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:
47904
Service:
DTV
Call Sign:
WRC-TV
Channel:
48 (UHF)
File Number:
0000028771
FRN:
0019509470
Date Submitted:
05/31/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NBC TELEMUNDO LICENSE LLC

Margaret L. Tobey

300 NEW JERSEY AVE, N.W.

SUITE 700

WASHINGTON, DC 20001

United States

+1 (202) 524-6401 MARGARET.TOBEY@NBCUNI.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

Margaret L Tobey

NBCUniversal, LLC

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6401 Margaret.Tobey@nbcuni.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 Replace old IOT aux with reliable solid state transmitter and tunable filter. Use with broadband aux antenna on old channel while replacing main antenna and transmitter with equipment for new channel. Retune aux filter and transmitter after repack/

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Used to remain on air when work done on main transmitter or antenna
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model DCX-2
Year 2000
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9-30
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 37 kW
Justification for New Transmitter older IOT transmitter no longer supported by manufacturer

Auxiliary 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 N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Cost to disconnect power from old transmitter and connect to new transmitter.
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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 DCXP-2
Year 2012
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 53 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 THU9-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 88.5 kW
Justification for New Transmitter It is less expensive to buy new Solid State, than to re-tune existing Comark IOT.

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 N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Actual electrical connectivity from main building distribution to transmitter.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Electrical disconnection

Remove electric connection from old main transmitter

Antennas

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

Auxiliary Antenna

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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Auxiliary (Backup)
Description of Use Used to maintain coverage when main antenna or transmitter is unavilable
Ownership Owned
Owner N/A
Site N/A
Is this antenna currently shared with any other stations? No
Is this 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 Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels 36
Design power capacity in use 50.0 %
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 291.0 kW
Manufacturer RFS
Model PHP36L
Year 2011

Auxiliary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? No

Auxiliary 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

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
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: 813.0 kW
Manufacturer
Model TFU-26GTH-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? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
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: 624.0 kW
Manufacturer
Model TFU-23JTH/VP-R O6
Year 2019
Justification for New Antenna Existing antenna is single channel (48) and will not work on new channel (34).

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? No

Primary 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 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 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 625 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 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 625 feet per run
Justification for New Transmission Line Old line is insufficient for new antenna

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Feed Through Complex

Feed Thru complex to get the line into the antenna from tower

Antenna Adapter Section

Test adapter section 3' long

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 Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex?
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? No
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1036610
Coordinates (NAD83) Latitude (NAD83) 38° 56' 24.0" N-
Longitude (NAD83) 077° 04' 53.0" W-
Overall Structure Height 662.07 feet
Support Structure Height 524.93 feet
Ground Elevation Above Mean Sea Level (AMSL) 386.81 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner NBC Subsidiary (WRC-TV) LLC
Date Constructed 10/29/1998

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
38437 WMDO-CD DTV
168063 WIAV-CD DTV
69532 WFDC-DT DTV
54712 WMMJ FM
73200 WKYS FM

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Other
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 1040
Explanation Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
Prepare engineering section of Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare engineering section of Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare request for Special Temporary Authority No
Quantity N/A
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 40
Justification Transmitter and RF design at ground level

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change 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 $5,990,369.00 $3,146,115.78 N/A $2,015,366.78 N/A
Total for all systems $7,605,192.75 $4,371,206.28 N/A $2,181,797.02 N/A
Primary Transmitter THU9-60 $4,504,895.00 $2,102,261.78 $2,015,366.78
Electrical disconnection $3,142.00 $3,142.00 See attachment "NBC Transmitter Power 2017 8-1-17.pdf" from Power Solutions - "Disconnect main transmitter" N/A N/A
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW $2,630,000.00 $1,007,953.39 N/A $1,007,953.39 N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,007,413.39 ***System Notice: Estimate adjusted and locked because line has been superseded.***Retuning or replacing the existing IOT transmitter would be more expensive as a completely new RF system would be required and additional labor would be required. Next higher power transmitter requested to preserve headroom in old transmitter. $1,007,413.39 N/A
Other Electrical Service: Actual electrical connectivity from main building distribution to transmitter. $83,753.00 $83,753.00 See attachment "NBC Transmitter Power 2017 8-1-17.pdf" quote from Power Solution - items "Install" and "Rigging". N/A N/A
Auxiliary Transmitter THU9-30 $1,485,474.00 $1,043,854.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,031,380.00 See attachment "NBC_THU9-30_Evo_399_Template.pdf" with complete quote for transmitter and related items from Rohde and Schwarz. N/A N/A
Other Electrical Service: Cost to disconnect power from old transmitter and connect to new transmitter. $12,474.00 $12,474.00 See attachment "NBC Transmitter Power 2017 8-1-17.pdf" quote from Power Solutions - "Reconnect/Disconnect auxiliary transmitter" N/A N/A

Components

Actual Information Description File Name
Electrical disconnection Information not provided.
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW

Component Description:
Corrected the transmitter model and info. Uploaded new invoice with invoice, quote, and cover letter .
Amount:
$1,007,953.39
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
New revised invoice. This accounts only for the cost of line 1 and the proportional amount of tax. It does not include the upgrades in line item 2 because that cost will go towards maximization. SEE UPDATED INVOICE WITH COVER LETTER.
Amount:
$1,007,413.39
Other Electrical Service: Actual electrical connectivity from main building distribution to transmitter. Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW Information not provided.
Other Electrical Service: Cost to disconnect power from old transmitter and connect to new transmitter. 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 $499,630.00 $221,792.50 N/A $0.00 N/A
Total for all systems $7,605,192.75 $4,371,206.28 N/A $2,181,797.02 N/A
Primary Antenna TFU-23JTH/VP-R O6 $303,400.00 $215,392.50 $0.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $200,760.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $14,632.50 see attached proposal N/A N/A
Auxiliary Antenna PHP36L $196,230.00 $6,400.00 $0.00
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $0.00 N/A N/A N/A
UHF – Broadband Panel, Side Mount Auxiliary/Interim, 291 horizontally polarized $0.00 $0.00 design to be determined N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A

Components

Information not provided.

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 $222,158.75 $184,293.00 N/A $0.00 N/A
Total for all systems $7,605,192.75 $4,371,206.28 N/A $2,181,797.02 N/A
Primary Transmission Line $222,158.75 $184,293.00 $0.00
Antenna Adapter Section $18,330.00 $18,330.00 required to sweep line and antenna N/A N/A
Rigid Transmission Line - copper, 7 3/16" $181,250.00 $143,384.25 N/A N/A N/A
Feed Through Complex $22,578.75 $22,578.75 necessary to get line from tower into the top mount antenna N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $421,000.00 $400,000.00 N/A $0.00 N/A
Total for all systems $7,605,192.75 $4,371,206.28 N/A $2,181,797.02 N/A
Auxiliary Tower LTOWER $0.00 $0.00 $0.00
Primary Tower TOWER $421,000.00 $400,000.00 $0.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A N/A N/A

Components

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 $356,665.00 $312,250.00 N/A $166,430.24 N/A
Total for all systems $7,605,192.75 $4,371,206.28 N/A $2,181,797.02 N/A
Outside Professional Services $356,665.00 $312,250.00 $166,430.24
Additional Field Engineering Service, 40 Days $70,000.00 $70,000.00 N/A $65,549.81 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Project management of the transition $164,320.00 $156,000.00 N/A $98,894.67 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $1,532.16 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 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 $453.60 N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 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
Comprehensive coverage verification via field study, if needed $84,200.00 $50,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 40 Days

Component Description:
Engineering inspection and analysis
Amount:
$11,750.00

Component Description:
Structural Engineering Services
Amount:
$11,750.00

Component Description:
Additional Structural Engineering Services
Amount:
$3,000.00

Component Description:
Engineering Site Survey
Amount:
$30,475.00

Component Description:
Deposit on upcoming review of tower rigging plan.
Amount:
$3,500.00

Component Description:
Repack Engineering Site Survey, see attached site survey report for supporting documentation and cover letter for justification.
Amount:
$5,074.81
RF Exposure Measurements Information not provided.
Project management of the transition

Component Description:
WRC AFF Consulting January 2019 - Project Management Services
Amount:
$1,061.33

Component Description:
Project Management Invoice
Amount:
$150.00

Component Description:
Project Management
Amount:
$900.00

Component Description:
Project Management
Amount:
$3,234.00

Component Description:
Project Management
Amount:
$4,777.60

Component Description:
Project Management Invoice
Amount:
$5,250.00

Component Description:
Project Management
Amount:
$6,335.00

Component Description:
Structural assessment project management
Amount:
$349.60

Component Description:
Project Management Services
Amount:
$2,145.00

Component Description:
August 2018 Project Management
Amount:
$2,670.32

Component Description:
Project Management Services
Amount:
$348.95

Component Description:
Project management
Amount:
$8,250.00

Component Description:
April Project Management
Amount:
$6,150.00

Component Description:
October 2018 Project Management
Amount:
$7,170.00

Component Description:
August 2018 Project Management
Amount:
$6,085.00

Component Description:
Point B Project Management January 2019
Amount:
$5,277.50

Component Description:
June 2018 Project Management
Amount:
$5,400.00

Component Description:
Project Management Services
Amount:
$1,365.00

Component Description:
September 2018 Project Management
Amount:
$4,135.00

Component Description:
September 2018 Project Management
Amount:
$300.00

Component Description:
Point B project management services for the month of February 2019. See line item.
Amount:
$1,621.52

Component Description:
July 2018 Project Management
Amount:
$8,725.00

Component Description:
Project Management Services
Amount:
$1,072.50

Component Description:
Coordination with Vertical Tower Systems on antenna replacement cost estimate
Amount:
$374.30

Component Description:
October 2018 Project Management
Amount:
$2,404.85

Component Description:
June 2018 Project Management
Amount:
$1,200.00

Component Description:
Project management and travel expenses
Amount:
$10,042.20

Component Description:
Project Management Services
Amount:
$975.00

Component Description:
Mar-Apr 2018 Project Management
Amount:
$375.00

Component Description:
Project Management Services
Amount:
$750.00
Prepare and or review reimbursement form

Component Description:
Review of Form 399
Amount:
$43.65

Component Description:
See line 3 of invoice, less 10% vendor discount.
Amount:
$113.40

Component Description:
See lines 2-6 of invoice, less 10% vendor discount.
Amount:
$1,331.46

Component Description:
Review of Form 399.
Amount:
$43.65
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
See line 1 of invoice, less 10% vendor discount.
Amount:
$37.80

Component Description:
See lines 1 & 2 of invoice, less 10% vendor discount.
Amount:
$415.80
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.

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 $115,370.00 $106,755.00 N/A $0.00 N/A
Total for all systems $7,605,192.75 $4,371,206.28 N/A $2,181,797.02 N/A
Other Expenses $115,370.00 $106,755.00 $0.00
MVPD Notification of Channel Change $10,000.00 $10,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 N/A N/A N/A
Equipment Storage $15,000.00 $15,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $12,500.00 $12,500.00 This covers shipping for required items specified in the R&S main and auxiliary transmitter quotes where shipping is not included -- the RF system (including mask filter) and 400VAC transformers for two transmitters. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $20,790.00 $20,790.00 See attachment "NBC Transmitter Power 2017 8-1-17.pdf" quote from Power Solutions - "Demolition" N/A N/A
Non-zoning permits $15,000.00 $15,000.00 N/A N/A N/A
Local Zoning $15,000.00 $15,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $2,950.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $7,605,192.75 $4,371,206.28 $2,181,797.02

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.

Margaret L Tobey

Assistant Secretary


05/31/2019

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.

Margaret L Tobey

Assistant Secretary


05/31/2019

Attachments

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