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:
29547
Service:
DCA
Call Sign:
WSBS-CD
Channel:
19 (UHF)
File Number:
0000028488
FRN:
0014275069
Date Submitted:
07/02/2019

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WSBS LICENSING, INC.

Doing Business As: WSBS LICENSING, INC.

Spanish Broadcasting System, Inc.

7007 NW 77TH AVE.

MIAMI, FL 33166

United States

+1 (305) 441-6901 licensemanagement@sbscorporate.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

Nancy A. Ory , Esq .

Lerman Senter PLLC

Nancy A. Ory

2001 L St NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6791 nory@lermansenter.com

Broadcaster Information and Transition Plan

Back to Top
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 WSBS-CD will be re-tuning its main transmitter and replacing the mask filter. An auxiliary transmitter will need to be replaced and a new antenna and line will be required to meet repack assignments and timelines.

Transmitters

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

Primary Transmitter

Back to Top

Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Retune Existing
Use Primary (Main)
Ownership Owned
Owner 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 Harris
Model UAX2500AT
Year 2010
Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2.5 kW

Primary Transmitter

Back to Top

Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed N/A
New Mask Filter
Power 3 kW
Other Power N/A
New Exciter Is a new exciter needed? Yes
Exciter Type Dual exciter with changeover

Primary Transmitter

Back to Top

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

Primary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Name Description

Installation

Installation and tuning charges to install new exciters and re-tune transmitter to CH 19

Auxiliary Transmitter

Back to Top

Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Back-Up Transmitter
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 SSTVU-5000
Year 1996
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5 kW

Auxiliary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model UAXTE-4R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2.01 kW
Justification for New Transmitter Current Auxiliary transmitter will not tune to new CH 19 assignment.

Auxiliary Transmitter

Back to Top

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 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

Auxiliary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

Back to Top

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? Yes
Existing Antenna Manufacturer and Type Class Class A
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: 15.0 kW
Manufacturer
Model ALP16L4-CDP50
Year 2007

Primary Antenna

Back to Top

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? Yes
New Antenna Manufacturer and Types Class Class A
Mounting Top 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: 7.98 kW
Manufacturer
Model TLP-12J
Year 2018
Justification for New Antenna Current Antenna is not capable of broadcasting on channel 19.

Primary Antenna

Back to Top

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 3 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Name Description

Jumper HJ7-50A

20 Ft EIA with 2 1 5/8 Gas Pass Female Connectors

On site field engineering

On site field engineering: includes travel, expenses, and report

UHF Mid Power Side Mount

Mid Power Side Mount for Antenna

Reducer

3-50 x 1-50 EIA CU

Transmission Line

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

Primary Transmission Line

Back to Top

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 Flexible Air
Diameter 4 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 800 feet per run

Primary Transmission Line

Back to Top

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 Flexible Air
Diameter 4 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 1000 feet per run
Justification for New Transmission Line Current line need for continued operation on existing channel. New Line will allow for testing and turn-up of Ch19 according to repack timelines.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

Building Penetration

Costs for building penetration and re-sealing.

Connector Install Fee

Install Fee for HJ9-50 & HJ11-50

Flexline Conn 3-50

Costs for Fem Flexline connector convertad to Gas Pass

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? Candelabra
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? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1224225
Coordinates (NAD83) Latitude (NAD83) 25° 59' 10.0" N-
Longitude (NAD83) 080° 11' 36.3" W-
Overall Structure Height 1019.02 feet
Support Structure Height 942.90 feet
Ground Elevation Above Mean Sea Level (AMSL) 11.15 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC.
Date Constructed 10/12/2001

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
60536 WAMI-DT DTV
63154 WTVJ DTV
51349 WBEC-TV DTV
29567 WSFS FM
41381 WHYI-FM FM
67193 WMIB FM
48608 WPXM-TV DTV
11965 WBGG-FM FM
51979 WZTU FM
64971 WSCV DTV
51978 WMIA-FM FM
4366 WURH-CD DTV

Primary Tower

Back to Top

Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

Tower Permit Drawing Package

Generation of permitting drawing package.

Ground and Building Drawing Package

Generation of permitting drawing package.

Tower Modification Project Manager

Tower Modification Project Management.

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 100
Explanation Project management fee for pre-construction services (including initial antenna placement and RF compatibility review, zoning and permitting requirements review; leasing application services) to support the transition of (1) broadcasters.
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 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 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 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 Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Site Meetings

Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack.

Transition Coordination

Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack.

Notice of Commencement Filing

Costs related to Filing Notice of Commencement

Other Expenses

Back to Top
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 No
FCC Special Temporary Authority Application No
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? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? No

Other Expenses

Back to Top

Other Expenses Not Listed

Name Description

Professional Labor

Labor to re-plumb existing RF switch and dummy load to accommodate new line and transmitter.

Cost Information

Back to Top

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 $302,705.00 $202,984.54 N/A $91,905.76 N/A
Total for all systems $1,381,305.11 $1,091,807.41 N/A $299,286.79 N/A
Primary Transmitter UAX2500AT $176,705.00 $79,400.00 $19,300.00
Installation $20,000.00 $20,000.00 Installation, configuration, and re-tuning of existing transmitter. $19,300.00 N/A
UHF and VHF - minor banding issues $105,200.00 $10,000.00 N/A N/A N/A
3 kW mask filter $4,155.00 $4,400.00 Due to physical location within rack additional hardware needed for correct installation. N/A N/A
Dual exciter system with change over $47,350.00 $45,000.00 N/A N/A N/A
Auxiliary Transmitter UAXTE-4R37 $126,000.00 $123,584.54 $72,605.76
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $123,584.54 Actual Cost is greater than Predetermined costs. See the attached UAXTE-4 Quote and Justification. $72,605.76 N/A

Components

Actual Information Description File Name
Installation

Component Description:
Additional Installation costs invoice 1000.
Amount:
$2,800.00

Component Description:
Final Payment of Invoice 923 for transmitter installation.
Amount:
$6,000.00

Component Description:
First Payment of Invoice 923
Amount:
$10,500.00
UHF and VHF - minor banding issues Information not provided.
3 kW mask filter Information not provided.
Dual exciter system with change over Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Second third of Gates Air Transmitter Invoices
Amount:
$35,445.47

Component Description:
Gates Air Invoice for first 1/3rd of Aux Transmitter; JW30004537-1
Amount:
$37,160.29

Component Description:
First third of Gates Air Transmitter Invoices
Amount:
$37,160.29

Component Description:
GatesAir Invoice JW30004537-2
Amount:
$35,445.47

Cost Information

Back to Top

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 $173,904.80 $173,374.80 N/A $24,723.72 N/A
Total for all systems $1,381,305.11 $1,091,807.41 N/A $299,286.79 N/A
Primary Antenna TLP-12J $173,904.80 $173,374.80 $24,723.72
UHF Mid Power Side Mount $19,172.80 $19,172.80 N/A $17,255.52 N/A
On site field engineering $6,400.00 $6,400.00 N/A $5,760.00 N/A
Jumper HJ7-50A $1,358.00 $1,358.00 N/A $1,222.20 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $7,400.00 N/A N/A N/A
UHF - Lower Power, Top Mount, Class A, basic slot antenna, 8 kW input, directional,, elliptically or circularly polarized $132,104.00 $132,104.00 $17,000 additional cost for V-Pol antenna. $0.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Reducer $540.00 $540.00 N/A $486.00 N/A

Components

Actual Information Description File Name
UHF Mid Power Side Mount

Component Description:
First 45% of UHF Side Mount
Amount:
$8,627.76

Component Description:
First 45% of UHF Mid Power Side Mount
Amount:
$8,627.26

Component Description:
Second 45% of UHF Side Mount
Amount:
$8,627.76

Component Description:
Second 45% of UHF Mid Power Side Mount
Amount:
$8,627.76
On site field engineering

Component Description:
Second 45% of Repack Sweep
Amount:
$2,880.00

Component Description:
Second 45% of onsite field work costs
Amount:
N/A

Component Description:
First 45% of Repack Sweep.
Amount:
$2,880.00

Component Description:
first 45% of One site field work costs
Amount:
$2,880.00
Jumper HJ7-50A

Component Description:
First 45% of Jumper Costs
Amount:
$611.10

Component Description:
Second 45% of Jumper costs
Amount:
$611.10

Component Description:
Second 45% of jumper costs
Amount:
$611.10

Component Description:
First 45% of jumper costs
Amount:
$611.10
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
UHF - Lower Power, Top Mount, Class A, basic slot antenna, 8 kW input, directional,, elliptically or circularly polarized Information not provided.
Sweep test of existing antenna Information not provided.
Reducer

Component Description:
First 45% of Reducer
Amount:
$243.00

Component Description:
Second 45% of Reducer
Amount:
$243.00

Component Description:
First 45% of Reducer costs
Amount:
$243.00

Component Description:
Second 45% of reducer costs
Amount:
$243.00

Cost Information

Back to Top

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 $81,730.64 $66,573.40 N/A $56,316.06 N/A
Total for all systems $1,381,305.11 $1,091,807.41 N/A $299,286.79 N/A
Primary Transmission Line $81,730.64 $66,573.40 $56,316.06
Flexible Air Transmission Line - dielectric, 4" $74,000.00 $58,842.76 N/A $52,958.48 N/A
Building Penetration $4,000.00 $4,000.00 Cost for boring through concrete building, flashing, and sealing. N/A N/A
Connector Install Fee $170.64 $170.64 N/A $153.58 N/A
Flexline Conn 3-50 $3,560.00 $3,560.00 N/A $3,204.00 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 4"

Component Description:
First 45% of Transmission Line Costs
Amount:
$26,479.24

Component Description:
Second 45% of Transmission Line Costs
Amount:
$26,479.24

Component Description:
First 45% of flexible transmission line
Amount:
$26,479.24

Component Description:
Second 45% of transmission line
Amount:
$26,479.24
Building Penetration Information not provided.
Connector Install Fee

Component Description:
First 45% of Connector Installation Costs
Amount:
$76.79

Component Description:
Second 45% of Connector Installation Costs
Amount:
$76.79

Component Description:
Connector Installation fee; First 45%
Amount:
$76.79

Component Description:
Connector Installation Fee; Second 45%
Amount:
$76.79
Flexline Conn 3-50

Component Description:
First 45% of Flexline connector 3-50
Amount:
$1,602.00

Component Description:
Second 45% of Flexline Costs
Amount:
$1,602.00

Component Description:
Second 45% of Flexline Connector 3-50
Amount:
$1,602.00

Component Description:
First 45% of Flexline Costs
Amount:
$1,602.00

Cost Information

Back to Top

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 $625,300.00 $460,000.00 N/A $113,167.41 N/A
Total for all systems $1,381,305.11 $1,091,807.41 N/A $299,286.79 N/A
Primary Tower GTOWER $625,300.00 $460,000.00 $113,167.41
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A $96,045.00 N/A
Minor tower reinforcement/modifications $158,000.00 $30,000.00 N/A $8,375.92 N/A
Tower Permit Drawing Package $5,000.00 $5,000.00 The generation of a permitting drawing package for one (1) broadcasters/customers. N/A N/A
Tower Modification Project Manager $10,000.00 $10,000.00 Project management fee for pre-construction services (including initial antenna placement and RF compatibility review, zoning and permitting requirements review; leasing application services) to support the transition of (1) broadcasters. 100Hrs @ $100HR N/A N/A
Ground and Building Drawing Package $5,000.00 $5,000.00 The generation of a permitting drawing package for one (1) broadcasters/customers. N/A N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $10,000.00 N/A $8,746.49 N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
WSBS-CD - American Tower, structural engineering for candelabra tower. Invoice # 460201552, PO # 516.
Amount:
$4,750.00

Component Description:
Tower King Invoice for Tower and Line rigging. See Proposal Attachment #C-19-019
Amount:
$91,295.00
Minor tower reinforcement/modifications

Component Description:
ATC Invoice for Capital Contribution_First 25%
Amount:
$8,375.92
Tower Permit Drawing Package Information not provided.
Tower Modification Project Manager Information not provided.
Ground and Building Drawing Package Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
WSBS-CD - American Tower, tower mapping cost. Invoice # 460201548, PO # 515.
Amount:
$8,746.49

Cost Information

Back to Top

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 $156,814.67 $148,574.67 N/A $6,889.67 N/A
Total for all systems $1,381,305.11 $1,091,807.41 N/A $299,286.79 N/A
Outside Professional Services $156,814.67 $148,574.67 $6,889.67
Notice of Commencement Filing $574.67 $574.67 Cost of Filing Notice of Commencement $574.67 N/A
Transition Coordination $3,000.00 $3,000.00 Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack. N/A N/A
Site Meetings $3,000.00 $3,000.00 Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack. N/A N/A
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
Attorney Fees - Negotiation of lease and other matters for shared locations $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
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
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 engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,250.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,065.00 N/A
Project management of the transition $15,800.00 $14,250.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A 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

Components

Actual Information Description File Name
Notice of Commencement Filing

Component Description:
Cost of Filing the Notice of Commencement; Eagle 1 Inv 1000
Amount:
$574.67
Transition Coordination Information not provided.
Site Meetings Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare 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

Component Description:
CTJ invoice for Preparing Form 2100
Amount:
$2,250.00

Component Description:
WSBS-CD - prepare construction permit application; Carl T. Jones invoice #862-41-0009.
Amount:
$2,250.00

Component Description:
WSBS-CD - prepare construction permit application; Carl T. Jones invoice #862-41-0009.
Amount:
$2,250.00
Perform engineering study for new channel assignment and antenna development

Component Description:
CTJ Inv for performing engineering studies.
Amount:
$4,065.00

Component Description:
Engineering for WSBS
Amount:
$4,065.00

Component Description:
WSBS-CD - perform engineering study; Carl T. Jones invoice #862-41-0009.
Amount:
$4,065.00
Project management of the transition Information not provided.
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.

Cost Information

Back to Top

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 $40,850.00 $40,300.00 N/A $6,284.17 N/A
Total for all systems $1,381,305.11 $1,091,807.41 N/A $299,286.79 N/A
Other Expenses $40,850.00 $40,300.00 $6,284.17
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
Local Zoning $3,000.00 $3,000.00 Obtain local permits (costs associated with preparation, filing, and fees) N/A N/A
Non-zoning permits $6,300.00 $6,300.00 Permits for local municipality for road closures need for tower rigging. Permits for Licenses and Equipment Removal (See Invoice 1000). $6,284.17 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 Disposal of old ch 50 antenna, line, and transmitter. N/A N/A
Equipment Delivery and Handling Charges $5,000.00 $5,000.00 Fork-Lift Rental and operator for equipment delivery. N/A N/A
Professional Labor $10,000.00 $10,000.00 Labor to re-plumb existing RF switch and dummy load to accommodate new line and transmitter. Labor to assist in installation and removal of heavy broadcast equipment. N/A N/A

Components

Actual Information Description File Name
DTV Medical Facility Notification Information not provided.
Local Zoning Information not provided.
Non-zoning permits

Component Description:
Costs for permitting issues related to Equipment removal and electrical licenses. Eagle 1 Invoice 1000.
Amount:
$6,284.17
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Professional Labor Information not provided.

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,381,305.11 $1,091,807.41 $299,286.79

Reimbursement Status

Back to Top
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

Back to Top
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.

Richard Lara

Secretary


07/02/2019

Attachments

Back to Top