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:
59988
Service:
DTV
Call Sign:
KTAB-TV
Channel:
30 (UHF)
File Number:
0000028502
FRN:
0009961889
Date Submitted:
06/04/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NEXSTAR BROADCASTING, INC.

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv 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

Elizabeth Ryder

General Counsel

Nexstar Broadcasting, Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Please see the attached transition plan for KTAB.

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 Quantum
Year 2007
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? No
Manufacturer
Model ULXTE-90
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 56.4 kW
Justification for New Transmitter Per documentation supplied by Acrodyne, the existing transmitter cannot be converted for operation at the post-repack channel.

Primary Transmitter

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Other Transmitter Costs

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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Building modifications

Room ceiling & walls need reconfiguration for new xmtr & remove existing combiner.

Additional Transmitter Costs

Additional Transmitter Costs

Transmitter Site Survey

Transmitter Site Survey

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? Yes
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 Broadband Panel
Number of Stations Supported 2
Number of Panels 64
Design power capacity in use 75.0 %
Lower Limit 530.00 MHz
Upper Limit 566.00 MHz
Other Antenna Type N/A
ERP: 2000.0 kW
Manufacturer
Model 9551316 - 5782 16 Bay X 4
Year 2007

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
306 KRBC-TV

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 Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-33JTH/VP-R 06
Year 2019
Justification for New Antenna See Attached Antenna justification.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Input Complex

Input Complex

Support Pole Mounting Extension

Support Pole Mounting Extension

Wedding Cake Antenna Mounting Adapter

Wedding Cake Antenna Mounting Adapter

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? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 2
Number of Panels/Bays 24
Lower Limit 470.00 MHz
Upper Limit 630.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-24WB
Year 2019
Justification for New Antenna The existing antenna is too close to the new antenna top mount for riggers to work safely. This antenna will be a interim and will be used until the top mount antenna is operational.

Interim 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? S
Feed Line Size 4 1/16 inches
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? 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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 771 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
306 KRBC-TV

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 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 870 feet per run
Justification for New Transmission Line KTAB requires a separate antenna and thus new line. See justification for new antenna exhibit. Previous line is BB so this replaces it.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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 575 feet per run
Justification for New Transmission Line Required to use with TFU-24WB interim antenna. No spare line available.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
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? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1215589
Coordinates (NAD83) Latitude (NAD83) 32° 16' 38.0" N-
Longitude (NAD83) 099° 35' 52.0" W-
Overall Structure Height 749.01 feet
Support Structure Height 660.10 feet
Ground Elevation Above Mean Sea Level (AMSL) 2207.98 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Nexstar Broadcasting, Inc.
Date Constructed 08/01/1979

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
306 KRBC-TV DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: 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

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 80
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. 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 No
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 No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study 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 No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
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 $1,889,268.03 $1,494,683.54 N/A $1,434,783.54 N/A
Total for all systems $3,448,580.28 $3,055,385.14 N/A $2,283,040.37 N/A
Primary Transmitter ULXTE-90 $1,889,268.03 $1,494,683.54 $1,434,783.54
Transmitter Site Survey $7,504.00 $7,504.00 See GatesAir quote Q-85097 $7,504.00 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,396,315.51 See GatesAir quote Q-84969 $1,396,315.51 $1,396,315.51 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
Building modifications $5,000.00 $5,000.00 N/A N/A N/A
Additional Transmitter Costs $30,964.03 $30,964.03 See GatesAir change order quote Q-85709 $30,964.03 N/A

Components

Actual Information Description File Name
Transmitter Site Survey

Component Description:
Transmitter site survey
Amount:
$7,504.00
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Transmitter, installment #1
Amount:
$465,438.50

Component Description:
Transmitter, installment #3
Amount:
$486,081.19

Component Description:
Transmitter, installment #2; see also additional transmitter costs
Amount:
$444,795.82
Service entrance 3 phase/800 amp/208 volt Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Building modifications Information not provided.
Additional Transmitter Costs

Component Description:
Additional transmitter costs; see GatesAir change order Q-85709
Amount:
$30,964.03

Component Description:
Additional transmitter costs per change order
Amount:
$30,964.03

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 $611,728.00 $551,033.00 N/A $491,264.70 N/A
Total for all systems $3,448,580.28 $3,055,385.14 N/A $2,283,040.37 N/A
Interim Antenna TFU-24WB $166,750.00 $165,950.00 $150,450.00
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $9,100.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 1000 kW input, horizontally polarized $150,450.00 $150,450.00 In order for the interim facility to be as close as possible to the replicated coverage, we require a 24WB antenna to allow operation at 1000kW ERP. See attached quote from Dielectric 700483CMZ-2 $150,450.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Primary Antenna TFU-33JTH/VP-R 06 $444,978.00 $385,083.00 $340,814.70
Wedding Cake Antenna Mounting Adapter $20,175.00 $20,175.00 See Dielectric quote DMS166-5 $18,157.50 N/A
Support Pole Mounting Extension $99,117.00 $99,117.00 See Dielectric quote DMS166-5 $89,205.30 N/A
Input Complex $17,156.00 $17,156.00 See Dielectric quote DMS166-5 $15,440.40 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,710.00 See Dielectric quote DMS166-5 $9,639.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $231,525.00 See Dielectric quote DMS166-5 less VPOL cost $208,372.50 N/A

Components

Actual Information Description File Name
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 1000 kW input, horizontally polarized

Component Description:
Interim antenna, installment #3
Amount:
$15,045.00

Component Description:
Interim antenna, installment #2
Amount:
$67,702.50

Component Description:
Interim antenna, installment #1
Amount:
$67,702.50
Sweep test of existing antenna Information not provided.
Wedding Cake Antenna Mounting Adapter

Component Description:
Wedding Cake Antenna Mounting Adapter, installment #2
Amount:
$9,078.75

Component Description:
Wedding Cake Antenna Mounting Adapter, installment #1
Amount:
$9,078.75
Support Pole Mounting Extension

Component Description:
Support Pole Mounting Extension, installment #2
Amount:
$44,602.65

Component Description:
Support Pole Mounting Extension, installment #1
Amount:
$44,602.65
Input Complex

Component Description:
Input Complex, installment #2
Amount:
$7,720.20

Component Description:
Input Complex, installment #1
Amount:
$7,720.20
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex, installment #2
Amount:
$4,819.50

Component Description:
Elbow Complex, installment #1
Amount:
$4,819.50
Sweep test of existing antenna Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Main antenna, installment #2
Amount:
$104,186.25

Component Description:
Main antenna, installment #1
Amount:
$104,186.25

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 $480,530.00 $291,269.35 N/A $268,426.52 N/A
Total for all systems $3,448,580.28 $3,055,385.14 N/A $2,283,040.37 N/A
Interim Transmission Line $133,400.00 $114,396.10 $109,240.60
Rigid Transmission Line - copper, 6 1/8" broadband $133,400.00 $114,396.10 See attached quote from Dielectric 700483CMZ-2 $109,240.60 N/A
Primary Transmission Line $347,130.00 $176,873.25 $159,185.92
Rigid Transmission Line - copper, 8 3/16" broadband $347,130.00 $176,873.25 See Dielectric quote DMS166-5 $159,185.92 N/A

Components

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

Component Description:
Transmission line, installment #1, lines 2 and 6 of invoice
Amount:
$51,478.25

Component Description:
Transmission line, installment #2, lines 2 and 6 of invoice
Amount:
$51,478.25

Component Description:
Transmission line, installment #3
Amount:
$6,284.10
Rigid Transmission Line - copper, 8 3/16" broadband

Component Description:
Transmission line, installment #2, lines 6 and 10 of invoice
Amount:
$79,592.96

Component Description:
Transmission line, installment #1, lines 6 and 10 of invoice
Amount:
$79,592.96

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 $381,100.00 $540,750.00 N/A $45,750.00 N/A
Total for all systems $3,448,580.28 $3,055,385.14 N/A $2,283,040.37 N/A
Primary Tower TOWER $381,100.00 $540,750.00 $45,750.00
Structural engineering tower load study for well documented tower $12,600.00 $45,750.00 See proposals from Morrison Hershfield $45,750.00 N/A
Tall Tower (greater than 500') $210,500.00 $345,000.00 See tower rigging estimate attachment. N/A N/A
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A N/A N/A

Components

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

Component Description:
Structural analysis
Amount:
$18,750.00

Component Description:
Structural analysis
Amount:
$7,450.00

Component Description:
Tower mapping
Amount:
$10,550.00

Component Description:
Tower Mapping
Amount:
$9,000.00
Tall Tower (greater than 500') Information not provided.
Minor tower reinforcement/modifications 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 $46,450.00 $143,750.00 N/A $25,501.36 N/A
Total for all systems $3,448,580.28 $3,055,385.14 N/A $2,283,040.37 N/A
Outside Professional Services $46,450.00 $143,750.00 $25,501.36
Project management of the transition $12,640.00 $112,500.00 Modification of original project management of transition budget needed for due to travel, periodic report preparation, length and scope of the project. Estimated 750 hours. $22,526.36 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), 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 N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $2,975.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 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

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project management 1.1.19 through 1.31.19
Amount:
$150.00

Component Description:
Project Management for Structural Analysis and Tower Modifications period 1/1/18 to 1/26/18
Amount:
$975.00

Component Description:
Project management services May 2019
Amount:
$60.00

Component Description:
Project management services February 2019
Amount:
$130.00

Component Description:
Project management services 03.02.19 through 03.29.19
Amount:
$150.00

Component Description:
Project management services 8.31.19 through 9.27.19
Amount:
$233.00

Component Description:
Project management services 7.27.19 through 8.30.19
Amount:
$711.00

Component Description:
Project management services March 2019
Amount:
$71.50

Component Description:
Project management services November 2019
Amount:
$50.00

Component Description:
Project management services 6.29.19 through 7.26.19
Amount:
$185.00

Component Description:
Project management services 10.26.19 through 11.29.19
Amount:
$1,604.00

Component Description:
Project management services 9.28.19 through 10.25.19
Amount:
$1,256.00

Component Description:
Project management services
Amount:
$79.00

Component Description:
Project management services
Amount:
$632.00

Component Description:
Project management services
Amount:
$150.00

Component Description:
Project management services
Amount:
$703.00

Component Description:
Project Management Services 12.1.18 through 12.31.18
Amount:
$150.00

Component Description:
Project management services including from consultants Kessler and Gehman Assoc from 5/26/18 through 6/29/18.
Amount:
$300.00

Component Description:
Project management services 3.30.19 through 4.26.19
Amount:
$150.00

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$225.00

Component Description:
Project management services 3.30.19 to 4.26.19
Amount:
$150.00

Component Description:
Project Management Services 10.27.18 through 11.30.18
Amount:
$225.00

Component Description:
Project management services including services provided by consultant Kessler and Gehman Associates and travel reimbursements for dates 5/27/17 through 10/27/17 and 1/27/18 through 5/25/18.
Amount:
$14,239.36

Component Description:
Project management services June 2019
Amount:
$97.50
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
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 Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Services through 7/14/17; upload draft docs to ASANA
Amount:
$1,225.00

Component Description:
Services performed through 9/30/17. Determine transmission system maximization configuration, create exhibits, upload technical parameters
Amount:
$1,225.00

Component Description:
Services performed through 8/31/17. Evaluate maximization options.
Amount:
$350.00

Component Description:
Repack plan KTAB services through 6/12/17
Amount:
$525.00

Component Description:
Information gathering, create transition plan
Amount:
$1,750.00
Prepare and or review reimbursement form 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 $39,504.25 $33,899.25 N/A $17,314.25 N/A
Total for all systems $3,448,580.28 $3,055,385.14 N/A $2,283,040.37 N/A
Other Expenses $39,504.25 $33,899.25 $17,314.25
Equipment Delivery and Handling Charges $17,314.25 $17,314.25 See freight charges from GatesAir transmitter shipment $17,314.25 N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 Develop and produce crawls and spots for viewer notification. N/A N/A
Equipment Storage $1,000.00 $1,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,000.00 $2,000.00 N/A N/A N/A
Local Zoning $1,000.00 $1,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $6,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Transmitter freight costs
Amount:
$17,314.25
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,448,580.28 $3,055,385.14 $2,283,040.37

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
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.

Elizabeth Ryder

General Counsel


06/04/2020

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.

Elizabeth Ryder

General Counsel


06/04/2020

Attachments

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