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:
4688
Service:
DTV
Call Sign:
WHSV-TV
Channel:
20 (UHF)
File Number:
0000036132
FRN:
0018223693
Date Submitted:
08/05/2019

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAY TELEVISION LICENSEE, LLC

WHSV-TV

50 NORTH MAIN STREET

HARRISONBURG, VA 22802

United States

+1 (540) 433-9191 robert.folliard@gray.tv Limited Liability Company

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

Samuel Hariton

Widelity, Inc.

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

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

Broadcaster Information and Transition Plan

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 See attached narrative.

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 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 Ultimate/Optimum Dual Drive 5K
Year 2002
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5 kW

Primary Transmitter

Back to Top

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 MPTV-Parallax U8
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 13 kW
Justification for New Transmitter Existing transmitter cannot be retuned, therefore need a new transmitter.

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Bringing electrical service to the new site for the new transmitter because existing service at new site is insufficient.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 20 tons
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

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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: 65.0 kW
Manufacturer
Model ALP1212-HSOC-49
Year 2002

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 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 12
Lower Limit 470.00 MHz
Upper Limit 608.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 271.0 kW
Manufacturer
Model ETU6U4-ESP2C-20
Year 2018
Justification for New Antenna Existing antenna cannot be retuned and will be used on the existing channel during transition. Antenna provides directional pattern to protect quiet zone Green Bank, WV.

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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

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 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 485 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? Yes
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 95 feet per run
Justification for New Transmission Line Relocating to a new site, require new line because the existing line will be used with existing antenna during the transition.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

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 Construct New
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1017951
Coordinates (NAD83) Latitude (NAD83) 38° 36' 05.0" N-
Longitude (NAD83) 078° 37' 56.0" W-
Overall Structure Height 336.94 feet
Support Structure Height 299.87 feet
Ground Elevation Above Mean Sea Level (AMSL) 2956.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Gray Television Group, Inc.
Date Constructed 12/01/1973


Primary Tower

Back to Top

Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 100.00 feet
Justification for New Tower Must change transmitter site to new location per Green Bank (NRAO), new site requires new tower.

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Information not provided.

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 900
Explanation Strategic support.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority 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 Yes
Environmental Assessment Yes
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations 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 10
Justification Adjacent to NRAO site, need to address quiet zone issues.

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Information not provided.

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 Yes
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
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? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

Back to Top

Other Expenses Not Listed

Name Description

Microwave Equipment

Microwave equipment required to delivery station's signal to new transmitter site.

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 $702,471.97 $627,537.07 N/A $590,506.57 N/A
Total for all systems $1,860,018.71 $1,451,728.37 N/A $1,167,170.13 N/A
Primary Transmitter MPTV-Parallax U8 $702,471.97 $627,537.07 $590,506.57
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $503,190.10 See manufacturer's quote. $502,459.60 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Other Electrical Service: Bringing electrical service to the new site for the new transmitter because existing service at new site is insufficient. $54,271.97 $54,271.97 See electrical company estimate; GenServ LLC Quote #1326 also TTM invoice 70501 for network cabling $54,271.97 per invoices received
20 Ton system $115,500.00 $33,775.00 Riddleberger Brothers Invoice #113133 $33,775.00 N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Primary Transmitter System, WHSV PRLX U8 D20
Amount:
$178,757.60

Component Description:
System, WHSV PRLX U8 D20
Amount:
$25,536.80

Component Description:
Hardware
Amount:
$730.50

Component Description:
Invalid invoice
Amount:
N/A

Component Description:
Transmitter
Amount:
$298,165.20
Switchgear - industrial 800 amp Information not provided.
Other Electrical Service: Bringing electrical service to the new site for the new transmitter because existing service at new site is insufficient.

Component Description:
One Kohler Generator M #125REOZJG
Amount:
$54,216.86

Component Description:
CAT 5 OUTDOOR, 5NF4
Amount:
$55.11
20 Ton system

Component Description:
Replace Two (2) 3-ton Units with Two (2) 5-ton Bard Units
Amount:
$33,775.00

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 $423,230.00 $74,642.13 N/A $62,972.70 N/A
Total for all systems $1,860,018.71 $1,451,728.37 N/A $1,167,170.13 N/A
Primary Antenna ETU6U4-ESP2C-20 $423,230.00 $74,642.13 $62,972.70
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $42,978.69 Per DTVPros Quote JEHQ1431-01 - the previously reimbursed amount of $25,263.44 has been removed from the previously approved amount of $68,242.13 $31,309.26 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $25,263.44 ***System Notice: Estimate adjusted and locked because line has been superseded.***Per Quote JEHQ1431-01 $25,263.44 Please deny 174a

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
WHSV-210-Primary Antenna - Sweep Test
Amount:
$1,280.00

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

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

Component Description:
Sweep Test New Primary Antenna
Amount:
$1,600.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
Proposal B18-1373
Amount:
$3,545.00

Component Description:
UHF-High power broadband side mount, Field engineer, etc.
Amount:
$12,606.19

Component Description:
New Primary Antenna
Amount:
$15,158.07
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
UHF- High Power Broadband Side Mount
Amount:
$12,631.72

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

Component Description:
Primary antenna; UHF-High Power broadband side mount (200-1000KW)
Amount:
$12,631.72

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 $5,605.00 $9,837.43 N/A $9,837.43 N/A
Total for all systems $1,860,018.71 $1,451,728.37 N/A $1,167,170.13 N/A
Primary Transmission Line $5,605.00 $9,837.43 $9,837.43
Flexible Air Transmission Line - dielectric, 3" $5,605.00 $9,837.43 See dealer's quote. $9,837.43 z

Components

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

Component Description:
WHSV-310-Primary Transmission Line - 3" Flexible Air Dielectric
Amount:
$2,810.56

Component Description:
New Primary Transmission Line
Amount:
$1,697.57

Component Description:
New Primary Transmission Line
Amount:
$1,414.65

Component Description:
New Primary Transmission Line
Amount:
$1,414.65

Component Description:
Provide One ASCO 300 Transfer Switch
Amount:
$2,500.00

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 $303,496.74 $299,296.74 N/A $232,016.73 N/A
Total for all systems $1,860,018.71 $1,451,728.37 N/A $1,167,170.13 N/A
Primary Tower TOWER $0.00 $0.00 $0.00
Primary Tower $303,496.74 $299,296.74 $232,016.73
New tower $219,296.74 $219,296.74 see Estimated Cost Justification WHSV-480-Construct New Tower v0 $219,296.73 N/A
Short Tower (less than 500') $84,200.00 $80,000.00 N/A $12,720.00 N/A

Components

Actual Information Description File Name
New tower

Component Description:
Reimburse construction costs - Dominion Energy Virginia - Elliott's Knob
Amount:
$1,531.48

Component Description:
Underground conduit for shelter
Amount:
$16,970.00

Component Description:
Trx #300245; Line #1
Amount:
$61,132.66

Component Description:
Removal vegetation/Ant Mounts REPACK
Amount:
$12,900.00

Component Description:
Install new 400amp service for tower site, customer installing conduit.
Amount:
$222.26

Component Description:
1/3 Completion of FND
Amount:
$61,132.66

Component Description:
Perform structural inspection in accordance with TIA 222G and document location of all tower appurtenances
Amount:
$1,475.00

Component Description:
Tower analysis
Amount:
$2,800.00

Component Description:
Shenandoah Tower construction
Amount:
$61,132.67
Short Tower (less than 500')

Component Description:
Trx #300244; Line #1
Amount:
$12,720.00

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 $212,430.00 $235,575.00 N/A $143,822.89 N/A
Total for all systems $1,860,018.71 $1,451,728.37 N/A $1,167,170.13 N/A
Outside Professional Services $212,430.00 $235,575.00 $143,822.89
Project management of the transition $142,200.00 $135,000.00 N/A $88,075.44 N/A
Additional Field Engineering Service, 10 Days $20,000.00 $20,000.00 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 $0.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $35,500.00 Quiet zone Chesapeake RF Consultants invoice $31,562.50 z
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $7,325.00 Quiet zone; Chesapeake RF Consultants, LLC Invoice #10267 $7,325.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $0.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $4,061.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $589.50 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A $1,204.29 N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 N/A $1,174.00 N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 N/A $9,831.16 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project Management
Amount:
$3,395.10

Component Description:
Project Management
Amount:
$5,090.60

Component Description:
Project Management
Amount:
$4,100.40

Component Description:
Project Management
Amount:
$1,500.00

Component Description:
Project Management
Amount:
$733.30

Component Description:
Project Management
Amount:
$951.45

Component Description:
Project Management
Amount:
$2,962.20

Component Description:
Project Management
Amount:
$3,545.70

Component Description:
Project Management
Amount:
$1,328.55

Component Description:
Project Management
Amount:
$5,042.95

Component Description:
Project Management
Amount:
$2,367.65

Component Description:
Project Management
Amount:
$1,795.60

Component Description:
Cost Reconciliation
Amount:
$8,285.45

Component Description:
Project Management
Amount:
$1,723.55

Component Description:
Project Management
Amount:
$4,093.05

Component Description:
Project Management
Amount:
$1,861.40

Component Description:
Project Management
Amount:
$7,014.40

Component Description:
Project Management
Amount:
$802.25

Component Description:
Project Management
Amount:
$2,231.90

Component Description:
Project Management
Amount:
$4,977.10

Component Description:
Project Management
Amount:
$6,234.80

Component Description:
Project Management
Amount:
$4,749.40

Component Description:
Project Management
Amount:
$3,737.70

Component Description:
Project Management
Amount:
$28.20

Component Description:
Project Management
Amount:
$1,916.50

Component Description:
Professional Services
Amount:
$236.44

Component Description:
Project Management
Amount:
$1,856.30

Component Description:
Project Management
Amount:
$1,668.10

Component Description:
Reference WHSV-510-Project Management Widelity, Inc. GRY-WHSV-TV-010
Amount:
$1,822.50

Component Description:
Project Management
Amount:
$2,022.90
Additional Field Engineering Service, 10 Days 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.
Perform engineering study for new channel assignment and antenna development

Component Description:
Provide coverage contour map of WHSV-TV's repack facility and planned translators.
Amount:
$587.50

Component Description:
Engineering Study for New Channel Assignment
Amount:
$1,075.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$325.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$375.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$1,812.50

Component Description:
Engineering Study for New Channel Assignment
Amount:
$3,475.00

Component Description:
Provide NRAO Quiet Zone interference office with tech specs; discuss with FCC staff the coverage extension into loss area that will be created
Amount:
$2,775.00

Component Description:
Consulting Engineer - J. Davis - Hourly (@ $250/hr)
Amount:
$250.00

Component Description:
Consulting Engineer - J. Davis - Hourly
Amount:
$1,050.00

Component Description:
Develop final technical parameters for prospective displacement facilities - re: 4 digital replacement translators
Amount:
$5,662.50

Component Description:
Re: prospective digital replacement translators ar 4 sites, continued review of antenna vendor responses and discussions.
Amount:
$375.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$1,125.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$250.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$1,287.50

Component Description:
Engineering Study for New Channel Assignment
Amount:
$4,687.50

Component Description:
Engineering Study for New Channel Assignment
Amount:
$2,462.50

Component Description:
Prepare site location map; provide NRAO Quiet Zone interference office w/ specs of substitute directional antenna.
Amount:
$2,125.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$437.50

Component Description:
Frequency study
Amount:
$1,425.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
RF Eng - Construction Permit Application (Main)
Amount:
$275.00

Component Description:
Consulting Engineer
Amount:
$4,050.00

Component Description:
RF Eng - Construction Permit Application (Main)
Amount:
$3,000.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
FCC Filing fees for modified CP and construction waiver request
Amount:
$1,048.00

Component Description:
Prepare and File Construction Permit Application (Main)
Amount:
$1,637.50

Component Description:
Prepare and File Construction Permit Application (Main)
Amount:
$851.50

Component Description:
Attorney Fees Prepare and File Construction Permit Application
Amount:
$524.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Professional services: Complete and file WHSV Repack construction permit application. Call re: WHSV quiet zone concerns; email with FCC staff re: same
Amount:
$589.50
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Legal services
Amount:
$123.00

Component Description:
Total professional services, total Disbursements
Amount:
$697.00

Component Description:
Professional Services Rendered through December 31, 2018
Amount:
$384.29
NEPA Section 106 environmental review, if needed

Component Description:
NEPA Section 106 Environmental Review
Amount:
$829.00

Component Description:
Research and analyze applicability of Forest Service letter to need for environmental review.
Amount:
$345.00
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet

Component Description:
Elliot Knob Biological Assesment
Amount:
$9,831.16
ASR modification (prepare FCC Form 854) Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase 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 $212,785.00 $204,840.00 N/A $128,013.81 N/A
Total for all systems $1,860,018.71 $1,451,728.37 N/A $1,167,170.13 N/A
Other Expenses $212,785.00 $204,840.00 $128,013.81
DTV Medical Facility Notification $11,550.00 $3,227.50 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $712.50 Chesapeake RF Consultants Invoice #4869 and Wiley Rein, LLP, Invoice #1479797 $712.50 N/A
Local Zoning $2,000.00 $2,000.00 N/A N/A N/A
Non-zoning permits $6,325.00 $6,325.00 N/A $6,325.00 N/A
BLM or NFS Coordination $30,000.00 $30,000.00 NFS coordination. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $15,375.00 $15,375.00 N/A $8,975.00 N/A
Equipment Delivery and Handling Charges $20,000.00 $20,000.00 N/A $8,276.40 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A N/A N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A $2,000.00 N/A
Microwave Equipment $120,200.00 $120,200.00 STL link. $101,724.91 N/A

Components

Actual Information Description File Name
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 license to cover application

Component Description:
Regarding repack Ch-20 buildout at Elliott Knob, preparation and review of engineering portions of FCC application for license to cover.
Amount:
$187.50

Component Description:
Filing Fees-license to cover
Amount:
$190.00

Component Description:
WHSV-610-FCC Filing Fee - License to Cover
Amount:
$335.00
Local Zoning Information not provided.
Non-zoning permits

Component Description:
Permit drawings
Amount:
$6,325.00
BLM or NFS Coordination Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal Costs
Amount:
$8,975.00
Equipment Delivery and Handling Charges

Component Description:
Equipment Delivery and Handling Charges
Amount:
$8,276.40
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change

Component Description:
Prepare MVPD notification letters (Repack)
Amount:
$2,000.00
Microwave Equipment

Component Description:
Microwave system on-site installation
Amount:
$62,914.03

Component Description:
SW-16pt Netgear GIG SMRT GS716
Amount:
$193.00

Component Description:
Antenna Mounts and Waveguide
Amount:
$38,617.88

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,860,018.71 $1,451,728.37 $1,167,170.13

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.

Robert Folliard , III .

Assistant Secretary


08/05/2019

Certification

Back to Top
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.

Robert Folliard , III .

Assistant Secretary


08/05/2019

Attachments

Back to Top