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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:
128230
Service:
LPD
Call Sign:
KEBK-LD
Channel:
27 (UHF)
File Number:
0000087114
FRN:
0003768876
Eligibility Status:
Eligible
Date Submitted:
06/17/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

VENTURE TECHNOLOGIES GROUP, LLC

5670 WILSHIRE BLVD STE 1620

LOS ANGELES, CA 90036

United States

+1 (323) 965-5400 FORM399@LOOP.COM Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Purchase and installation of a new transmitter, mask filter, antenna and transmission line will be required.

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)
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 AU600
Year 2013
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 600 W

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 TMU9-3
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.8 kW
Justification for New Transmitter The old transmitter has insufficient output power to drive the new antenna.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs
Does the transmitter installation require a Transmitter Building Site Survey/Installation? Yes
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Rigid Conduit and Wiring Yes
Size 1.5 inches
Length 50.0 feet
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

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
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? No
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 6
Design power capacity in use 20.0 %
Lower Limit 450.00 MHz
Upper Limit 800.00 MHz
ERP: 15.0 kW
Manufacturer
Model 955512
Year 2005

Primary Antenna

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New Antenna Costs

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 Top
Polarization Circular
Type Broadband Panel
Number of Stations Supported 1
Number of Panels/Bays 2
Lower Limit 450.00 MHz
Upper Limit 800.00 MHz
Design power capacity in use 58.0 %
ERP: 15.0 kW
Manufacturer
Model TUM-C1-02/02M-T
Year 2019
Justification for New Antenna The pattern is different from the existing antenna and we need this pattern to fill the requirement of our construction permit.

Primary Antenna

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Other Antenna Costs

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
Power Dividers Does the panel antenna require power dividers? Yes
Number of Power Dividers 1
Cable Harness Does the panel antenna require cable harness? Yes
Number of Cable Harnesses 2

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)
Ownership Owned
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 Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 80 feet per run

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

Facility ID Call Sign
128238 KDBK-LP

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 80 feet per run
Justification for New Transmission Line The transmission line is no longer shared so new line is required. The transmitter will also be located in a new location in the building.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? No

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Wall Penetration

Coring hole in wall and fixture to weather proof the penetration.

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)
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) No
Others Types of Users Yes
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? No
Coordinates (NAD83) Latitude (NAD83) 35° 27' 13.8" N-
Longitude (NAD83) 118° 35' 40.3" W-
Overall Structure Height 51.00 feet
Support Structure Height 51.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 7484.00 feet
Structure Type LTOWER - Lattice Tower
Tower Owner Scripps Broadcasting Holdings LLC
Date Constructed 07/01/2002


Other Types of Users

Users
128238

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Tower mapping and report for structural engineer
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 2000
Explanation Station may not have sufficient resource in house to handle all of the Project Management related tasks necessary to facilitate on-time completion of the station's build by the Construction Deadline.
Outside RF consulting Engineering Services Perform engineering study for displacement application No
Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
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 Yes
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 Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 8
Justification RF field engineering services of tower and transmitter installs.

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
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
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
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

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 $145,267.94 $145,267.94 N/A $33,555.66 N/A
Total for all systems $593,220.44 $603,703.82 N/A $86,079.05 N/A
Primary Transmitter TMU9-3 $145,267.94 $145,267.94 $33,555.66
Transmitter Building Site Survey/Installation $10,000.00 $10,000.00 N/A N/A N/A
1.5" Rigid Conduit and Wiring $13,067.94 $13,067.94 New breakers and sub panel also had to be installed. $13,067.94 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $84,000.00 $84,000.00 N/A $20,487.72 N/A
Switchgear - industrial 800 amp $38,200.00 $38,200.00 N/A N/A N/A

Components

Actual Information Description File Name
Transmitter Building Site Survey/Installation Information not provided.
1.5" Rigid Conduit and Wiring

Component Description:
Electrical installation for transmitter.
Amount:
$13,067.94
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Mask filter
Amount:
$3,458.97

Component Description:
25% deposit on transmitter.
Amount:
$17,028.75
Switchgear - industrial 800 amp Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $24,030.00 $24,030.00 N/A $10,969.24 N/A
Total for all systems $593,220.44 $603,703.82 N/A $86,079.05 N/A
Primary Antenna TUM-C1-02/02M-T $24,030.00 $24,030.00 $10,969.24
Cable harness (each, for panel antenna system, if not included in antenna cost) $2,000.00 $2,000.00 N/A N/A N/A
Power Dividers (each, for panel antenna system, if not included in antenna cost) $1,300.00 $1,300.00 N/A N/A N/A
UHF-Low Power, Side Mount, Broadband Panel, 2 bay, 15.0kW input, Circular $15,000.00 $15,000.00 N/A $10,969.24 N/A
Sweep test of transmission line and antenna $5,730.00 $5,730.00 N/A N/A N/A

Components

Actual Information Description File Name
Cable harness (each, for panel antenna system, if not included in antenna cost) Information not provided.
Power Dividers (each, for panel antenna system, if not included in antenna cost) Information not provided.
UHF-Low Power, Side Mount, Broadband Panel, 2 bay, 15.0kW input, Circular

Component Description:
California sales tax on antenna.
Amount:
$835.99

Component Description:
KEBK-LD Antenna.
Amount:
$10,133.25
Sweep test of transmission line and antenna Information not provided.

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 $3,420.00 $13,903.38 N/A $12,403.38 N/A
Total for all systems $593,220.44 $603,703.82 N/A $86,079.05 N/A
Primary Transmission Line $3,420.00 $13,903.38 $12,403.38
Flexible Foam Transmission Line - dielectric, 1 5/8" $1,920.00 $12,403.38 Various hardware and components were required to install line. $12,403.38 N/A
Wall Penetration $1,500.00 $1,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Flexible Foam Transmission Line - dielectric, 1 5/8"

Component Description:
Transmission line with installation hardware and components.
Amount:
$12,403.38
Wall Penetration Information not provided.

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 $87,190.00 $87,190.00 N/A $24,550.00 N/A
Total for all systems $593,220.44 $603,703.82 N/A $86,079.05 N/A
Primary Tower LTOWER $87,190.00 $87,190.00 $24,550.00
Tower Rigging Short Tower (less than 500') $56,190.00 $56,190.00 N/A $24,550.00 N/A
Tower mapping and report for structural engineer $21,000.00 $21,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $10,000.00 $10,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Tower Rigging Short Tower (less than 500')

Component Description:
Tower crew
Amount:
$24,550.00
Tower mapping and report for structural engineer 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 $312,672.50 $312,672.50 N/A $0.00 N/A
Total for all systems $593,220.44 $603,703.82 N/A $86,079.05 N/A
Outside Professional Services $312,672.50 $312,672.50 $0.00
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 N/A N/A N/A
Additional Field Engineering Service, 8 Days $22,000.00 $22,000.00 N/A N/A N/A
RF Exposure Measurements $12,100.00 $12,100.00 N/A N/A N/A
Form 399 assistance or other Program Management costs $10,000.00 $10,000.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $3,262.50 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $52,600.00 $52,600.00 N/A N/A N/A
Project management of the transition $211,000.00 $211,000.00 N/A N/A N/A

Components

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 $20,640.00 $20,640.00 N/A $4,600.77 N/A
Total for all systems $593,220.44 $603,703.82 N/A $86,079.05 N/A
Other Expenses $20,640.00 $20,640.00 $4,600.77
Equipment Storage $5,000.00 $5,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $7,500.00 $7,500.00 N/A $4,600.77 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $7,500.00 $7,500.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $305.00 $305.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Freight and shipping for antenna.
Amount:
$810.00

Component Description:
Shipping charges for mask filter.
Amount:
$1,970.77

Component Description:
Delivery/handling of transmitter to transmitter site.
Amount:
$1,820.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Special Temporary Authorization request 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 $593,220.44 $603,703.82 $86,079.05

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.

Andy Wilcoxson

General Manager


06/17/2020

Attachments

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