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:
53065
Service:
DTV
Call Sign:
WPXT
Channel:
34 (UHF)
File Number:
0000028283
FRN:
0002538445
Date Submitted:
08/05/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

HEARST PROPERTIES INC.

Doing Business As: HEARST PROPERTIES INC.

Stephen Hartzell

P.O. BOX 1800

RALEIGH, NC 27602

United States

+1 (919) 839-0300 shartzell@brookspierce.com 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 WPXT will build its post-repack facility at the WMTW transmitter site in Baldwin, Maine. It will share WMTW's transmitter room and tower. A new antenna will be installed for WPXT utilizing an existing transmission line. See attached WPXT Transition Plan.

Transmitters

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

Primary Transmitter

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Add 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 Diamond
Year 2006
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 7.25 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? No
Manufacturer
Model ULXTE-12
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 8.5 kW
Justification for New Transmitter Existing Transmitter cannot be retuned. Selected model closest to power needs. Post-repack facility will be built at another site.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 400.0 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

Transmitter shipping

transmitter shipping

RF Accessories

miscellaneous required RF components

Sales Tax

transmitter sales tax

Electrical Accessories

Manufacturer required surge protection

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type 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: 137.4 kW
Manufacturer
Model TLP-16B-R
Year 2006

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? 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 Horizontal
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: 103.0 kW
Manufacturer
Model TLP-16F (C) OS
Year 2019
Justification for New Antenna current antenna channel specific and cannot be used on post-repack 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 3 1/8 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? 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

Name Description

RF adapters

additional required antenna components

Shipping

antenna shipping

Sales Tax

antenna sales tax

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 Utilize Existing
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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1500 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Line sweep

sweep existing unused line at new location to be utilized for post-repack channel

Adapters for line sweep

adapters needed to sweep existing transmission line

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 Owned
Is this tower consider Complex? No
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 1045602
Coordinates (NAD83) Latitude (NAD83) 43° 50' 44.0" N-
Longitude (NAD83) 070° 45' 41.0" W-
Overall Structure Height 1666.65 feet
Support Structure Height 1555.10 feet
Ground Elevation Above Mean Sea Level (AMSL) 882.54 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Hearst Properties Inc.
Date Constructed 02/01/2003

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
73288 WMTW DTV
48408 WIPL DTV
65675 WFNK FM

Other Types of Users

Users
Land-Mobile

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: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 100
Explanation supervise and manage project
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 Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
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

Non-Catalog legal expenses

Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues

Tower Consulting

Consulting for tower analysis, modifications and permits.

Transmitter Site Survey

Transmitter planning survey & transmitter building drawings

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $636,589.96 $412,310.48 N/A $109,830.48 N/A
Total for all systems $1,588,590.10 $1,081,507.32 N/A $539,136.40 N/A
Primary Transmitter ULXTE-12 $636,589.96 $412,310.48 $109,830.48
Electrical Accessories $1,618.74 $1,618.74 transmitter manufacturer required surge protection $539.58 N/A
Sales Tax $18,419.03 $18,419.03 sales tax estimate based on Maine general sales tax rate of 5.5% N/A N/A
RF Accessories $28,102.19 $28,102.19 additional RF components required for transmitter installation $9,367.40 N/A
Transmitter shipping $5,400.00 $5,400.00 estimate based on GatesAir quote N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $10,400.00 $10,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $295,200.46 Transmitter cost based on FCC transmitter definition, transmitter, mask filter, installation and proof. Quote sections A, B, and E $98,400.15 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $14,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $35,000.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $4,570.06 cost per GatesAir quote $1,523.35 N/A

Components

Actual Information Description File Name
Electrical Accessories

Component Description:
WPXT RF accessories payment 1
Amount:
$539.58
Sales Tax Information not provided.
RF Accessories

Component Description:
WPXT RF accessories payment 1
Amount:
$9,367.40
Transmitter shipping Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
WPXT transmitter payment 1 (transmitter, mask filter, installation and proof)
Amount:
$98,400.15
Service entrance 3 phase/800 amp/208 volt Information not provided.
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 150 KVA

Component Description:
WPXT transformer payment 1
Amount:
$1,523.35

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 $135,606.92 $72,310.92 N/A $62,884.00 N/A
Total for all systems $1,588,590.10 $1,081,507.32 N/A $539,136.40 N/A
Primary Antenna TLP-16F (C) OS $135,606.92 $72,310.92 $62,884.00
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,700.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $9,375.00 N/A $9,375.00 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $8,200.00 flexible TL used in place of elbow complex to reduce complexity and speed installation. $8,200.00 N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $39,609.00 N/A $39,609.00 N/A
Shipping $4,000.00 $4,000.00 estimated antenna shipping N/A N/A
RF adapters $2,205.00 $2,205.00 reducer and transformer per Dielectric quote N/A N/A
Sales Tax $2,521.92 $2,521.92 estimated antenna sales tax based on Maine general sales tax rate of 5.5% N/A N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
WPXT existing TL sweep
Amount:
$5,700.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
WPXT main antenna side mount brackets
Amount:
$9,375.00
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
WPXT main antenna flex line in place of elbow complex
Amount:
$8,200.00
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
WPXT main antenna
Amount:
$39,609.00
Shipping Information not provided.
RF adapters Information not provided.
Sales Tax 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 $10,743.22 $10,743.22 N/A $4,343.22 N/A
Total for all systems $1,588,590.10 $1,081,507.32 N/A $539,136.40 N/A
Primary Transmission Line $10,743.22 $10,743.22 $4,343.22
Line sweep $6,400.00 $6,400.00 standard Dielectric line sweep charge. Sweep to confirm unused T/L is in good working condition for repack use. N/A N/A
Adapters for line sweep $4,343.22 $4,343.22 see invoices $4,343.22 N/A

Components

Actual Information Description File Name
Line sweep Information not provided.
Adapters for line sweep

Component Description:
WPXT transmission line test transitions
Amount:
$4,237.80

Component Description:
WPXT test transitions shipping
Amount:
$105.42

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 $657,800.00 $447,047.50 N/A $329,761.50 N/A
Total for all systems $1,588,590.10 $1,081,507.32 N/A $539,136.40 N/A
Primary Tower TOWER $657,800.00 $447,047.50 $329,761.50
Major tower reinforcement/modifications $421,000.00 $200,000.00 Estimate based on current costs and likely cost to complete remaining tower modifications. $97,214.00 N/A
Tall Tower (greater than 500') $210,500.00 $222,047.50 total of current tower services invoices $225,047.50 I have to put something here since the system doesn't realize the estimated cost and actual cost is equal.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $7,500.00 N/A

Components

Actual Information Description File Name
Major tower reinforcement/modifications

Component Description:
WPXT tower mod steel down payment
Amount:
$48,607.00

Component Description:
WPXT tower mod steel payment 2
Amount:
$48,607.00
Tall Tower (greater than 500')

Component Description:
WPXT tower work change order 4
Amount:
$2,550.00

Component Description:
WPXT tower work change order 2
Amount:
$13,475.00

Component Description:
WPXT tower work change order 1
Amount:
$11,162.50

Component Description:
WPXT tower work final contract payment
Amount:
$58,609.00

Component Description:
WPXT tower work progress payment
Amount:
$70,000.00

Component Description:
WPXT tower work down payment
Amount:
$69,251.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
WPXT tower study peer review
Amount:
$6,000.00

Component Description:
WXPT tower analysis Install before Modification
Amount:
$1,500.00

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 $92,270.00 $91,067.20 N/A $32,317.20 N/A
Total for all systems $1,588,590.10 $1,081,507.32 N/A $539,136.40 N/A
Outside Professional Services $92,270.00 $91,067.20 $32,317.20
Transmitter Site Survey $20,600.00 $20,600.00 GatesAir standard charge for site survey $20,600.00 N/A
Tower Consulting $3,000.00 $3,000.00 estimated tower consulting needs $500.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $0.00 Included in Hammett Edison invoice 171371
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $0.00 Invoice received combined application costs with engineering study and antenna design. No longer need funds here $0.00 included in Hammett Edison invoice 171371
Perform engineering study for new channel assignment and antenna development $7,360.00 $11,217.20 First two reimbursements were for former station owner. Subsequent reimbursement requests are from current owner. Ownership change resulted in totally revised repack plan. $11,217.20 Attached invoice includes multiple categories.
Project management of the transition $15,800.00 $15,000.00 We have no qualified staff for this project. Estimate 100 hours at $150/ hr $0.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
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 - 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 request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Non-Catalog legal expenses $20,000.00 $20,000.00 Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $0.00 included in Hammett & Edison invoice 171371
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Transmitter Site Survey

Component Description:
WPXT GA transmitter site survey
Amount:
$20,600.00
Tower Consulting

Component Description:
WPXT tower consulting 2
Amount:
$300.00

Component Description:
WPXT tower consulting 1
Amount:
$200.00
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 Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
WPXT antenna development 1
Amount:
$812.50

Component Description:
Invoice for prepratory work - split with WPME 50/50
Amount:
$500.00

Component Description:
Invoice for engineering and filing CP & 399
Amount:
$9,904.70
Project management of the transition

Component Description:
Transmitter site visit and evaluation of infrastructure and facilities.
Amount:
$1,200.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Non-Catalog legal expenses Information not provided.
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.

Cost Information

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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 $55,580.00 $48,028.00 N/A $0.00 N/A
Total for all systems $1,588,590.10 $1,081,507.32 N/A $539,136.40 N/A
Other Expenses $55,580.00 $48,028.00 $0.00
MVPD Notification of Channel Change $3,000.00 $3,000.00 To ID and notify MVPD's N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $195.00 N/A N/A N/A
Equipment Storage $30,500.00 $30,500.00 Estimate for one year of antenna storage. Dielectric Storage Estimate in attachments. N/A N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 production and air time N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $333.00 N/A N/A N/A
Local Zoning $2,000.00 $2,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $4,000.00 N/A N/A N/A
Non-zoning permits $2,500.00 $2,500.00 Building permits, filing fees and cost to create them N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $3,000.00 $3,000.00 To dispose of electronic waste (old xmtr's) and associated gear, plus old line, antenna, etc. N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,588,590.10 $1,081,507.32 $539,136.40

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.

John Drain

Hearst Television SVP Chief Financial Officer


08/05/2019

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.

Douglas Durkee

Hearst Television Manager of Spectrum Repack


08/05/2019

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