower
Rigid Transmission Line - copper, 7 3/16" $0.00 $0.00 N/A $0.00 N/A
Primary Transmission Line $788,670.00 $735,822.00 $735,822.00
Rigid Transmission Line - copper, 7 3/16" $618,570.00 $565,722.00 N/A $565,722.00 N/A
Old Line Removal $67,500.00 $67,500.00 Cost equally allocated from total cost for installation of antenna and transmission line. $67,500.00 N/A
Sweep Test $17,200.00 $17,200.00 Field Service/Commissioning split evenly between antenna and transmission line testing $17,200.00 N/A
Transmission Line Installation $85,400.00 $85,400.00 Cost equally allocated from total cost for installation of antenna and transmission line. $85,400.00 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
.5 of total 3" 50 Ohm Flex Line System cost
Amount:
$15,617.50

Component Description:
.2 of total 3" 50 Ohm Flex Line System cost
Amount:
$6,247.00

Component Description:
.3 of total 3" 50 Ohm Flex Line System cost
Amount:
$9,370.50

Component Description:
.2 of total 3" 50 Ohm Flex Line System cost
Amount:
$6,247.00

Component Description:
.3 of total 3" 50 Ohm Flex Line System cost
Amount:
$9,370.50

Component Description:
3" 50 Ohm Flex Line System 800' Support Braces, Grounds, Hangers and Connectors
Amount:
$31,235.00

Component Description:
.5 of total 3" 50 Ohm Flex Line System cost
Amount:
$15,617.50

Component Description:
Tower Work Installation of interim 500 lbs. 20' long antenna, input complex and 800' of 3" flex transmission line - this amount is split between the Interim Antenna line item and the interim transmission line-item.
Amount:
$19,450.00
Sweep Test Information not provided.
Existing Line Removal

Component Description:
Tower Work Removal of Old Antenna Installation of new mast, antenna and line sections as required (portion)
Amount:
$254,000.00
Rigid Transmission Line - copper, 7 3/16"

Component Description:
7" 75 Ohm Rigid Line System 1900'V 200'H Support Braces and Hangers
Amount:
$531,105.00
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Transmission Line
Amount:
$565,722.00
Old Line Removal

Component Description:
Equal split removal cost for transmission line.
Amount:
$67,500.00
Sweep Test

Component Description:
Field Service/Commissioning split evenly between antenna and transmission line testing
Amount:
$17,200.00
Transmission Line Installation

Component Description:
Equal split installation cost for transmission line
Amount:
$85,400.00

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 $1,277,100.00 $1,224,725.00 N/A $0.00 N/A
Total for all systems $4,936,899.97 $4,428,598.57 N/A $2,404,152.35 N/A
Primary Tower TOWER $1,277,100.00 $1,224,725.00 $0.00
FAA Consultant $2,000.00 $2,000.00 N/A N/A N/A
Tower Helicopter Lift $0.00 $0.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $22,725.00 See EXH 1 $0.00 N/A
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A $0.00 Tower work removal is required per Alive Invoice 1832
Serious tower reinforcement/modifications $1,052,000.00 $1,000,000.00 N/A N/A N/A

Components

Actual Information Description File Name
FAA Consultant Information not provided.
Tower Helicopter Lift Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Tower Mapping and Structural Study
Amount:
$22,725.00
Tall Tower (greater than 500')

Component Description:
Tower work removal is required
Amount:
$343,700.00
Serious tower reinforcement/modifications 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 $186,512.50 $177,062.50 N/A $25,448.00 N/A
Total for all systems $4,936,899.97 $4,428,598.57 N/A $2,404,152.35 N/A
Outside Professional Services $186,512.50 $177,062.50 $25,448.00
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $5,270.00 The increased cost has a direct correlation to the complexity of the project (e.g., very tall tower, need for interim facilities, etc.)
Project management of the transition $23,700.00 $22,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $14,365.50 Comprehensive legal services regarding reimbursement forms; The increased cost has a direct correlation to the complexity of the project (e.g., very tall tower, need for interim facilities, etc.)
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $0.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $0.00 The increased cost has a direct correlation to the complexity of the project (e.g., very tall tower, need for interim facilities, etc.)
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Zoning Permits $0.00 $0.00 Subject to quote N/A N/A
Additional Field Engineering Service, 5 Days $5,812.50 $5,812.50 As per field engineering service invoice estimate $5,812.50 N/A

Components

Actual Information Description File Name
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 Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed 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

Component Description:
Line items related to Attorney review of repack PNs
Amount:
$310.00

Component Description:
Attorney preparation and review of Form 2100 CP
Amount:
$4,743.00

Component Description:
(1) Review of FCC Permit for Valley City, ND; send same to client; (2) 1/2 of Telephone call with R. Kapur regarding Form 1876, CP modification application
Amount:
$217.00
Project management of the transition Information not provided.
Prepare and or review reimbursement form

Component Description:
Attorney review and preparation of reimbursement forms
Amount:
$5,611.00

Component Description:
Attorney review and preparation of reimbursement forms
Amount:
$5,344.50

Component Description:
Attorney preparation of reimbursement forms
Amount:
$121.00

Component Description:
Attorneys fees related to preparing and updating reimbursement forms regarding interim facilities
Amount:
$1,240.00

Component Description:
Line Items related to Attorney preparation and review of reimbursement forms
Amount:
$2,170.00

Component Description:
Attorney preparation of reimbursement forms
Amount:
$1,612.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering services for new channel assignment and antenna development
Amount:
$150.00

Component Description:
Engineering services for new channel assignment and antenna development
Amount:
$675.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare engineering section of Form 2100 (CP)
Amount:
$3,300.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Zoning Permits Information not provided.
Additional Field Engineering Service, 5 Days

Component Description:
Project Management and Engineering Services
Amount:
$2,737.50

Component Description:
Invoice for Engineering Services and project Management Labor
Amount:
$65,000.00

Component Description:
Project Management and Engineering Services
Amount:
$3,075.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $137,702.47 $128,232.47 N/A $71,387.47 N/A
Total for all systems $4,936,899.97 $4,428,598.57 N/A $2,404,152.35 N/A
Other Expenses $137,702.47 $128,232.47 $71,387.47
Motor Freight to Site $23,405.00 $23,405.00 N/A $23,405.00 N/A
RF Consulting Engineer $0.00 $0.00 To be supplied N/A N/A
Field Engineer $20,000.00 $20,000.00 Cost catalog / quote to be obtained, as necessary. N/A N/A
Develop and air announcement of upcoming channel change $25,000.00 $25,000.00 Cost catalog / quote to be obtained, as necessary. N/A N/A
Equipment Storage $7,500.00 $7,500.00 See EXH 1. N/A N/A
Equipment Delivery and Handling Charges $47,982.47 $47,982.47 Shipping costs for both Interim and Permanent Antennas $47,982.47
MVPD Notification of Channel Change $1,735.00 $1,735.00 As per vendor invoice $0.00 N/A
DTV Medical Facility Notification $11,550.00 $2,095.00 As per vendor invoice $0.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $0.00 $0.00 To be determined. N/A N/A
Non-zoning permits $0.00 $0.00 To be determined. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $0.00 $0.00 Subject to final quotes, and blend with $343700 (above) Note: Subject to additional quotes for heat exchanger, concrete pad, etc. N/A N/A

Components

Actual Information Description File Name
Motor Freight to Site

Component Description:
Motor freight to tower site
Amount:
$23,405.00
RF Consulting Engineer Information not provided.
Field Engineer 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:
Shipping
Amount:
$19,000.00

Component Description:
Shipping costs for Interim Antenna, Accessories, and Cable
Amount:
$6,982.47

Component Description:
Mobilization of antenna and transmission line
Amount:
$41,000.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification Service for Channel Sharing Station - Notice of Commencement of Channel Sharing
Amount:
$1,735.00
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities - Transmitter Medical Facility Notification
Amount:
$2,095.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning Information not provided.
Non-zoning permits Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,936,899.97 $4,428,598.57 $2,404,152.35

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.

Ravi Kapur

President


05/15/2019

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.

Ravi Kapur

President


05/15/2019

Attachments

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