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:
65667
Service:
DTV
Call Sign:
WTCI
Channel:
35 (UHF)
File Number:
0000025653
FRN:
0001774595
Date Submitted:
03/11/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

THE GREATER CHATTANOOGA PUBLIC TELEVISION CORP

Doing Business As: Greater Chattanooga Public TV

Bryan Fuqua

PO Box 37416

Chattanooga, TN 37416

United States

+1 (423) 702-7800 bfuqua@wtcitv.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

The Preparer is same as the reimbursement contact.

 

 

 

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 Build new tower adjacent to the old tower. Install new transmitter / new transmission line / new antenna. Remove old antenna/line from existing tower so WUTC-FM can continue to operate without expenses on old tower.

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 Diamond DHD-60 P2
Year 2002
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 14 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 Maxiva ULXTE-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 12.9 kW
Justification for New Transmitter GatesAir issued a letter to all Diamond CD (as well as other model) transmitter owners dated January 1, 2017 that they would no longer offer channel change services or support in-field channel changes.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 100.0 feet
Other Electrical Service Yes
Description Installation/wiring of 75 KVA transformer and 200 amp switch panel/breakers for GatesAir ULXTE-20 transmitter
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

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 Top 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: 160.0 kW
Manufacturer
Model ATW18H6-HTO-29H
Year 2014

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? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization 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: 181.0 kW
Manufacturer
Model ATW22H4-HTO10-35L
Year 2019
Justification for New Antenna Main licensed antenna for WTCI. Slotted coaxial antenna can not be re-tuned to re-pack channel.

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? 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? 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

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: 31.9 kW
Manufacturer
Model ATW2G150-HSS-35
Year 2019
Justification for New Antenna WTCI will not be able to meet September 6th deadline to start operation on final Ch 35 repack facility. ERI's ATW G series emergency/standby antenna is only short lead time antenna available.

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? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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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 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 500 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 Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 500 feet per run
Justification for New Transmission Line Need to install new rigid coax in a new tower in order to repack station. Current tower will not pass EIA-222-G codes and can't be modified to meet new codes.

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 Construct New
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Terrain Constrained
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 1042763
Coordinates (NAD83) Latitude (NAD83) 35° 12' 26.0" N-
Longitude (NAD83) 085° 16' 52.0" W-
Overall Structure Height 493.00 feet
Support Structure Height 448.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 2012.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner The Greater Chattanooga Public TV Corp
Date Constructed 08/15/1993

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
69325 WUTC FM

Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 445.00 feet
Justification for New Tower Tower will not meet current EIA-222-G standard with the repack antenna and can't be modified to meet the EIA-222-G standard.

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
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? No
Number of Hours N/A
Explanation N/A
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
Prepare engineering section of Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare engineering section of Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification 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 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 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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Mask Filter

New Dielectric mask filter on CH 35 to replace CH 29 filter.

Tower foundation and anchors

Tower foundations and installation. Drilled pier design in rock.

MVPD Notifications

Notification of cable and Satellite MVPD providers of new RF channel and TS stream parameters.

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 $534,480.00 $479,289.03 N/A $476,573.48 N/A
Total for all systems $1,772,740.50 $1,575,969.83 N/A $1,472,612.29 N/A
Primary Transmitter Maxiva ULXTE-20 $534,480.00 $479,289.03 $476,573.48
Other Electrical Service: Installation/wiring of 75 KVA transformer and 200 amp switch panel/breakers for GatesAir ULXTE-20 transmitter $9,230.00 $9,230.00 Electrical installation costs for transformer, panels and breakers power GatesAir ULXTE-20 transmitter $9,230.00 N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $0.00 Removing this item - can't figure out how to delete from Form 399 N/A N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $467,343.48 Updated quote estimate with change orders and actual shipping costs raised total cost from $456,290.47 to $467,343.48. $467,343.48 Change order Q-77238 and Q-78300 added $5,140.15. Also freight was estimated at $5,400 and was finally billed at $8,597.32.
Transformer 3 phase/480v - 150 KVA $25,550.00 $2,715.55 Only need 75 KVA transformer. Priced from GatesAir transmitter quote. N/A N/A

Components

Actual Information Description File Name
Other Electrical Service: Installation/wiring of 75 KVA transformer and 200 amp switch panel/breakers for GatesAir ULXTE-20 transmitter

Component Description:
Electrical work to install GatesAir ULXTE-20 UHF Transmitter for repack.
Amount:
$9,230.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Second payment for ULXTE-20 transmitter to re-pack WTCI to channel 35.
Amount:
$152,397.90

Component Description:
Downpayment for re-pack transmitter for Channel 35.
Amount:
$151,202.00

Component Description:
Third payment for transmitter due upon shipment
Amount:
$123,530.26

Component Description:
Final transmitter payment - Installation, proof and freight.
Amount:
$40,213.32
Transformer 3 phase/480v - 150 KVA 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 $298,780.00 $237,225.00 N/A $145,629.48 N/A
Total for all systems $1,772,740.50 $1,575,969.83 N/A $1,472,612.29 N/A
Interim Antenna ATW2G150-HSS-35 $45,050.00 $27,850.00 $27,850.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $5,950.00 N/A $5,950.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 32 kW input, directional,, horizontally polarized $21,900.00 $21,900.00 N/A $21,900.00 N/A
Primary Antenna ATW22H4-HTO10-35L $253,730.00 $209,375.00 $117,779.48
Sweep test of existing antenna $6,730.00 $6,250.00 Should be labeled 'System Sweep' for new antenna and line but I can't figure out how to change description. $6,250.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $203,125.00 N/A $111,529.48 N/A

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Side mount brackets for ATW2G150-HSS-35 antenna
Amount:
$5,950.00
UHF - High Power, Side Mount, basic slot antenna, 32 kW input, directional,, horizontally polarized

Component Description:
Side mounted emergency/standby antenna
Amount:
$21,900.00
Sweep test of existing antenna

Component Description:
Removing this item - can't figure out how to delete from Form 399
Amount:
N/A

Component Description:
Sweep test of new antenna and transmission line.
Amount:
$6,250.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Downpayment for ERI ATW22H4-HTO10-35L antenna for CH 35 repack
Amount:
$53,455.00

Component Description:
Final payment for antenna including freight costs.
Amount:
$58,074.48

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 $116,000.00 $105,595.70 N/A $105,595.70 N/A
Total for all systems $1,772,740.50 $1,575,969.83 N/A $1,472,612.29 N/A
Primary Transmission Line $116,000.00 $105,595.70 $105,595.70
Rigid Transmission Line - copper, 6 1/8" broadband $116,000.00 $105,595.70 Additional adapters needed to interface to mask filter and existing dummy load raised the initial estimate of $95,000 to the quoted $105,595.70 $105,595.70 N/A

Components

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

Component Description:
Down payment for transmission line system
Amount:
$55,922.85

Component Description:
Final request for transmission line system
Amount:
$49,672.85

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 $628,770.00 $571,520.00 N/A $571,520.00 N/A
Total for all systems $1,772,740.50 $1,575,969.83 N/A $1,472,612.29 N/A
Primary Tower TOWER $0.00 $0.00 $0.00
Primary Tower $628,770.00 $571,520.00 $571,520.00
Structural engineering tower load study for well documented tower $12,600.00 $2,500.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $2,500.00 N/A
New tower $195,170.00 $195,170.00 Tower sections, waveguide bridge, guy wire hardware, and red obstruction lighting combined. Updated price after site visit by Quality Tower Services/Rohn. $195,170.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $373,850.00 Increased cost from $363,650 was to install ERI ATW2G175 antenna as an interim antenna operated under an STA to meet deadline for ceasing operation on Channel 29 before September 6, 2019 deadline while tower installation continued. $373,850.00 Extra $10,200 over estimated cost is amount to mount a standby/emergency ERI ATW2 antenna for use on new repack channel on old tower while new tower work was completed to meet Phase 5 deadline to get off old channel.

Components

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

Component Description:
Analysis of Rohn Model 90 tower file number 28494PH utilized by WTCI(65667).
Amount:
$2,500.00
New tower

Component Description:
40% downpayment for 440ft Rohn Model 90SR tower
Amount:
$78,068.00

Component Description:
Third payment to Rohn - second 40% progress payment towards tower structure and anchors.
Amount:
$78,068.00

Component Description:
Final 20% of Rohn Model 90 tower cost
Amount:
$39,034.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Foundation Installation Change Order Invoice
Amount:
$131,950.00

Component Description:
Final installation charges for new Rohn antenna including standby/emergency antenna work
Amount:
$126,050.00

Component Description:
Down payment of TWR_INSTALL portion of new tower.
Amount:
$115,850.00

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 $17,095.00 $13,150.00 N/A $11,006.46 N/A
Total for all systems $1,772,740.50 $1,575,969.83 N/A $1,472,612.29 N/A
Outside Professional Services $17,095.00 $13,150.00 $11,006.46
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $1,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $1,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $8,000.00 Could not anticipate having to file for CP extension and STA to operate at low power and the additional attorney fees that entailed (and continues to accrue). $11,006.46 Cost overages are due to continuing issues with CP and getting new tower registered. Now being required to do an Environmental Assessment.
Prepare and or review reimbursement form $2,630.00 $1,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $1,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $1,150.00 N/A N/A N/A

Components

Actual Information Description File Name
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 FCC Form 2100 (main), Construction Permit Application

Component Description:
Invoice #6 for Construction Permit
Amount:
$202.00

Component Description:
Quarterly Transition Progress Report reminder
Amount:
$50.50

Component Description:
Invoice #11 for construction permit
Amount:
$1,217.00

Component Description:
Invoice for continuing work on CP issues with the repack.
Amount:
$1,512.00

Component Description:
Invoice #14 for CP issues
Amount:
$610.50

Component Description:
Invoice #17 for ongoing CP and STA issues
Amount:
$1,023.00

Component Description:
Invoice #18 for CP legal work
Amount:
$39.00

Component Description:
Second invoice
Amount:
$78.00

Component Description:
Invoice #7 for Construction Permit
Amount:
$50.50

Component Description:
Invoice #9 for construction permit
Amount:
$50.50

Component Description:
Construction Permit work for status, extension and STA issues in Phase 5 of Repack.
Amount:
$1,376.00

Component Description:
Invoice #10 for construction permit
Amount:
$260.50

Component Description:
Review Public Notice on re-pack and e-mail same
Amount:
$56.00

Component Description:
Invoice #13 for CP issues
Amount:
$1,376.00

Component Description:
Third invoice
Amount:
$56.00

Component Description:
Invoice #16 for ongoing CP and STA issues
Amount:
$1,020.96

Component Description:
Invoice #8 for construction permit
Amount:
$136.00

Component Description:
First bill from lawyers concerning construction permit
Amount:
$1,892.00
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application 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 $177,615.50 $169,190.10 N/A $162,287.17 N/A
Total for all systems $1,772,740.50 $1,575,969.83 N/A $1,472,612.29 N/A
Other Expenses $177,615.50 $169,190.10 $162,287.17
MVPD Notifications $2,435.25 $2,435.25 N/A $2,435.25 Quote has not changed - dated April 19, 2018. Don't know why the amount on Form 399 request was lower.
Tower foundation and anchors $127,800.00 $127,800.00 I-beam anchors, pier pin, freight, and installation of of drilled pier foundations. Updated price after site visit by Quality Tower Services/Rohn. $127,800.00 N/A
Mask Filter $24,830.25 $24,830.25 Dielectric UT6E-16W-30K mask filter and couplers $26,050.09 Freight costs were not included in original quote. Additional cost is due to freight charges,
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $6,000.00 $6,000.00 Delivery charges for antenna and transmission line are unknown at this time. $1,057.23 N/A
Non-zoning permits $2,000.00 $2,000.00 Building permits are based on actual construction costs which are unknown at this time. $1,820.00 Charges of $1,820.00 for actual permit fees
Local Zoning $2,000.00 $2,000.00 Zoning fees are unknown at this time. N/A N/A
DTV Medical Facility Notification $11,550.00 $3,124.60 N/A $3,124.60 N/A

Components

Actual Information Description File Name
MVPD Notifications

Component Description:
Notification of Cable and Satellite MVPD providers WTCI - 65667
Amount:
$2,435.25
Tower foundation and anchors

Component Description:
Final 20% of foundation costs (I-beams, anchors, freight) for Rohn Model 90 tower.
Amount:
$25,560.00

Component Description:
40% downpayment for Rohn 90SR foundation materials
Amount:
$51,120.00

Component Description:
Third payment to Rohn - second 40% progress payment towards tower structure and anchors
Amount:
$51,120.00
Mask Filter

Component Description:
Mask filter to re-pack WTCI from Channel 29 to Channel 35.
Amount:
$26,050.09
MVPD Notification of Channel Change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Freight costs to deliver ERI ATW2G1590-HSS-35 antenna and mount
Amount:
$1,057.23
Non-zoning permits

Component Description:
Building Permit Fee portion of Invoice
Amount:
$1,820.00

Component Description:
Building permit fees for new broadcast tower.
Amount:
$2,417.38

Component Description:
Hamilton County, TN building permit fees for replacement tower
Amount:
$2,417.38
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities WTCI - 65667
Amount:
$3,124.60

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,772,740.50 $1,575,969.83 $1,472,612.29

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.

Bryan D Fuqua , Fuqua .

SVP Technical Services


03/11/2020

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.

Bryan D Fuqua , Fuqua .

SVP Technical Services


03/11/2020

Attachments

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