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:
35841
Service:
DTV
Call Sign:
KUVN-DT
Channel:
33 (UHF)
File Number:
0000028530
FRN:
0007997810
Date Submitted:
08/27/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KUVN LICENSE PARTNERSHIP, L.P.

Doing Business As: KUVN LICENSE PARTNERSHIP, L.P.

Christopher G. Wood

5999 CENTER DRIVE

LOS ANGELES, CA 90045

United States

+1 (310) 348-3600 CWOOD@UNIVISION.NET Limited Partnership

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

Theodore Stoner

VP Distribution Technology

Univision Management Company

Theodore Stoner

9405 NW 41st Street

Miami, FL 33178

United States

+1 (513) 608-0308 tstoner@univision.net

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Temporary operation from ATC's Cedar Hill South (CHS) site while ATC Milton site structure/antennas are revised. Replace backup transmitter and transmission line. Provide auxiliary capability at CHS site. See attached Implementation Plan for details.

Transmitters

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

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use During failure or maintenance of main transmitter and to limit RF exposure during tower work.
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 DHD60P2
Year 2003
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 14 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model THU9-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 22 kW
Justification for New Transmitter Existing backup transmitter incapable of operation on assigned channel - see attached Backup Transmitter Info document.

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service 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

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Other Transmitter Cost Not Listed

Information not provided.

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model THU9-30
Year 2014
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 32 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9-30evo
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 46 kW
Justification for New Transmitter Existing 32 kW transmitter incapable of 33.4 kW amplifier power output required to achieve same service area as new channel assigned facilities. See attached Main Transmitter Selection Info document.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description 400V electric power distribution to two new transmitter cabinets, pump units, and heat exchangers
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

Channel combining RF subsystem

Channel combining mask filter, second channel mask filter, output switch, test load, and interconnecting coax components - see attached KUVN RFSS Cost document

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Lease New
Manufacturer
Model THU9-30evo
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 46 kW
Justification for New Transmitter Enable interim operation from Cedar Hill South site during tower reconfiguration and antenna replacement at KUVN-DT's Cedar Hill Milton site, using new KSTR-DT transmitter

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use During failure or maintenance of main antenna
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 Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 220.0 kW
Manufacturer
Model ATW25H6-ETOL-23H
Year 2002

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use During failure, maintenance, or RF exposure control of main facility
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? Yes
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 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: 450.0 kW
Manufacturer
Model RFS SAA26-KSTR-G300-ET6R-3433
Year 2018
Justification for New Antenna Existing antenna is single-channel model incapable of operation on new channel. It is proposed to configure antenna of sister station KSTR to add dual-channel and elliptical polarization capability, to provide the auxiliary antenna for KUVN.

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency 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? No

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? 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 Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model ATW30H4-ETCX-23H
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? Yes
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 Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-26GTC/VP-R 4C190 DC SP
Year 2018
Justification for New Antenna Existing antenna is single-channel, incapable of operation on new channel. KSTR-DT will use this antenna temporarily, for initial operation after the cutover date. See attached Antenna Cost Information document.

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? Broadband
Feed Line Size 6 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

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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

Auxiliary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use During failure and maintenance of main antenna
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 Andrew
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 1700 feet per run

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Utilize Existing Line - Mandatory Category due to LMS Bug

This category added because LMS throws an error when there are no costs added to a "Utilized Existing" type of change. This category exists only as a work around for a bug in LMS.

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 Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 1700 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 1575 feet per run
Justification for New Transmission Line Existing waveguide to be removed to reduce tower loading; existing auxiliary transmission line 20' segment length is prohibited for the assigned new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission Line Bridge

New Ice Bridge required to support new transmission lines from all four repack tenants space to tower, estimated to be 200 linear ft. This cost includes the materials, foundations and installation.

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 Rigid
Diameter 8 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1705 feet per run
Justification for New Transmission Line Reconfiguration of KSTR-DT lines to accommodate temporary, pre-cutover operation of KUVN-DT from Cedar Hill South site.

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? 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 Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1055009
Coordinates (NAD83) Latitude (NAD83) 32° 35' 22.0" N-
Longitude (NAD83) 096° 58' 12.9" W-
Overall Structure Height 1550.83 feet
Support Structure Height 1453.07 feet
Ground Elevation Above Mean Sea Level (AMSL) 829.71 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 11/04/2008

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
59702 KKDA-FM FM
6378 KZPS FM
2809 KLTY FM
41380 KLNO FM
14524 KCBI FM
26950 KATA-CD DTV
11451 WRR FM

Other Types of Users

Users
KVFW-LD
K31GL-D
KHPK-LD
KJJM-LD
KNAV-LP
KODF-LD

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 tower with candelabra
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 Candelabra
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Permit Drawing Package

The generation of a construction drawing package for one (1) broadcasters/customers.

Ground and Building Permit Drawing Package

The generation of a construction drawing package for one (1) broadcasters/customers.

Tower construction PM

(60) hours on Modification project management and RF installation project management.

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Emergency, maintenance, & temporary operation
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? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1059733
Coordinates (NAD83) Latitude (NAD83) 32° 32' 36.0" N-
Longitude (NAD83) 096° 57' 33.0" W-
Overall Structure Height 1635.15 feet
Support Structure Height 1523.60 feet
Ground Elevation Above Mean Sea Level (AMSL) 813.97 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC
Date Constructed 06/18/2000

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
49323 KERA FM
49324 KERA-TV DTV
67910 KDTX-TV DTV
49326 KDTN DTV
55768 KKXT FM
63779 KJKK FM
1087 KRLD-FM FM
17037 KDFI DTV
22201 KDAF DTV
23422 KTVT DTV
9627 KBFB FM
23440 KMVK FM
67195 KLUV FM
68834 KPXD-TV DTV
28624 KVIL FM
41380 KLNO FM
60534 KSTR-DT DTV
42359 KTXD-TV DTV
51517 KTXA DTV

Auxiliary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: No study needed
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Auxiliary Tower

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Tower Rigging Costs

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

Auxiliary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 540
Explanation Univision stations are only staffed for daily station operations and minor equipment changes, major projects are contracted out externally. The large volume of work associated with repack schedule requires using external project management resources.
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review Yes
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 Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Migratory Bird Assesment

See attached primary site American Tower site# 75253 cost estimate

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
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

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Other Expenses Not Listed

Name Description

Site Lessor Administrative Fee

American Tower administrative fee, per attached schedule

Tree trimming and clearing

This cost is for the removal of trees and vegetation to ensure the proper clearance of taglines and laydown areas, required for construction.

American Tower Construction Fee

2% construction cost, excluding the material and equipment for electrical and building permits.

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 $4,219,374.00 $1,191,078.08 N/A $987,949.47 N/A
Total for all systems $8,175,443.25 $2,906,409.33 N/A $2,287,072.72 N/A
Interim Transmitter THU9-30evo $1,620,500.00 $30,000.00 $0.00
UHF inside RF system including switching $147,500.00 $30,000.00 Channel 23 emission mask filter and interconnection components N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $0.00 New KSTR-DT transmitter to be used for interim KUVN-DT operation prior to Phase 3 cutover date. Transmitter cost submitted by KSTR-DT. N/A N/A
Primary Transmitter THU9-30evo $1,651,874.00 $1,118,528.08 $987,949.47
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $939,654.08 see Estimated Cost Justification KUVN-DT-110-1st Primary Transmitter - UHF Liquid Cooled Solid State v0 $817,280.95 N/A
Other Electrical Service: 400V electric power distribution to two new transmitter cabinets, pump units, and heat exchangers $23,683.00 $23,683.00 See attached KUVN Electrical Distribution Cost document for quote for similar installation. $15,522.28 N/A
Channel combining RF subsystem $155,191.00 $155,191.00 See attached KUVN RFSS Cost document. Dielectric quote (less item 5) $143,364, plus 8¼% sales/use tax $155,146.24 N/A
Auxiliary Transmitter THU9-20 $947,000.00 $42,550.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $42,550.00 Conversion of 2014 THU9-30 transmitter to THU9-20, plus 8¼% sales/use tax. See attached Backup Transmitter Info document. N/A N/A

Components

Actual Information Description File Name
UHF inside RF system including switching Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
DP 35% Downpayment PO# Line 1 THU9-30Evo : 46 kW UHF DTV transmitter
Amount:
$230,212.50

Component Description:
Relocate 2 light fixtures for KUVN repack transmitter, Glycol disposal
Amount:
$811.88

Component Description:
KUVN (DT) 30% & 35% Milestone Invoice
Amount:
$13,081.25

Component Description:
KUVN (DT) Final 35% Milestone Invoice
Amount:
$8,301.56

Component Description:
"DP 30% Downpayment PO# Line 3 (less $1,000.00 forecast fee) Installation, commissioning and proof of performance measurements."
Amount:
$197,325.00

Component Description:
Install power distribution modifications & additions
Amount:
$23,245.68

Component Description:
35% Downpayment THU9-30Evo : 46 kW UHF DTV transmitter
Amount:
$299,133.50

Component Description:
Trans WR1150 X 6-50 CH48 Single Channel
Amount:
$5,001.06

Component Description:
"Provide and Install RF Support Stand for hanging new Digital Television RF Filter"
Amount:
$5,300.00

Component Description:
Install power distribution modifications & additions for new R&S Transmitter/RF Switch/RF load
Amount:
$14,528.55

Component Description:
Install power distribution modifications & additions
Amount:
$20,339.97
Other Electrical Service: 400V electric power distribution to two new transmitter cabinets, pump units, and heat exchangers

Component Description:
"FR-2RU-10-2-RP; Flashlink 2RU frame for 10 Flashlink modules and 2 power supplies. RS-422 control and prepared for redundant power. Delivered with two AC power supply"
Amount:
$13,021.39

Component Description:
SFP-3G-EO-2-C1470/C1490; Dual channel optical CWDM transmitter SFP supporting 3G/HD/SD-SDI and ASI.
Amount:
$2,500.89
Channel combining RF subsystem

Component Description:
RF SYSTEM CIF 8 POLE DUAL MODE 1/2 WAVE CH 33 W/G
Amount:
$52,127.68

Component Description:
RF SYSTEM CIF 8 POLE DUAL MODE 1/2 WAVE CH 33 W/G IN / OUT
Amount:
$50,890.88

Component Description:
RF SYSTEM CIF 8 POLE DUAL MODE 1/2 WAVE CH 33 W/G IN / OUT
Amount:
$52,127.68
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $599,430.00 $356,773.00 N/A $320,865.22 N/A
Total for all systems $8,175,443.25 $2,906,409.33 N/A $2,287,072.72 N/A
Primary Antenna TFU-26GTC/VP-R 4C190 DC SP $309,930.00 $341,185.00 $320,865.22
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $18,300.00 See attached Antenna Cost Info document, with Dielectric quote. $12,432.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $316,485.00 See Dielectric quote in attached Antenna Cost Info document, plus 8¼% sales/use tax and quoted freight estimate. $302,033.22 N/A
Auxiliary Antenna RFS SAA26-KSTR-G300-ET6R-3433 $289,500.00 $15,588.00 $0.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $15,588.00 Cost of adding second channel capability to antenna - see attached Antenna Cost Info document and included Dielectric quote. $0.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
KUVN-DT-210-Primary Antenna-Sweep Test
Amount:
$1,920.00

Component Description:
Sweep test
Amount:
$2,240.00

Component Description:
Sweep Test
Amount:
$2,240.00
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Primary Antenna - Elbow Complex, Broadband, 6 1/8"
Amount:
$6,216.00

Component Description:
Primary Antenna - Elbow Complex, Broadband, 6 1/8"
Amount:
$6,216.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Antenna-UHF high power top mount and trans test
Amount:
$112,233.80

Component Description:
Other freight shipping, and handling Chapman 53' flatbed
Amount:
$9,633.22

Component Description:
Antenna UHF High Power Top Mount (200-1000kW) Antenna
Amount:
$112,233.80

Component Description:
ANTENNA - UHF - HIGH POWER TOP MOUNT
Amount:
$67,932.40
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,160,660.00 $604,885.00 N/A $428,304.40 N/A
Total for all systems $8,175,443.25 $2,906,409.33 N/A $2,287,072.72 N/A
Interim Transmission Line $591,635.00 $70,385.00 $0.00
Rigid Transmission Line - copper, 8 3/16" $591,635.00 $70,385.00 $65,021 plus 8¼% sales/use tax; see attached Interim Line Cost Info document and included quotes. N/A N/A
Primary Transmission Line $569,025.00 $534,500.00 $428,304.40
Rigid Transmission Line - copper, 8 3/16" $546,525.00 $512,000.00 N/A $428,304.40 N/A
Transmission Line Bridge $22,500.00 $22,500.00 See attached American Tower site# 75253 cost estimate line 136. $0.00 N/A
Auxiliary Transmission Line $0.00 $0.00 $0.00
Utilize Existing Line - Mandatory Category due to LMS Bug $0.00 $0.00 This category added because LMS throws an error when there are no costs added to a "Utilized Existing" type of change. This category exists only as a work around for a bug in LMS. N/A N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 8 3/16" Information not provided.
Rigid Transmission Line - copper, 8 3/16"

Component Description:
Transmission Line Rigid Copper
Amount:
$4,648.00

Component Description:
RIGID TRANSMISSION LINE
Amount:
$94,979.52

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

Component Description:
Feed through complex, consists of approx. 52 ft of required 6-75 cut sections
Amount:
$42,118.00

Component Description:
Primary Transmission Line - Rigid Transmission Line - Copper 8 3/16"
Amount:
$134,399.44

Component Description:
New Transmission Line
Amount:
$134,399.44

Component Description:
ELBOW COMPLEX, BROADBAND AT ANTENNA INPUT FOR 8-3/16" 75 OHM FOR CH 33/34.
Amount:
$17,760.00
Transmission Line Bridge Information not provided.
Utilize Existing Line - Mandatory Category due to LMS Bug Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,938,100.00 $520,159.00 N/A $404,689.88 N/A
Total for all systems $8,175,443.25 $2,906,409.33 N/A $2,287,072.72 N/A
Auxiliary Tower GTOWER $421,000.00 $75,000.00 $73,880.63
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $75,000.00 N/A $73,880.63 N/A
Primary Tower GTOWER $1,517,100.00 $445,159.00 $330,809.25
Tower construction PM $7,500.00 $7,500.00 See attached American Tower site# 75253 cost estimate line 170. $5,625.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $187,547.00 Cost per attached American Tower 75253 Dallas Milton estimate spreadsheet $140,659.95 N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $8,760.00 N/A $8,760.00 N/A
Tower Helicopter Lift $7,200.00 $7,200.00 N/A $7,200.00 N/A
Ground and Building Permit Drawing Package $4,700.00 $4,700.00 See attached American Tower site# 75253 cost estimate line 168. N/A N/A
Tower Permit Drawing Package $4,700.00 $4,700.00 See attached American Tower site# 75253 cost estimate line 167. N/A N/A
Serious tower reinforcement/modifications $1,052,000.00 $224,752.00 Cost per attached American Tower 75253 Dallas Milton estimate spreadsheet $168,564.30 N/A

Components

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

Component Description:
"Per Purchase Order # 50138 Balance of Contract for KSTR/KUVN waveguide switchover Total Contract $68,250.00 minus down payment of $24,250.00, Texas City & State Sales Tax"
Amount:
$47,630.00

Component Description:
50% of total- PO# 50138 details attached
Amount:
$26,250.63
Tower construction PM

Component Description:
KUVN-DT-410-Existing Primary Tower - Tower Construction Project Management
Amount:
$1,875.00

Component Description:
KUVN-DT-410-Existing Primary Tower - Tower Construction Project Management
Amount:
$3,750.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
KUVN-DT-410-Existing Primary Tower - Complex Tower - Tower Rigging and Equipment
Amount:
$46,886.65

Component Description:
KUVN-DT-410-Existing Primary Tower - Complex Tower - Tower Rigging and Equipment
Amount:
$93,773.30
Structural engineering tower load study for a documented tower with candelabra

Component Description:
Broadcast tower mapping
Amount:
$4,960.00

Component Description:
Broadcast Structural
Amount:
$3,800.00
Tower Helicopter Lift

Component Description:
Helicopter lifting lug add on lug C-70715
Amount:
$7,200.00
Ground and Building Permit Drawing Package Information not provided.
Tower Permit Drawing Package Information not provided.
Serious tower reinforcement/modifications

Component Description:
Captial contribution - Milton/Cedar Hill
Amount:
$112,376.20

Component Description:
Capital Contribution - Milton/Cedar Hill
Amount:
$56,188.10

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 $160,055.00 $137,255.00 N/A $86,079.50 N/A
Total for all systems $8,175,443.25 $2,906,409.33 N/A $2,287,072.72 N/A
Outside Professional Services $160,055.00 $137,255.00 $86,079.50
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A $500.00 N/A
Migratory Bird Assesment $350.00 $350.00 See attached American Tower site# 75253 cost estimate line 198. N/A N/A
RF Exposure Measurements $21,050.00 $3,000.00 N/A $2,250.00 N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $1,400.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $500.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $1,080.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $2,500.00 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 - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $2,000.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A $1,125.00 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $3,500.00 N/A $687.50 N/A
Project management of the transition $85,320.00 $99,675.00 Increased per Justifying Quote - KUVN-DT Strategic Support Quote Widelity $76,642.00 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 American Tower tenant coordination fee, see attached ATC site# 75253 cost estimate line 175. $1,875.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $3,000.00 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

Components

Actual Information Description File Name
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application

Component Description:
KUVN-DT-530-RF Eng. - Prepare Construction Permit Application (Aux Ant.)
Amount:
$500.00
Migratory Bird Assesment Information not provided.
RF Exposure Measurements

Component Description:
KUVN-DT-580-Field Engineering Service - RF Exposure Measurements
Amount:
$750.00

Component Description:
KUVN-DT-580-Field Engineering Service - RF Exposure Measurements
Amount:
$1,500.00
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.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - 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 - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application

Component Description:
CP modification to increase antenna height due to ATC aperture reassignment
Amount:
$1,125.00
Prepare request for Special Temporary Authorization Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
K. Lahm - ERP/TPO calculation update -
Amount:
$125.00

Component Description:
KUVN-DT-530-RF Eng. - New Channel Assignment
Amount:
$500.00

Component Description:
K. Lahm - APO verification for transmitter
Amount:
$62.50
Project management of the transition

Component Description:
Project Mgmt - ATC SITE: 75253
Amount:
$9,480.00

Component Description:
Project Management Services
Amount:
$181.35

Component Description:
Project management Services
Amount:
$857.35

Component Description:
Project management services
Amount:
$770.90

Component Description:
Project management Services
Amount:
$593.45

Component Description:
Project management Services
Amount:
$548.60

Component Description:
Project management Services
Amount:
$334.75

Component Description:
work with installers on TX installation for Monitoring & Control
Amount:
$4,125.00

Component Description:
Work with Installation crew on the re-pack equipment
Amount:
$2,550.00

Component Description:
2/6/19 Conference call pertaining to KUVN-DT
Amount:
$1,125.00

Component Description:
Project Management
Amount:
$5,376.70

Component Description:
Cost Reconciliation
Amount:
$9,523.95

Component Description:
Project management Services
Amount:
$403.75

Component Description:
Project management Services
Amount:
$917.50

Component Description:
Project management services
Amount:
$490.50

Component Description:
Project management services
Amount:
$1,026.00

Component Description:
Project Management
Amount:
$2,281.95

Component Description:
Project Management
Amount:
$6,445.85

Component Description:
Project Management
Amount:
$4,310.30

Component Description:
Project management services
Amount:
$534.00

Component Description:
Project Management
Amount:
$3,803.25

Component Description:
Project Management
Amount:
$3,069.35

Component Description:
Project management services
Amount:
$949.50

Component Description:
Project Management
Amount:
$5,998.40

Component Description:
Project management Services
Amount:
$556.25

Component Description:
Project management
Amount:
$4,676.30

Component Description:
Project Management
Amount:
$1,237.30

Component Description:
Project management services
Amount:
$225.00

Component Description:
Project Management
Amount:
$5,806.25

Component Description:
Project Management
Amount:
$220.50

Component Description:
Project management services
Amount:
$235.50

Component Description:
Project Management
Amount:
$1,746.10

Component Description:
Project management services
Amount:
$184.50

Component Description:
Project Management
Amount:
$1,863.15
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
KUVN-DT-590-Transition and Timing Coordination
Amount:
$625.00

Component Description:
KUVN-DT-590-Transition and Timing Coordination
Amount:
$1,250.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
"Engineering study work for new channel assignment and antenna development (Custom Antenna)"
Amount:
$3,000.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $97,824.25 $96,259.25 N/A $59,184.25 N/A
Total for all systems $8,175,443.25 $2,906,409.33 N/A $2,287,072.72 N/A
Other Expenses $97,824.25 $96,259.25 $59,184.25
Disposal Costs (for equipment and other waste, net of any salvage value) $50,484.25 $50,484.25 see Estimated Cost Justification KUVN-DT-610-Disposal Costs v0 $50,484.25 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $10,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
American Tower Construction Fee $10,000.00 $10,000.00 See attached American Tower site# 75253 cost estimate line 219. $7,500.00 N/A
Tree trimming and clearing $1,600.00 $1,600.00 See attached American Tower site# 75253 cost estimate line 223. $1,200.00 N/A
Site Lessor Administrative Fee $18,960.00 $18,960.00 Two sites, $9,480 per site, per American Tower price list, attached. N/A N/A
Local Zoning $4,700.00 $4,700.00 See attached American Tower site# 75253 cost estimate line 207. N/A N/A

Components

Actual Information Description File Name
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Payment 2 of 2
Amount:
$16,107.67

Component Description:
KUVN-DT-610-Disposal Costs should be added for the glycol disposal.
Amount:
$1,050.25

Component Description:
Payment 50% of total 27,652.66- disposal costs- view PO attached
Amount:
$13,826.33

Component Description:
Disassemble & remove CH23 Harris DiamondCD transmitter from KUVN site
Amount:
$19,500.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification Mailing
Amount:
$3,675.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.
American Tower Construction Fee

Component Description:
KUVN-DT-610-American Tower Construction Fee
Amount:
$2,500.00

Component Description:
KUVN-DT-610-American Tower Construction Fee
Amount:
$5,000.00
Tree trimming and clearing

Component Description:
KUVN-DT-610-Tree Trimming and Clearing
Amount:
$400.00

Component Description:
KUVN-DT-610-Tree Trimming and Clearing
Amount:
$800.00
Site Lessor Administrative Fee Information not provided.
Local Zoning Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $8,175,443.25 $2,906,409.33 $2,287,072.72

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.

JOSE E FRANCHI , FRANCHI .

VP FINANCE


08/27/2019

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.

JOSE E FRANCHI , FRANCHI .

VP FINANCE


08/27/2019

Attachments

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