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:
13924
Service:
DTV
Call Sign:
WPCB-TV
Channel:
28 (UHF)
File Number:
0000026607
FRN:
0003739364
Date Submitted:
11/07/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CORNERSTONE TELEVISION, INC.

Doing Business As: CORNERSTONE TELEVISION, INC.

Steve Johnson

1 SIGNAL HILL DRIVE

WALL, PA 15148

United States

+1 (412) 824-3930 sjohnson@ctvn.org Not-for-Profit

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Joseph C. Chautin III

Attorney

Hardy, Carey, Chautin & Balkin, LLP

1080 West Causeway Approach

Mandeville, LA 70471

United States

+1 (985) 629-0777 jchautin@hardycarey.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 Prepare and execute equipment orders Prepare tower for new Antenna and transmission line Install Antenna and Transmission line Install Transmitter and related plumbing Begin testing on appropriate date

Transmitters

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

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Emergency Backup
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model ITS/Axcera 830D
Year 2000
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .5 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model UAXT-1
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity .6 kW
Justification for New Transmitter We have a concern that due to its age, our existing transmitter will not be able to be retuned.

Auxiliary 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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Primary Transmitter

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Add 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 HP20SDW
Year 2002
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 25 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 ULXTE-50
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 30.15 kW
Justification for New Transmitter Transmitter no longer supported and manufacturer will not retune

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) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 2.5 inches
Length 250.0 feet
Other Electrical Service Yes
Description Provide and install 250 AMP main breaker, 3 wire panelboard. (verify location of installation with customer) Wiring fromtransformer to 250 main breaker 3 wire panelboard. Install and wire surge suppressor.
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

Site Survey

urvey of Transmitter Site in order to determine materials and components necessary for proposed transmitter changes

Electrical Install

This estimate is to install the electric components needed for the primary and backup transmitters

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 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: 362.0 kW
Manufacturer
Model SWCSD160I/50
Year 1999

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: 530.0 kW
Manufacturer
Model SWCDT18OI/28
Year 2017
Justification for New Antenna Existing Antenna cannot be tuned to channel 28

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? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
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? No
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 Horizontal
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 8
Lower Limit 686.00 MHz
Upper Limit 692.00 MHz
Design power capacity in use 8.0 %
Other Antenna Type N/A
ERP: 112.0 kW
Manufacturer
Model SWEDM8OI/28
Year 2018
Justification for New Antenna Interim antenna required to remain on air during repack while primary antenna is installed

Interim Antenna

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Other Antenna Costs

Section Question Response
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? 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

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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Add 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 this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 4 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 778 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? Yes
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 869 feet per run
Justification for New Transmission Line Needed to stay on the air with current channel during build of new channel

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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Add 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? Candelabra
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? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1056234
Coordinates (NAD83) Latitude (NAD83) 40° 23' 34.0" N-
Longitude (NAD83) 079° 46' 53.0" W-
Overall Structure Height 852.03 feet
Support Structure Height 791.33 feet
Ground Elevation Above Mean Sea Level (AMSL) 1196.85 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Cornerstone Television, Inc
Date Constructed 04/13/1999


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 tower with candelabra
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Candelabra
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 605
Explanation Project management - invoice processing, progress reporting, daisy chain monitoring and analysis, program management, site visits and travel costs as required.
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 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 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

Attorney - Other Services

Other Matters

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? 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
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

FAA Tower Height Notification

FAA Tower Height Notification

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 $1,828,060.87 $1,081,050.29 N/A $648,205.79 N/A
Total for all systems $3,090,348.87 $2,184,354.60 N/A $1,467,390.76 N/A
Primary Transmitter ULXTE-50 $1,760,265.75 $1,013,255.17 $648,205.79
Electrical Install $58,543.75 $58,543.75 ULXTE-30 GatesAir Quote GA-00023039 & Upgrade ULXTE-50 GatesAir Quote Q-76393 $6,918.00 N/A
Site Survey $13,942.00 $13,942.00 Please see attached GatesAir Quote Q-74011 and Cornerstone Purchase Order 10364 $13,942.00 N/A
Other Electrical Service: Provide and install 250 AMP main breaker, 3 wire panelboard. (verify location of installation with customer) Wiring fromtransformer to 250 main breaker 3 wire panelboard. Install and wire surge suppressor. $26,230.00 $26,230.00 N/A $0.00 N/A
2.5" Rigid Conduit and Wiring $5,000.00 $5,000.00 N/A $0.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $6,540.35 ULXTE-30 GatesAir Quote GA-00023039 & Upgrade ULXTE-50 GatesAir Quote Q-76393 N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $442,580.31 ULXTE-30 GatesAir Quote GA-00023039 & Upgrade ULXTE-50 GatesAir Quote Q-76393 $166,927.03 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $460,418.76 ***System Notice: Estimate adjusted and locked because line has been superseded.***Transmitter quote includes replacement switch and dummy load for switching to backup transmitter. $460,418.76 N/A
Auxiliary Transmitter UAXT-1 $67,795.12 $67,795.12 $0.00
UHF - Air Cooled Solid State Transmitter .6 kW $67,795.12 $67,795.12 N/A $0.00 N/A

Components

Actual Information Description File Name
Electrical Install

Component Description:
COR#1
Amount:
$6,918.00

Component Description:
Electrical Work for the transmitter
Amount:
$34,640.00
Site Survey

Component Description:
Site survey, basic
Amount:
$13,942.00
Other Electrical Service: Provide and install 250 AMP main breaker, 3 wire panelboard. (verify location of installation with customer) Wiring fromtransformer to 250 main breaker 3 wire panelboard. Install and wire surge suppressor. Information not provided.
2.5" Rigid Conduit and Wiring Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
A. Transmitter
Amount:
$166,927.03
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
Transmitter: ULXTE-30; Mask filter system, RF Accessories; electrical; installation and roof.
Amount:
$460,418.76
UHF - Air Cooled Solid State Transmitter .6 kW 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 $397,930.00 $197,694.95 N/A $168,734.95 N/A
Total for all systems $3,090,348.87 $2,184,354.60 N/A $1,467,390.76 N/A
Interim Antenna SWEDM8OI/28 $89,400.00 $17,634.95 $17,634.95
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $17,634.95 Please see attached SWR Quote 20447 and Cornerstone Purchase Order 10470 $17,634.95 N/A
Primary Antenna SWCDT18OI/28 $308,530.00 $180,060.00 $151,100.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $7,960.00 Please see the attached quote from SWR # 19810 N/A N/A
Sweep test of existing antenna $6,730.00 $3,200.00 Please see quote 19800-01 $3,200.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $168,900.00 Please see SWR quote 19800-01 (not including sweep test, tax, or shipping) $147,900.00 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
WPCB - CH28 interim antenna
Amount:
$17,634.95
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna

Component Description:
Primary Antenna Sweep Test $ 86,050.00
Amount:
$1,600.00

Component Description:
WPCB-210-Primary Antenna - Sweep Test
Amount:
$1,600.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
full power Clarion Series digital TV transmit antenna
Amount:
$73,950.00

Component Description:
50% Down Payment: Full power Clarion Series digital TV transmit antenna, Vertical component, SWR engineer with test gear
Amount:
$73,950.00

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 $175,538.00 $139,959.36 N/A $66,962.52 N/A
Total for all systems $3,090,348.87 $2,184,354.60 N/A $1,467,390.76 N/A
Primary Transmission Line $175,538.00 $139,959.36 $66,962.52
Rigid Transmission Line - copper, 6 1/8" $175,538.00 $139,959.36 Please see the attached quote form SWR # 19810. Transmission Line is an upgrade, and are only requesting compensation up to Quote SWR #19809 and shipping charges ($3100) $66,962.52 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Vendor Name: Systems With Reliability, Limited Partnership
Amount:
$35,031.26

Component Description:
Primary Transmission Line 6 1/8"
Amount:
$31,931.26

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 $441,000.00 $519,800.00 N/A $509,300.00 N/A
Total for all systems $3,090,348.87 $2,184,354.60 N/A $1,467,390.76 N/A
Primary Tower TOWER $441,000.00 $519,800.00 $509,300.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $500,800.00 Per VTS Quote 18122-PA Rev 1 Tower Rigging and International Towers Proposal WPCB Tower Section 1-24-19 $496,900.00 N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $19,000.00 N/A $12,400.00 N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Down Payment - 50% Down payment due upon acceptance of Proposal #WPCB Tower Section 1/24/19. Proposal to fabricate a new 20' tower section designed to support the new SWR top mount antenna
Amount:
$21,400.00

Component Description:
"Final Payment - 50% Final payment due upon completion of Proposal #WPCB Tower Section, dated 1/24/19."
Amount:
$17,500.00

Component Description:
Per VTS Proposal Total Price $458,000
Amount:
$229,000.00

Component Description:
Removal of existing waveguards, install new transmission line, remove existing antenna stacks. Install new top center mounted SWR antenna, new transmission line to antenna.
Amount:
$229,000.00
Structural engineering tower load study for a documented tower with candelabra

Component Description:
Tower structural analysis report for load case 1
Amount:
$6,200.00

Component Description:
Tower structural analysis 50% upon submittal of structural analysis report
Amount:
$6,200.00

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 $226,020.00 $224,600.00 N/A $64,415.50 N/A
Total for all systems $3,090,348.87 $2,184,354.60 N/A $1,467,390.76 N/A
Outside Professional Services $226,020.00 $224,600.00 $64,415.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,750.00 see Estimated Cost Justification WPCB-530-RF Eng - Construction Permit Application (Main) v0 $2,000.00 N/A
Project management of the transition $95,590.00 $99,675.00 The large volume of work associated with repack schedule requires using external project management resources. $54,998.50 N/A
Attorney - Other Services $780.00 $780.00 Please see the attached invoice from Hardy, Carey & Blakin, LLP #35395 $480.00 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 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 $640.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,815.00 Attorney fees incurred $1,167.00 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,250.00 Please see the attached invoice form du Treil, Lundin & Rackley, Inc. #243425 $1,250.00 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,750.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,580.00 Invoiced amount $2,130.00 N/A

Components

Actual Information Description File Name
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
RF Eng - Construction Permit Application (Main)
Amount:
$2,000.00
Project management of the transition

Component Description:
Project Management
Amount:
$2,240.45

Component Description:
Project Management
Amount:
$2,606.85

Component Description:
Project Management
Amount:
$3,516.10

Component Description:
Project mgt
Amount:
$3,312.80

Component Description:
Legal services
Amount:
$90.00

Component Description:
Project Management
Amount:
$3,286.65

Component Description:
Project Management
Amount:
$5,243.60

Component Description:
Project Management
Amount:
$4,543.80

Component Description:
Professional Services Rendered
Amount:
$780.00

Component Description:
Project Management
Amount:
$3,840.50

Component Description:
Project Management
Amount:
$2,425.00

Component Description:
Project Management
Amount:
$2,612.50

Component Description:
Transition progress report
Amount:
$180.00

Component Description:
Professional services
Amount:
$570.00

Component Description:
Project Management
Amount:
$2,848.85

Component Description:
Load Form 387quarterly transition reports for Conerstone Stations
Amount:
$90.00

Component Description:
Project Management
Amount:
$2,335.70

Component Description:
Project Management of the Transition
Amount:
$150.00

Component Description:
Project Management
Amount:
$5,150.20

Component Description:
Project Management
Amount:
$2,010.25

Component Description:
Project Management
Amount:
$3,572.70

Component Description:
Project management of the transition
Amount:
$480.00

Component Description:
Project Management
Amount:
$3,892.55
Attorney - Other Services

Component Description:
Legal Services
Amount:
$480.00
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

Component Description:
Professional services
Amount:
$300.00

Component Description:
Attorney - License to Cover Application (Main)
Amount:
$640.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Please deny this component.
Amount:
N/A

Component Description:
Professional Services Rendered
Amount:
$1,167.00
Prepare request for Special Temporary Authorization

Component Description:
Prepare technical portion of an STA/Interim Antenna.
Amount:
$1,250.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Professional Services
Amount:
$250.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering study work for new channel assignment and antenna develpoment.
Amount:
$500.00

Component Description:
Engineering study work for new channel assignment and antenna development.
Amount:
$500.00

Component Description:
Engineering study work for new channel assignment and antenna development.
Amount:
$500.00

Component Description:
Engineering study for new channel assignment and antenna development.
Amount:
$250.00
Prepare and or review reimbursement form

Component Description:
Review FCC Public Notice proposing post-auction repack plan
Amount:
$240.00

Component Description:
Professional Services Rendered
Amount:
$90.00

Component Description:
Professional Services Rendered
Amount:
$1,620.00

Component Description:
Professional services
Amount:
$180.00

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 $21,800.00 $21,250.00 N/A $9,772.00 N/A
Total for all systems $3,090,348.87 $2,184,354.60 N/A $1,467,390.76 N/A
Other Expenses $21,800.00 $21,250.00 $9,772.00
FAA Tower Height Notification $250.00 $250.00 WPCB-TV Justification New Category FAA Notification Tower Height Adjustment N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A $2,864.00 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $6,908.00 N/A

Components

Actual Information Description File Name
FAA Tower Height Notification Information not provided.
MVPD Notification of Channel Change

Component Description:
MVPD Notification Services
Amount:
$2,864.00
Develop and air announcement of upcoming channel change Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Service
Amount:
$6,908.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,090,348.87 $2,184,354.60 $1,467,390.76

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. Yes
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.

Steve Johnson

President and CEO


11/07/2019

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.

Steve Johnson

President and CEO


11/07/2019

Attachments

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