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:
48813-35
Service:
DRT
Call Sign:
WUVG-DT
Channel:
35 (UHF)
File Number:
0000089465
FRN:
0005414891
Eligibility Status:
Not Determined
Date Submitted:
11/14/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

UNIVISION ATLANTA LLC

Doing Business As: UNIVISION ATLANTA LLC

CHRISTOPHER G. WOOD

5999 CENTER DRIVE

LOS ANGELES, CA 90045

United States

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

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

Gregory Scott Coburn

Director Next Gen TV

Univision Communications Inc

5999 Center Drive

Los Angeles, CA 90045

United States

+1 (304) 952-8816 gcoburn@univision.net

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Move from Channel 17 to post repack channel 35. Move the transmission site because there was no frequency available to achieve coverage of the markett post repack

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)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model CU100B
Year 2010
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 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 TMU9-2
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.2 kW
Justification for New Transmitter New transmitter required as the old transmitter does not have enough power to achieve the desired contour.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs
Does the transmitter installation require a Transmitter Building Site Survey/Installation? Yes
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
Other Electrical Service Yes
Description Upgrade existing electrical service at new transmitter site. Test, Comission and place generator in service
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size Other
Other Size 3 tons
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Maskfilter

New mask filter required

RF Interconect

Rigid line, clamps, and tunable elbow

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)
Ownership Owned
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? No
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
ERP: 15.0 kW
Manufacturer
Model ALP12M-17-PL
Year 2009

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
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
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
ERP: 13.5 kW
Manufacturer
Model ALP12-35-PLE
Year 2019
Justification for New Antenna new antenna need at new site to achieve required contours.

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
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

Name Description

OTA reciever

Katherine Antenna 1469B WUVG-DT receives its signal from the FP station OTA.

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)
Ownership Owned
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 unknown
Type Rigid
Diameter 4 1/16 inches
Segment Length Broadband
Number of parallel runs 1
Length 650 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Dehydrator and TX line

Dehydrator and 90 degree elbow

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)
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? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1019528
Coordinates (NAD83) Latitude (NAD83) 34° 07' 32.0" N-
Longitude (NAD83) 083° 51' 32.0" W-
Overall Structure Height 1764.74 feet
Support Structure Height 1689.94 feet
Ground Elevation Above Mean Sea Level (AMSL) 889.75 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner IWG Towers Assets II, LLC
Date Constructed 08/17/1984

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
59970 WSRV FM
23960 WSB-TV DTV

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

Name Description

Mount new antennas

Mounting of the Channel 35 antenna, OTA receive antenna at Athens Country Club Location

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 120
Explanation Station is not staffed to perform project management
Outside RF consulting Engineering Services Perform engineering study for displacement application 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
Prepare Form 601 No
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
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

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
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

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Other Expenses Not Listed

Name Description

Flowery Branch Site Demolition

Costs associated with the removal of old transmission, antenna and generator from Flowery Branch site

Flowery Branch Generator Removal

Cost associated with removal of Generator from Flowery Branch location

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 $136,661.18 $105,606.18 N/A $5,857.18 N/A
Total for all systems $426,082.28 $390,147.28 N/A $66,016.84 N/A
Primary Transmitter TMU9-2 $136,661.18 $105,606.18 $5,857.18
Other -- HVAC Service Type: C Size:3 (Other) $519.31 $519.31 Upgrades to HVAC in transmitter site $519.31 N/A
Other Electrical Service: Upgrade existing electrical service at new transmitter site. Test, Comission and place generator in service $29,772.00 $29,772.00 N/A N/A N/A
Transmitter Building Site Survey/Installation $10,000.00 $15,645.00 Includes Shipping and Tax N/A N/A
Maskfilter $7,032.00 $7,032.00 N/A N/A N/A
RF Interconect $5,337.87 $5,337.87 N/A $5,337.87 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $84,000.00 $47,300.00 N/A N/A N/A

Components

Actual Information Description File Name
Other -- HVAC Service Type: C Size:3 (Other)

Component Description:
Invoice for HVAC upgrades
Amount:
$519.31
Other Electrical Service: Upgrade existing electrical service at new transmitter site. Test, Comission and place generator in service Information not provided.
Transmitter Building Site Survey/Installation Information not provided.
Maskfilter Information not provided.
RF Interconect

Component Description:
Invoice 9 of 9 for RF interconnect
Amount:
$54.33

Component Description:
Invoice 8 of 9 for RF interconnect. Sales tax
Amount:
$258.22

Component Description:
invoice 7 of 9 for RF interconnect. Sales tax
Amount:
$38.87

Component Description:
Invoice 6 of 9 re interconnect. Sales tax
Amount:
$0.31

Component Description:
invoice 5 or 9 for rf interconnect. freight charge
Amount:
$447.73

Component Description:
invoice 4 of 9 for rf interconnect,
Amount:
$701.00

Component Description:
invoice 3 of 9 for rf interconnect. freight charges
Amount:
$501.56

Component Description:
2nd of 9 invoices for interconnect. Hose clamp
Amount:
$4.00

Component Description:
1st of 9 invoices for Rigid RF interconnect
Amount:
$3,331.85
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $23,065.74 $23,065.74 N/A $4,299.66 N/A
Total for all systems $426,082.28 $390,147.28 N/A $66,016.84 N/A
Primary Antenna ALP12-35-PLE $23,065.74 $23,065.74 $4,299.66
UHF-Low Power, Side Mount, Slotted Coaxial, 13.5kW input, Elliptical $13,036.08 $13,036.08 New antenna required to meet new frequency and contours. Transmitter and antenna location had to be moved because no clear channel was available in the original location. $0.00 N/A
OTA reciever $4,299.66 $4,299.66 N/A $4,299.66 N/A
Sweep test of transmission line and antenna $5,730.00 $5,730.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF-Low Power, Side Mount, Slotted Coaxial, 13.5kW input, Elliptical Information not provided.
OTA reciever

Component Description:
invoiced amount for OTA VSB to ASI/SMPTE converter
Amount:
$3,692.16

Component Description:
invoiced amount for OTA receiver antenna
Amount:
$607.50
Sweep test of transmission line and antenna 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 $6,360.36 $6,360.36 N/A $0.00 N/A
Total for all systems $426,082.28 $390,147.28 N/A $66,016.84 N/A
Primary Transmission Line $6,360.36 $6,360.36 $0.00
Dehydrator and TX line $6,360.36 $6,360.36 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 $180,340.00 $176,390.00 N/A $38,450.00 N/A
Total for all systems $426,082.28 $390,147.28 N/A $66,016.84 N/A
Primary Tower TOWER $180,340.00 $176,390.00 $38,450.00
Mount new antennas $22,590.00 $22,590.00 Mount Chan 35 antenna and OTA receiver at Athens Country Club site $0.00 N/A
Tower Rigging Tall Tower (greater than 500') $157,750.00 $153,800.00 Decommission antenna and line at Flowery Branch site $38,450.00 N/A

Components

Actual Information Description File Name
Mount new antennas Information not provided.
Tower Rigging Tall Tower (greater than 500')

Component Description:
First Installment at contract signing
Amount:
$38,450.00

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 $33,205.00 $32,275.00 N/A $0.00 N/A
Total for all systems $426,082.28 $390,147.28 N/A $66,016.84 N/A
Outside Professional Services $33,205.00 $32,275.00 $0.00
Attorney Fees - Prepare and File request for Special Temporary Authorization $2,235.00 $2,235.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $2,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $2,250.00 based on fees charged for work on similar re-pack stations N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $2,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,500.00 based on fees charged for similar re-pack stations N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,500.00 based on fees for similar repack station N/A N/A
Prepare request for Special Temporary Authorization $1,280.00 $1,280.00 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A N/A N/A
Project management of the transition $12,660.00 $11,500.00 N/A N/A N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 N/A N/A N/A
Form 399 assistance or other Program Management costs $2,500.00 $2,500.00 based on fees for similar repack stations N/A N/A

Components

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 $46,450.00 $46,450.00 N/A $17,410.00 N/A
Total for all systems $426,082.28 $390,147.28 N/A $66,016.84 N/A
Other Expenses $46,450.00 $46,450.00 $17,410.00
Flowery Branch Generator Removal $6,620.00 $6,620.00 N/A $6,620.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,790.00 $10,790.00 Demo and Disposal of FLO TV equipment at Athens Country Club to make room for WUVG-DRT equipment $10,790.00 N/A
Flowery Branch Site Demolition $29,040.00 $29,040.00 Demolition, removal and clean up of WVUG0DRT transmission, electrical and generator from the Flowery Branch Site. $0.00 N/A

Components

Actual Information Description File Name
Flowery Branch Generator Removal

Component Description:
invoiced amount for Generator removal at flowery branch
Amount:
$6,620.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
2nd of two invoices for demolition of FLO TV equipment at Athens Country Club site
Amount:
$5,395.00

Component Description:
1st of two invoices for demolition of FLO TV at Athens Country Club
Amount:
$5,395.00
Flowery Branch Site Demolition Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $426,082.28 $390,147.28 $66,016.84

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

JOSE E FRANCHI , FRANCHI .

VP FINANCE


11/14/2019

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

JOSE E FRANCHI , FRANCHI .

VP FINANCE


11/14/2019

Attachments

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