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:
34847
Service:
DTV
Call Sign:
KING-TV
Channel:
25 (UHF)
File Number:
0000028077
FRN:
0001582782
Date Submitted:
02/04/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KING BROADCASTING COMPANY

Denise Branson, Sr. Paralegal

TEGNA, INC.

8350 Broad Street, Suite 2000

Tysons, VA 22102

United States

+1 (703) 873-6606 dbranson@TEGNA.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Gary Davis

Regional Head of Technology and Operations

TEGNA

Gary Davis

8350 Broad Street

Suite 2000

Tysons, VA 22102

United States

+1 (404) 873-9199 gadavis@tegna.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 KING will transition to its new facilities with a side mount antenna in the same aperture of the existing antenna. Interim facilities will need to be constructed and this tower will need serious structural reinforcement.

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 CD3200P2
Year 1998
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 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-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.3 kW
Justification for New Transmitter Station has in excess of 10% TPO headroom and is eligible for a 1-Step-Up Allowance. Reimbursable TPO is 17.0 kW based on initial 90-day filing CP. This would require a ULXTE-30. A 1-Step-Up is the ULXTE-40 and is therefore reimbursable.

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 Yes
Size 3 inches
Length 100.0 feet
Other Electrical Service Yes
Description Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 10 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 100.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? 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: 950.0 kW
Manufacturer
Model TFU-30DSC-R P200
Year 1998

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? No
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 Side 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: 608.0 kW
Manufacturer
Model TFU-26DSC/VP-R P200
Year 2019
Justification for New Antenna Licensed side-mount antenna cannot be re-tuned for new post-transition frequency and must be replaced. Station is opting to Upgrade to Elliptical polarization.

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 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
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

Name Description

Shipping

$6,800

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? Yes
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 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: 960.0 kW
Manufacturer
Model TUAP4- 8/20H-1-R SM
Year 2019
Justification for New Antenna An interim antenna is necessary to keep station on air during primary antenna replacement & for duration of assigned phase. An interim antenna with a custom peanut pattern is required to replicate existing coverage.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

$6,800

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 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 590 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 590 feet per run
Justification for New Transmission Line Main 7-3/16" rigid transmission line has 20 ft sections which are prohibited for post-transition Channel 25. Therefore, station must replace existing 20 ft section line with new 19-3/4 ft section line.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

Sweep required to verify post-transition channel measures well on existing line.

Misc Parts

Misc Parts

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 500 feet per run
Justification for New Transmission Line Interim transmission line is necessary to keep station on air during primary antenna replacement & for duration of assigned phase. 6-1/8" rigid line is required to provide required power rating for replication ERP.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

Sweep required to verify post-transition channel measures well on new line.

Misc Parts

Misc Parts

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?
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 1032128
Coordinates (NAD83) Latitude (NAD83) 47° 37' 54.0" N-
Longitude (NAD83) 122° 21' 03.0" W-
Overall Structure Height 569.87 feet
Support Structure Height 438.64 feet
Ground Elevation Above Mean Sea Level (AMSL) 430.44 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner KING BROADCASTING COMPANY
Date Constructed 01/01/1953


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 undocumented/poorly 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 Other
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Geotech Study

Geotech Study

Insurance

Insurance for the tower contractor

Weather Days

Weather Days

Lead-based Paint Management Program

Lead-based Paint Management Program

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 750
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399s. Station does not have available personnel or personnel trained in project management for such complex projects.
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 Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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 Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
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 $2,500 per site visit including expenses x 20 days. It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Legal Services

Other Legal Services related to the DTV Repack

Pre filing site review

Osborne engineering conducted a pre-filing analysis to determine if all of the necessary information had been captured.

Other Engineering Services

Fewer Proj Mgt "PM" tasks are req'd & Other Engineering Services "OES" are req'd, so the PM total was reduced to 750 hrs ($112,500.00 at $150/hr), a new OES comp was created & funded with $ from PM. See attachment titled "KGA quote to KING for OES.pdf"

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 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)? 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

Name Description

Internal labor

Local and Corporate labor

PR Firm

Public Relations Firm

Viewer call assistance service

Viewer call assistance service

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 $1,087,927.62 $1,148,954.10 N/A $995,073.33 N/A
Total for all systems $3,884,925.48 $4,815,041.84 N/A $3,696,425.09 N/A
Primary Transmitter ULXTE-40 $1,087,927.62 $1,148,954.10 $995,073.33
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. $50,227.62 $50,227.62 Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. See attached / uploaded PDF file titled "Holmes Elec 4986-36142 v191220jgv1.pdf" $50,227.62 N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $1,011,326.48 The total cost is higher due to the additional of Sales tax $944,845.71 N/A
Other -- Building Addition Size: 100.0 $25,000.00 $25,000.00 New pad required for heat exchangers, transformers, pumps, etc. Equipment must also be shielded. N/A N/A
10 Ton system $60,500.00 $57,500.00 Additional HVAC required for operation of new transmitter while still operating with main transmitter during testing period. N/A N/A

Components

Actual Information Description File Name
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc.

Component Description:
Holmes Elec 4986-36932 v191220jgv1
Amount:
$14,070.78

Component Description:
Gates US0330625 v200109pmv1
Amount:
$3,126.84

Component Description:
Holmes Elec 4986-36142 v191220jgv1
Amount:
$33,030.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Gates inv #JW30004448-1A ULXTE-40 pmt 2 UL20190320jgv1
Amount:
$152,387.38

Component Description:
Clean Harbors 1002884435 v190711jgv1
Amount:
$2,631.34

Component Description:
Gates inv #JW30004448-1 Transmitter 1 3rd dp UL20181211jgv2
Amount:
$304,774.76

Component Description:
Gates US0324371 v190829pmv1
Amount:
$485,052.23
Other -- Building Addition Size: 100.0 Information not provided.
10 Ton system 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 $513,062.07 $503,633.75 N/A $453,648.19 N/A
Total for all systems $3,884,925.48 $4,815,041.84 N/A $3,696,425.09 N/A
Interim Antenna TUAP4- 8/20H-1-R SM $257,203.00 $249,188.00 $232,326.09
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $16,425.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $16,425.00 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 N/A $11,338.09 N/A
UHF - High Power, Side Mount, basic slot antenna, 960 kW input, directional,, horizontally polarized $201,563.00 $201,563.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $201,563.00 The full cost of the antenna is $201,563.00 as seen on the Quote in the submitted Invoices MAN00842 and MAN01040. Subsequently add'l invoices pertaining to this component have been received.
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,000.00 N/A
Shipping $6,800.00 $6,800.00 N/A N/A N/A
Primary Antenna TFU-26DSC/VP-R P200 $255,859.07 $254,445.75 $221,322.10
Shipping $6,800.00 $6,800.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $12,876.68 See attached invoices and quotes $12,876.68 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,000.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,750.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $21,750.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 608 kW input, directional,, elliptically or circularly polarized $201,619.07 $201,619.07 See attached Dielectric Quote DMS031-4. Also includes sales tax. $183,695.42 N/A

Components

Actual Information Description File Name
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Die 485003 v190712pmv1
Amount:
N/A

Component Description:
Die 472012 v191129pmv4
Amount:
$1,642.50

Component Description:
Die inv #MAN00842 Aux ant mt brackets 45 pct pmt 1 UL20190128jgv1
Amount:
$7,391.25

Component Description:
Die MAN01040 Aux ant mt brackets 45 pct pmt 2 v190814jgv2
Amount:
$7,391.25

Component Description:
Die MAN01040 v190509jgv1
Amount:
$7,391.25
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Die ST478002 v190723pmv1
Amount:
$1,040.09

Component Description:
Die MAN01040 Aux elbow complex 45 pct pmt 2 v190814jgv2
Amount:
$4,634.10

Component Description:
Die 478002 v190723pmv1
Amount:
$1,029.80

Component Description:
Die inv #MAN00842 Aux elbow complex 45 pct pmt 1 UL20190128jgv1
Amount:
$4,634.10

Component Description:
Die MAN01040 v190509jgv1
Amount:
$4,634.10
UHF - High Power, Side Mount, basic slot antenna, 960 kW input, directional,, horizontally polarized

Component Description:
Die MAN01040 Aux ant 45 pct pmt 2 v190814jgv2
Amount:
$90,703.35

Component Description:
Die inv #MAN00842 Aux ant and line 45 pct pmt 1 UL20190128jgv1
Amount:
$90,703.35

Component Description:
Die 472012 v191129pmv4
Amount:
$20,156.30

Component Description:
Die MAN01040 v190509jgv1
Amount:
$90,703.35

Component Description:
Die 485003 v190712pmv1
Amount:
N/A
Sweep test of existing antenna

Component Description:
H and D 48047 Sweep test aux-interim antenna v191126jgv2
Amount:
$3,000.00
Shipping Information not provided.
Shipping Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Die inv #MAN00843 Primary elbow complex pmt 1 UL20190312jgv1
Amount:
$4,634.10

Component Description:
Die inv #MAN01065 Primary elbow complex pmt 2 UL20190312jgv1
Amount:
$4,634.10

Component Description:
Die ST616083 v191213pmv1
Amount:
$224.22

Component Description:
Die 616083 v191213pmv1
Amount:
$2,220.00

Component Description:
Die 485003 v191230pmv3
Amount:
$1,029.80

Component Description:
Die ST602006 v191231pmv1
Amount:
$134.46
Sweep test of existing antenna

Component Description:
H and D 48047 Sweep test main antenna v191126jgv2
Amount:
$3,000.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Die 485003 v191230pmv3
Amount:
$2,175.00

Component Description:
Die inv #MAN01065 Primary side brackets pmt 2 UL20190312jgv1
Amount:
$9,787.50

Component Description:
Die inv #MAN00843 Primary side brackets pmt 1 UL20190312jgv1
Amount:
$9,787.50

Component Description:
Die 485003 v190828pmv2
Amount:
$2,175.00
UHF - High Power, Side Mount, basic slot antenna, 608 kW input, directional,, elliptically or circularly polarized

Component Description:
Die 602006 v191230pmv1
Amount:
$1,331.25

Component Description:
Die 485003 v191230pmv3
Amount:
($2,136.15)

Component Description:
Die inv #MAN01065 Primary antenna pmt 2 UL20190312jgv1
Amount:
$70,270.20

Component Description:
Die 485003 v190828pmv2
Amount:
$15,615.60

Component Description:
Die ST478001 v190617jgv1
Amount:
$8,023.81

Component Description:
Die inv #MAN01065 Primary fixed flange swivel pmt 2 UL20190312jgv1
Amount:
$773.55

Component Description:
Die ST485003 v190617jgv1
Amount:
$20,104.66

Component Description:
Die inv #MAN00843 Primary antenna pmt 1 UL20190312jgv1
Amount:
$70,270.20

Component Description:
Die 485003 v191230pmv3
Amount:
$15,615.60

Component Description:
Die inv #MAN00843 Primary fixed flange swivel pmt 1 UL20190312jgv1
Amount:
$773.55

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 $301,779.14 $263,618.75 N/A $216,526.03 N/A
Total for all systems $3,884,925.48 $4,815,041.84 N/A $3,696,425.09 N/A
Interim Transmission Line $139,529.00 $134,029.00 $93,207.12
TX Line Sweep $6,400.00 $6,400.00 N/A $5,760.00 N/A
TX Line Sweep $6,400.00 $6,400.00 N/A ($5,760.00) N/A
Misc Parts $10,729.00 $10,729.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $10,729.00 N/A
Rigid Transmission Line - copper, 6 1/8" broadband $116,000.00 $110,500.00 N/A $82,478.12 N/A
Primary Transmission Line $162,250.14 $129,589.75 $123,318.91
Misc Parts $37,310.14 $37,310.14 N/A $37,310.14 N/A
TX Line Sweep $5,760.00 $5,760.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $0.00 N/A
Rigid Transmission Line - copper, 6 1/8" $119,180.00 $86,519.61 ***System Notice: Estimate adjusted and locked because line has been superseded.***See attached Dielectric Quote DMS031-4. Estimated total include the Transmission Line & Fixed Flange Swivel line items 5 and 10. $86,008.77 N/A

Components

Actual Information Description File Name
TX Line Sweep

Component Description:
Die MAN01040 Aux sweep 45 pct pmt 2 v190814jgv2
Amount:
$2,880.00

Component Description:
Die inv #MAN00842 Aux sweep 45 pct pmt 1 UL20190128jgv1
Amount:
$2,880.00
TX Line Sweep

Component Description:
Die 472012 v191129pmv4
Amount:
($5,760.00)
Misc Parts

Component Description:
Die 594006 v191023pmv3
Amount:
$9,192.00

Component Description:
Die 472012 v191129pmv4
Amount:
$9,192.00

Component Description:
Die 606051 v191125pmv2
Amount:
$1,537.00
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
Die MAN01040 Aux transmission line 45 pct pmt 2 v190814jgv2
Amount:
$30,900.87

Component Description:
Die 478002 v190723pmv1
Amount:
$6,866.86

Component Description:
Die MAN01040 Aux TLSCRs 45 pct pmt 2 v190814jgv2
Amount:
$3,093.30

Component Description:
Die inv #MAN00842 Aux TLSCRs 45 pct pmt 1 UL20190128jgv1
Amount:
$3,093.30

Component Description:
Die 591040 v191023pmv3
Amount:
N/A

Component Description:
Die MAN01040 v190509jgv1
Amount:
$30,900.87

Component Description:
Die 472012 v191129pmv4
Amount:
$515.55

Component Description:
Die MAN01040 v190509jgv1
Amount:
$3,093.30

Component Description:
Die ST478002 v190723pmv1
Amount:
$6,935.52

Component Description:
Die inv #MAN00842 Aux transmission line 45 pct pmt 1 UL20190128jgv1
Amount:
$30,900.87

Component Description:
Die 602004 v191023pmv3
Amount:
$171.85
Misc Parts

Component Description:
Die ST614067 v191231pmv1
Amount:
$149.18

Component Description:
Die 609044 v191230pmv1
Amount:
$10,378.50

Component Description:
Die 612035 v191213pmv1
Amount:
$1,338.00

Component Description:
Die ST612035 v191213pmv1
Amount:
$135.14

Component Description:
Die 597035 v191230pmv1
Amount:
$15,590.00

Component Description:
Die 618007 v191230pmv1
Amount:
$774.00

Component Description:
Die 616056 v191230pmv1
Amount:
$68.00

Component Description:
Die 622001 v191230pmv1
Amount:
$990.00

Component Description:
Die 614067 v191230pmv1
Amount:
$1,477.00

Component Description:
Die ST630014 v191231pmv1
Amount:
$20.00

Component Description:
Die ST618007 v191231pmv1
Amount:
$78.17

Component Description:
Die ST616056 v191231pmv1
Amount:
$6.87

Component Description:
Die ST609044 v191231pmv1
Amount:
$1,048.23

Component Description:
Die 630014 v191230pmv1
Amount:
$198.00

Component Description:
Die 621001 v191230pmv1
Amount:
$3,074.00

Component Description:
Die ST621001 v191231pmv1
Amount:
$310.47

Component Description:
Die ST597035 v191231pmv1
Amount:
$1,574.59

Component Description:
Die ST622001 v191231pmv1
Amount:
$99.99
TX Line Sweep

Component Description:
Die 485003 v191230pmv3
Amount:
($5,760.00)

Component Description:
Die inv #MAN00843 Primary sweep pmt 1 UL20190312jgv1
Amount:
$2,880.00

Component Description:
Die inv #MAN01065 Primary sweep pmt 2 UL20190312jgv1
Amount:
$2,880.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Die 612035 v191213pmv1
Amount:
$975.00

Component Description:
Die 485003 v191230pmv3
Amount:
($1,547.10)

Component Description:
Die ST612035 v191213pmv1
Amount:
$98.47

Component Description:
Die 613028 v191213pmv1
Amount:
$1,237.50

Component Description:
Die inv #MAN00843 Primary transmission line pmt 1 UL20190312jgv1
Amount:
$35,749.67

Component Description:
Die ST613028 v191213pmv1
Amount:
$124.99

Component Description:
Die ST597035 v191231pmv1
Amount:
$173.57

Component Description:
Die inv #MAN01065 Primary transmission line pmt 2 UL20190312jgv1
Amount:
$35,749.67

Component Description:
Die 478001 v190723pmv1
Amount:
$7,944.37

Component Description:
Die inv #MAN00843 Primary fixed flange swivel pmt 1 UL20190312jgv1
Amount:
$2,319.97

Component Description:
Die inv #MAN01065 Primary fixed flange swivel pmt 2 UL20190312jgv1
Amount:
$2,319.97

Component Description:
Die 597035 v191230pmv1
Amount:
$171.85

Component Description:
Die 599022 v191230pmv1
Amount:
$343.70

Component Description:
Die ST599022 v191231pmv1
Amount:
$347.14

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 $1,239,879.94 $2,113,989.53 N/A $1,708,369.53 N/A
Total for all systems $3,884,925.48 $4,815,041.84 N/A $3,696,425.09 N/A
Primary Tower TOWER $1,239,879.94 $2,113,989.53 $1,708,369.53
Weather Days $3,300.00 $3,300.00 See attached / uploaded PDF file titled "TCI 8942 Weather Day v200204jgv1.pdf" $3,300.00 N/A
Insurance $69,194.94 $69,194.94 Insurance $69,194.94 N/A
Geotech Study $7,620.00 $7,620.00 See attached PDF titled "TCI 8207 v191001jgv1.pdf" $7,620.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A N/A N/A
Lead-based Paint Management Program $291,465.00 $291,465.00 See uploaded Ramboll US Corporation invoices and accompanying Scope of Work / Budget Estimate. Also see uploaded TCI invoices 8829 8849 8857 8861 8870 8885 8889 8917 against TCI quote TCI-18-106C $291,465.00 x
Major tower reinforcement/modifications $421,000.00 $1,317,409.59 Tower is complicated in metro area & is showing signs of compression. Replacement not an option because of strict local zoning. Cost Estimate is the sum of TCI Qtes TCI-18-206B ($446,840), TCI-18-228A ($217,700) & TCI-18-106C ($612,260) which are attached $1,317,409.59 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A $19,380.00 N/A

Components

Actual Information Description File Name
Weather Days

Component Description:
TCI 8942 Weather Day v200204jgv1
Amount:
$3,300.00
Insurance

Component Description:
TCI inv #8645 Insurance UL20190318jgv1
Amount:
$69,194.94
Geotech Study

Component Description:
TCI 8207 v191001jgv1
Amount:
$7,620.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.
Lead-based Paint Management Program

Component Description:
Ramboll 1690039006 v200109pmv1
Amount:
$17,919.08

Component Description:
TCI 8830 v200110pmv1
Amount:
$36,037.93

Component Description:
TCI 8861 v190919jgv1
Amount:
$12,226.55

Component Description:
TCI 8889 v191008jgv1
Amount:
$6,011.95

Component Description:
Ramboll 1690031980 v190507jgv1
Amount:
$9,492.12

Component Description:
TCI 8829 v190919jgv1
Amount:
$29,620.68

Component Description:
Ramboll 1690040680 v191125jgv2
Amount:
$24,980.94

Component Description:
TCI 8849 v190919jgv1
Amount:
$11,449.73

Component Description:
TCI 8837 v190927pmv1
Amount:
$26,783.58

Component Description:
Ramboll 1690037085 v191125jgv2
Amount:
$2,517.77

Component Description:
Ramboll 1690028752 v190607pmv1
Amount:
$3,703.14

Component Description:
TCI 8870 v190919jgv1
Amount:
$20,433.88

Component Description:
Ramboll 1690029932 v190625jgv1
Amount:
$1,682.75

Component Description:
Ramboll 1690035431 v190722jgv1
Amount:
$672.28

Component Description:
TCI 8885 v191001jgv1
Amount:
$22,899.45

Component Description:
Ramboll 1690042428 v191125jgv2
Amount:
$13,869.65

Component Description:
TCI 8841 v200110pmv1
Amount:
$8,713.95

Component Description:
Ramboll 1690043471 v191227jgv1
Amount:
$7,523.77

Component Description:
TCI 8917 v191104jgv1
Amount:
$1,182.13

Component Description:
Ramboll 1690034015 v190607pmv1
Amount:
$7,169.74

Component Description:
TCI 8857 v190919jgv1
Amount:
$24,554.43

Component Description:
Ramboll 1690045855 v191227jgv1
Amount:
$2,019.50
Major tower reinforcement/modifications

Component Description:
TCI 8651 v190606jgv1
Amount:
$111,710.00

Component Description:
TCI 8801 v190729jgv1
Amount:
$54,425.00

Component Description:
TCI inv #8643 Tower maintenance and repairs pmt 1 UL20190306jgv1
Amount:
$108,850.00

Component Description:
TCI 8800 v190726jgv1
Amount:
$153,065.00

Component Description:
TCI 8890 v191008jgv1
Amount:
$153,065.00

Component Description:
TCI 8891 v191008jgv1
Amount:
$54,425.00

Component Description:
TCI inv #8644 Tower mods UL20190318jgv1
Amount:
$306,130.00

Component Description:
TCI 8924 v191029jgv1
Amount:
$29,327.89

Component Description:
TCI inv #8589 Foundation modification 50 pct pmt 1 UL20190127jgv1
Amount:
$223,420.00

Component Description:
TCI 8925 v191029jgv1
Amount:
$11,281.70

Component Description:
TCI 8678 v190801jgv1
Amount:
$111,710.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
TCI 8104 v191001jgv1
Amount:
$3,410.00

Component Description:
TCI 8206 v191002jgv1
Amount:
$8,000.00

Component Description:
TCI 8063 v191001jgv1
Amount:
$7,970.00

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 $389,685.00 $432,804.00 N/A $115,275.22 N/A
Total for all systems $3,884,925.48 $4,815,041.84 N/A $3,696,425.09 N/A
Outside Professional Services $389,685.00 $432,804.00 $115,275.22
Other Engineering Services $37,500.00 $37,500.00 Fewer Proj Mgt "PM" tasks are req'd & Other Engineering Services "OES" are req'd, so the PM total was reduced to 750 hrs ($112,500.00 at $150/hr), a new OES comp was created & funded with $ from PM. See attachment titled "KGA quote to KING for OES.pdf" $37,172.51 N/A
Pre filing site review $24,100.00 $24,100.00 N/A N/A N/A
Other Legal Services $10,000.00 $10,000.00 Other Legal Services related to the DTV Repack $424.09 N/A
Additional Field Engineering Service, 20 Days $50,000.00 $50,000.00 $2,500 per site visit including expenses x 20 days. It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services. N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $2,105.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A $1,500.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $675.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,500.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $20,454.00 The cost estimate includes the initial 399 amendment, anticipated subsequent 399 amendments, and ongoing Actual Cost invoice prep and submission by KGA. $20,454.00 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Project management of the transition $118,500.00 $150,000.00 It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399s. Station does not have available personnel or personnel trained in project management for such complex projects. $52,549.62 N/A

Components

Actual Information Description File Name
Other Engineering Services

Component Description:
Osborn inv #26012 Prof srvcs 170531 - 170728 UL20190220jgv2
Amount:
$21,075.01

Component Description:
Osborn inv #29771 Other Engineering Services UL20181206jgv1
Amount:
$3,550.00

Component Description:
Osborn 35398 OES v200122jgv1
Amount:
$12,547.50
Pre filing site review Information not provided.
Other Legal Services

Component Description:
Covington 60801029 v190712jgv2
Amount:
$144.71

Component Description:
Covington 60801032 v190508pmv1
Amount:
$99.68

Component Description:
Covington 60801029 v190508pmv1
Amount:
$164.44

Component Description:
Covington 60805585 v190513pmv1
Amount:
$34.53

Component Description:
Covington 60805585 v190508pmv1
Amount:
$34.53

Component Description:
Covington inv #60796723 Various Legal UL20181024jgv1
Amount:
$174.42

Component Description:
Covington 60801029 v190513pmv1
Amount:
$164.44

Component Description:
Covington 60801032 v190528jgv2
Amount:
$70.43
Additional Field Engineering Service, 20 Days Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Osborn 35812 v191220jgv1
Amount:
$1,500.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Osborn 36189 v191220jgv1
Amount:
$675.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Osborn 33856 v191220jgv1
Amount:
$2,500.00
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Osborn 31134 PRRF v191205jgv1
Amount:
$325.00

Component Description:
Osborn 35003 v191220jgv1
Amount:
$2,075.00

Component Description:
Osborn 30006 PRRF v191205jgv1
Amount:
$360.00

Component Description:
Osborn 34583 v190730jgv1
Amount:
$1,688.00

Component Description:
Osborn 36189 v191220jgv1
Amount:
$2,440.00

Component Description:
Osborn 32970 v190617pmv1
Amount:
$450.00

Component Description:
Osborn 35812 v191220jgv1
Amount:
$3,045.00

Component Description:
Osborn 32203 PRRF v191205jgv1
Amount:
$1,300.00

Component Description:
Osborn 33856 v191220jgv1
Amount:
$4,186.00

Component Description:
Osborn 35398 PRRF v200122jgv1
Amount:
$4,185.00

Component Description:
Osborn 32831 v190613pmv1
Amount:
$850.00
RF Exposure Measurements Information not provided.
Project management of the transition

Component Description:
Osborn 33665 v190618pmv1
Amount:
$75.00

Component Description:
Osborn 34593 v190730jgv1
Amount:
$1,950.00

Component Description:
AFF inv #20181435 Consulting Services 181101-190131 UL20190402jgv1
Amount:
$6,000.00

Component Description:
Osborn 31134 PM v191205jgv1
Amount:
$2,925.00

Component Description:
Osborn inv #26012 Prof srvcs 170531 - 170728 UL20181107jg v1
Amount:
$21,075.01

Component Description:
Osborn 36189 v191220jgv1
Amount:
$7,605.00

Component Description:
Osborn 32831 v190613pmv1
Amount:
$5,982.12

Component Description:
Osborn 30687 PM v191205jgv1
Amount:
$975.00

Component Description:
Osborn 34123 PM v191205jgv1
Amount:
$8,100.00

Component Description:
Osborn 30006 PM v191205jgv1
Amount:
$525.00

Component Description:
Osborn 32203 PM v191205jgv1
Amount:
$300.00

Component Description:
Osborn 33856 v191220jgv1
Amount:
$7,800.00

Component Description:
Osborn inv #29771 Form 387 2018 Q2 UL20181206jgv1
Amount:
$337.50

Component Description:
Osborn 35003 v191220jgv1
Amount:
$300.00

Component Description:
Osborn inv #29771 Prof srvcs 180526 - 180629 UL20181206jgv1
Amount:
$2,400.00

Component Description:
Osborn 30485 PM v191205jgv1
Amount:
$1,875.00

Component Description:
Osborn 32970 v190617pmv1
Amount:
$450.00

Component Description:
Osborn 32203 PM v191205jgv1
Amount:
$3,225.00

Component Description:
Inv 29213 KING Proj Mgt 180428-180525 UL20180702jg v1
Amount:
$1,575.00

Component Description:
Osborn 35812 v191220jgv1
Amount:
$150.00

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 $352,591.71 $352,041.71 N/A $207,532.79 N/A
Total for all systems $3,884,925.48 $4,815,041.84 N/A $3,696,425.09 N/A
Other Expenses $352,591.71 $352,041.71 $207,532.79
Equipment Storage $15,000.00 $15,000.00 Flatbed storage for 6 months per Dielectric for new antennas and transmission line. $13,910.00 N/A
Equipment Delivery and Handling Charges $76,970.29 $76,970.29 See invoices attached $76,970.29 See invoices attached
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
Non-zoning permits $25,000.00 $25,000.00 N/A $9,601.00 N/A
Local Zoning $100,000.00 $100,000.00 Zoning and Construction permits could require extensive reviews and extensively long permitting process. expediter are commonly used and because of the location of the tower we can expect multiple challenges in the permitting process for structural mods. $44,322.39 N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,750.00 N/A
MVPD Notification of Channel Change $6,000.00 $6,000.00 Hire services to insure that MVPD's have been notified of upcoming changes and testing windows for new channel operation. $1,860.00 N/A
Viewer call assistance service $20,224.42 $20,224.42 N/A $20,224.42 N/A
PR Firm $43,000.00 $43,000.00 See the Quote attached to the uploaded the FEAREY GROUP, INC. invoice 2019-035. $33,624.69 N/A
Internal labor $23,847.00 $23,847.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $6,000.00 $6,000.00 Produce informational spot about upcoming changes for consumers. $3,270.00 N/A

Components

Actual Information Description File Name
Equipment Storage

Component Description:
Die 587035 v191125pmv2
Amount:
$6,820.00

Component Description:
Die 587008 v191212pmv2
Amount:
$7,090.00
Equipment Delivery and Handling Charges

Component Description:
Die 602006 v191230pmv1
Amount:
$4,045.07

Component Description:
Die ST619002 v191231pmv1
Amount:
$23.81

Component Description:
Die ST624036 v191231pmv1
Amount:
$72.17

Component Description:
Die 606051 v191125pmv2
Amount:
$3,729.04

Component Description:
Die ST617031 v191213pmv1
Amount:
$56.53

Component Description:
Die 610007 v191230pmv1
Amount:
$9,032.00

Component Description:
Die ST633036 v191231pmv1
Amount:
$4.23

Component Description:
Die ST606035 v191231pmv1
Amount:
$56.13

Component Description:
Die ST610007 v191231pmv1
Amount:
$912.23

Component Description:
Die ST621001 v191231pmv1
Amount:
$476.99

Component Description:
Die 621001 v191230pmv1
Amount:
$4,722.64

Component Description:
Die ST617016 v191231pmv1
Amount:
$22.83

Component Description:
Die 619002 v191230pmv1
Amount:
$235.74

Component Description:
Sunbelt 91666268-0001 v191004jgv1
Amount:
$1,921.58

Component Description:
Die 633036 v191230pmv1
Amount:
$41.88

Component Description:
Die 472012 v191129pmv4
Amount:
$3,944.81

Component Description:
Die 613031 v191023pmv3
Amount:
$869.35

Component Description:
Die 587035 v191125pmv2
Amount:
$15,046.61

Component Description:
Die 592038 v191023pmv3
Amount:
N/A

Component Description:
Die 587008 v191212pmv2
Amount:
$18,545.75

Component Description:
Gates US0330625 v200109pmv1
Amount:
$213.86

Component Description:
Die 617031 v191213pmv1
Amount:
$559.67

Component Description:
Die 624036 v191230pmv1
Amount:
$714.58

Component Description:
Die 615023 v191230pmv1
Amount:
$1,677.67

Component Description:
Nelson 30318402 v191004jgv1
Amount:
$801.00

Component Description:
Die 613028 v191213pmv1
Amount:
$2,295.35

Component Description:
Die ST613028 v191213pmv1
Amount:
$231.83

Component Description:
Die ST615023 v191231pmv1
Amount:
$169.44

Component Description:
Nelson 30318401 v191004jgv1
Amount:
$1,233.00

Component Description:
Die 617016 v191230pmv1
Amount:
$226.00

Component Description:
Die ST602006 v191231pmv1
Amount:
$408.55

Component Description:
Die 606035 v191230pmv1
Amount:
$555.77

Component Description:
Die ST587008 v191231pmv1
Amount:
$1,873.12

Component Description:
Die 607024 v191023pmv3
Amount:
$2,251.06
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits

Component Description:
City of Seattle inv #1041343 Ant struct alter local permit pmt 2 UL20181029jgv1
Amount:
$2,581.00

Component Description:
City of Seattle inv #943971 Ant struct alter local permit pmt 1 UL20181029jgv1
Amount:
$7,020.00
Local Zoning

Component Description:
TCI 8265 v190919jgv1
Amount:
$8,110.00

Component Description:
TCI 8506 v190729jgv1
Amount:
$36,212.39
DTV Medical Facility Notification

Component Description:
RF Notifs 1353 v190925jgv1
Amount:
$3,750.00
MVPD Notification of Channel Change

Component Description:
Osborn 35398 MVPD v200122jgv1
Amount:
$1,860.00
Viewer call assistance service

Component Description:
Inktel 34129 v200113pmv1
Amount:
$20,224.42
PR Firm

Component Description:
Fearey 2019-360 v200109pmv1
Amount:
$2,456.25

Component Description:
Fearey 2019-171 v190927pmv1
Amount:
$3,262.50

Component Description:
Fearey 2019-109 v190726jgv1
Amount:
$2,756.25

Component Description:
Fearey 2019-220 v190927pmv1
Amount:
$2,587.50

Component Description:
US Print 308011 v190927pmv1
Amount:
$894.63

Component Description:
Fearey 2019-258 v190927pmv1
Amount:
$5,043.75

Component Description:
Fearey inv #2019-035 PR UL20190402jgv1
Amount:
$8,000.00

Component Description:
Fearey 2019-110 v190726jgv1
Amount:
$5,625.00

Component Description:
Fearey 2019-314 v190919jgv1
Amount:
$2,418.75

Component Description:
US Print 307744 v190530pmv1
Amount:
$580.06
Internal labor Information not provided.
Develop and air announcement of upcoming channel change

Component Description:
2C Media inv #203806 Creation of channel change announcement UL20181016jgv1
Amount:
$3,270.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,884,925.48 $4,815,041.84 $3,696,425.09

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.

Jeffrey C Gehman

Engineering Associate


02/04/2020

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.

Jeffrey C Gehman

Engineering Associate


02/04/2020

Attachments

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