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:
73706
Service:
DTV
Call Sign:
KSHV-TV
Channel:
16 (UHF)
File Number:
0000028482
FRN:
0004973855
Date Submitted:
08/16/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WHITE KNIGHT BROADCASTING OF SHREVEPORT LICENSE CORP.

Anthony J. Malara, III.

3316 Willow Glen Drive

OAK HILL, VA 20171

United States

+1 (703) 870-7584 tmalara@americanstaffing.net Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

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 transmitter, antenna and line. Acquire interim antenna and line for continued operation during construction and duration of the assigned phase. Map and analyze tower; design and implement modifications if required. See attached.

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 QXD1
Year 2001
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 30 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 THU9EVO-8
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 15.5 kW
Justification for New Transmitter The manufacturer of the existing transmitter is out of business and no factory support is available for the existing transmitter. Upgrade to a SS at one power step higher than required. TPO is 10kW PRE FILTER, need 13kW plus 1 step becomes a 15.5kW.

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) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Additional Interior RF System

Interior RF System Existing Transmitter to Interim Transmission line

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? 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 Elliptical
Type Other
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 Travelling Wave
ERP: 500.0 kW
Manufacturer
Model ATW27H3-ESP1U-45M
Year 2007

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: 301.0 kW
Manufacturer
Model TFU-30DSC/VP-R P220
Year 2018
Justification for New Antenna The existing primary antenna is a single channel travelling wave which cannot accommodate the assigned channel.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 8 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
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 Elliptical
Type Broadband Panel
Number of Stations Supported 1
Number of Panels/Bays 4
Lower Limit 485.00 MHz
Upper Limit 653.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 500.0 kW
Manufacturer
Model TUA-P4-4/10H-1 SM
Year 2018
Justification for New Antenna An interim antenna is necessary to keep station on the air during primary antenna replacement and for the duration of the assigned phase. Station will attempt to rent if renting is available at time of acquisition.

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? S
Feed Line Size 6 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? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change 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 8 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1650 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 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1680 feet per run
Justification for New Transmission Line Existing section lengths are not the ones recommended for channel 16. Station will sweep the line and reuse if it checks out good

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 5 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 1580 feet per run
Justification for New Transmission Line An interim transmission line is necessary for the interim antenna to keep station on the air during primary antenna replacement and for the duration of the assigned phase. Station will attempt to rent if renting is available at time of acquisition.

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 Leased
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? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1022487
Coordinates (NAD83) Latitude (NAD83) 32° 39' 58.5" N-
Longitude (NAD83) 093° 56' 00.7" W-
Overall Structure Height 1784.10 feet
Support Structure Height 1725.70 feet
Ground Elevation Above Mean Sea Level (AMSL) 265.09 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Pinnacle Towers LLC
Date Constructed 09/07/1985

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
12525 KMSS-TV DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly 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 Other
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Geotechnical Study

Identify required tower foundation modifications

Labor

Tower and Foundation Modifications Labor

Crane Expenses

Tower and Foundation Modifications also require a crane, crane rigging and crane permits.

Structural Analysis and Mod Design

Identify required tower modifications and costs

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 1000
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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 No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 20
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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

Sales Tax

Sales and use tax on goods and services

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 $892,950.00 $557,000.00 N/A $391,595.00 N/A
Total for all systems $5,110,565.39 $3,930,660.46 N/A $2,607,892.02 N/A
Primary Transmitter THU9EVO-8 $892,950.00 $557,000.00 $391,595.00
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $5,000.00 N/A $3,345.00 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $349,950.00 Since the upgraded SS transmitter is less than a one tube IOT equivalent. Reimbursement cost estimate is set at the price of the SS upgrade. Revised downward to R&S quote SQ169124.1 price 349,950 $326,200.00 N/A
Additional Interior RF System $140,000.00 $140,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $37,150.00 N/A $37,150.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,900.00 N/A $24,900.00 N/A

Components

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

Component Description:
Transmitter electrical services
Amount:
$3,345.00
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
Credit for installation services not provided by R&S
Amount:
($23,750.00)

Component Description:
Transmitter, 25% down payment
Amount:
$87,487.50

Component Description:
Transmitter, installment #3
Amount:
$87,487.50

Component Description:
Transmitter, installment #2
Amount:
$174,975.00
Additional Interior RF System Information not provided.
Switchgear - industrial 800 amp

Component Description:
Transmitter electrical services
Amount:
$37,150.00
Transformer 3 phase/480v - 150 KVA

Component Description:
Transmitter electrical services
Amount:
$24,900.00

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 $419,655.00 $338,846.00 N/A $326,754.00 N/A
Total for all systems $5,110,565.39 $3,930,660.46 N/A $2,607,892.02 N/A
Interim Antenna TUA-P4-4/10H-1 SM $142,265.00 $130,968.00 $124,146.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $12,623.00 See attached Dielectric quote (Quote Number 700441CMZ-1) $12,623.00 N/A
UHF - High Power, Side Mount, broadband panel, 4 bay,, 500 kW input, directional,, elliptically or circularly polarized $94,825.00 $94,825.00 See attached Dielectric quote (Quote Number 700441CMZ-1) $94,825.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 See attached Dielectric quote (Quote Number 700441CMZ-1) $6,400.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,120.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $12,000.00 N/A $10,298.00 N/A
Primary Antenna TFU-30DSC/VP-R P220 $277,390.00 $207,878.00 $202,608.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,750.00 See attached Dielectric quote (Quote Number DMS111-4) $21,750.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,120.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) $15,250.00 $13,583.00 See attached Dielectric quote (Quote Number DMS111-4) $13,583.00 N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $160,875.00 See attached Dielectric quote (Quote Number DMS111-4), estimated cost reduced by 23,250 vpol which is upgrade and not reimbursable $160,875.00 N/A
Sweep test of existing antenna $6,730.00 $6,550.00 N/A $6,400.00 N/A

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Mounting brackets, 10% balance due
Amount:
$1,262.30

Component Description:
Mounting brackets, line 2 of invoice, installment #2
Amount:
$5,680.35

Component Description:
Mounting bracket, line 2 of invoice, installment #1
Amount:
$5,680.35
UHF - High Power, Side Mount, broadband panel, 4 bay,, 500 kW input, directional,, elliptically or circularly polarized

Component Description:
Aux antenna, 10% balance due
Amount:
$9,482.50

Component Description:
Antenna component, line 1 of invoice, installment #1
Amount:
$42,671.25

Component Description:
Aux antenna, line 1 of invoice, installment #2
Amount:
$42,671.25
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow complex, 10% balance due
Amount:
$1,029.80

Component Description:
Elbow complex, line 3 of invoice, installment #2
Amount:
$4,634.10

Component Description:
Elbow complex, line 3 of invoice, installment #1
Amount:
$4,634.10
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Side Mount Brackets, balanced due
Amount:
$2,175.00

Component Description:
Side mount brackets, installment #1, line 3 of invoice
Amount:
$9,787.50

Component Description:
Side brackets, line 3 of invoice, installment #1
Amount:
$9,787.50

Component Description:
Side mount brackets, installment #2, line 3 of invoice
Amount:
$9,787.50

Component Description:
See resubmission of corrected invoice
Amount:
($9,787.50)
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex, balance due
Amount:
$1,358.30

Component Description:
Elbow complex, line 4 of invoice, installment #1
Amount:
$6,112.35

Component Description:
Elbow complex, installment #2, line 4 of invoice
Amount:
$6,112.35

Component Description:
Elbow complex, installment #1, line 4 of invoice
Amount:
$6,112.35

Component Description:
See resubmission of corrected invoice
Amount:
($6,112.35)
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
Main antenna, balance due
Amount:
$16,087.50

Component Description:
Antenna component, line 1 of invoice, installment #1
Amount:
$72,393.75

Component Description:
See resubmission of corrected invoice
Amount:
($72,393.75)

Component Description:
Primary antenna, installment #2, line 1 of invoice
Amount:
$72,393.75

Component Description:
Main antenna, installment #1, line 1 of invoice
Amount:
$72,393.75
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00

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 $748,860.00 $471,937.63 N/A $471,937.63 N/A
Total for all systems $5,110,565.39 $3,930,660.46 N/A $2,607,892.02 N/A
Interim Transmission Line $165,900.00 $106,446.88 $106,446.88
Flexible Air Transmission Line - dielectric, 5" $165,900.00 $106,446.88 See Dielectric quote 700441CMZ-2. $106,446.88 N/A
Primary Transmission Line $582,960.00 $365,490.75 $365,490.75
Rigid Transmission Line - copper, 8 3/16" $582,960.00 $365,490.75 See attached Dielectric quote (Quote Number DMS111-4) $365,490.75 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 5"

Component Description:
Transmission line, 10% balance due
Amount:
$10,644.68

Component Description:
Transmission line, line 4 of invoice, installment #1
Amount:
$47,901.10

Component Description:
Flexible transmission line, line 4 of invoice, installment #2
Amount:
$47,901.10
Rigid Transmission Line - copper, 8 3/16"

Component Description:
Transmission line, balance due
Amount:
$16,974.07

Component Description:
Transmission line, balance due
Amount:
$19,575.00

Component Description:
Transmission line, installment #1, line 5 of invoice
Amount:
$164,470.84

Component Description:
Transmission line, line 5 of invoice, installment #1
Amount:
$164,470.84

Component Description:
See resubmission of corrected invoice
Amount:
($164,470.84)

Component Description:
Transmission line, installment #2, line 5 of invoice
Amount:
$164,470.84

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 $2,398,191.79 $1,916,298.23 N/A $1,314,200.47 N/A
Total for all systems $5,110,565.39 $3,930,660.46 N/A $2,607,892.02 N/A
Primary Tower TOWER $2,398,191.79 $1,916,298.23 $1,314,200.47
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,600.00 N/A $14,250.00 N/A
Labor $619,607.50 $619,607.50 See attached Crown Castle quote ("KSHV Tower & Foundation Mod Quote") $495,686.00 N/A
Crane Expenses $229,284.29 $229,284.29 See attached Crown Castle quote ("KSHV Tower & Foundation Mod Quote") $183,427.43 N/A
Serious tower reinforcement/modifications $1,052,000.00 $646,590.21 See attached Crown Castle quote ("KSHV Tower & Foundation Mod Quote") $517,272.17 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $345,216.23 See attached Crown Castle quote ("KSHV Antenna & Line Installation Quote"). KSHV leases space on the Crown Castle tower. $103,564.87 N/A
Structural Analysis and Mod Design $25,000.00 $25,000.00 See attached Crown Castle tower mod design quote ("KSHV MOD Design Quote"). N/A N/A
Geotechnical Study $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Geotechnical report and foundation mapping
Amount:
$10,000.00

Component Description:
Structural analysis
Amount:
$4,250.00
Labor

Component Description:
30% installment
Amount:
$185,882.25

Component Description:
50% down payment
Amount:
$309,803.75
Crane Expenses

Component Description:
30% installment
Amount:
$68,785.29

Component Description:
50% down payment
Amount:
$114,642.14
Serious tower reinforcement/modifications

Component Description:
Tower Modifications, 30% installment
Amount:
$193,977.06

Component Description:
50% down payment
Amount:
$323,295.11
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Tower Equipment and Rigging, 30% installment
Amount:
$103,564.87
Structural Analysis and Mod Design Information not provided.
Geotechnical Study 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 $305,130.00 $301,100.00 N/A $35,258.00 N/A
Total for all systems $5,110,565.39 $3,930,660.46 N/A $2,607,892.02 N/A
Outside Professional Services $305,130.00 $301,100.00 $35,258.00
Prepare request for Special Temporary Authorization $2,050.00 $3,000.00 See additional STA filing $3,000.00 N/A
Project management of the transition $158,000.00 $154,000.00 N/A $19,758.00 N/A
Additional Field Engineering Service, 20 Days $108,000.00 $108,000.00 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 $2,050.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,050.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,585.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,095.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,305.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,120.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,535.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,070.00 N/A $3,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,170.00 N/A $7,000.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,560.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,560.00 N/A $2,500.00 N/A

Components

Actual Information Description File Name
Prepare request for Special Temporary Authorization

Component Description:
STA, item 2 from invoice summary
Amount:
$1,500.00

Component Description:
STA to operate post transition facility using Dielectric TUA-P4-4/10H-1
Amount:
$1,500.00
Project management of the transition

Component Description:
Project management services, item 3 from invoice summary
Amount:
$150.00

Component Description:
Project management services, item 1 from invoice summary
Amount:
$675.00

Component Description:
Project management services November 2018
Amount:
$200.00

Component Description:
Project management services 4.27.19 through 5.31.19
Amount:
$150.00

Component Description:
Project management services October 2018
Amount:
$200.00

Component Description:
Project management services 5.26.18 through 6.29.18
Amount:
$1,800.00

Component Description:
Project management services 3.2.19 through 3.29.19
Amount:
$150.00

Component Description:
Project management services 10.27.18 through 11.30.18
Amount:
$5,625.00

Component Description:
Item 5 from invoice summary
Amount:
$300.00

Component Description:
Item 9 from invoice summary
Amount:
$1,133.00

Component Description:
Item 7 from invoice summary
Amount:
$150.00

Component Description:
Project management services 12.1.18 through 12.31.18
Amount:
$75.00

Component Description:
Item 6 from invoice summary
Amount:
$150.00

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$150.00

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$4,125.00

Component Description:
Project management services 6.30.18 through 7.27.18
Amount:
$450.00

Component Description:
Project management services 5.27.17 through 5.25.18; item 1 from invoice summary
Amount:
$4,275.00
Additional Field Engineering Service, 20 Days 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.
Attorney Fees - Prepare and File request for Special Temporary Authorization 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:
Item 4 from invoice summary
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Item 3 from invoice summary
Amount:
$7,000.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Item 2 from invoice summary
Amount:
$2,500.00

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 $345,778.60 $345,478.60 N/A $68,146.92 N/A
Total for all systems $5,110,565.39 $3,930,660.46 N/A $2,607,892.02 N/A
Other Expenses $345,778.60 $345,478.60 $68,146.92
Equipment Delivery and Handling Charges $8,099.00 $8,099.00 See Rohde & Schwarz quote 169827 $8,099.00 N/A
Sales Tax $240,700.00 $240,700.00 Sales and use tax on goods and services based on LA state rates. $28,118.32 N/A
MVPD Notification of Channel Change $2,929.60 $2,929.60 See EST-000885 from DTVNotification. $2,929.60 N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Cost to develop and produce spots and crawls for viewer notification. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $29,000.00 $29,000.00 See USA Commercial quote and Land Communications Dumpster rental $29,000.00 N/A
DTV Medical Facility Notification $11,550.00 $11,250.00 N/A N/A N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Equipment Storage $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Transmitter transportation/consolidation services
Amount:
$8,099.00
Sales Tax

Component Description:
Tax on transportation/consolidation services
Amount:
$732.96

Component Description:
Sales tax credit on installation services not provided
Amount:
($746.63)

Component Description:
Tax due on transmitter
Amount:
$28,864.95
MVPD Notification of Channel Change

Component Description:
Notification of medical facilities
Amount:
$2,929.60
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal costs
Amount:
$23,000.00

Component Description:
Dumpster costs related to transmitter electrical
Amount:
$6,000.00
DTV Medical Facility Notification Information not provided.
Non-zoning permits Information not provided.
Equipment Storage Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,110,565.39 $3,930,660.46 $2,607,892.02

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.

Anthony J. Malara , III .

President


08/16/2019

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.

Anthony J. Malara

President


08/16/2019

Attachments

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