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:
70537
Service:
DTV
Call Sign:
WMEC
Channel:
36 (UHF)
File Number:
0000027282
FRN:
0005941323
Date Submitted:
02/07/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Jak Tichenor

1003 COMMUNICATIONS BUILDING

MAILCODE 6602

CARBONDALE, IL 62901

United States

+1 (618) 453-6181 jak.tichenor@wsiu.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

Gregory Best

Consulting Engineer

Greg Best Consulting Inc.

16100 Outlook Avenue

Stilwell, KS 66085

United States

+1 (816) 792-2913 gbconsulting54@gmail.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 Transition will be a flash cut from current channel to repack channel with expected off-air time of up to two days. Ahead of antenna change, licensee will make all necessary transmitter and RF system changes. New transmitter & antenna required.

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 DCD20-PL-1
Year 2001
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5 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? No
Manufacturer
Model UAXTE-16R44
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 9.6 kW
Justification for New Transmitter Present transmitter TPO of 5kW is insufficient to achieve an ERP of 100kW per the construction permit.

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 2 inches
Length 60.0 feet
Other Electrical Service Yes
Description Circuit breaker installation for new transmitter and new wiring as necessary for transmitter power.
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? 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

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Other
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 Prototype single channel panel antenna
ERP: 75.0 kW
Manufacturer
Model TWSM-24/SM/CF
Year 1997

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting 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: 100.0 kW
Manufacturer
Model ATW25H3-ESO10-36L
Year 2020
Justification for New Antenna Existing antenna will not function on the new assigned frequency.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

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? 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: 100.0 kW
Manufacturer
Model ALP8M3-HSBR-36
Year 2019
Justification for New Antenna Primary antenna will be not be delivered on time to meet phase deadline so interim antenna is required.

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? Yes

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? No

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 Leased
Is this tower consider Complex? No
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? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1018309
Coordinates (NAD83) Latitude (NAD83) 40° 23' 54.0" N-
Longitude (NAD83) 090° 43' 55.0" W-
Overall Structure Height 499.99 feet
Support Structure Height 499.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 600.06 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WEST CENTRAL ILLINOIS EDUCATIONAL COMMUNICATIONS CORPORATION DBA = CONVOCOM
Date Constructed 01/01/1996

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
164225 WGNX FM

Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Interim Antenna

Mobilization and installation/removal of interim antenna until primary antenna is installed.

Phillystran guywires

The proximity of the guy wires to the antenna significantly disturbs the antenna pattern so Phillystran replacement of the top 70 ft of the top set of guy wires can be used to eliminate that issue. It is likely that foundation mats will be required.

Interim Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Interim
Description of Use N/A
Height 500.00 feet
Justification for New Tower Additional rigging and mobilization to remove existing antenna and install interim antenna until permanent antenna is delivered. Interim antenna is to be installed on the same tower as the existing channel antenna.

Interim Tower

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Tower Rigging Costs

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

Interim Tower

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Other Tower Expenses Not Listed

Name Description

Interim antenna installation

Additional mobilization and services to install interim antenna on existing tower.

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 120
Explanation Forms review; onsite supervision during transmitter, antenna & tower work; coordination of involved entities in the project.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification 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 Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $379,982.25 $378,022.25 N/A $154,869.48 N/A
Total for all systems $1,489,904.25 $1,335,434.25 N/A $183,703.68 N/A
Primary Transmitter UAXTE-16R44 $379,982.25 $378,022.25 $154,869.48
10 Ton system $38,900.00 $37,000.00 N/A N/A N/A
Other Electrical Service: Circuit breaker installation for new transmitter and new wiring as necessary for transmitter power. $1,600.00 $1,600.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $1,560.00 $1,500.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 9.6 kW $337,922.25 $337,922.25 see attachments: WMEC Transmitter Replacement WMEC DASP HPOL Pg4 WMEC TV Repack Ch 36 uaxte-16 qUOTE $154,869.48 N/A

Components

Actual Information Description File Name
10 Ton system Information not provided.
Other Electrical Service: Circuit breaker installation for new transmitter and new wiring as necessary for transmitter power. Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Air Cooled Solid State Transmitter 9.6 kW

Component Description:
UAXTE-16R44 Transmitter per quote Q-83031 (includes remote control, RF system & electrical)
Amount:
$154,869.48

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 $234,370.00 $193,350.00 N/A $0.00 N/A
Total for all systems $1,489,904.25 $1,335,434.25 N/A $183,703.68 N/A
Interim Antenna ALP8M3-HSBR-36 $96,130.00 $56,730.00 $0.00
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $50,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,730.00 N/A N/A N/A
Primary Antenna ATW25H3-ESO10-36L $138,240.00 $136,620.00 $0.00
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized $103,100.00 $103,100.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,120.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Transmission Line

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 $785,302.00 $662,002.00 N/A $2,500.00 N/A
Total for all systems $1,489,904.25 $1,335,434.25 N/A $183,703.68 N/A
Interim Tower $210,502.00 $200,002.00 $0.00
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A N/A N/A
New tower $1.00 $1.00 N/A N/A N/A
Interim antenna installation $1.00 $1.00 N/A N/A N/A
Primary Tower TOWER $574,800.00 $462,000.00 $2,500.00
Minor tower reinforcement/modifications $158,000.00 $50,000.00 N/A N/A N/A
Phillystran guywires $200,000.00 $200,000.00 See quotation for replacement of portion of top guy wires. Price includes installation. Additional allowance of $100000 included as foundation mats are expected to be needed with the installation to avoid vehicles getting stuck in mud. N/A N/A
Interim Antenna $120,000.00 $120,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A $2,500.00 N/A
Short Tower (less than 500') $84,200.00 $80,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500') Information not provided.
New tower Information not provided.
Interim antenna installation Information not provided.
Minor tower reinforcement/modifications Information not provided.
Phillystran guywires Information not provided.
Interim Antenna Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Structural analysis of WMEC tower #1018309 for repack work. Invoice paid with credit card.
Amount:
$2,500.00
Short Tower (less than 500') 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 $49,670.00 $63,030.00 N/A $20,201.20 N/A
Total for all systems $1,489,904.25 $1,335,434.25 N/A $183,703.68 N/A
Outside Professional Services $49,670.00 $63,030.00 $20,201.20
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,800.00 On 8/17/2017 received email from TV Broadcaster Relocation Fund Administrator requiring explanation for transmitter cost pertaining to power level specified. Additional costs involved reviewing and submitting response and revising 399 form. $2,713.50 On 8/17/2017 received email from TV Broadcaster Relocation Fund Administrator requiring explanation for transmitter cost pertaining to power level specified. Additional costs involved reviewing and submitting response and revising 399 form.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $20,000.00 Exceeded original budget due to extra hours needed to coordinate transition and construction delays/timeline changes for new licensee. $5,795.20 Exceeded original budget due to extra hours needed to coordinate transition and construction delays/timeline changes for new licensee.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $0.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,242.50 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,680.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $2,050.00 N/A N/A N/A
Project management of the transition $18,960.00 $18,000.00 N/A $9,450.00 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 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Legal counsel with Form 2100, Schedule 399 & CP
Amount:
$939.00

Component Description:
Legal counsel with Form 2100, Schedule 399 & CP.
Amount:
$437.00

Component Description:
Legal Counsel - WMEC repack issues 01/2018 Resubmitted
Amount:
$112.00

Component Description:
Legal counsel with Form 2100, Schedule 399 & CP
Amount:
$1,018.50

Component Description:
3rd Q-2017 Progress report guidance & review. Consultation regarding repack issues.
Amount:
$207.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Legal Counsel - WMEC repack issues August 2018 -- Payment due 30 days following invoice date.
Amount:
$1,010.00

Component Description:
Legal Counsel - repack issues for October 2018 due net 30
Amount:
$454.50

Component Description:
Legal Counsel - WMEC repack issues January 2019 (memo included)
Amount:
$513.00

Component Description:
Legal Counsel - Repack issues 12/2017
Amount:
$50.50

Component Description:
Legal Counsel - WMEC repack issues February 2019
Amount:
$1,068.00

Component Description:
Legal Counsel - WMEC repack issues November/December 2018
Amount:
$437.50

Component Description:
Legal Counsel - WMEC Repack - April 2018
Amount:
$50.50

Component Description:
WMEC Portion of legal invoice is 50% of total invoice.
Amount:
$101.00

Component Description:
Month's fees for Legal Counsel - repack issues - 01/2018
Amount:
$112.00

Component Description:
Legal Counsel for repack issues.
Amount:
$151.50

Component Description:
PAYMENT DUE date is 30 days following the mailing date indicated on invoice. LEGAL COUNSEL FOR WMEC Repack Project - June 2018
Amount:
$555.50

Component Description:
WMEC portion of invoice covering Legal issues & planning repack timeline.
Amount:
$101.00

Component Description:
Legal Counsel - WMEC repack issues April 2019
Amount:
$162.00

Component Description:
Legal Counsel - WMEC repack issues March 2019
Amount:
$702.00

Component Description:
Legal Counsel - WMEC repack issues December 2018/January 2019 (memo included)
Amount:
$387.70

Component Description:
Legal Counsel expenses for September 2018 -- due within 30 days
Amount:
$151.50
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
WMEC Portion of invoice for planning meeting to discuss assigned frequency for repack
Amount:
$742.50

Component Description:
WMEC Portion of invoice for preparing engineering Main 2100 Construction Permit Application
Amount:
$1,500.00
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Project management of the transition

Component Description:
Engineering Services 10/1-11/2/18: project management - review transmitter needs.
Amount:
$525.00

Component Description:
WMEC: Engineering Services: 7/1-8/2/19. revise transmitter & antenna bid specs
Amount:
$700.00

Component Description:
WMEC: Engineering Services: 6/1-6/30/19. revise transmitter bid spec; create antenna bid spec; update 399 form
Amount:
$2,625.00

Component Description:
WMEC: Engineering Services 10/1-11/1/19: project management - quarterly report; create exhibits for CP mod/upload app data; review/recommend equipment layout
Amount:
$1,125.00

Component Description:
WMEC: Engineering Services: 1/1-2/1/19. 2018 Q4 Quarterly report.
Amount:
$175.00

Component Description:
WMEC: Engineering Services: 8/1-8/30/19. review transmitter bid; project management meetings to determine scope of work & identify resources
Amount:
$1,575.00

Component Description:
WMEC: Engineering Services: 4/1-5/31/19. Quarterly report; draft transmitter bid spec; Revision & update 399 form
Amount:
$1,750.00

Component Description:
WMEC: Engineering Services: 2/2-3/31/19. Revision and update of 399 form
Amount:
$175.00

Component Description:
Engineering Services 10/1-11/2/18: project management - review transmitter needs & support costs.
Amount:
$350.00

Component Description:
WMEC: Engineering Services: 9/1-9/28/19. followup on antenna bid responses
Amount:
$450.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Perform engineering study for new channel assignment and antenna development 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 $40,580.00 $39,030.00 N/A $6,133.00 N/A
Total for all systems $1,489,904.25 $1,335,434.25 N/A $183,703.68 N/A
Other Expenses $40,580.00 $39,030.00 $6,133.00
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $195.00 N/A N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A $2,563.00 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $4,000.00 $4,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $10,000.00 N/A $3,570.00 N/A
Equipment Delivery and Handling Charges $12,000.00 $12,000.00 N/A N/A N/A
Equipment Storage $2,500.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
MVPD Notification of Channel Change

Component Description:
Notification of Cable & Satellite MVPD Providers of new RF Channel and Transport Stream Parameters (WMEC)
Amount:
$2,563.00
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities - Transmitter Medical Facility Notification (WMEC)
Amount:
$3,570.00
Equipment Delivery and Handling Charges Information not provided.
Equipment Storage Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,489,904.25 $1,335,434.25 $183,703.68

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.

Jak Tichenor

Interim Director of Broadcasting


02/07/2020

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