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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:
66786
Service:
LPD
Call Sign:
K17IZ-D
Channel:
26 (UHF)
File Number:
0000085026
FRN:
0014361620
Eligibility Status:
Not Determined
Date Submitted:
10/08/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KIRO-TV, INC.

Doing Business As: KIRO-TV, INC.

Chief Engineer

2807 THIRD AVENUE

SEATTLE, WA 98121

United States

+1 (206) 728-7777 knealey@kiro7.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Keith Nealey

Engineering Manager

KIRO-TV, INC.

2807 Third Ave

Seattle, WA 98121

United States

+1 (206) 728-7808 knealey@kiro7.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan New 220v power circuits will be installed with existing 110v circuits. We will install new transmitter and antenna alongside existing equipment. Once testing is completed we will move existing feed line onto new transmitter and antenna.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model MX100
Year 2010
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .08 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 UAXTE-3P-C-600W
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 600 W
Justification for New Transmitter Location within the predicted noise-limited contour of and predicted interference greater than 0.5 percent to Post-Incentive-Auction Spectrum Repack facilities of Full-Service station KFFV on Channel 16, which itself is being repacked from Channel 44.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs
Does the transmitter installation require a Transmitter Building Site Survey/Installation? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
Other Electrical Service Yes
Description Add 220V breakers and outlets to existing service panel
HVAC Service Does the replacement transmitter require HVAC Service? No
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No

Primary Transmitter

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Other Transmitter Cost Not Listed

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)
Ownership Owned
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Top
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels 2
Design power capacity in use 100.0 %
Lower Limit 488.00 MHz
Upper Limit 494.00 MHz
ERP: 0.5 kW
Manufacturer
Model 1X2KBBU
Year 2010

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Top
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels/Bays 2
Lower Limit 470.00 MHz
Upper Limit 862.00 MHz
Design power capacity in use 100.0 %
ERP: 4.0 kW
Manufacturer
Model K723147
Year 2018
Justification for New Antenna Post-Incentive-auction repack required full-service station KFFV which is being repacked from channel 44 to Channel 16. This has a predicted interference greater than .5 percent. Current antenna cannot be retuned.

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No
Power Dividers Does the panel antenna require power dividers? Yes
Number of Power Dividers 1
Cable Harness Does the panel antenna require cable harness? No

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Scala Mounting Kits and Connectors

Antenna Mounting Kit, Power Divider Mounting Kit, 6l Jumper, Scala Adapter

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
Is tower documented for structural analysis? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? No
Coordinates (NAD83) Latitude (NAD83) 48° 02' 00.4" N-
Longitude (NAD83) 122° 08' 06.5" W-
Overall Structure Height 157.00 feet
Support Structure Height 157.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 292.00 feet
Structure Type POLE - Any type of Pole
Tower Owner KIRO-TV, INC
Date Constructed 03/01/1985


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

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Outside RF consulting Engineering Services Perform engineering study for displacement application Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

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Other Expenses Not Listed

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 $30,700.00 $26,975.28 N/A $27,141.20 N/A
Total for all systems $169,724.50 $53,028.28 N/A $38,009.65 N/A
Primary Transmitter UAXTE-3P-C-600W $30,700.00 $26,975.28 $27,141.20
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts $28,100.00 $24,375.28 N/A $27,141.20 Washington State Sales Tax Added
Other Electrical Service: Add 220V breakers and outlets to existing service panel $2,600.00 $2,600.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts

Component Description:
Cox JW30004653 KIRO US0329515 - GatesAir Everett Translator Invoice.pdf
Amount:
$27,141.20
Other Electrical Service: Add 220V breakers and outlets to existing service panel Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $5,422.00 $2,378.00 N/A $2,678.64 N/A
Total for all systems $169,724.50 $53,028.28 N/A $38,009.65 N/A
Primary Antenna K723147 $5,422.00 $2,378.00 $2,678.64
Power Dividers (each, for panel antenna system, if not included in antenna cost) $1,300.00 $752.00 N/A $752.00 N/A
UHF Broadband panel antenna (per panel), horizontally-polarized $3,500.00 $1,004.00 N/A $1,304.64 Shipping costs added
Scala Mounting Kits and Connectors $622.00 $622.00 N/A $622.00 N/A

Components

Actual Information Description File Name
Power Dividers (each, for panel antenna system, if not included in antenna cost)

Component Description:
Power Divider portion of Invoice
Amount:
$752.00
UHF Broadband panel antenna (per panel), horizontally-polarized

Component Description:
Antenna and added shipping costs portion of invoice
Amount:
$1,304.64
Scala Mounting Kits and Connectors

Component Description:
Mounting Kits and Connectors portion of Invoice
Amount:
$622.00

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $56,190.00 $7,000.00 N/A $0.00 N/A
Total for all systems $169,724.50 $53,028.28 N/A $38,009.65 N/A
Primary Tower POLE $56,190.00 $7,000.00 $0.00
Tower Rigging Short Tower (less than 500') $56,190.00 $7,000.00 N/A N/A N/A

Components

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 $75,967.50 $15,700.00 N/A $8,189.81 N/A
Total for all systems $169,724.50 $53,028.28 N/A $38,009.65 N/A
Outside Professional Services $75,967.50 $15,700.00 $8,189.81
Comprehensive coverage verification via field study, if needed $52,600.00 $6,000.00 N/A $4,037.15 N/A
RF Exposure Measurements $12,100.00 $500.00 N/A $75.00 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,500.00 N/A $0.00 N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A $1,430.38 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $1,200.00 N/A $1,017.86 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $500.00 N/A $300.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $3,000.00 N/A $1,329.42 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,200.00 N/A N/A N/A

Components

Actual Information Description File Name
Comprehensive coverage verification via field study, if needed

Component Description:
Engineering Coverage Study - Everett Translator portion
Amount:
$4,037.15
RF Exposure Measurements

Component Description:
RF Exposure Measurements - Everett portion of Invoice
Amount:
$75.00
Prepare/ Review 399 reimbursement form Information not provided.
Perform engineering study for displacement application

Component Description:
Engineering Study for Displacement - Everett Translator portion
Amount:
$1,430.38
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Engineering for CP - Everett Translator Portion
Amount:
$1,017.86
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Engineering for LTC - Everett Translator Portion
Amount:
$300.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Preparation of CP for Everett portion of invoices
Amount:
$1,329.42
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application 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 $1,445.00 $975.00 N/A $0.00 N/A
Total for all systems $169,724.50 $53,028.28 N/A $38,009.65 N/A
Other Expenses $1,445.00 $975.00 $0.00
FCC Filing Fees - Form 2100 license to cover application $335.00 $170.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $805.00 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 $169,724.50 $53,028.28 $38,009.65

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.

Keith Nealey

Engineering Manager


10/08/2019

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

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

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

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

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

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

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

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

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

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

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

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

Keith Nealey

Engineering Manager


10/08/2019

Attachments

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