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:
6093
Service:
DTV
Call Sign:
WFSG
Channel:
28 (UHF)
File Number:
0000024819
FRN:
0001810977
Date Submitted:
06/12/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Florida State University

Doug Crall

1600 RED BARBER PLAZA

TALLAHASSEE, FL 32310

United States

+1 (850) 645-6032 DCRALL@FSU.EDU Government Entity

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

Ryan C Wilhour

Consulting Engineer

Kessler and Gehman Associates, Inc.

507 NW 60th ST

STE D

Gainesville, FL 32607

United States

+1 (352) 332-3157 ryan@kesslerandgehman.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Replace Transmitter and purchase a new antenna and transmission line. Use the existing antenna system as the interim through the end of the assigned phase. See WFSG Transmission Plan attached.

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 Ultimate
Year 2002
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 10 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? Yes
Manufacturer
Model ULXTE-16
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 10.8 kW
Justification for New Transmitter The station currently has a 10kW Comark Ultimate solid state liquid cooled transmitter, which is no longer being manufactured. Jack McAnulty of Comark has indicated that they will NOT re-channelize the Ultimate transmitter. A new transmitter is required.

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) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 100.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Additional Interior RF System

Interior RF System Existing Transmitter to Interim Transmission line

Standby Exciter and Switch

Standby Exciter with Automatic Change Over Switch

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type 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: 158.0 kW
Manufacturer
Model TLP-32A (c)
Year 2002

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 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: 129.0 kW
Manufacturer
Model TFU-24JTH/VP-R O4
Year 2018
Justification for New Antenna Refer to Exhibit 2

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? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 4 1/16 inches inches
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.

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 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
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? Yes
Type Rigid
Diameter 4 1/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 550 feet per run
Justification for New Transmission Line The existing transmission line will be kept in place and used to feed the currently licensed antenna during the interim transitional period.

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 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 Yes
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 1038765
Coordinates (NAD83) Latitude (NAD83) 30° 22' 03.0" N-
Longitude (NAD83) 085° 55' 28.0" W-
Overall Structure Height 488.51 feet
Support Structure Height 443.56 feet
Ground Elevation Above Mean Sea Level (AMSL) 65.62 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WFSU / WFSG--TV
Date Constructed 09/01/1987

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
21798 WFSW FM

Other Types of Users

Users
Public Safety

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 undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Additional Mobilization

Additional mobilization services associated with Tower Rigging

Transmission Line Bridge

Transmission line ice bridge to support the new transmission line running to the new transmitter location inside the existing building. See Cover Letter and photo in file named WFSG TCI Final Package

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 24
Explanation Fewer project management hours are being required than originally estimated
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 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 Yes
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 5
Justification Fewer on site days are being required than originally estimated

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Engineering Services

Outside engineering services not included in any other OPS sections

Other Legal Services

Outside legal services not included in any other OPS sections

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)? 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

Name Description

Sales Tax

Sales Tax

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 $599,750.00 $438,551.92 N/A $375,983.82 N/A
Total for all systems $1,882,904.76 $1,511,724.68 N/A $1,254,519.61 N/A
Primary Transmitter ULXTE-16 $599,750.00 $438,551.92 $375,983.82
Switchgear - industrial 800 amp $38,200.00 $0.00 Included in transmitter cost N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $0.00 Included in transmitter cost N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $0.00 Included in transmitter cost N/A N/A
Additional Interior RF System $0.00 $0.00 Included in transmitter cost N/A N/A
Standby Exciter and Switch $0.00 $0.00 Included in transmitter cost N/A N/A
10 Ton system $38,900.00 $27,344.00 See quote and justification attached as file WFSG Quote S26744 00000000 Quote 00000000 000000000 PEA TX EQ Aug18 FSU. Added HVAC Load Calcs by design engineer 2-21-19 $27,344.00 N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $411,207.92 Upgraded transmitter for which Licensee will pay the upgrade cost difference. Amended 12/21/18 to reflect changes. Amended 1/3/19 to add $11,500 Piping for Transmitter Heat Exchangers $348,639.82 N/A

Components

Actual Information Description File Name
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Additional Interior RF System Information not provided.
Standby Exciter and Switch Information not provided.
10 Ton system

Component Description:
HVAC for WFSG Repack
Amount:
$26,744.00

Component Description:
HVAC Load Calculations
Amount:
$600.00
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
2nd Installment, one-third payment prior to shipping
Amount:
$109,651.36

Component Description:
Balance due for repack transmitter.
Amount:
$117,837.10

Component Description:
Piping to install Transmitter Heat Exchangers Cooling System for WFSG Repack
Amount:
$11,500.00

Component Description:
One-third down payment for new transmitter
Amount:
$109,651.36

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 $270,900.00 $322,981.00 N/A $318,536.00 N/A
Total for all systems $1,882,904.76 $1,511,724.68 N/A $1,254,519.61 N/A
Primary Antenna TFU-24JTH/VP-R O4 $270,900.00 $322,981.00 $318,536.00
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $8,890.00 N/A $4,445.00 N/A
Sweep test of existing antenna $6,730.00 $0.00 Sweep is included in cost of antenna N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $309,646.00 See Cover Letter associated with Invoice 8330 in file named WFSG TCI Final Package $309,646.00 The total cost of this antenna will be $309,646.00, which is the cost offered by TCI under the turnkey antenna and tower contract.
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $4,445.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***See Cover Letter associated with Invoice 8330 in file named WFSG TCI Final Package $4,445.00 N/A

Components

Actual Information Description File Name
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
30pct progress payment
Amount:
$2,667.00

Component Description:
Final Payment for elbow complex
Amount:
$1,778.00
Sweep test of existing antenna Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
50 pct down payment
Amount:
$161,398.00

Component Description:
Final payment Primary Antenna
Amount:
$61,929.20

Component Description:
30 pct progress pmt Pri ant
Amount:
$86,318.80
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
50 pct down payment
Amount:
$4,445.00

Component Description:
30 pct progress pmt, but prior 50% payment was already sufficient to total 80%.
Amount:
N/A

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 $135,300.00 $60,874.00 N/A $60,874.00 N/A
Total for all systems $1,882,904.76 $1,511,724.68 N/A $1,254,519.61 N/A
Primary Transmission Line $135,300.00 $60,874.00 $60,874.00
Rigid Transmission Line - copper, 4 1/16" $78,100.00 $30,437.00 Total cost of the actual 4-1/16" transmission line is $60,874. Part of this was entered into the line previously named 3-1/8" transmission line, which is now locked. This is the balance of the actual transmission line cost. $30,437.00 N/A
Rigid Transmission Line - copper, 3 1/8" $57,200.00 $30,437.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***See Cover Letter associated with Invoice 8330 in file named WFSG TCI Final Package $30,437.00 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 4 1/16"

Component Description:
Final payment for primary transmission line
Amount:
$12,174.80

Component Description:
30 pct progress pmt for transmission line
Amount:
$18,262.20
Rigid Transmission Line - copper, 3 1/8"

Component Description:
50 pct down payment
Amount:
$30,437.00

Component Description:
This component is RED. See new component for the 30pct progress payment.
Amount:
N/A

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 $605,548.00 $417,478.00 N/A $417,478.00 N/A
Total for all systems $1,882,904.76 $1,511,724.68 N/A $1,254,519.61 N/A
Primary Tower TOWER $605,548.00 $417,478.00 $417,478.00
Additional Mobilization $41,768.00 $41,768.00 See attachment named: WFSG Remobilization Change Order Cover Page.pdf, for explanation $41,768.00 N/A
Short Tower (less than 500') $84,200.00 $136,750.00 See Cover Letter associated with Invoice 8330 in file named WFSG TCI Final Package $136,750.00 The total cost of this rigging work will be $136,750, which is part of a turnkey project by TCI for the antenna and tower work.
Transmission Line Bridge $32,280.00 $32,280.00 See Cover Letter and photo in file named WFSG TCI Final Package $32,280.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $33,640.00 Includes Structural Analysis which perhaps should have been entered into Modifications section of this Category. $33,640.00 Perhaps the Structural Analysis should have been entered in the tower modifications section.
Major tower reinforcement/modifications $421,000.00 $173,040.00 See Cover Letter associated with Invoice 8330 in file named WFSG TCI Final Package $173,040.00 N/A

Components

Actual Information Description File Name
Additional Mobilization

Component Description:
Tower Contractor Remobilization WFSG
Amount:
$41,768.00
Short Tower (less than 500')

Component Description:
50 pct down payment
Amount:
$61,800.00

Component Description:
final payment for rigging antenna installation
Amount:
$27,350.00

Component Description:
30 pct progress pmt rigging antenna installation
Amount:
$47,600.00
Transmission Line Bridge

Component Description:
Payment in full for transmission line ice bridge
Amount:
$32,280.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower Structural Analysis for Side Mount Antennas
Amount:
$7,240.00

Component Description:
30 pct progress pmt for mapping
Amount:
$6,120.00

Component Description:
Structural Analysis of the WFSG Panama City Tower. Also see attached letter from the vendor with further explanation.
Amount:
$6,000.00

Component Description:
50 pct down payment
Amount:
$10,200.00

Component Description:
Final payment for mapping and analysis services.
Amount:
$4,080.00
Major tower reinforcement/modifications

Component Description:
30 pct progress pmt for tower mods
Amount:
$51,912.00

Component Description:
final payment for tower modifications
Amount:
$34,608.00

Component Description:
50 pct down payment
Amount:
$86,520.00

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 $176,937.00 $177,920.00 N/A $68,420.47 N/A
Total for all systems $1,882,904.76 $1,511,724.68 N/A $1,254,519.61 N/A
Outside Professional Services $176,937.00 $177,920.00 $68,420.47
Other Legal Services $10,000.00 $10,000.00 N/A $4,969.46 N/A
Other Engineering Services $24,107.50 $24,107.50 N/A $16,805.25 N/A
Additional Field Engineering Service, 5 Days $10,000.00 $10,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $18,811.51 Comprehensive coverage verification via field study for WFSG. These measurements will be used to compare with post-transition measurements.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A $550.00 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A $1,401.75 Attorney Request for Special Temporary Authority - early transition for WFSG
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $1,475.00 Attorney section of Form FCC Construction Permit Application Main Facility for WFSG
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A $875.00 Engineering for Special Temporary Authority for early transition of WFSG
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $500.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,500.00 Engineering study for new channel assignment and antenna development for WFSG
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $10,775.00 The Estimated Cost includes Form 399 submissions including ongoing Actual Cost invoice prep and submission, and amendments as needed. $10,775.00 Prepare or Review FCC Form 399 for Reimbursement for WFSG
Project management of the transition $3,792.00 $3,600.00 N/A $2,070.00 Outside Project Management Services for WFSG
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
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,500.00 Engineering section of Form FCC Construction Permit Application Main Facility for WFSG
Additional Field Engineering Service, 15 Days $4,187.50 $4,187.50 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $4,187.50 Additional Field Engineering Service, Site survey WFSG

Components

Actual Information Description File Name
Other Legal Services

Component Description:
Other Legal Services WFSG Repacking
Amount:
$1,296.50

Component Description:
Repack reimbursement legal advice
Amount:
$57.00

Component Description:
Impact of hurricane on repack progress with limited tower resources
Amount:
$325.00

Component Description:
Legal STA, delays by tower crew
Amount:
$845.00

Component Description:
Review updated pricing for repack catalog
Amount:
$57.00

Component Description:
WBK inv #1010265 Various Legal thru 180228 UL20190419jgv1
Amount:
$57.00

Component Description:
Legal License to Cover
Amount:
$108.46

Component Description:
WBK inv #1020026 Various Legal thru 190228 UL20190419jgv1
Amount:
$227.50

Component Description:
Other Legal Services WFSG Repacking
Amount:
$618.00

Component Description:
Other Legal Services WFSG Repacking
Amount:
$617.50

Component Description:
Legal assistance with transition, including proper PSIP procedures
Amount:
$780.00

Component Description:
Legal advice on transition
Amount:
$598.50
Other Engineering Services

Component Description:
RF Design for WFSG primary and interim facilities
Amount:
$5,600.00

Component Description:
Amend and submit Form 399
Amount:
$2,146.50

Component Description:
Prepare and submit Form 399 actual cost invoices
Amount:
$812.50

Component Description:
Prep and submit actual cost invoices
Amount:
$4,550.00

Component Description:
Prep and submit actual cost invoices
Amount:
$265.00

Component Description:
KGA inv #194-28 AC Invoices and RF Calcs Aug 2018 UL20190419jgv1
Amount:
$2,981.25

Component Description:
KGA inv #194-39 Other Eng Services Feb 2019 UL20190419jgv1
Amount:
$450.00
Additional Field Engineering Service, 5 Days Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". Comprehensive coverage verification via field study for WFSG
Amount:
$18,811.51
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
KGA inv #194-37 FAA 7460-1 prep and submission Jan 2019 UL20190419jgv1
Amount:
$550.00
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal STA for WFSG
Amount:
$618.00

Component Description:
Attorney Request for Special Temporary Authority - early transition for WFSG
Amount:
$783.75
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Post auction reimbursement procedures and application procedures
Amount:
$142.50

Component Description:
Attorney section of Form FCC Construction Permit Application Main Facility for WFSG
Amount:
$406.25

Component Description:
Attorney section of Form FCC Construction Permit Application Main Facility for WFSG
Amount:
$71.25

Component Description:
Attorney section of Form FCC Construction Permit Application Main Facility for WFSG
Amount:
$285.00

Component Description:
Incentive Auction Public Notice and regional coordinator for repack transition
Amount:
$213.75

Component Description:
Attorney section of Form FCC Construction Permit Application Main Facility WFSG
Amount:
$285.00

Component Description:
Attorney section of Form FCC Construction Permit Application Main Facility for WFSG
Amount:
$71.25
Prepare request for Special Temporary Authorization

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". Engineering for Special Temporary Authority for early transition for WFSG
Amount:
$875.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Prep Form 2100 for license to cover
Amount:
$500.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". Engineering study for new channel assignment and antenna development for WFSG
Amount:
$4,500.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". Prepare or Review FCC Form 399 for Reimbursement for WFSG
Amount:
$2,500.00

Component Description:
KGA 194-19 v190730jgv1
Amount:
$300.00

Component Description:
KGA 194-41 v190730jgv1
Amount:
$1,075.00

Component Description:
KGA 194-48 v200612jgv1
Amount:
$250.00

Component Description:
KGA 194-46 v200612jgv1
Amount:
$1,425.00

Component Description:
KGA inv #194-40 Actual Cost Invoices prep and submit March 2019 UL20190419jgv1
Amount:
$1,075.00

Component Description:
KGA 194-42 v190730jgv1
Amount:
$1,175.00

Component Description:
KGA 194-44 v190730jgv1
Amount:
$25.00

Component Description:
KGA inv #194-38 Actual Cost Invoices prep and submit Feb 2019 UL20190419jgv1
Amount:
$2,950.00
Project management of the transition

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". Outside Project Management Services, Form 387 Progress Report
Amount:
$300.00

Component Description:
Prepare and submit Form 387 1Q2018 progress report
Amount:
$225.00

Component Description:
Prep and submit Form 387 for 10 weeks prior and for 10 days after
Amount:
$375.00

Component Description:
KGA 194-20 v190730jgv1
Amount:
$225.00

Component Description:
Project Management Preparation of Form 387 Quarterly Report
Amount:
$150.00

Component Description:
Project Management Preparation of Form 387 Quarterly Report
Amount:
$150.00

Component Description:
Prepare and submit Form 387 4Q2017 progress report
Amount:
$495.00

Component Description:
Prep and submit Form 387 for 4Q18
Amount:
$150.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". Engineering section of Form FCC Construction Permit Application Main Facility for WFSG
Amount:
$1,500.00
Additional Field Engineering Service, 15 Days

Component Description:
Refer to attachment "KG Invoice Explanations.pdf". WFSG on-site Equipment inventory and facilities survey - site visit
Amount:
$4,187.50

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 $94,469.76 $93,919.76 N/A $13,227.32 N/A
Total for all systems $1,882,904.76 $1,511,724.68 N/A $1,254,519.61 N/A
Other Expenses $94,469.76 $93,919.76 $13,227.32
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,125.00 N/A
Local Zoning $2,000.00 $2,000.00 N/A N/A N/A
Non-zoning permits $2,000.00 $2,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $1,070.46 N/A
Equipment Storage $15,000.00 $15,000.00 N/A $1,307.02 N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 N/A N/A N/A
MVPD Notification of Channel Change $2,665.00 $2,665.00 N/A $2,660.50 N/A
Sales Tax $1,254.76 $1,254.76 Sales Tax from TCI vendor $1,254.76 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $20,000.00 $20,000.00 N/A $3,809.58 N/A

Components

Actual Information Description File Name
DTV Medical Facility Notification

Component Description:
Prepare and distribute Medical notifications and certification statement for public file
Amount:
$3,125.00
Local Zoning Information not provided.
Non-zoning permits Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Forklift rental
Amount:
$1,070.46

Component Description:
Total amount due for shipping repack transmitter.
Amount:
$6,734.03
Equipment Storage

Component Description:
Storage Container rental
Amount:
$144.11

Component Description:
Portable Storage Container for WFSG Repack
Amount:
$586.47

Component Description:
Portable Storage Container for WFSG Repack
Amount:
$144.11

Component Description:
Portable Storage Container for WFSG Repack
Amount:
$144.11

Component Description:
Portable Storage Container for WFSG Repack
Amount:
$144.11

Component Description:
Portable Storage Container for WFSG Repack
Amount:
$144.11
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change

Component Description:
Prepare and distribute MVPD notifications and certification statement for public file
Amount:
$1,812.50

Component Description:
Prep and distribute 2nd MVPD for update due to transition timing
Amount:
$848.00
Sales Tax

Component Description:
Sales Tax from TCI vendor
Amount:
$1,254.76
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
WastePro 0001043475 v191213jgv1
Amount:
$595.73

Component Description:
WastePro 0000988530 v190502jgv2
Amount:
$595.73

Component Description:
WastePro 0000991545 v190508jgv2
Amount:
$1,597.39

Component Description:
WastePro inv #0000987467 Roll off container for disposal UL20190419jgv1
Amount:
$12.78

Component Description:
Roll off container for disposal
Amount:
$425.00

Component Description:
Roll off container for disposal
Amount:
$595.73

Component Description:
WastePro 0000980378 v190508jgv2
Amount:
$595.73

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,882,904.76 $1,511,724.68 $1,254,519.61

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.

Jeffrey C Gehman

Engineering Associate


06/12/2020

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.

Jeffrey C Gehman

Engineering Associate


06/12/2020

Attachments

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