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:
69692
Service:
DTV
Call Sign:
KNVO
Channel:
17 (UHF)
File Number:
0000028314
FRN:
0001529627
Date Submitted:
09/04/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ENTRAVISION HOLDINGS, LLC

Mark Boelke

Suite 6000 West

2425 Olympic Boulevard

Santa Monica, CA 90404

United States

+1 (310) 447-3896 mboelke@entravision.com 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

Samuel Hariton

Widelity

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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. Yes
Briefly describe transition plan The plan is for KNVO is to replace the existing Channel 49 system with a new Channel 17 antenna, new 6-1/8" line, and a new transmitter.

Transmitters

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

Primary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model CD3P2CFAND1150
Year 2005
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 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 ULXTE-90
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 56.4 kW
Justification for New Transmitter The existing transmitter operates as a main/alternate main transmitter pair. The replacement transmitter is also a main/alternate main.

Primary Transmitter

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Other Transmitter Costs

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

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? Yes
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 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: 1000.0 kW
Manufacturer
Model ATW30H5
Year 2001

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
28280 KTFV-CD

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? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-22JSC/VP-R C160
Year 2017
Justification for New Antenna A new antenna is necessary because the existing antenna cannot be retuned to the new channel and is not capable of broadcasting on channel 17.

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? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

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? No
New 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 181.0 kW
Manufacturer
Model TLP-16M-R
Year 2017
Justification for New Antenna Due to structural limitations, KNVO's new main antenna system and KNVO's old main antenna system cannot both be present on the tower at the same time. KNVO will need to broadcast using lower-loading antenna system while the old main antenna is removed.

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? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No

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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 1131 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
28280 KTFV-CD

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? Yes
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1131 feet per run
Justification for New Transmission Line KNVO's previous waveguide is not capable of operating on the new channel. A new (different sized) waveguide will need to be installed in order to support the new channel.

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 Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 1131 feet per run
Justification for New Transmission Line The interim antenna will need it's own separate transmission line to operate on as the main antenna transmission line will not be installed prior to the interim antenna's activation.

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? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1051020
Coordinates (NAD83) Latitude (NAD83) 26° 05' 19.0" N-
Longitude (NAD83) 098° 03' 45.0" W-
Overall Structure Height 971.12 feet
Support Structure Height 971.12 feet
Ground Elevation Above Mean Sea Level (AMSL) 77.10 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Entravision - Texas Limited Partnership
Date Constructed 01/01/1997

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
67188 KVLY FM
28280 KTFV-CD DTV

Other Types of Users

Users
VTX Comms
Fed Border Pat
49038 KFXV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural Analysis

Structural Analysis needed once Mapping 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 712
Explanation KNVO does not have sufficient resource capacity and expertise in house to handle all of the reimbursement filing by the Construction Deadline of March 13, 2020. KNVO will hire an outside firm to ensure a timely and well managed transition.
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 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 No
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

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? No
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $2,276,506.99 $2,841,783.87 N/A $879,919.95 N/A
Total for all systems $3,925,550.49 $4,292,132.60 N/A $1,089,265.25 N/A
Primary Transmitter ULXTE-90 $2,276,506.99 $2,841,783.87 $879,919.95
5 Ton system $20,250.00 $19,250.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $2,369,516.88 Cost decreased by amount already forwarded for payment on superseded equipment. per GatesAir quotes Q-74348, Q-74405, & Q-78701 $479,028.43 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $21,560.00 per GatesAir quotes Q-74348 & Q-74405 N/A N/A
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. Based on verbal guidance from local electrical contractors, KNVO estimated the electrical work cost. $30,565.47 $30,565.47 See attached electrician's quote N/A N/A
UHF - Liquid Cooled Solid State Transmitter 31.7 kW $400,891.52 $400,891.52 ***System Notice: Estimate adjusted and locked because line has been superseded.***Please see the attached Gatesair JW30004370-1 invoice $400,891.52 N/A

Components

Actual Information Description File Name
5 Ton system Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
"ULXTE-50 Transmitter per Quote Q-74348"
Amount:
$479,028.43
Transformer 3 phase/480v - 300 KVA Information not provided.
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. Based on verbal guidance from local electrical contractors, KNVO estimated the electrical work cost. Information not provided.
UHF - Liquid Cooled Solid State Transmitter 31.7 kW

Component Description:
50% Down payment for New Primary Transmitter
Amount:
$400,891.52

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 $314,148.50 $236,403.82 N/A $49,228.82 N/A
Total for all systems $3,925,550.49 $4,292,132.60 N/A $1,089,265.25 N/A
Interim Antenna TLP-16M-R $112,550.00 $34,376.82 $34,376.82
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $3,660.04 Dielectric Quote 513481JKT Rev 1 & invoice 432025 $3,660.04 N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $30,716.78 Dielectric Quote 513481JKT Rev 1 & invoice 432025 $30,716.78 N/A
Primary Antenna TFU-22JSC/VP-R C160 $201,598.50 $202,027.00 $14,852.00
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized $159,418.50 $159,418.50 Dielectric Quote 513317JKT Rev 3 & Invoice 449027 $4,243.50 N/A
Sweep test of existing antenna $6,730.00 $10,000.00 Chuck Britt and Associates Quote N/A N/A
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
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,608.50 Dielectric Quote 513317JKT Rev 3 & Invoice 449027 $10,608.50 N/A

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
KNVO-280-Side-mount Brackets New Interim Antenna
Amount:
$340.40

Component Description:
KNVO-280-Side-mount Brackets New Interim Antenna
Amount:
$1,531.80

Component Description:
KNVO-280-Side-mount Brackets New Interim Antenna
Amount:
$256.04

Component Description:
KNVO-280-Side-mount Brackets New Interim Antenna
Amount:
$1,531.80
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
ANTENNA - UHF SIDE MOUNT
Amount:
$2,856.80

Component Description:
Antenna - UHF side mount; Other standard TLP antenna side mount; Flexible transmission line; etc.
Amount:
$12,855.60

Component Description:
OTHER - FREIGHT, SHIPPING, AND HANDLING PAF VAN DELIVERY
Amount:
$2,148.78

Component Description:
Antenna - UHF side mount; Other standard TLP antenna side mount; Flexible transmission line; etc.
Amount:
$12,855.60
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized

Component Description:
OTHER - FREIGHT, SHIPPING, AND HANDLING CHAPMAN VAN DELIVERY
Amount:
$4,243.50
Sweep test of existing antenna Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
"OTHER 6-1/8"" EIA ELBOW COMPLEX. INCLUDES ENGINEERING DESIGN, FACTORY OPTIMIZATION"
Amount:
$10,298.00

Component Description:
KNVO-210-Elbow Complex New Primary Antenna
Amount:
$310.50

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 $394,719.00 $257,879.91 N/A $50,166.52 N/A
Total for all systems $3,925,550.49 $4,292,132.60 N/A $1,089,265.25 N/A
Interim Transmission Line $66,729.00 $43,459.41 $43,459.41
Flexible Air Transmission Line - dielectric, 3" $66,729.00 $43,459.41 Dielectric Quote 513481JKT Rev 1 & invoice 432025 $43,459.41 N/A
Primary Transmission Line $327,990.00 $214,420.50 $6,707.11
Rigid Transmission Line - copper, 7 3/16" $327,990.00 $214,420.50 Dielectric Quote 513317JKT Rev 3 for upgraded line. Only seeking reimbursement for like for like quoted on 513317JKT Rev 1. Freight Invoice Dielectric 449027 $6,707.11 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
KNVO-380-New Interim Transmission Line
Amount:
$18,188.65

Component Description:
KNVO-380-New Interim Transmission Line
Amount:
$4,041.93

Component Description:
KNVO-380-New Interim Transmission Line
Amount:
$18,188.65

Component Description:
KNVO-380-New Interim Transmission Line
Amount:
$3,040.18
Rigid Transmission Line - copper, 7 3/16"

Component Description:
FREIGHT, SHIPPING, AND HANDLING
Amount:
$911.11

Component Description:
KNVO-310-New Primary Transmission Line
Amount:
$5,796.00

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 $669,800.00 $696,000.00 N/A $40,934.51 N/A
Total for all systems $3,925,550.49 $4,292,132.60 N/A $1,089,265.25 N/A
Primary Tower TOWER $669,800.00 $696,000.00 $40,934.51
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 $20,367.01 N/A
Structural Analysis $12,000.00 $12,000.00 N/A $0.00 N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $0.00 N/A
Tall Tower (greater than 500') $210,500.00 $259,000.00 HC Jeffries Tower Rigging Quote $20,567.50 N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
For 2 men to attend a Repack Meeting at Entravision Office in McAllen Tx and a preliminary site survey at the KNVO transmitter site
Amount:
$7,545.77

Component Description:
Tower mapping and prep of docs necessary for tower load study.
Amount:
$2,770.50

Component Description:
For Smith Broadcast to attend a Repack Meeting at Entravision Office in McAllen Tx and a second site survey at the KNVO transmitter site
Amount:
$4,509.73

Component Description:
Tower mapping and prep of docs necessary for tower load study
Amount:
$5,541.01
Structural Analysis

Component Description:
Broadcast tower structural analysis
Amount:
$809.43
Major tower reinforcement/modifications Information not provided.
Tall Tower (greater than 500')

Component Description:
50% upon acceptance.
Amount:
$20,567.50

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 $185,296.00 $175,550.00 N/A $69,015.45 N/A
Total for all systems $3,925,550.49 $4,292,132.60 N/A $1,089,265.25 N/A
Outside Professional Services $185,296.00 $175,550.00 $69,015.45
RF Exposure Measurements $21,050.00 $20,000.00 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 FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A 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 $0.00 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
Project management of the transition $112,496.00 $106,800.00 N/A $67,952.95 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,062.50 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 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
RF Exposure Measurements 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 FCC Form 2100 (main), Construction Permit Application Information not provided.
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:
Preparation of the engineering section of FCC Form 2100
Amount:
$2,375.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$3,196.65

Component Description:
Project management
Amount:
$1,884.20

Component Description:
Project management
Amount:
$971.95

Component Description:
Project management
Amount:
$148.20

Component Description:
Project Management
Amount:
$3,368.10

Component Description:
Project management
Amount:
$778.60

Component Description:
Project Management
Amount:
$2,924.50

Component Description:
Project managment
Amount:
$2,532.45

Component Description:
Project Management
Amount:
$3,390.40

Component Description:
Project Management
Amount:
$1,680.05

Component Description:
Project Management
Amount:
$2,429.20

Component Description:
Project Management
Amount:
$4,101.25

Component Description:
Project Management
Amount:
$1,855.35

Component Description:
Project management
Amount:
$1,723.35

Component Description:
Project Management
Amount:
$2,102.35

Component Description:
Project Management
Amount:
$3,313.65

Component Description:
Project Management
Amount:
$1,637.85

Component Description:
Project management
Amount:
$1,128.15

Component Description:
Project Management
Amount:
$1,785.05

Component Description:
Project Management
Amount:
$1,448.05

Component Description:
Project Management
Amount:
$1,871.30

Component Description:
Project Management
Amount:
$1,690.50

Component Description:
Project Management
Amount:
$2,409.20

Component Description:
Project Management
Amount:
$4,943.25

Component Description:
Project Management
Amount:
$2,226.90

Component Description:
Project Management
Amount:
$2,902.85

Component Description:
Project Management
Amount:
$1,727.35

Component Description:
Project Management
Amount:
$3,367.85

Component Description:
Project Management
Amount:
$4,414.40
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering study work for new channel assignment and antenna development
Amount:
$1,062.50
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form 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 $85,080.00 $84,515.00 N/A $0.00 N/A
Total for all systems $3,925,550.49 $4,292,132.60 N/A $1,089,265.25 N/A
Other Expenses $85,080.00 $84,515.00 $0.00
MVPD Notification of Channel Change $500.00 $500.00 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
Equipment Storage $25,000.00 $25,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
Non-zoning permits $2,500.00 $2,500.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 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
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,925,550.49 $4,292,132.60 $1,089,265.25

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.

Manuel Cavazos , III .

EVP - Director of Technology


09/04/2019

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.

Manuel Cavazos , III .

EVP - Director of Technology


09/04/2019

Attachments

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