| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
MEDIA VISTA KANSAS CITY, LLC Doing Business As: MEDIA VISTA KANSAS CITY, LLC |
Orlando Rosales 1110 Pine Ridge Road Suite 301 Naples, FL 34108 United States |
+1 (239) 877-8036 | ORLANDO@MEDIAVISTA.TV | Limited Liability Company |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
The Preparer is same as the reimbursement contact. |
|
|
|
| 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 | Install new antenna and transmitter to broadcast on displacement channel. |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | ACT-5XU-1500-A | |
| Year | 2014 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 1.5 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | Genesis Elite | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1.2 kW | |
| Justification for New Transmitter | Existing transmitter unable to operate on displacement channel. |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | ||
| Does the transmitter installation require a Transmitter Building Site Survey/Installation? | No | |
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Rigid Conduit and Wiring | No | |
| Other Electrical Service | No | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Antenna Description | Type of change | Purchase New |
| Antenna Use | Primary (Main) | |
| Ownership | Owned | |
| Is the existing antenna shared with another station or stations? | No | |
| Is the existing antenna directional? | Yes | |
| Is antenna in operating condition? | Yes | |
| Is antenna located on or in close proximity to an antenna farm? | Yes | |
| Existing Antenna Manufacturer and Type | ||
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| ERP: | 1.0 kW | |
| Manufacturer | ||
| Model | SWLP16OI | |
| Year | 2014 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Is antenna shared? | No | |
| Is antenna directional? | Yes | |
| Will antenna be located on or in close proximity to an antenna farm? | Yes | |
| New Antenna Manufacturer and Types | ||
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | SWEDL8OI/14 | |
| Year | 2019 | |
| Justification for New Antenna | Existing antenna will not operate on displacement channel. |
| Section | Question | Response |
|---|---|---|
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | No |
| Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Move Equipment |
| Tower Use | Primary (Main) | |
| 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? | Unknown | |
| Is tower compliant with Rev G? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1003521 | |
| Coordinates (NAD83) | Latitude (NAD83) | 39° 04' 24.0" N- |
| Longitude (NAD83) | 094° 29' 07.0" W- | |
| Overall Structure Height | 1021.97 feet | |
| Support Structure Height | 1020.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 881.88 feet | |
| Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
| Tower Owner | American Towers LLC | |
| Date Constructed | 01/01/1987 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 27021 | KCFX | FM |
| 2449 | KMBZ-FM | FM |
| 8401 | KJNW | FM |
| 8609 | WDAF-FM | FM |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | No |
| Name | Description |
|---|---|
Structural Analysis |
Tower owner requires structural analysis of tower |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 1000 | |
| Explanation | Due to budget constraints, the station lacks the necessary personnel | |
| Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
| Prepare engineering section of Form FCC Construction Permit Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare engineering section of Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| Prepare Form 601 | No | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| Negotiation of Lease and other Matter for Shared Locations | No | |
| Prepare or Review FCC Form 399 for Reimbursement | Yes | |
| Form 399 assistance or other program management costs | Yes | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | No |
| RF exposure measurements | No | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 5 | |
| Justification | Co-ordination of replacement of antenna and transmitter on site. |
| Name | Description |
|---|---|
Land Mobile Protection Study |
Engineering study of land mobile protection requirements to provide specification for sharp-tuned filter. |
| Section | Question | Response |
|---|---|---|
| AM Pattern Disturbance | Is an Impact Study needed? | No |
| Is Remediation needed? | No | |
| Permit and Filing Costs | FCC Construction Permit Major Change | No |
| FCC Construction Permit Minor Change | Yes | |
| FCC License to Cover Application | Yes | |
| FCC Special Temporary Authority Application | No | |
| Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | No |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
| Does this relocation require Equipment Storage? | No | |
| Point to Point Microwave (STL/ICR) | Frequency Coordination for Unidirection System | No |
| Frequency Coordination for Bi-Direction System | No | |
| New Point to Point Microwave System | No |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $273,500.00 | $248,756.00 | N/A | $70,221.21 | N/A |
| Total for all systems | $606,742.50 | $579,886.00 | N/A | $102,728.31 | N/A |
| Primary Transmitter Genesis Elite | $273,500.00 | $248,756.00 | $70,221.21 | ||
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $84,000.00 | $59,256.00 | N/A | $50,610.21 | N/A |
| Channel 14 Mask Filter | $189,500.00 | $189,500.00 | N/A | $19,611.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | |
| Channel 14 Mask Filter |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $35,730.00 | $35,730.00 | N/A | $24,817.00 | N/A |
| Total for all systems | $606,742.50 | $579,886.00 | N/A | $102,728.31 | N/A |
| Primary Antenna SWEDL8OI/14 | $35,730.00 | $35,730.00 | $24,817.00 | ||
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Horizontal | $30,000.00 | $30,000.00 | See invoice | $24,817.00 | See invoice |
| Sweep test of transmission line and antenna | $5,730.00 | $5,730.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Horizontal | |
| Sweep test of transmission line and antenna | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $162,550.00 | $162,550.00 | N/A | $0.00 | N/A |
| Total for all systems | $606,742.50 | $579,886.00 | N/A | $102,728.31 | N/A |
| Primary Tower GTOWER | $162,550.00 | $162,550.00 | $0.00 | ||
| Structural Analysis | $4,800.00 | $4,800.00 | N/A | N/A | N/A |
| Tower Rigging Tall Tower (greater than 500') | $157,750.00 | $157,750.00 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $133,517.50 | $131,405.00 | N/A | $7,690.10 | N/A |
| Total for all systems | $606,742.50 | $579,886.00 | N/A | $102,728.31 | N/A |
| Outside Professional Services | $133,517.50 | $131,405.00 | $7,690.10 | ||
| Land Mobile Protection Study | $2,500.00 | $2,500.00 | See invoice | $2,500.00 | N/A |
| Additional Field Engineering Service, 5 Days | $13,750.00 | $13,750.00 | Estimated 5 days X $2750/day. | N/A | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,052.50 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $1,000.00 | N/A | N/A | N/A |
| Perform engineering study for displacement application | $1,800.00 | $3,000.00 | See invoices | $0.00 | See invoice |
| Form 399 assistance or other Program Management costs | $500.00 | $500.00 | Assistance of consulting engineers in preparation of Form 399. | N/A | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $5,000.00 | Obtaining, processing and organizing information regarding equipment and other displacement expenses, and to demonstrate eligibility. | N/A | N/A |
| Project management of the transition | $105,500.00 | $100,000.00 | N/A | $5,190.10 | N/A |
| Actual Information Description | File Name |
|---|---|
| Land Mobile Protection Study | |
| Additional Field Engineering Service, 5 Days | Information not provided. |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | 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 displacement application | Information not provided. |
| Form 399 assistance or other Program Management costs | Information not provided. |
| Prepare/ Review 399 reimbursement form | Information not provided. |
| Project management of the transition |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $1,445.00 | $1,445.00 | N/A | $0.00 | N/A |
| Total for all systems | $606,742.50 | $579,886.00 | N/A | $102,728.31 | N/A |
| Other Expenses | $1,445.00 | $1,445.00 | $0.00 | ||
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $606,742.50 | $579,886.00 | $102,728.31 |
| 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 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Orlando Rosales Authorized Representative 05/13/2020 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Orlando Rosales Authorized Representative 05/13/2020 |
