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:
7651
Service:
DTV
Call Sign:
WJFB
Channel:
25 (UHF)
File Number:
0000035590
FRN:
0026907345
Date Submitted:
10/28/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

HC2 STATION GROUP, INC.

Doing Business As: HC2 STATION GROUP, INC.

Michael J. Daly

450 PARK AVENUE, 30TH FLOOR

NEW YORK, NY 10022

United States

+1 (212) 339-5165 RHANSON@HC2BROADCASTING.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

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 WJFB will transition from its pre-auction channel 44 to its post-auction channel 25 at its existing transmission location and in accordance with its transition phase 6 deadline.

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 CXE-60
Year 2003
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9evo-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 61 kW
Justification for New Transmitter WJFB's existing txmtr. is not returnable & WJFB has been unable to obtain any quotes for a replacement IOT txmtr. Above txmtr is correctly sized to new antenna TPO (30.3kw) as the next size down (50 series) isn't sufficient (29.9kw) to make allocated ERP.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 40.0 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? Yes
Size 440.0 square feet
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

Txmtr deconstruction and disposal

Existing IOT transmitter must be deconstructed and disposed of (no parts are salvageable for future use)

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model UAXTE
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 5 kW
Justification for New Transmitter WJFB's txmtr. bldg. does not have sufficient space to allow installation of new txmtr. without deconstruction of existing IOT transmitter. As such a smaller interim transmitter must be utilized in order to remain on air during this 2-3 wk. period

Interim 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 No
Size N/A
Length N/A
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
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
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 Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU29JTH-R04
Year 2003

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 51.0 kW
Manufacturer
Model ATW22H3-ETO12-25H
Year 2018
Justification for New Antenna Existing antenna is unable to be utilized for post-auction UHF channel 25 operations.

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?
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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? Yes
Is antenna directional? No
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 Circular
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: 12.0 kW
Manufacturer
Model 2 x 750
Year 2017
Justification for New Antenna WJFB txmtr building does not have sufficient space to allow installation of its repack tx system and existing tx and requires utilization of a smaller interim system in order to avoid going dark during the 2-3wk repack txmtr replacement period

Interim 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 Upper and lower frequency
Frequency 470.0 MHz - 698.0 MHz
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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 310 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 310 feet per run
Justification for New Transmission Line Existing transmission line has been professionally tested (RF swept) and determined to be unusable for post-auction channel 25 operations

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 270 feet per run
Justification for New Transmission Line Required for installation of interim transmitter/antenna system.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
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? Yes
ASR Number 1044881
Coordinates (NAD83) Latitude (NAD83) 36° 09' 13.0" N-
Longitude (NAD83) 086° 22' 46.0" W-
Overall Structure Height 278.87 feet
Support Structure Height 275.59 feet
Ground Elevation Above Mean Sea Level (AMSL) 889.10 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner BRYANT BROADCASTING INC
Date Constructed 01/01/1986


Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Analysis

Tower Analysis

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 40
Explanation WJFB employs one engineering staff member and, unfortunately, does not have sufficient technical resources to safely and effectively manage a project of this scope without additional outside project management assistance.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement No
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Internal Employee Time Costs

Internal Employee Time Costs

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application 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

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $2,111,330.00 $1,374,477.50 N/A $575,772.50 N/A
Total for all systems $2,850,631.78 $2,005,255.87 N/A $820,570.47 N/A
Interim Transmitter UAXTE $236,500.00 $163,752.50 $0.00
UHF - Air Cooled Solid State Transmitter 4 - 6 kW $236,500.00 $163,752.50 N/A N/A N/A
Primary Transmitter THU9evo-40 $1,874,830.00 $1,210,725.00 $575,772.50
Txmtr deconstruction and disposal $3,100.00 $3,100.00 N/A N/A N/A
Other -- Building Addition Size: 440.0 $3,500.00 $3,500.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $2,080.00 $1,800.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $13,500.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,145,125.00 See attached quote from Rohde $575,772.50 Item "Need More Information - Rohde and Schwarz USA - $286,281.25" needs to be removed.
Service entrance 3 phase/800 amp/208 volt $14,400.00 $12,600.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $31,100.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 4 - 6 kW Information not provided.
Txmtr deconstruction and disposal Information not provided.
Other -- Building Addition Size: 440.0 Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Transmitter cost, upgrade excluded. #9500097628
Amount:
$286,281.25

Component Description:
Transmitter related cost. #9500106465
Amount:
$3,210.00

Component Description:
Transmitter cost, upgrade excluded. #9500097628
Amount:
$286,281.25
Service entrance 3 phase/800 amp/208 volt Information not provided.
Switchgear - industrial 800 amp 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 $430,249.32 $233,270.27 N/A $112,247.92 N/A
Total for all systems $2,850,631.78 $2,005,255.87 N/A $820,570.47 N/A
Interim Antenna 2 x 750 $134,019.32 $37,422.32 $18,961.16
UHF - High Power, Side Mount, basic slot antenna, 12 kW input, elliptically or circularly polarized $13,334.66 $13,334.66 N/A $13,334.66 N/A
UHF - High Power, Side Mount, basic slot antenna, 12 kW input, horizontally polarized $13,334.66 $13,334.66 ***System Notice: Estimate adjusted and locked because line has been superseded.***See attached quote from Kathrein $0.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $3,564.00 See attached quote from Kathrein $1,782.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $7,189.00 Combiner cost plus $500 installation. See attached quote from Kathrein $3,844.50 N/A
Primary Antenna ATW22H3-ETO12-25H $296,230.00 $195,847.95 $93,286.76
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $189,597.95 See attached quote from ERI $89,536.76 N/A
Sweep test of existing antenna $6,730.00 $6,250.00 N/A $3,750.00 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 12 kW input, elliptically or circularly polarized

Component Description:
Antenna cost. #PO000551-INV
Amount:
$13,334.66
UHF - High Power, Side Mount, basic slot antenna, 12 kW input, horizontally polarized

Component Description:
1/3 of Antenna cost, upgrade excluded. #PO000551-INV
Amount:
N/A
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
1/3 of side mount brackets. #PO000551-INV
Amount:
$1,782.00
New combiner, cost per channel (without antenna)

Component Description:
1/3 of combiner cost. #PO000551-INV
Amount:
$3,344.50

Component Description:
1/3 of installation. #1797
Amount:
$500.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Antenna cost, 30% down. #WJFB-300
Amount:
$44,768.38

Component Description:
Antenna cost, 2nd 30%. #WJFB-300A
Amount:
$44,768.38
Sweep test of existing antenna

Component Description:
Sweep test, 30% down. #WJFB-300
Amount:
$1,875.00

Component Description:
Sweep test, 2nd 30%. #WJFB-300A
Amount:
$1,875.00

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 $78,550.00 $87,850.64 N/A $44,892.68 N/A
Total for all systems $2,850,631.78 $2,005,255.87 N/A $820,570.47 N/A
Interim Transmission Line $15,930.00 $13,029.49 $0.00
Flexible Air Transmission Line - dielectric, 3" $15,930.00 $13,029.49 N/A N/A N/A
Primary Transmission Line $62,620.00 $74,821.15 $44,892.68
Rigid Transmission Line - copper, 6 1/8" $62,620.00 $74,821.15 See attached quote from ERI. Due to the A frame construction of the WJFB self supporting tower, this transmission line package requires additional custom fabricated line hangers, line elbows and fine matching tuner section. $44,892.68 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3" Information not provided.
Rigid Transmission Line - copper, 6 1/8"

Component Description:
TL cost, 30% down. #WJFB-300
Amount:
$22,446.34

Component Description:
TL cost, 2nd 30%. #WJFB-300A
Amount:
$22,446.34

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 $87,200.00 $120,160.00 N/A $56,306.41 N/A
Total for all systems $2,850,631.78 $2,005,255.87 N/A $820,570.47 N/A
Primary Tower TOWER $87,200.00 $120,160.00 $56,306.41
Tower Analysis $3,000.00 $3,000.00 N/A $3,000.00 N/A
Short Tower (less than 500') $84,200.00 $117,160.00 This quotation includes the additional cost of installation and removal of the interim antenna and tx line system on WJFB's tower. $53,306.41 N/A

Components

Actual Information Description File Name
Tower Analysis

Component Description:
Tower analysis. #194
Amount:
$3,000.00
Short Tower (less than 500')

Component Description:
Tower related cost. #993330106223747
Amount:
$53,306.41

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 $121,167.46 $173,922.46 N/A $29,350.96 N/A
Total for all systems $2,850,631.78 $2,005,255.87 N/A $820,570.47 N/A
Outside Professional Services $121,167.46 $173,922.46 $29,350.96
Internal Employee Time Costs $987.46 $987.46 N/A $987.46 N/A
Project management of the transition $6,320.00 $99,675.00 Per Widelity Strategic Hour Quote $20,053.50 Widelity quote
Perform engineering study for new channel assignment and antenna development $7,360.00 $8,310.00 Updating estimated cost per FCC requirement. $8,310.00 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
Prepare request for Special Temporary Authorization $2,050.00 $1,200.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $45,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Internal Employee Time Costs

Component Description:
WJFB repack trip related expenses. #IL-HC2-08262019-JA
Amount:
$987.46
Project management of the transition

Component Description:
Project Management
Amount:
$1,197.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 23 stations. #1146
Amount:
$888.15

Component Description:
Project Management
Amount:
$1,558.20

Component Description:
Project Management
Amount:
$1,280.55

Component Description:
Project Management
Amount:
$2,858.50

Component Description:
Project Management
Amount:
$1,583.10

Component Description:
Project Management
Amount:
$1,627.45

Component Description:
Project Management
Amount:
$1,565.75

Component Description:
Project Management
Amount:
$1,120.95

Component Description:
Project Management
Amount:
$1,206.55

Component Description:
Project Management
Amount:
$2,579.10

Component Description:
Project Management
Amount:
$1,320.45

Component Description:
Project Management
Amount:
$1,226.45

Component Description:
Project Management
Amount:
$40.95
Perform engineering study for new channel assignment and antenna development

Component Description:
Consulting engineering cost. #0002-001-0002
Amount:
$645.00

Component Description:
Consulting engineering cost. #0002-001-0001
Amount:
$7,665.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
Comprehensive coverage verification via field study, if needed 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 $22,135.00 $15,575.00 N/A $2,000.00 N/A
Total for all systems $2,850,631.78 $2,005,255.87 N/A $820,570.47 N/A
Other Expenses $22,135.00 $15,575.00 $2,000.00
MVPD Notification of Channel Change $1,500.00 $1,500.00 N/A N/A N/A
Local Zoning $250.00 $250.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $5,000.00 N/A $2,000.00 N/A
Non-zoning permits $500.00 $500.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,500.00 $2,500.00 N/A N/A N/A
Equipment Delivery and Handling Charges $3,000.00 $3,000.00 N/A N/A N/A
Equipment Storage $1,000.00 $1,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 N/A N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Medical notification service. #1283
Amount:
$2,000.00
Non-zoning permits 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.
Equipment Storage Information not provided.
Develop and air announcement of upcoming channel change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,850,631.78 $2,005,255.87 $820,570.47

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.

Henry Turner

Chief Operating Officer


10/28/2019

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.

Henry Turner

Chief Operating Officer


10/28/2019

Attachments

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