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:
74170
Service:
DTV
Call Sign:
WVIT
Channel:
35 (UHF)
File Number:
0000028209
FRN:
0019509470
Date Submitted:
10/24/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NBC TELEMUNDO LICENSE LLC

Margaret L. Tobey

300 NEW JERSEY AVE, N.W.

SUITE 700

WASHINGTON, DC 20001

United States

+1 (202) 524-6401 MARGARET.TOBEY@NBCUNI.COM Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Margaret L Tobey

NBCUniversal, LLC

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6401 Margaret.Tobey@nbcuni.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 Use existing transmitter and antenna as interim during transition. Install new antenna in place of old analog antenna with new transmitter for new channel. Remove old transmitter and antenna after transition to new channel.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model DCX-1H
Year 2004
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 21 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 THU9-30
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 46 kW
Justification for New Transmitter A new transmitter is requested as the current Comark DCX (non-paragon) is no longer supported by the vendor and cannot be re tuned. Additionally, we have selected a Solid State transmitter because it is less expensive than a new IOT (865,551)

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Proposal from electrician for disconnection of old services and connection to new transmitter
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmission Facility Design

Preparation of construction plans and specifications for transmission equipment installation.

Comark Field Services

Comark to be on site to power up existing transmitter after powering down for new transmitter install.

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization 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: 250.0 kW
Manufacturer
Model TFU-22GTH/VP-R 4C140
Year 2004

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting 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: 230.0 kW
Manufacturer
Model TFU-20JTH/VP-R 4C140
Year 2019
Justification for New Antenna A new antenna is required as the current antenna will not work on the new channel (ch 31). A top mount antenna was chosen as it eliminates the need for a interim build and is less costly then removing a side mount and replacing.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 4 1/16 inches inches
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

Primary 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 4 1/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 984 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 4 1/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1055 feet per run
Justification for New Transmission Line New transmission line is required so that we can maintain coverage during the transition without having to build a interim facility.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? 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? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1044874
Coordinates (NAD83) Latitude (NAD83) 41° 42' 02.0" N-
Longitude (NAD83) 072° 49' 55.0" W-
Overall Structure Height 1128.92 feet
Support Structure Height 1059.70 feet
Ground Elevation Above Mean Sea Level (AMSL) 720.79 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Outlet Broadcasting LLC
Date Constructed 06/01/1979


Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

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? Yes
Number of Hours 693
Explanation Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
Prepare engineering section of Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare engineering section of 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
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 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 Yes
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 Yes
Additional Field Engineering Service Yes
Number of Days 20
Justification Ground Level RF System Design

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? 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 $2,524,067.79 $1,184,767.79 N/A $1,148,599.60 N/A
Total for all systems $4,001,822.61 $2,535,305.97 N/A $1,713,397.86 N/A
Primary Transmitter THU9-30 $2,524,067.79 $1,184,767.79 $1,148,599.60
Comark Field Services $1,852.95 $1,852.95 See attachment "WVIT Comark Visit Quote" N/A N/A
Transmission Facility Design $86,914.84 $86,914.84 N/A $67,899.60 N/A
Other Electrical Service: Proposal from electrician for disconnection of old services and connection to new transmitter $15,300.00 $15,300.00 cost of service disconnect from old equipment and new connection to new transmitter N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $540,350.00 N/A $540,350.00 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $540,350.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $540,350.00 N/A

Components

Actual Information Description File Name
Comark Field Services Information not provided.
Transmission Facility Design

Component Description:
Review equipment data, site survey, and report brief. Design coordination and construction/permit documents. Misc. expenses as outlined in quote.
Amount:
$67,899.60
Other Electrical Service: Proposal from electrician for disconnection of old services and connection to new transmitter Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Added cover letter. This only accounts for the cost of the transmitter, and does not include the upgrade. The upgrade's cost will go towards maximization.
Amount:
$540,350.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Added cover letter. This only accounts for the cost of the transmitter, and does not include the upgrade. The upgrade's cost will go towards maximization.
Amount:
$540,350.00

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $299,070.00 $212,093.00 N/A $190,883.70 N/A
Total for all systems $4,001,822.61 $2,535,305.97 N/A $1,713,397.86 N/A
Primary Antenna TFU-20JTH/VP-R 4C140 $299,070.00 $212,093.00 $190,883.70
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $201,795.00 N/A $181,615.50 N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $10,298.00 See attached quote $9,268.20 N/A

Components

Actual Information Description File Name
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
See lines 1 and 2 of invoice.
Amount:
$90,807.75

Component Description:
See lines 1 and 2 of invoice
Amount:
$90,807.75
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
See line 4 of invoice (line 3 does not exist because an item was removed from the original purchase order)
Amount:
$4,634.10

Component Description:
See line 4 of invoice
Amount:
$4,634.10

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 $149,810.00 $137,671.10 N/A $123,904.00 N/A
Total for all systems $4,001,822.61 $2,535,305.97 N/A $1,713,397.86 N/A
Primary Transmission Line $149,810.00 $137,671.10 $123,904.00
Rigid Transmission Line - copper, 4 1/16" $149,810.00 $137,671.10 N/A $123,904.00 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 4 1/16"

Component Description:
See lines 5-22 of invoice.
Amount:
$61,952.00

Component Description:
See lines 5-22 of invoice.
Amount:
$61,952.00

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $644,100.00 $619,938.00 N/A $79,571.07 N/A
Total for all systems $4,001,822.61 $2,535,305.97 N/A $1,713,397.86 N/A
Primary Tower TOWER $644,100.00 $619,938.00 $79,571.07
Structural engineering tower load study for well documented tower $12,600.00 $19,938.00 See quote attached to invoices $0.00 N/A
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A N/A N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $79,571.07 N/A

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Uploaded new invoice with the corrected math for the hourly rate and hours worked which equal the total for this invoice.
Amount:
$9,969.00

Component Description:
Uploaded new invoice that has the corrected math for the hours work and hourly rate to equal the total amount for the invoice.
Amount:
$9,969.00
Tall Tower (greater than 500') Information not provided.
Major tower reinforcement/modifications

Component Description:
Deposit for structural modifications to existing tower
Amount:
$79,571.07

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 $244,999.00 $248,875.26 N/A $162,650.60 N/A
Total for all systems $4,001,822.61 $2,535,305.97 N/A $1,713,397.86 N/A
Outside Professional Services $244,999.00 $248,875.26 $162,650.60
Project management of the transition $109,494.00 $169,125.26 Complications with tower safety required greatly increased oversight for the project and required additional project management hours. $161,932.76 N/A
Additional Field Engineering Service, 20 Days $20,000.00 $20,000.00 N/A $0.00 N/A
RF Exposure Measurements $21,050.00 $10,000.00 N/A $0.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $40,000.00 N/A $0.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $340.20 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $377.64 N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
invoice of $6900 for 46 hours of work carried out by AFF Consulting.
Amount:
$6,900.00

Component Description:
Invoice of $10790 for 73 hours of project management work carried out by Point B
Amount:
$10,790.00

Component Description:
Review project Schedule, structural analysis request and project status review.
Amount:
$1,474.50

Component Description:
Invoice of $5852 for 38 hours of project management work carried out by Point B in May 2019
Amount:
$5,852.00

Component Description:
July 2018 Project Management
Amount:
$13,771.92

Component Description:
Point B project management services for the month of February 2019. See all line items.
Amount:
$3,626.52

Component Description:
Review of tower modification plans, preparation of RFPs, conference calls to develop transition plan
Amount:
$1,599.80

Component Description:
Project Management Services
Amount:
$1,365.00

Component Description:
Project Management Services
Amount:
$1,072.50

Component Description:
Project Management Invoice
Amount:
$1,510.70

Component Description:
Project Management Services
Amount:
$348.95

Component Description:
Project management and expenses, see attachments for receipts
Amount:
$6,439.02

Component Description:
Project Management Services
Amount:
$2,145.00

Component Description:
This is just for line item 1 on the invoice that is why we are requesting for less than the total. Also, Updated Invoice with Project manager name and quote for the work that is being invoiced.
Amount:
$950.00

Component Description:
October 2018 Project Management
Amount:
$7,550.00

Component Description:
Project Management Services
Amount:
$9,450.00

Component Description:
June 2018 Project Management
Amount:
$11,175.00

Component Description:
Project management
Amount:
$8,250.00

Component Description:
June 2018 Project Management
Amount:
$2,299.50

Component Description:
This is just for line items 1 and 3 of invoice that is why it is less than the total of the invoice. Also updated the invoice with project manager name and quote for the work outlined in the invoice.
Amount:
$1,350.00

Component Description:
Project Management Invoice
Amount:
$12,174.00

Component Description:
September 2018 Project Management
Amount:
$6,760.00

Component Description:
Project Management Services
Amount:
$5,037.00

Component Description:
Coordination for tower inspection and structural analysis
Amount:
$249.85

Component Description:
Structural assesment project management services
Amount:
$475.00

Component Description:
Project Management August 2018
Amount:
$8,055.00

Component Description:
Tower modification plan preparation and meetings
Amount:
$950.00

Component Description:
Review of tower modification plans, preparation of RFPs, conference calls to develop transition plan. RFPs for A&E permitting docs
Amount:
$285.00

Component Description:
April 2018 Project Management
Amount:
$6,300.00

Component Description:
Project Management Services
Amount:
$975.00

Component Description:
Project Management
Amount:
$15,309.00

Component Description:
September 2018 Project Management
Amount:
$7,624.50

Component Description:
WVIT AFF Consulting January 2019 - Project Management Services
Amount:
$22,125.00

Component Description:
September 2018 Project Management
Amount:
$2,088.00

Component Description:
August 2018 Project Management
Amount:
$6,930.00

Component Description:
October 2018 Project Management
Amount:
$11,623.50

Component Description:
Project Management
Amount:
$2,660.00

Component Description:
Project Management
Amount:
$20,349.00
Additional Field Engineering Service, 20 Days Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Preparation of minor change application
Amount:
$226.80

Component Description:
See line 1 of invoice, less 10% vendor discount.
Amount:
$113.40
Prepare and or review reimbursement form

Component Description:
See lines 2-4 of invoice, less 10% vendor discount.
Amount:
$333.99

Component Description:
Review of Form 399
Amount:
$43.65

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 $139,775.82 $131,960.82 N/A $7,788.89 N/A
Total for all systems $4,001,822.61 $2,535,305.97 N/A $1,713,397.86 N/A
Other Expenses $139,775.82 $131,960.82 $7,788.89
MVPD Notification of Channel Change $12,000.00 $12,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $20,000.00 $20,000.00 N/A N/A N/A
Equipment Storage $5,000.00 $5,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $68,130.00 $68,130.00 Decom and disposal of transmitter and electrical feeds $0.00 N/A
DTV Medical Facility Notification $11,550.00 $3,750.00 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
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $2,500.00 $2,500.00 N/A N/A N/A
Non-zoning permits $15,065.82 $15,065.82 Preparation and submission of permit documents $7,788.89 N/A
Equipment Delivery and Handling Charges $5,000.00 $5,000.00 N/A N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Deposit on Transmitter Room Decommission
Amount:
$18,331.21
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning Information not provided.
Non-zoning permits

Component Description:
Preparation of permit documents for WVIT's tower modifications.
Amount:
$7,768.00

Component Description:
Large format building and technical drawing scans for EJC's use during permit preparation.
Amount:
$20.89

Component Description:
See lines 2-5 and attached supporting documentation for expenses.
Amount:
$3,526.93

Component Description:
See lines 2 and 4 of invoice
Amount:
$3,750.00
Equipment Delivery and Handling Charges Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,001,822.61 $2,535,305.97 $1,713,397.86

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.

Margaret L Tobey

Assistant Secretary


10/24/2019

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.

Margaret L Tobey

Assistant Secretary


10/24/2019

Attachments

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