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:
78908
Service:
DTV
Call Sign:
WSKA
Channel:
25 (UHF)
File Number:
0000028467
FRN:
0003775830
Date Submitted:
09/13/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WSKG PUBLIC TELECOMMUNICATIONS COUNCIL

Doing Business As: WSKG PUBLIC TELECOMMUNICATIONS COUNCIL

Greg Catlin

601 GATES ROAD, SUITE 4

VESTAL, NY 13850

United States

+1 (607) 729-0100 gcatlin@wskg.org Not-for-Profit

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Pre-transition: Install transfer switch between existing combiner output and feed to antenna, install new WSKA-DT transmission system into transfer switch. Day-of-transition: switch. Post-transition: tune DigiTline for optimal performance on new channel.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Ultimate TEU2-2K50LV
Year 2003
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 2.5 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 MPTV-PRLX-U4
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 6.5 kW
Justification for New Transmitter Different manufacturer, price matches already approved Widelity cost. Quote attached as "P2984AR6 WSKA Parallax U4 6.5kW Proposal"

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) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 60.0 feet
Other Electrical Service Yes
Description 208v 3ph step-down transformer, 30kVA, plus 110v equipment feeds/switchgear was required by prior transmitter vendor. New electrical contractor will review needs for the quoted transm and we believe it should be less.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

ATSC Analyzer

Rental of Device to test and ensure complex multiple transmitter system compliance with FCC rules and regulations.

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 Retune Existing
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? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels 28
Design power capacity in use 31.5 %
Lower Limit 566.00 MHz
Upper Limit 722.00 MHz
Other Antenna Type N/A
ERP: 25.0 kW
Manufacturer Dielectric
Model TUA-C4SP-8/28M-1-T
Year 2003

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

Facility ID Call Sign
62219 WYDC
71508 WENY-TV

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

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? Yes
Type New
Number of channels supported 3
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
35
25
30

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Transfer switch and Dummy Load

Switch and load to facilitate testing of new transmission system and changeover from old combiner to new combiner.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 795 feet per run

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

Facility ID Call Sign
62219 WYDC
71508 WENY-TV

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Retune

Retune existing Dielectric digiTLine

Primary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 795 feet per run

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

Facility ID Call Sign
62219 WYDC
71508 WENY-TV

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Tune existing Transmission line

Tune Dielectric digit line

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? No

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 180
Explanation Outside consultant has 5 years experience at this facility and 38 years maintaining transmission systems and managing related projects. Staff is limited and contains new staff in key positions.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 3
Justification Proof of performance, RF exposure level calculations and instalation/proof of combiner performance.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

NETA Financial Management

Support provided to facilitate reimbursement. NETA is currently handling WSKG-TV and WSKA's accounting and bookkeeping services. This is an additional service.

Additional Attorney Fees

Additional attorney fees for advice and consultation on repack matters for small market public TV station

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 No
Non-zoning permits No
BLM or NFS Coordination 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
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

Additional Legal Expenses

Additional legal expenses for small market public TV station

Concrete pad expansion

Expanded concrete pad and roof for outside heat exchanger, will not fit properly on existing pad as-is. Quotation attached as WSKA ACP Concrete and Roof

Quarterly Progress Reports

Assist with and prepare FCC-required reports

Site Survey

Site survey by transmitter manufacturer to predetermine precise measurements and ensure a smooth installation.

Holes for cooling

Holes core drilled through wall for new heat exchanger cooling lines.

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 $284,460.00 $270,900.00 N/A $270,753.78 N/A
Total for all systems $596,003.20 $497,101.70 N/A $402,049.98 N/A
Primary Transmitter MPTV-PRLX-U4 $284,460.00 $270,900.00 $270,753.78
Other Electrical Service: 208v 3ph step-down transformer, 30kVA, plus 110v equipment feeds/switchgear was required by prior transmitter vendor. New electrical contractor will review needs for the quoted transm and we believe it should be less. $9,400.00 $9,400.00 Transformer was required by prior transmitter vendor. Electrical contractor will review needs for the quoted transmitter and provide a quotation which we believe should be less than this value. New transmitter does require switchgear and feeds. $9,398.48 The original 399 was filed with a transmitter that required a transformer to operate. The transmitter that we purchased does not require a transformer but requires more switchgear and labor than the original filed-for transmitter.
ATSC Analyzer $0.00 $0.00 N/A $0.00 N/A
2" Rigid Conduit and Wiring (Cost per foot) $1,560.00 $1,500.00 Predetermined cost based on 60' of 2" rigid with wiring. $1,355.30 N/A
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $260,000.00 See Comark Parallax U4 quote, P2984A-R9b Section 1 - 249140 Section 2, items 2.1, 2.2, 2.3 (transport, offload, coolant): 3760+4500+2600 3760+4500+2600+249140 = 260000 $260,000.00 N/A

Components

Actual Information Description File Name
Other Electrical Service: 208v 3ph step-down transformer, 30kVA, plus 110v equipment feeds/switchgear was required by prior transmitter vendor. New electrical contractor will review needs for the quoted transm and we believe it should be less.

Component Description:
Lines 1, 3-7 of the attached invoice. Includes disconnect and circuit breaker and related labor, plus labor for rigid line installation.
Amount:
$9,398.48
ATSC Analyzer Information not provided.
2" Rigid Conduit and Wiring (Cost per foot)

Component Description:
All lines except for lines 1 and 3-7 of the attached invoice. Rigid conduit and wiring for WSKA.
Amount:
$1,355.30
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
Down payment for transmitter, installation, related items. Lines 1-6 of the attached invoice.
Amount:
$130,000.00

Component Description:
Lines 1-6 of attached invoice representing 45% pre-delivery payment for transmitter and related.
Amount:
$117,000.00

Component Description:
Payment 3 of 3 for transmitter and related. Lines 1-6 of the attached invoice.
Amount:
$13,000.00

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 $127,190.00 $42,660.00 N/A $41,560.00 N/A
Total for all systems $596,003.20 $497,101.70 N/A $402,049.98 N/A
Primary Antenna TUA-C4SP-8/28M-1-T $127,190.00 $42,660.00 $41,560.00
Transfer switch and Dummy Load $36,260.00 $36,260.00 Transfer switch and transmission line to reach switch from new transmitter installation location without new combiner and related items. P2984A-R9b Comark Parallax U4 quote Section 2, items 2.4 and 2.5, 6700+29560 = 36260. $36,260.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $0.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 predetermined cost $5,300.00 N/A

Components

Actual Information Description File Name
Transfer switch and Dummy Load

Component Description:
Lines 7&8 of attached invoice. Represents 45% pre-delivery payment for coax switch and related.
Amount:
$16,317.00

Component Description:
Coax interconnect and switch. Lines 7 and 8 of attached invoice.
Amount:
$18,130.00

Component Description:
Final payment for this item. Lines 7 and 8 of the attached invoice.
Amount:
$1,813.00
New combiner, cost per channel (without antenna) Information not provided.
Sweep test of existing antenna

Component Description:
WSKA -perform RF sweep of existing antenna
Amount:
$5,300.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $10,000.00 $10,000.00 N/A $0.00 N/A
Total for all systems $596,003.20 $497,101.70 N/A $402,049.98 N/A
Primary Transmission Line $0.00 $0.00 $0.00
Retune $0.00 $0.00 N/A N/A N/A
Primary Transmission Line $10,000.00 $10,000.00 $0.00
Tune existing Transmission line $10,000.00 $10,000.00 Line is Dielectric DigitLine, elbows at the tower base and at the antenna to be tuned post-change. Guess for work on the tower proper. Pending quotation from a contractor as the one we expected would be providing a quote has recently declined the job. N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

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 $83,810.00 $92,313.50 N/A $23,436.50 N/A
Total for all systems $596,003.20 $497,101.70 N/A $402,049.98 N/A
Outside Professional Services $83,810.00 $92,313.50 $23,436.50
Additional Attorney Fees $10,000.00 $10,000.00 Additional attorneys fees for advice and consultation on FCC compliance and on implementation of new repack plan in light of other stations' decision to leave shared equipment arrangement. $1,259.00 N/A
NETA Financial Management $2,500.00 $2,500.00 Half of attached quotation is for WSKG-TV the other half is for WSKA $2,500.00 N/A
Additional Field Engineering Service, 3 Days $10,000.00 $10,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,585.00 STA for WSKA interim operations, if needed, due to change in plans for other stations sharing equipment. N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $10,000.00 Cost of negotiations for equipment use given change in plans of other stations using WSKA shared equipment. $6,762.50 Due to a change in plans by other stations using the multi-party shared combiner at the site, WSKA required additional legal expense.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Predetermined. N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Predetermined. N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $9,275.00 Actual cost incurred. $0.00 Billing for MSW's services is based on a rate and actual time spent. This rate multiplied by the time spent resulted in the numbers billed which was higher than the estimate
Perform engineering study for new channel assignment and antenna development $7,360.00 $10,335.00 Actual cost incurred $10,335.00 Billing for MSW's services is based on a rate and actual time spent. This rate multiplied by the time spent resulted in the numbers billed which was higher than the estimate.
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Predetermined cost estimate $1,136.50 N/A
Project management of the transition $28,440.00 $22,500.00 Predetermined cost estimate $550.00 N/A
Prepare and or review reimbursement form $2,630.00 $6,975.00 Actual cost incurred plus additional for refiling. $0.00 Billing for MSW's services is based on a rate and actual time spent. This rate multiplied by the time spent resulted in the numbers billed which was higher than the estimate
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $893.50 Actual cost incurred. $893.50 N/A

Components

Actual Information Description File Name
Additional Attorney Fees

Component Description:
Lines 1,2,3,4 and 6 of the attached invoice. May additional legal services.
Amount:
$474.00

Component Description:
Review updated Form 399 repack in light of change in transition plan.
Amount:
$353.50

Component Description:
Lines 3 and 4 of attached invoiced representing April additional legal services.
Amount:
$78.00

Component Description:
WSKA repack legal services, lines 1,2 and 6 of attached invoice.
Amount:
$353.50
NETA Financial Management

Component Description:
NETA staff support for works related to FCC Spectrum Auction
Amount:
$1,250.00

Component Description:
WSKA -NETA staff support for work related to FCC Spectrum Repack
Amount:
$1,250.00

Component Description:
WSKA NETA staff support for work related to FCC Spectrum Repack
Amount:
$1,250.00
Additional Field Engineering Service, 3 Days Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Legal work regarding lease negotiations and shared combiner. All lines except line one of the attached invoice.
Amount:
$4,289.00

Component Description:
WSKA legal work on combiner issues.
Amount:
$808.00

Component Description:
Line 1 of attached invoice representing March legal regarding combiner issues.
Amount:
$112.00

Component Description:
WSKA legal work regarding repack issues with parties leaving the combiner before Phase deadline.
Amount:
$151.50

Component Description:
Lines 5, 9, 11, 12 and 13 of the attached invoice for April work regarding combiner and shared location issues.
Amount:
$1,402.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application 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:
WSKA -MSW prepare engineering section of FCC Form 2100 Construction Permit Application
Amount:
$4,240.00

Component Description:
WSKA -MSW perform engineering section of FCC Form 2100 Construction Permit Application
Amount:
$5,035.00
Perform engineering study for new channel assignment and antenna development

Component Description:
WKSA -MSW perform engineering study for new channel assignment and antenna development
Amount:
$10,335.00
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Work on WSKA repack issues about coordinating with upstream and downstream stations on new channel launch date and testing. Line 3 of attached invoice.
Amount:
$151.50

Component Description:
Lines 2, 6 and 10 of attached invoice representing April legal work regarding coordinating and timing issues with other stations.
Amount:
$783.00

Component Description:
Emails to E. Adler (WSKA repack team) regarding WSKA linked station sets and dependencies; work on issues regarding coordination with other stations and testing.
Amount:
$202.00
Project management of the transition

Component Description:
Project management of the transition for August 2017
Amount:
$300.00

Component Description:
Project management of transition for September 2017
Amount:
$250.00

Component Description:
Dave Fulton project management services for September 2017
Amount:
$250.00

Component Description:
Dave Fulton project management services for August 2017
Amount:
$300.00
Prepare and or review reimbursement form

Component Description:
WSKA -MSW prepare and/or review reimbursement form
Amount:
$3,975.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Attorney fees for construction permit application
Amount:
$893.50

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 $90,543.20 $81,228.20 N/A $66,299.70 N/A
Total for all systems $596,003.20 $497,101.70 N/A $402,049.98 N/A
Other Expenses $90,543.20 $81,228.20 $66,299.70
Holes for cooling $423.20 $423.20 Actual cost, T&M from vendor. Architectural Concrete Plus, LLC. Invoice 2038 $423.20 N/A
Site Survey $15,300.00 $15,300.00 Quotation by Comark attached as P3636 $15,300.00 N/A
Quarterly Progress Reports $5,000.00 $5,000.00 Assist with and prepare FCC-required quarterly progress reports for station. $804.50 N/A
Concrete pad expansion $9,840.00 $9,840.00 quotation titled WSKA ACP Concrete and Roof, $9840 Pad and roof over existing heat exchanger does not have enough space for new heat exchanger adjacent per site-survey performed, expansion size recommended by manufacturer. $9,840.00 N/A
MVPD Notification of Channel Change $1,665.00 $1,665.00 Estimate on page 3 of MSW DTVMedicalMVPDEstimates PDF $1,665.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $35,265.00 $35,265.00 Removal and disposal of existing combiner system and transmitter post-transition. Quotations attached as P2984ONSITE-R6 and P3635, respectively. $7550+$27715=$35265 $35,265.00 N/A
DTV Medical Facility Notification $11,550.00 $2,235.00 Estimate on page 4 of MSW DTVMedicalMVPDEstimates PDF $2,235.00 N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 Cost of producing a 1 minute spot and producing a informational crawl. $0.00 N/A
Additional Legal Expenses $10,000.00 $10,000.00 Additional legal expenses necessary to advise and assist small market public TV station with repack requirements. $767.00 N/A

Components

Actual Information Description File Name
Holes for cooling

Component Description:
Labor and rentals required to core drill holes for transmitter install.
Amount:
$423.20
Site Survey

Component Description:
Site survey/system design
Amount:
$15,300.00
Quarterly Progress Reports

Component Description:
Line 5 of the attached invoice. Reminder for report deadlines.
Amount:
$70.00

Component Description:
Line 1 of attached invoice related to filing quarterly report.
Amount:
$50.50

Component Description:
Attorney fees for quarterly progress report
Amount:
$168.00

Component Description:
Attorney fees for quarterly progress report
Amount:
$50.50

Component Description:
Attorney fees for quarterly progress report due 4/10/18
Amount:
$50.50

Component Description:
Quarterly report portion of this legal invoice.
Amount:
$50.50

Component Description:
Quarterly report portion of this legal invoice.
Amount:
$151.50

Component Description:
Lines 1, 7 and 8 of attached invoice regarding April legal work on quarterly report issues.
Amount:
$263.50
Concrete pad expansion

Component Description:
Prepare the site to accept a new concrete slab. Build such slab as per specs.
Amount:
$9,840.00
MVPD Notification of Channel Change

Component Description:
MVPD notification.
Amount:
$1,665.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Final 5% of balance due for removal of existing transmitter. Line 9 and 10 of the attached invoice.
Amount:
$1,763.25

Component Description:
One half deposit for on-site services and removal of existing transmitter. Lines 9 and 10 of attached invoice.
Amount:
$17,632.50

Component Description:
Lines 9 and 10 of attached invoice representing 45% of purchase required pre-delivery.
Amount:
$15,869.25
DTV Medical Facility Notification

Component Description:
DTV medical providers notification.
Amount:
$2,235.00
Develop and air announcement of upcoming channel change Information not provided.
Additional Legal Expenses

Component Description:
Line 2 of attached invoice representing March other legal work.
Amount:
$404.00

Component Description:
Attorney fees for additional legal expenses $363.00
Amount:
$363.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $596,003.20 $497,101.70 $402,049.98

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.

George Walter , Walter .

Senior Controller


09/13/2019

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