TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
TRIBUNE BROADCASTING HARTFORD, LLC Doing Business As: TRIBUNE BROADCASTING HARTFORD, LLC	Dean Maluski 285 BROAD STREET HARTFORD, CT 06115 United States	+1 (860) 527-6161	dmaluski@tribunemedia.com	Limited Liability Company

Applicant

Address

Phone

Applicant Type

TRIBUNE BROADCASTING HARTFORD, LLC

Doing Business As: TRIBUNE BROADCASTING HARTFORD, LLC

Dean Maluski

285 BROAD STREET

HARTFORD, CT 06115

United States

+1 (860) 527-6161

dmaluski@tribunemedia.com

Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Bill Vanduynhoven , Vanduynhov . Director of Engineering operations Tribune Broadcasting	Bill Vanduynhoven 2211 Rabbit Hill Cir Dacula, GA 30019 United States	+1 (404) 312-8693	BillV@Tribunemedia.com

Applicant

Address

Phone

Bill Vanduynhoven , Vanduynhov .

Director of Engineering operations

Tribune Broadcasting

Bill Vanduynhoven

2211 Rabbit Hill Cir

Dacula, GA 30019

United States

+1 (404) 312-8693

BillV@Tribunemedia.com

Broadcaster Information and Transition Plan

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	Replace Antenna via Helicopter and transmission line Replace transmitter Install Interim antenna

Transmitters

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

Auxiliary Transmitter

Add Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Auxiliary (Backup)
	Description of Use	BAckup
	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	Inovator HU5000BD
	Year	2009
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	5 kW

Auxiliary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Auxiliary (Backup)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Manufacturer
	Model	UAXTE-8
	Transmitter Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	4500 kW
	Justification for New Transmitter	Manufacturer support limited see justification

Auxiliary Transmitter

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	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	100 Amp electrical
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

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Information not provided.

Primary Transmitter

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	PowerCD P1
	Year	2005
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	30 kW

Primary Transmitter

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-72
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	44 kW
	Justification for New Transmitter	Current transmitter can not make the required power, adding additional PA cabinets is not an option since they are no longer manufactured.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	Yes
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	Yes
	Size	2 inches
	Length	200.0 feet
	Other Electrical Service	No
	Description	N/A
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

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing antenna shared with another station or stations?	No
	Is the existing antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	No
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Bottom
	Polarization	Elliptical
	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:	495.0 kW
	Manufacturer
	Model	TFU-18DSC/VP-R O4 C170
	Year	2004

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Bottom
	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:	565.0 kW
	Manufacturer
	Model	TFU-18DSC/VP-R C170
	Year	2019
	Justification for New Antenna	Current antenna will not operate on assigned channel

Primary Antenna

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?	Broadband
	Feed Line Size	7 3/16 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

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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?	Yes
	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	Broadband Slot
	Number of Stations Supported	3
	Number of Panels/Bays	16
	Lower Limit	470.00 MHz
	Upper Limit	665.00 MHz
	Design power capacity in use	95.0 %
	Other Antenna Type	N/A
	ERP:	1500.0 kW
	Manufacturer
	Model	TFU-WB16
	Year	2020
	Justification for New Antenna	Antenna for operation during tower work for 3 stations. WTIC will install the antenna

Interim Antenna

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
	Do you need a combiner output splitter/switcher for dual feed lines?	No
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	B
	Feed Line Size	6 1/8 inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for an 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

Enter a list of RF channel numbers.

RF Channel Number
45
20
31

Interim Antenna

Other Antenna Cost Not Listed

Name	Description
Interim Instantiation	Install interim antenna
Lease cost	Temporary lease for Interim antenna
Insurance	Additional charge to meet Owner insurance requirement
Combiner connection	Connection to Combiner
Interim WX delays	Weather delays during install

Transmission Line

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

Primary Transmission Line

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	Rigid
	Diameter	7 3/16 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	1375 feet per run

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

Facility ID	Call Sign
14050	WCCT-TV

Primary Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Type	Rigid
	Diameter	7 3/16 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	1375 feet per run
	Justification for New Transmission Line	Current shared transmission line is no longer supported by manufacturer and will not work on new channel. Station cannot share with line with WCCT on new assigned channels.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Type	Rigid
	Diameter	6 1/8 inches
	Segment Length	Broadband
	Other Segment Length
	Number of parallel runs	1
	Length	1200 feet per run
	Justification for New Transmission Line	Transmission line for temporary operation during antenna changes.

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

Section	Question	Response
Tower Equipment or Rigging Costs Changes	Do you have tower equipment or rigging costs changes?	Yes

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	Is this tower consider Complex?	Candelabra
	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?	Yes
Existing Tower Structure Registration	Do you have a tower registration number?	No
Existing Tower Structure Registration	ASR Number
Coordinates (NAD83)	Latitude (NAD83)	41° 42' 13.0" N-
	Longitude (NAD83)	072° 49' 55.0" W-
	Overall Structure Height	1338.89 feet
	Support Structure Height	1291.98 feet
	Ground Elevation Above Mean Sea Level (AMSL)	709.97 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	COMMUNICATIONS SITE MANAGEMENT, LLC
	Date Constructed	09/01/1984

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
66465	WTIC-FM	FM
13602	WEDH	DTV
1910	WRCH	FM
1900	WZMX	FM
14050	WCCT-TV	DTV

Primary Tower

Tower Modification Costs

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

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	Candelabra
Helicopter Services Required	Are helicopter services required?	Yes

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Weather delays	Days the crew can not work due to weather

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	100
	Explanation	Management services by Landlord
Outside RF consulting Engineering Services	Perform engineering study for new channel assignment and antenna development	Yes
	Prepare engineering section of Form FCC Construction Permit Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare engineering section of Form FCC License to Cover Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare request for Special Temporary Authority	Yes
	Quantity	2
	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	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	Prepare and file Form FCC License to Cover Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	Prepare request for Special Temporary Authority	No
	Quantity	N/A
	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	No
	Prepare or Review FCC Form 399 for Reimbursement	No
	Address transition timing and coordination issues w/ other stations and wireless providers	No
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

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	Yes
AM Pattern Disturbance	Is Remediation needed?	Yes
Facility Expenses	Name	N/A
	Other Distributed Transmission System Expenses Not listed	N/A
	Name	N/A
	Is Notification of a Medical Facility required as a result of DTV broadcasting?	Yes
Permit and Filing Costs	Local Zoning	Yes
	Non-zoning permits	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?	Yes
	Does this relocation require Equipment Storage?	Yes
	Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change?	Yes
	Does this relocation require MVPD Notification of a Channel Change?	Yes

Other Expenses

Other Expenses Not Listed

Information not provided.

Cost Information

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	$1,669,800.00	$1,594,000.00	N/A	$991,750.06	N/A
Total for all systems	$3,923,545.00	$3,549,400.00	N/A	$2,526,436.70	N/A
Primary Transmitter ULXTE-72	$1,530,800.00	$1,455,000.00		$991,750.06
Service entrance 3 phase/800 amp/208 volt	$14,400.00	$13,700.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW	$1,473,000.00	$1,400,000.00	N/A	$991,750.06	N/A
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	N/A	N/A	N/A
2" Rigid Conduit and Wiring (Cost per foot)	$5,200.00	$5,000.00	N/A	N/A	N/A
Auxiliary Transmitter UAXTE-8	$139,000.00	$139,000.00		$0.00
UHF - Air Cooled Solid State Transmitter 4500 kW	$134,000.00	$134,000.00	N/A	N/A	N/A
Other Electrical Service: 100 Amp electrical	$5,000.00	$5,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Service entrance 3 phase/800 amp/208 volt	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW	Component Description: second payment for ULXTE-72 Amount: $352,249.02 Component Description: Transmitter Deposit Amount: $342,317.91 Component Description: 3rd payment for primary transmitter Amount: $297,183.13
Switchgear - industrial 800 amp	Information not provided.
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
UHF - Air Cooled Solid State Transmitter 4500 kW	Information not provided.
Other Electrical Service: 100 Amp electrical	Information not provided.

Cost Information

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	$800,460.00	$774,900.00	N/A	$713,379.26	N/A
Total for all systems	$3,923,545.00	$3,549,400.00	N/A	$2,526,436.70	N/A
Interim Antenna TFU-WB16	$617,730.00	$599,500.00		$560,057.50
Interim Instantiation	$248,650.00	$248,650.00	Installation and tower upgrade to accommodate Interim antenna will be used by 3 stations	$248,650.00	N/A
Interim WX delays	$15,525.00	$15,525.00	Actual cost	$15,525.00	N/A
Lease cost	$65,000.00	$65,000.00	Tower lease for Interim antenna	$65,000.00	N/A
Insurance	$75,000.00	$75,000.00	Tower owner requested insurance above the standard amount. This is an additional cost.	$73,090.00	N/A
Combiner connection	$7,000.00	$7,000.00	N/A	N/A	N/A
UHF - High Power, Side Mount, basic slot antenna, 16 bay,, 1500 kW input, directional,, horizontally polarized	$101,925.00	$101,925.00	N/A	$91,732.50	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$5,760.00	N/A
New combiner, cost per channel (without antenna)	$84,200.00	$67,000.00	N/A	$60,300.00	N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)	$13,700.00	$13,000.00	N/A	$0.00	N/A
Primary Antenna TFU-18DSC/VP-R C170	$182,730.00	$175,400.00		$153,321.76
UHF - High Power, Side Mount, basic slot antenna, 565 kW input, directional,, elliptically or circularly polarized	$136,000.00	$136,000.00	N/A	$121,635.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$5,760.00	N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)	$16,850.00	$16,000.00	N/A	$11,144.26	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$17,000.00	N/A	$14,782.50	N/A

Components

Actual Information Description	File Name
Interim Instantiation	Component Description: deposit and mobilization Amount: $87,027.50 Component Description: down payment Amount: $62,162.50 Component Description: in progress billing Amount: $49,730.00 Component Description: in progress, completion and acceptance Amount: $49,730.00
Interim WX delays	Component Description: weather days Amount: $15,525.00
Lease cost	Component Description: one time lease cost for aux Amount: $65,000.00
Insurance	Component Description: Insurance Increase Amount: $18,150.00 Component Description: project insurance Amount: $54,940.00
Combiner connection	Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 16 bay,, 1500 kW input, directional,, horizontally polarized	Component Description: 2nd payment for Interim Antenna Amount: $45,866.25 Component Description: deposit for interim Antenna Amount: $45,866.25
Sweep test of existing antenna	Component Description: Engineer on site for sweep test deposit Amount: $2,880.00 Component Description: Engineer on site for sweep test 2nd payment Amount: $2,880.00
New combiner, cost per channel (without antenna)	Component Description: Combiners for Interim Antenna 2nd payment Amount: $30,150.00 Component Description: Combiners for Interim Antenna deposit Amount: $30,150.00
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)	Component Description: this was put here by mistake and I can't delete it. That is why the dollar amount is zero. Amount: N/A
UHF - High Power, Side Mount, basic slot antenna, 565 kW input, directional,, elliptically or circularly polarized	Component Description: 2nd payment for Primary Antenna Amount: $53,190.00 Component Description: Deposit for Primary Antenna Amount: $53,190.00 Component Description: deposit for VPOL Components Amount: $7,627.50 Component Description: 2nd payment VPOL Components Amount: $7,627.50
Sweep test of existing antenna	Component Description: Eng. for sweep test on site - 2nd payment Amount: $2,880.00 Component Description: Eng. for sweep test on site deposit Amount: $2,880.00
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)	Component Description: Elbow Complex 7 3/16 75 OHM feedline deposit. Amount: $5,572.13 Component Description: Elbow Complex 7 3/16 75 OHM feedline - 2nd payment Amount: $5,572.13
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: Deposit for Side mount brackets Amount: $7,391.25 Component Description: 2nd payment for Side mount brackets Amount: $7,391.25

Cost Information

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	$677,150.00	$500,000.00	N/A	$409,232.38	N/A
Total for all systems	$3,923,545.00	$3,549,400.00	N/A	$2,526,436.70	N/A
Interim Transmission Line	$278,400.00	$240,000.00		$173,748.96
Rigid Transmission Line - copper, 6 1/8" broadband	$278,400.00	$240,000.00	N/A	$173,748.96	N/A
Primary Transmission Line	$398,750.00	$260,000.00		$235,483.42
Rigid Transmission Line - copper, 7 3/16"	$398,750.00	$260,000.00	N/A	$235,483.42	N/A

Components

Actual Information Description	File Name
Rigid Transmission Line - copper, 6 1/8" broadband	Component Description: 2nd payment for Rigid Transmission Line - Copper Amount: $82,306.98 Component Description: 2nd payment for T/L 6-75 EIA Length 15' to 20' fixed flg 1 end/swivel Amount: $4,567.50 Component Description: Deposit payment for T/L 6-75 EIA Length 15' to 20' fixed flg 1 end/swivel Amount: $4,567.50 Component Description: Deposit for Rigid Transmission line - copper 6 1/8 Amount: $82,306.98
Rigid Transmission Line - copper, 7 3/16"	Component Description: 2nd payment for fixed flg 1 and end/swivel Amount: $3,017.25 Component Description: through complex WTIC 6-1/8" 50 OHM EIA feed - deposit Amount: $5,370.75 Component Description: 2nd payment for Transmission line Amount: $109,353.71 Component Description: deposit for fixed flg 1 and end/swivel Amount: $3,017.25 Component Description: through complex WTIC 6-1/8" 50 OHM EIA feed - 2nd payment Amount: $5,370.75 Component Description: Deposit for Transmission line Amount: $109,353.71

Actual Information Description

File Name

Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:: 2nd payment for Rigid Transmission Line - Copper
Amount:: $82,306.98

Component Description:: 2nd payment for T/L 6-75 EIA Length 15' to 20' fixed flg 1 end/swivel
Amount:: $4,567.50

Component Description:: Deposit payment for T/L 6-75 EIA Length 15' to 20' fixed flg 1 end/swivel
Amount:: $4,567.50

Component Description:: Deposit for Rigid Transmission line - copper 6 1/8
Amount:: $82,306.98

Rigid Transmission Line - copper, 7 3/16"

Component Description:: 2nd payment for fixed flg 1 and end/swivel
Amount:: $3,017.25

Component Description:: through complex WTIC 6-1/8" 50 OHM EIA feed - deposit
Amount:: $5,370.75

Component Description:: 2nd payment for Transmission line
Amount:: $109,353.71

Component Description:: deposit for fixed flg 1 and end/swivel
Amount:: $3,017.25

Component Description:: through complex WTIC 6-1/8" 50 OHM EIA feed - 2nd payment
Amount:: $5,370.75

Component Description:: Deposit for Transmission line
Amount:: $109,353.71

Cost Information

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	$591,600.00	$501,500.00	N/A	$408,800.00	N/A
Total for all systems	$3,923,545.00	$3,549,400.00	N/A	$2,526,436.70	N/A
Primary Tower TOWER	$591,600.00	$501,500.00		$408,800.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$409,500.00	N/A	$408,800.00	N/A
Weather delays	$0.00	$0.00	N/A	N/A	N/A
Tower Helicopter Lift	$0.00	$0.00	Included in Tower quote	N/A	N/A
Minor tower reinforcement/modifications	$158,000.00	$80,000.00	N/A	N/A	N/A
Structural engineering tower load study for well documented tower	$12,600.00	$12,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Component Description: Materials and Mobilization Amount: $102,200.00 Component Description: Mobilization Amount: $40,880.00 Component Description: completion Amount: $40,880.00 Component Description: in progress Amount: $81,760.00 Component Description: down payment Amount: $102,200.00 Component Description: in progress billing Amount: $40,880.00
Weather delays	Information not provided.
Tower Helicopter Lift	Information not provided.
Minor tower reinforcement/modifications	Information not provided.
Structural engineering tower load study for well documented tower	Information not provided.

Cost Information

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	$53,045.00	$49,500.00	N/A	$0.00	N/A
Total for all systems	$3,923,545.00	$3,549,400.00	N/A	$2,526,436.70	N/A
Outside Professional Services	$53,045.00	$49,500.00		$0.00
Project management of the transition	$15,800.00	$15,000.00	N/A	N/A	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$1,500.00	N/A	N/A	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	N/A	N/A
Prepare request for Special Temporary Authorization	$4,100.00	$3,000.00	N/A	N/A	N/A

Components

Information not provided.

Cost Information

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	$131,490.00	$129,500.00	N/A	$3,275.00	N/A
Total for all systems	$3,923,545.00	$3,549,400.00	N/A	$2,526,436.70	N/A
Other Expenses	$131,490.00	$129,500.00		$3,275.00
Develop and air announcement of upcoming channel change	$0.00	$0.00	N/A	N/A	N/A
Equipment Storage	$15,000.00	$15,000.00	N/A	N/A	N/A
AM Pattern Disturbance -- Impact study	$7,890.00	$7,500.00	N/A	N/A	N/A
AM Pattern Disturbance -- Remedy	$21,050.00	$20,000.00	N/A	N/A	N/A
Local Zoning	$15,000.00	$15,000.00	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
Equipment Delivery and Handling Charges	$25,000.00	$25,000.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	$3,275.00	N/A
MVPD Notification of Channel Change	$11,000.00	$11,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Information not provided.
AM Pattern Disturbance -- Impact study	Information not provided.
AM Pattern Disturbance -- Remedy	Information not provided.
Local Zoning	Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)	Information not provided.
Equipment Delivery and Handling Charges	Information not provided.
DTV Medical Facility Notification	Component Description: medical testing Amount: $3,275.00
MVPD Notification of Channel Change	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$3,923,545.00	$3,549,400.00	$2,526,436.70

Reimbursement Status

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

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.
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. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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). 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. 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. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Teri Ann Guillory Broadcasting Operations 09/16/2019

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Teri Ann Guillory

Broadcasting Operations

09/16/2019

Certification

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).
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. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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) . 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. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Teri Ann Guillory Broadcasting Operations 09/16/2019

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).

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.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Teri Ann Guillory

Broadcasting Operations

09/16/2019

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Auxiliary Transmitter

Add Transmitter Information

Auxiliary Transmitter

New Transmitter Costs

Auxiliary Transmitter

Other Transmitter Costs

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Enter a list of RF channel numbers.

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

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

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Components

Cost Information

Tower Equipment and Rigging Costs