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:
10253
Service:
DTV
Call Sign:
WIPX-TV
Channel:
28 (UHF)
File Number:
0000028451
FRN:
0003720273
Date Submitted:
08/08/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ION MEDIA INDIANAPOLIS LICENSE, INC.

Doing Business As: ION MEDIA INDIANAPOLIS LICENSE, INC.

Bianca Frye

601 Clearwater Park Road

West Palm Beach, FL 33401

United States

+1 (561) 682-4110 BiancaFrye@ionmedia.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. No
Briefly describe transition plan Relocate from ASR #1026377 to ASR #1041579. Operate from current side mounted digital antenna while a new side mount antenna is installed for post repack channel. Replace transmission line and non-retunable transmitter for operation on post repack channel

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Millennium
Year 2004
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 20 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 PRLX-U10
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 16.2 kW
Justification for New Transmitter See attached Transmitter Exhibits. See attached Transmitter Upgrade Disclaimer.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical Installation of Transmitter
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 1200.0 square feet
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

Removal of Existing Equipment

Removal of existing transmitters and equipment / Site Prep

RF Interconnect

Interconnect between RF System and transmission line

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? 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: 165.0 kW
Manufacturer
Model TFU-18DSC-R 03
Year 2004

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 175.0 kW
Manufacturer
Model ATW21H3-ESO8-28L
Year 2018
Justification for New Antenna See attached Antenna Exhibit

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 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? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax on Antenna Package

Sales Tax on Antenna Package

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1015 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 6 1/8 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1060 feet per run
Justification for New Transmission Line See attached Antenna Exhibit

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep existing transmission line

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 Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
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 No
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1026377
Coordinates (NAD83) Latitude (NAD83) 39° 24' 13.7" N-
Longitude (NAD83) 086° 08' 40.5" W-
Overall Structure Height 999.99 feet
Support Structure Height 951.10 feet
Ground Elevation Above Mean Sea Level (AMSL) 878.93 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner SpectraSite Communications, LLC. through American Towers, LLC.
Date Constructed 03/06/1989

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
93005 WHZN FM

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.

Primary Tower

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Add 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? 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? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1041579
Coordinates (NAD83) Latitude (NAD83) 39° 24' 12.0" N-
Longitude (NAD83) 086° 08' 50.0" W-
Overall Structure Height 1000.64 feet
Support Structure Height 1000.64 feet
Ground Elevation Above Mean Sea Level (AMSL) 859.57 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner TRINITY BROADCASTING OF INDIANA INC
Date Constructed 01/01/1985


Primary 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: Minor 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 180
Explanation Required by tower landlord
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review 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 Yes
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

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning 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? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

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 $873,227.21 $648,291.86 N/A $607,034.70 N/A
Total for all systems $2,097,218.62 $1,550,384.07 N/A $1,210,867.10 N/A
Primary Transmitter PRLX-U10 $873,227.21 $648,291.86 $607,034.70
Removal of Existing Equipment $9,195.00 $9,195.00 See attached Skyline Communications Quote #98921157. Please see attached Truster Building & Fence Invoice #2151. $9,195.00 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $452,580.65 See attached Hitachi Comark Quote #P3607PRLXU10-071018. Inclusive of Change Order of $47,507 and Sales Tax (7.00%) $29,145.69, and Freight $10,528.41. $452,580.65 N/A
Switchgear - industrial 800 amp $38,200.00 $36,013.00 See attached ERMCO Quote #1 (Switchgear). N/A N/A
5 Ton system $20,250.00 $28,921.00 See attached North Mechanical Services Quote #M18619-13. $28,921.00 N/A
Other Electrical Service: Electrical Installation of Transmitter $73,046.21 $73,046.21 See attached ERMCO Change Order(Electrical Installation of Transmitter) plus sales tax $4,753.21. Please see attached ERMCO Invoice #910008852. $73,046.21 N/A
Other -- Building Addition Size: 1200.0 $23,536.00 $23,536.00 See attached Construction Contractor's Inc. Quote #9-18-3187 for transmitter building modifications necessary for transmitter placement. $23,536.00 N/A
RF Interconnect $25,000.00 $25,000.00 N/A $19,755.84 N/A

Components

Actual Information Description File Name
Removal of Existing Equipment

Component Description:
Cost to remove and reinstall fencin for access to transmitter building. Supporting documentation is attached. This invoice has been paid.
Amount:
$395.00

Component Description:
Cost of Labor to Remove and dispose of old transmitter equipment from transmitter room. Supporting documentation attached. This invoice has been paid.
Amount:
$8,800.00
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
50% progress payment for Comark Transmitter. Change order and supporting documentation attached.
Amount:
$238,006.09

Component Description:
Payment for freight for Comark Transmitter. Supporting documentation attached.
Amount:
$10,528.41

Component Description:
20% "proof of performance" payment for Comark Transmitter. Supporting documentation attached.
Amount:
$85,642.09

Component Description:
30% "deposit" payment for Comark Transmitter. Supporting documentation attached.
Amount:
$118,404.06
Switchgear - industrial 800 amp Information not provided.
5 Ton system

Component Description:
Cost to supply/install HVAC system for transmitter building. Supporting documentation attached. This invoice has been paid.
Amount:
$28,921.00
Other Electrical Service: Electrical Installation of Transmitter

Component Description:
Cost to relocate power receptacles. Supporting documentation is attached.
Amount:
$390.00

Component Description:
Cost of electrical installation of primary transmitter. Supporting documentation and change order attached. This invoice has been paid.
Amount:
$72,656.21
Other -- Building Addition Size: 1200.0

Component Description:
Cost of transmitter building modifications necessary for installation of transmitter & HVAC. Includes costs of paint, ceiling tile, plumbing, flooring, electrical, scrape, paint exterior and doors. Supporting documentation attached.
Amount:
$23,536.00
RF Interconnect

Component Description:
50% of RF Interconnect Components to Join Transmitter with Transmission Line. Supporting documentation attached. This invoice has been paid.
Amount:
$5,477.92

Component Description:
Cost of installation of RF transmission line from mask filter to gas stop. Supporting documentation is attached. This invoice has been paid.
Amount:
$8,800.00

Component Description:
50% of RF Interconnect Components to Join Transmitter with Transmission Line. Supporting documentation attached. This invoice has been paid.
Amount:
$5,477.92

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 $146,341.41 $151,280.81 N/A $145,988.81 N/A
Total for all systems $2,097,218.62 $1,550,384.07 N/A $1,210,867.10 N/A
Primary Antenna ATW21H3-ESO8-28L $146,341.41 $151,280.81 $145,988.81
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,120.00 Quote in progress. Estimated cost based on Pre-Determined Cost Estimate N/A N/A
Sweep test of existing antenna $6,730.00 $6,250.00 See attached Electronics Research, Inc. Quote #20180523-196RevC (Television Services - System Sweep) $6,250.00 N/A
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized $103,100.00 $111,130.00 See attached Electronics Research, Inc. Quote #20180523-196RevC (Antenna & Mounts). Excludes the cost of vertical polarization. $111,130.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $9,829.40 See attached Electronics Research, Inc. Quote #20180523-196RevC (Elbow Complex) $9,829.40 N/A
Sales Tax on Antenna Package $18,951.41 $18,951.41 Sales Tax equivalent to 6.5% for transmitter site in Indianapolis. $18,779.41 N/A

Components

Actual Information Description File Name
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Sweep test of existing antenna

Component Description:
10% "net invoice" payment for repack sweep of primary antenna operations. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$625.00

Component Description:
30% "prior to shipment" payment for repack sweep of primary antenna operations. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$1,875.00

Component Description:
30% "progress payment" payment for repack sweep of primary antenna operations. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$1,875.00

Component Description:
30% "deposit" payment for repack sweep of primary antenna operations. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$1,875.00
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized

Component Description:
10% "net invoice" payment for primary antenna and mounts. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$11,113.00

Component Description:
30% "prior to shipment" payment for primary antenna and mounts. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$33,339.00

Component Description:
30% "deposit" payment for primary antenna and mounts. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$33,339.00

Component Description:
30% "progress payment" payment for primary antenna and mounts. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$33,339.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
10% "net invoice" payment for primary elbow complex. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$982.94

Component Description:
30% "prior to shipment" payment for primary elbow complex. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$2,948.82

Component Description:
30% "deposit" payment for primary elbow complex. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$2,948.82

Component Description:
30% "progress payment" payment for primary elbow complex. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$2,948.82
Sales Tax on Antenna Package

Component Description:
Credit on sales tax. Explanation of variance and supporting documentation is attached.
Amount:
($172.00)

Component Description:
30% "prior to shipment" of taxes payable on antenna package order. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$7,697.37

Component Description:
30% "progress payment" of taxes payable on antenna package order. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$5,627.02

Component Description:
30% of taxes payable on antenna package order. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$5,627.02

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 $220,520.00 $154,926.40 N/A $145,693.35 N/A
Total for all systems $2,097,218.62 $1,550,384.07 N/A $1,210,867.10 N/A
Primary Transmission Line $220,520.00 $154,926.40 $145,693.35
Rigid Transmission Line - copper, 6 1/8" $214,120.00 $148,526.40 See attached Electronics Research, Inc. Quote #20180523-196RevC (Transmission Line) $145,693.35 N/A
Sweep existing transmission line $6,400.00 $6,400.00 N/A N/A N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
10% "net invoice" payment for primary transmission line. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$12,019.59

Component Description:
30% "progress payment" payment for primary transmission line. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$44,557.92

Component Description:
30% "deposit" payment for primary transmission line. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$44,557.92

Component Description:
30% "prior to shipment" payment for primary transmission line. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$44,557.92
Sweep existing transmission line 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 $579,000.00 $344,190.00 N/A $290,092.50 N/A
Total for all systems $2,097,218.62 $1,550,384.07 N/A $1,210,867.10 N/A
Primary Tower GTOWER $210,500.00 $187,300.00 $156,500.00
Tall Tower (greater than 500') $210,500.00 $187,300.00 See attached Worldwide Communications Quote #S-18-862 $156,500.00 N/A
Primary Tower TOWER $368,500.00 $156,890.00 $133,592.50
Tall Tower (greater than 500') $210,500.00 $128,000.00 See attached Worldwide Communications Quote #S-18-861. $108,000.00 N/A
Minor tower reinforcement/modifications $158,000.00 $28,890.00 See attached Worldwide Communications Quote #S-18-619. Estimate includes taxes of $1,890.00. $25,592.50 N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500')

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$17,550.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$13,650.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$17,550.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$42,250.00

Component Description:
Down payment associated with securing tower service. Note that amount is not additional to cost of tower rigging and will be deducted from total cost of tower rigging at the time it is quoted. Supporting documentation attached. This invoice has been paid.
Amount:
$20,000.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$7,800.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$13,000.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$13,000.00

Component Description:
Payment for weather delays for tower rigging service. Cover letter and supporting documentation attached. This invoice has been paid.
Amount:
$11,700.00
Tall Tower (greater than 500')

Component Description:
Balance due payment for tower service. Supporting documentation is attached. This invoice has been paid.
Amount:
$12,000.00

Component Description:
65% "mobilization payment" for tower service. Supporting documentation attached. This invoice has been paid.
Amount:
$83,200.00

Component Description:
10% "deposit payment" for tower service. Supporting documentation attached. This invoice has been paid.
Amount:
$12,800.00
Minor tower reinforcement/modifications

Component Description:
Cost to build protective fencing around guy wire anchors. Supporting documentation is attached.
Amount:
$3,925.00

Component Description:
10% "deposit payment" for tower modifications. Supporting documentation attached. This invoice has been paid.
Amount:
$2,889.00

Component Description:
65% "mobilization payment" for tower modifications. Supporting documentation attached. This invoice has been paid.
Amount:
$18,778.50

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 $189,650.00 $171,280.00 N/A $6,930.49 N/A
Total for all systems $2,097,218.62 $1,550,384.07 N/A $1,210,867.10 N/A
Outside Professional Services $189,650.00 $171,280.00 $6,930.49
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
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
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A 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 N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 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
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $4,742.99 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,000.00 N/A
Project management of the transition $28,440.00 $18,530.00 See AT Exhibit for more information. N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $187.50 N/A

Components

Actual Information Description File Name
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Invoice for station's portion of general repack legal expenses incurred for 42 of the ION repack stations for period 2/1/2017 - 12/15/2017. Payee has corresponded with FCC staff and has provided corrected supporting documentation.
Amount:
$4,837.97

Component Description:
Invoice for WIPX's portion of general repack legal expenses incurred for 42 of the ION repack stations for period 2/1/2017 - 12/15/2017. Payee has corresponded with FCC staff. Hourly supporting documentation and invoice attached.
Amount:
$4,742.99
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Cost of RF consultant preparation of engineering part of FCC Form 2100. Hourly supporting documentation attached. This invoice has been paid.
Amount:
$2,000.00
Project management of the transition Information not provided.
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Cost of RF consultant work for new channel assignment and antenna development. Hourly supporting documentation attached. This invoice has been paid.
Amount:
$62.50

Component Description:
Cost of RF consultant work for new channel assignment and antenna development. Hourly supporting documentation attached. This invoice has been paid.
Amount:
$125.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $88,480.00 $80,415.00 N/A $15,127.25 N/A
Total for all systems $2,097,218.62 $1,550,384.07 N/A $1,210,867.10 N/A
Other Expenses $88,480.00 $80,415.00 $15,127.25
DTV Medical Facility Notification $11,550.00 $3,500.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $25,000.00 $25,000.00 N/A N/A N/A
Non-zoning permits $15,000.00 $15,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $15,000.00 $15,000.00 N/A $4,190.00 N/A
Equipment Delivery and Handling Charges $10,000.00 $10,000.00 N/A $8,776.58 N/A
Equipment Storage $10,000.00 $10,000.00 N/A $2,160.67 N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 The amount is yet to be determined (TBD) and ION will submit on-air announcement costs when finalized. N/A N/A
MVPD Notification of Channel Change $1,400.00 $1,400.00 N/A N/A N/A

Components

Actual Information Description File Name
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning Information not provided.
Non-zoning permits Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Cost of temporary waste dumpster. Supporting documentation is attached. This invoice has been paid.
Amount:
$465.00

Component Description:
Cost incurred to properly remove & dispose of 55 Gallons of Glycol & Mineral Oil from old transmitter. Supporting documentation attached. This invoice has been paid.
Amount:
$3,725.00
Equipment Delivery and Handling Charges

Component Description:
Cost of labor and materials to repair driveway for equipment delivery. Supporting documentation is attached. This invoice has been paid.
Amount:
$5,577.00

Component Description:
10% "net invoice" payment for equipment delivery. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$376.04

Component Description:
30% "prior to shipment" payment for equipment delivery. Explanation of variance form and supporting documentation attached. This invoice has been paid.
Amount:
$2,823.54
Equipment Storage

Component Description:
Cost of container rental for transmission line storage during installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$239.70

Component Description:
Cost of container rental for transmission line storage during installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$386.75

Component Description:
Cost of container rental for transmission line storage during installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$491.49

Component Description:
Cost of container rental for transmission line storage during installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$316.25

Component Description:
Cost of container rental for transmission line storage during installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$234.99

Component Description:
Cost of container rental for transmission line storage during installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$491.49
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,097,218.62 $1,550,384.07 $1,210,867.10

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.

Mario Vasquez

Vice President - Finance, Operations


08/08/2019

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.

Mario Vasquez

Vice President - Finance, Operations


08/08/2019

Attachments

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