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:
83945
Service:
DTV
Call Sign:
KGLA-DT
Channel:
35 (UHF)
File Number:
0000028479
FRN:
0015540131
Date Submitted:
11/08/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MAYAVISION, INC.

Doing Business As: Telemundo New Orleans

Alejandro Schweikert

3540 S I-10 SERVICE ROAD W

SUITE 342

METARIE, LA 70001

United States

+1 (504) 799-4242 ALEJANDRO@KGLA.TV 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

Arthur M Hoover , III .

President Technical Consultant

Technical Services Group, Inc.

12015 Cloverland Court

Baton Rouge, LA 70809

United States

+1 (225) 751-9800 amh@tsgcom.com

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 The plan is for KGLA is to replace the existing channel 42 system with a new channel 35 antenna, new 6-1/8" line and new transmitter. See Attached Narrative for more information.

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 CST II
Year 2007
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 26 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 THU9-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.98 kW
Justification for New Transmitter The existing transmitter cannot be retuned because the manufacturer is no longer in business and retuning services are not available.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 150.0 feet
Other Electrical Service Yes
Description The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.
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

Information not provided.

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model THU-9-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31 kW
Justification for New Transmitter New interim transmitter for Channel 35 to be utilized in connection with an interim antenna while the primary transmitter and antenna are replaced, to keep the station on the air. Rental of a transmitter for this interim operation period is not available

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) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 150.0 feet
Other Electrical Service Yes
Description The interim transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
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

Name Description

New 4-port switch

A new 4-port switch will be necessary for allowing KGLA to transition efficiently on time with minimal delay.

Retune Existing Mask Filter

The existing mask filter for an existing low-power back-up transmitter (to be discarded and not replaced) will be retuned in support of this interim transmitter.

Building Reconfiguration

No additional building space is necessary, however some reconfiguration of the existing building is needed to make room for the equipment (removal and installation of walls).

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top 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: 780.0 kW
Manufacturer
Model PSIUSMDT24A0C
Year 2007

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? 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? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top 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: 681.0 kW
Manufacturer
Model ATW20H3-ETS-35H
Year 2017
Justification for New Antenna A new main antenna is necessary because the existing main antenna is a single frequency antenna, and is not capable of operation on the Channel 35

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

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 1
Lower Limit 590.00 MHz
Upper Limit 650.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 681.0 kW
Manufacturer
Model TFU-24WB C160
Year 2017
Justification for New Antenna An interim antenna is required for KGLA to remain on air during the demolition of the existing main antenna and installation of the channel 35 top mounted New main Antenna.

Interim Antenna

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Other Antenna Costs

Section Question Response
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 an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1144 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 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1144 feet per run
Justification for New Transmission Line New Transmission line is necessary because the existing transmission line for Ch. 42 is not compatible with the new Ch. 35. The new transmission line will have different segment lengths.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 4 1/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1020 feet per run
Justification for New Transmission Line An interim transmission line is required for KGLA to connect to the interim antenna to allow KGLA to remain on air during the demolition of the existing main antenna and installation of the channel 35 top mounted New main Antenna.

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 Owned
Is this tower consider Complex? Terrain Constrained
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? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1028295
Coordinates (NAD83) Latitude (NAD83) 29° 58' 42.0" N-
Longitude (NAD83) 089° 56' 26.0" W-
Overall Structure Height 1048.54 feet
Support Structure Height 991.46 feet
Ground Elevation Above Mean Sea Level (AMSL) 0.00 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner MAYAVISION, INC.
Date Constructed 06/01/1984


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 Terrain constrained
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural Analysis

Structural Analysis to be run after Mapping is complete.

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 2562
Explanation KGLA requires the aid of outside project management services in order to fulfill the requirements of the Repack. KGLA does not have sufficient resource capacity and expertise in house to handle all of the reimbursement filing, expense tracking, vendor co
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 Yes
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
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 Yes
Number of Days 50
Justification The KGLA site is completely surrounded by water. The estimated for 50 days of additional engineering services is based on logistical challenges. See attachment for more detailed explanation.

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? Yes
Is Remediation needed? Yes
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 Yes
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

Name Description

Engineering and Administrative

Minor Engineering issues and other Administrative Costs

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 $2,440,820.00 $2,329,120.00 N/A $0.00 N/A
Total for all systems $5,141,281.94 $4,929,815.94 N/A $303,420.40 N/A
Interim Transmitter THU-9-20 $1,336,020.00 $1,275,470.00 $0.00
Building Reconfiguration $20,000.00 $20,000.00 N/A N/A N/A
Retune Existing Mask Filter $25,000.00 $25,000.00 N/A N/A N/A
New 4-port switch $24,820.00 $24,820.00 N/A N/A N/A
UHF inside RF system including switching $147,500.00 $140,000.00 N/A N/A N/A
10 Ton system $38,900.00 $37,000.00 N/A N/A N/A
Other Electrical Service: The interim transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors. $50,000.00 $50,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $900,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,350.00 N/A N/A N/A
Primary Transmitter THU9-20 $1,104,800.00 $1,053,650.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $900,000.00 Upgrade from IOT existing xmitter to solid state due to inability to re-tune existing xmitter to Channel 35 and unavailability of new IOT xmeter. Could not obtain price estimate for IOT Channel 35 xmeter. Widelity Catalog price is $549,000, N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,350.00 N/A N/A N/A
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors. $75,000.00 $75,000.00 A detailed cost proposal from a vendor after an onsite inspection is forthcoming. N/A N/A

Components

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 $504,870.00 $490,800.00 N/A $0.00 N/A
Total for all systems $5,141,281.94 $4,929,815.94 N/A $303,420.40 N/A
Interim Antenna TFU-24WB C160 $251,140.00 $249,400.00 $0.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 1 bay,, 681 kW input, directional,, horizontally polarized $216,000.00 $216,000.00 N/A N/A N/A
Primary Antenna ATW20H3-ETS-35H $253,730.00 $241,400.00 $0.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $235,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A

Components

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 $397,348.00 $377,748.00 N/A $0.00 N/A
Total for all systems $5,141,281.94 $4,929,815.94 N/A $303,420.40 N/A
Interim Transmission Line $166,260.00 $158,100.00 $0.00
Rigid Transmission Line - copper, 4 1/16" broadband $166,260.00 $158,100.00 N/A N/A N/A
Primary Transmission Line $231,088.00 $219,648.00 $0.00
Rigid Transmission Line - copper, 6 1/8" $231,088.00 $219,648.00 N/A N/A N/A

Components

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 $894,422.94 $851,122.94 N/A $177,952.10 N/A
Total for all systems $5,141,281.94 $4,929,815.94 N/A $303,420.40 N/A
Primary Tower GTOWER $894,422.94 $851,122.94 $177,952.10
Structural Analysis $26,122.94 $26,122.94 see Estimated Cost Justification KGLA-410-Existing Primary Tower - Structural Analysis v0 $26,122.94 N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $129,016.66 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A $22,812.50 N/A
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 N/A N/A

Components

Actual Information Description File Name
Structural Analysis

Component Description:
Tower Analysis -Additional Scenario Analyze the tower for the proposed KGLA repack antenna replacement, while keeping in place the existing FM antenna and corresponding 3 in coax feedline.
Amount:
$1,875.00

Component Description:
Bo Hoover: Structural analysis review
Amount:
$900.00

Component Description:
Structural Analysis
Amount:
$23,347.94
Major tower reinforcement/modifications

Component Description:
KGLA-410-Existing Primary Tower - Major Tower Reinforcement/Modifications
Amount:
$16,625.00

Component Description:
Furnish: Recycled concrete rock
Amount:
$112,391.66
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Site Visit Post Modification Observation Visit Perform a post modification observation site visit and tower climb with two engineers
Amount:
$22,812.50
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $669,691.00 $650,010.00 N/A $117,830.80 N/A
Total for all systems $5,141,281.94 $4,929,815.94 N/A $303,420.40 N/A
Outside Professional Services $669,691.00 $650,010.00 $117,830.80
Additional Field Engineering Service, 50 Days $100,000.00 $100,000.00 N/A $0.00 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 -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 $4,000.00 N/A $250.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $375.00 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
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 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 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 N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 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
Prepare and or review reimbursement form $2,630.00 $11,960.00 Fletcher, Heald & Hildreth invoice Repack-1 $7,835.00 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Project management of the transition $404,796.00 $384,300.00 N/A $109,370.80 N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 50 Days 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 -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

Component Description:
Construction Permit App Aux
Amount:
$250.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Construction Permit App Main
Amount:
$375.00
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit 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 Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Channel Repack memo; re same
Amount:
$7,835.00
RF Exposure Measurements Information not provided.
Project management of the transition

Component Description:
FCC 387 Quarterly reports
Amount:
$225.00

Component Description:
Project Management
Amount:
$2,317.50

Component Description:
Project Management
Amount:
$1,232.65

Component Description:
Project Management Services performed by Todd Acomb July 2019
Amount:
$4,200.00

Component Description:
Project Management Services performed by Todd Acomb June 2019
Amount:
$9,562.50

Component Description:
Project Management
Amount:
$1,470.00

Component Description:
Project Management
Amount:
$562.80

Component Description:
Project Management Services performed by Todd Acomb February 2019
Amount:
$15,000.00

Component Description:
Project Management Services performed by Todd Acomb April 2019
Amount:
$5,062.50

Component Description:
Project Management
Amount:
$1,371.75

Component Description:
Project Management Services performed by Todd Acomb May 2019
Amount:
$3,750.00

Component Description:
Project Management Services performed by Todd Acomb March 2019
Amount:
$3,187.50

Component Description:
Project Management
Amount:
$585.00

Component Description:
Onsite meeting, professional services, project management, FCC 399 initial prep and review response
Amount:
$10,692.35

Component Description:
Project Management Services performed by Todd Acomb September 2019
Amount:
$22,200.00

Component Description:
Project Management
Amount:
$3,265.00

Component Description:
Project Management Services performed by Todd Acomb August 2019
Amount:
$10,350.00

Component Description:
Please deny this invoice. Part of 203512
Amount:
N/A

Component Description:
Please deny this invoice. Part of 203512
Amount:
N/A

Component Description:
Project Management
Amount:
$562.80

Component Description:
Project Management Services performed by Todd Acomb January 2019
Amount:
$11,062.50

Component Description:
Project Management
Amount:
$408.75

Component Description:
Cost Reconciliation
Amount:
$487.50

Component Description:
Project Management
Amount:
$2,377.50

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 $234,130.00 $231,015.00 N/A $7,637.50 N/A
Total for all systems $5,141,281.94 $4,929,815.94 N/A $303,420.40 N/A
Other Expenses $234,130.00 $231,015.00 $7,637.50
Engineering and Administrative $20,000.00 $20,000.00 N/A $7,637.50 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A N/A N/A
Equipment Storage $50,000.00 $50,000.00 The KGLA site is completely surrounded by water. The est. $50k cost is based on an 6 months of off-site storage, and logistics of utilizing Conex storage containers on barges during construction. N/A N/A
Equipment Delivery and Handling Charges $50,000.00 $50,000.00 The KGLA site is surrounded by water. Estimate is based upon allocation of 25 days rental for small barge, push boat and boat operator. See attachment for more detailed explanation. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $40,000.00 $40,000.00 The KGLA site is surrounded by water. All disposal will require daily water transportation to land-based disposal containers. Estimate is based upon 20 days rental of small boat costs and operator. See attachment for more detailed explanation. N/A N/A
Non-zoning permits $5,000.00 $5,000.00 N/A N/A N/A
Local Zoning $10,000.00 $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
AM Pattern Disturbance -- Remedy $21,050.00 $20,000.00 N/A N/A N/A
AM Pattern Disturbance -- Impact study $7,890.00 $7,500.00 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
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $0.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Engineering and Administrative

Component Description:
Attorney fees
Amount:
$3,700.00

Component Description:
KGLA-610-Engineering and Administrative
Amount:
$3,937.50
MVPD Notification of Channel Change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
AM Pattern Disturbance -- Remedy Information not provided.
AM Pattern Disturbance -- Impact study Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
Develop and air announcement of upcoming channel change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,141,281.94 $4,929,815.94 $303,420.40

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.

Todd Acomb

Project Manager


11/08/2019

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.

Todd Acomb

Project Manager


11/08/2019

Attachments

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