Applicant | Address | Phone | Applicant Type | |
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MESA COUNTY Doing Business As: MESA COUNTY |
BOX 20000 GRAND JUNCTION, CO 81502 United States |
+1 (970) 244-3230 | greg.linza@MESACOUNTY.US | Government Entity |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | These translators share the same site. Ch 9 required a new antenna, transmitter retune. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | No |
Section | Question | Response |
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Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
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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? | No | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Yagi | |
ERP: | 0.006 kW | |
Manufacturer | ||
Model | HDCA-5-13 | |
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? | No | |
New Antenna Manufacturer and Types | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Yagi | |
ERP: | 0.02 kW | |
Manufacturer | ||
Model | HDCA-10-9 | |
Year | 2018 | |
Justification for New Antenna | Old antenna cut to channel 13 could not be used for Ch 9. |
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? | No |
Section | Question | Response |
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Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
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Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | No |
Section | Question | Response |
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Outside Project Management Services | Do you require outside project management services? | No |
Outside RF consulting Engineering Services | Perform engineering study for displacement application | No |
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 | No |
Prepare and file Form FCC License to Cover Application | No | |
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 | No |
Name | Description |
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Install-Test |
Installation and system testing |
Section | Question | Response |
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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 | 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? | 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 |
Name | Description |
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Feed horn |
Receive feed horn to receive off air channel 27. |
Freight |
Freight |
Misc Tower |
Parts for tower repair |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $1,120.00 | $1,505.00 | N/A | $1,505.00 | N/A |
Total for all systems | $11,483.92 | $9,273.92 | N/A | $9,273.92 | N/A |
Primary Antenna HDCA-10-9 | $1,120.00 | $1,505.00 | $1,505.00 | ||
High-VHF, Low Power, Yagi/Cross-Dipole/Log Periodic Transmit Antenna | $1,120.00 | $1,505.00 | See Mesa County Recap of Expenses attached to Inv 1188, 1209 & 1247. | $1,505.00 | N/A |
Actual Information Description | File Name |
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High-VHF, Low Power, Yagi/Cross-Dipole/Log Periodic Transmit Antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $8,935.00 | $6,340.00 | N/A | $6,340.00 | N/A |
Total for all systems | $11,483.92 | $9,273.92 | N/A | $9,273.92 | N/A |
Outside Professional Services | $8,935.00 | $6,340.00 | $6,340.00 | ||
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | $1,710.00 | N/A |
Install-Test | $3,070.00 | $3,070.00 | Installation, turn on and system testing. See Far Pond Percentage Recap and Miscellaneous Cost Breakdown | $3,070.00 | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | See BWS Mesa Estimate 399E&R.pdf | $1,000.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $500.00 | N/A | $500.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $60.00 | N/A | $60.00 | N/A |
Actual Information Description | File Name |
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Prepare/ Review 399 reimbursement form | |
Install-Test | |
Form 399 assistance or other Program Management costs | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $1,428.92 | $1,428.92 | N/A | $1,428.92 | N/A |
Total for all systems | $11,483.92 | $9,273.92 | N/A | $9,273.92 | N/A |
Other Expenses | $1,428.92 | $1,428.92 | $1,428.92 | ||
Misc Tower | $318.92 | $318.92 | See Misc Cost Breakdown (attached) Tower cost totals $1275.67 divided by 4 call signs equals $318.92 | $318.92 | N/A |
Freight | $500.00 | $500.00 | Freight Cost $2000 total for Far Pond Site, see Miscellaneous Cost Breakdown. Divided by 4 stations equals $500 ea | $500.00 | N/A |
Feed horn | $610.00 | $610.00 | N/A | $610.00 | N/A |
Actual Information Description | File Name |
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Misc Tower | |
Freight | |
Feed horn |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $11,483.92 | $9,273.92 | $9,273.92 |
Question | Response |
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The facility has ceased operating on its pre-auction channel. | Yes |
Construction of final facilities or all necessary modifications are complete. | Yes |
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 |
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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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Susan Hansen Consultant 05/14/2020 |
Section | Question | Response |
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Submission of Final Allocation or Accounting Information 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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Greg Linza Mesa County Facilities Manager 05/14/2020 |