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:
68043
Service:
LPD
Call Sign:
WESV-LD
Channel:
31 (UHF)
File Number:
0000090028
FRN:
0001529247
Eligibility Status:
Not Determined
Date Submitted:
11/15/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KRCA LICENSE LLC

Doing Business As: KRCA LICENSE LLC

Chris Buchanan

1845 EMPIRE AVENUE

BURBANK, CA 91504

United States

+1 (818) 729-5300 chrisb@libmedia.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

Samuel Hariton

Widelity

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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. Yes
Briefly describe transition plan WESV-LD is planning to purchase an upgraded transmitter and antenna, a like-for-like transmission line and to move to a new tower.

Question Response
Sharee Station Facility ID 19525
Call Sign WKQX
Type Commercial
Licensee Name RADIO LICENSE HOLDINGS LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 266
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 140658
Call Sign W236CF
Type
Licensee Name WINDY CITY BROADCASTING, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 236
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 70042
Call Sign WLIT-FM
Type Commercial
Licensee Name AMFM BROADCASTING LICENSES, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 230
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 51165
Call Sign WGCI-FM
Type Commercial
Licensee Name AMFM BROADCASTING LICENSES, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 298
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 71428
Call Sign WCIU-TV
Type Commercial
Licensee Name WCIU-TV LIMITED PARTNERSHIP
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 27
Post-auction RF Channel 23
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 28621
Call Sign WBMX
Type Commercial
Licensee Name ENTERCOM LICENSE, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 282
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 71283
Call Sign WCFS-FM
Type Commercial
Licensee Name ENTERCOM LICENSE, LLC
Status LICENSED
DTS No
Community of License ELMWOOD PARK, IL
Pre-auction RF Channel 290
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 28620
Call Sign WUSN
Type Commercial
Licensee Name ENTERCOM LICENSE, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 258
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 49552
Call Sign WDRV
Type Commercial
Licensee Name CHICAGO FCC LICENSE SUB, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 246
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 63526
Call Sign DWCKL
Type
Licensee Name FAMILY BROADCASTING AND MEDIA, LLC
Status LICENSE CANCELLED
DTS No
Community of License
Pre-auction RF Channel
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 66649
Call Sign WBEZ
Type Noncommercial Educational
Licensee Name CHICAGO PUBLIC MEDIA INC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 218
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 9613
Call Sign WBBM-FM
Type Commercial
Licensee Name ENTERCOM LICENSE, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 242
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 61692
Call Sign W25DW-D
Type
Licensee Name HC2 LPTV HOLDINGS, INC.
Status LICENSED AND SILENT
DTS No
Community of License ARBURY HILLS, IL
Pre-auction RF Channel 25
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 67073
Call Sign WOJO
Type Commercial
Licensee Name TICHENOR LICENSE CORPORATION
Status LICENSED
DTS No
Community of License EVANSTON, IL
Pre-auction RF Channel 286
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 140763
Call Sign W280EM
Type
Licensee Name WINDY CITY BROADCASTING, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 280
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 32334
Call Sign WJYS
Type Commercial
Licensee Name Millennial Telecommunications, Inc.
Status LICENSED
DTS No
Community of License HAMMOND, IN
Pre-auction RF Channel 21
Post-auction RF Channel 21
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 47905
Call Sign WMAQ-TV
Type Commercial
Licensee Name NBC TELEMUNDO LICENSE LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 29
Post-auction RF Channel 29
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 10059
Call Sign WSHE-FM
Type Commercial
Licensee Name CHICAGO FCC LICENSE SUB, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 262
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 60539
Call Sign WXFT-DT
Type Commercial
Licensee Name UNIMAS CHICAGO LLC
Status LICENSED
DTS No
Community of License AURORA, IL
Pre-auction RF Channel 44
Post-auction RF Channel 44
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 6377
Call Sign WTMX
Type Commercial
Licensee Name CHICAGO FCC LICENSE SUB, LLC
Status LICENSED
DTS No
Community of License SKOKIE, IL
Pre-auction RF Channel 270
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 72115
Call Sign WGN-TV
Type Commercial
Licensee Name WGN CONTINENTAL BROADCASTING COMPANY, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 19
Post-auction RF Channel 19
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 6588
Call Sign WVAZ
Type Commercial
Licensee Name AMFM BROADCASTING LICENSES, LLC
Status LICENSED
DTS No
Community of License OAK PARK, IL
Pre-auction RF Channel 274
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 73226
Call Sign WLS-TV
Type Commercial
Licensee Name WLS TELEVISION, INC.
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 44
Post-auction RF Channel 44
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 10802
Call Sign WTTW
Type Noncommercial Educational
Licensee Name WINDOW TO THE WORLD COMMUNICATIONS, INC.
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 47
Post-auction RF Channel 47
Neilsen DMA CHICAGO
Network Affiliation
Question Response
Sharee Station Facility ID 145107
Call Sign W268AY
Type
Licensee Name EDUCATIONAL MEDIA FOUNDATION
Status LICENSED
DTS No
Community of License SEWARD TOWNSHIP, IL
Pre-auction RF Channel 268
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 68061
Call Sign WRJK-LP
Type
Licensee Name CHICAGO 22, LLC
Status LICENSED
DTS No
Community of License ARLINGTON HEIGHTS, IL
Pre-auction RF Channel 22
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 9617
Call Sign WBBM-TV
Type Commercial
Licensee Name CBS BROADCASTING INC.
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 12
Post-auction RF Channel 12
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 10801
Call Sign WFMT
Type Commercial
Licensee Name WINDOW TO THE WORLD COMMUNICATIONS
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 254
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 74178
Call Sign WKSC-FM
Type Commercial
Licensee Name AMFM BROADCASTING LICENSES, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 278
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 12498
Call Sign WGBO-DT
Type Commercial
Licensee Name WGBO LICENSE PARTNERSHIP, G.P.
Status LICENSED
DTS No
Community of License JOLIET, IL
Pre-auction RF Channel 38
Post-auction RF Channel 35
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 53971
Call Sign WEBG
Type Commercial
Licensee Name AMFM BROADCASTING LICENSES, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 238
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 16853
Call Sign WXRT
Type Commercial
Licensee Name ENTERCOM LICENSE, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 226
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 10981
Call Sign WCPX-TV
Type Commercial
Licensee Name ION MEDIA CHICAGO LICENSE, INC.
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 34
Post-auction RF Channel 34
Neilsen DMA Chicago
Network Affiliation
Question Response
Sharee Station Facility ID 22211
Call Sign WFLD
Type Commercial
Licensee Name FOX TELEVISION STATIONS, LLC
Status LICENSED
DTS No
Community of License CHICAGO, IL
Pre-auction RF Channel 31
Post-auction RF Channel 31
Neilsen DMA Chicago
Network Affiliation

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model UAX-500
Year 2000
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 625 W

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 TBD
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 625 W
Justification for New Transmitter Re-tuning the existing main transmitter is not an option because the manufacturer no longer supports this unit.

Primary Transmitter

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Other Transmitter Costs

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

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Ownership Owned
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels 2
Design power capacity in use 10.0 %
Lower Limit 626.00 MHz
Upper Limit 632.00 MHz
ERP: 6.0 kW
Manufacturer
Model 955512
Year 2000

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels/Bays 2
Lower Limit 572.00 MHz
Upper Limit 578.00 MHz
Design power capacity in use 40.0 %
ERP: 6.0 kW
Manufacturer
Model TBD
Year 2018
Justification for New Antenna The existing antenna is not able to be retuned to the new channel

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes
Power Dividers Does the panel antenna require power dividers? No
Cable Harness Does the panel antenna require cable harness? 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)
Ownership Owned
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 Flexible Air
Diameter 1 5/8 inches
Number of parallel runs 1
Length 350 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 1 5/8 inches
Number of parallel runs 1
Length 350 feet per run
Justification for New Transmission Line The new transmission line is needed because the station is moving to a new tower.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? No

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)
Ownership Leased
Is this tower consider Complex? Located on Building
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1009012
Coordinates (NAD83) Latitude (NAD83) 41° 53' 56.1" N-
Longitude (NAD83) 087° 37' 23.2" W-
Overall Structure Height 1505.89 feet
Support Structure Height 1106.94 feet
Ground Elevation Above Mean Sea Level (AMSL) 592.84 feet
Structure Type BTWR - Building with Tower
Tower Owner American Towers LLC
Date Constructed 12/05/2002

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

Facility ID Call Sign Service
6377 WTMX FM
49552 WDRV FM
22211 WFLD DTV
28620 WUSN FM
140763 W280EM FX
67073 WOJO FM
19525 WKQX FM
145107 W268AY FX
10059 WSHE-FM FM
16853 WXRT FM
66649 WBEZ FM
12498 WGBO-DT DTV
63526 WCKL AM
70042 WLIT-FM FM
6588 WVAZ FM
53971 WEBG FM
72115 WGN-TV DTV
73226 WLS-TV DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: No study needed
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 Located on Building
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 254
Explanation WESV-LD does not have sufficient resource capacity and expertise in house to handle all of the reimbursement filing, tracking, progress reporting, monitoring and all other activities necessary to facilitate on-time completion of the station's build
Outside RF consulting Engineering Services Perform engineering study for displacement application Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Prepare Form 601 Yes
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change Yes
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $28,100.00 $28,100.00 N/A $0.00 N/A
Total for all systems $247,367.00 $262,480.00 N/A $0.00 N/A
Primary Transmitter TBD $28,100.00 $28,100.00 $0.00
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts $28,100.00 $28,100.00 The Est Cost has been established by the like-for-like TPO. See the station narrative and Justification WESV Transmitter Cost Like-For-Like N/A N/A

Components

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 $9,230.00 $9,230.00 N/A $0.00 N/A
Total for all systems $247,367.00 $262,480.00 N/A $0.00 N/A
Primary Antenna TBD $9,230.00 $9,230.00 $0.00
UHF Broadband panel antenna (per panel), horizontally-polarized $3,500.00 $3,500.00 The Est Cost has been established by the like-for-like ERP. See the station narrative and Justification Document "Justification WESV-LD Antenna Cost Like-for-Like" N/A N/A
Sweep test of transmission line and antenna $5,730.00 $5,730.00 N/A N/A N/A

Components

Information not provided.

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 $11,550.00 $11,550.00 N/A $0.00 N/A
Total for all systems $247,367.00 $262,480.00 N/A $0.00 N/A
Primary Transmission Line $11,550.00 $11,550.00 $0.00
Flexible Air Transmission Line - dielectric, 1 5/8" $11,550.00 $11,550.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $150,000.00 $150,000.00 N/A $0.00 N/A
Total for all systems $247,367.00 $262,480.00 N/A $0.00 N/A
Primary Tower BTWR $150,000.00 $150,000.00 $0.00
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) $150,000.00 $150,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $42,082.00 $57,195.00 N/A $0.00 N/A
Total for all systems $247,367.00 $262,480.00 N/A $0.00 N/A
Outside Professional Services $42,082.00 $57,195.00 $0.00
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $3,262.50 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,577.50 N/A N/A N/A
Prepare Form 601 $755.00 $755.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $3,025.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,052.50 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,102.50 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A N/A N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 N/A N/A N/A
Project management of the transition $26,797.00 $41,910.00 see Justifying Quote WESV-LD-LPTV Widelity strategic support quote N/A N/A

Components

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 $6,405.00 $6,405.00 N/A $0.00 N/A
Total for all systems $247,367.00 $262,480.00 N/A $0.00 N/A
Other Expenses $6,405.00 $6,405.00 $0.00
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A N/A N/A
FCC Filing Fees - Form 2100 Major change CP application $4,960.00 $4,960.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $247,367.00 $262,480.00 $0.00

Reimbursement Status

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

Michael Everett Todd

Chief Engineer


11/15/2019

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