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:
86534
Service:
DTV
Call Sign:
KMYA-DT
Channel:
18 (UHF)
File Number:
0000028682
FRN:
0027379551
Date Submitted:
07/13/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

LR Telecasting, LLC

William H. Pollack

855 Ridge Lake Blvd

Suite 304

Memphis, TN 38120

United States

+1 (901) 685-3993 whpollack@gmail.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

Harold Stanton

Consulting Engineer

MSBC

Harold Stanton

PO Box 500

Sumrall, MS 39482

United States

+1 (601) 336-0130 hastanton2017@yahoo.om

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 Plan is to replace transmitter, backup transmitter,main filter, antenna, and transmission line on existing tower. Adding a interim antenna and line for use while transition tower work is performed.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup to mail
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 800
Year 2000
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model CTX706A
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2.0 kW
Justification for New Transmitter Parts not available to re-tune existing equipment.

Auxiliary Transmitter

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Other Transmitter Costs

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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 HP50SAW
Year 1999
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model CTX724
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 20 kW
Justification for New Transmitter Old transmitter cannot be re-tuned and an IOT transmitter isn't currently available at this power level.The current CP application requires a TPO of 17kW.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service Yes
Description Auxiliary convenience power for transmitter and monitoring equipment.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
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

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)
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: 1000.0 kW
Manufacturer
Model ATC320
Year 1999

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? No
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 Side 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: 530.0 kW
Manufacturer
Model SWCDS20OM/18
Year 2018
Justification for New Antenna Existing antenna not re-tuneable to re-pack channel.

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 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
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.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type 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: 400.0 kW
Manufacturer
Model SWEDM16OI/49
Year 2018
Justification for New Antenna Interim antenna necessary to allow continued operation on existing channel while removal and replacement of new antenna and line is performed.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Temporary lease of tower space for interim antenna

Leasing of additional space for interim antenna will be necessary for work to be performed.

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 6 1/8 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 580 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 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 580 feet per run
Justification for New Transmission Line Existing line length not compatible with new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 600 feet per run
Justification for New Transmission Line Line will be used to feed interim antenna while existing line and antenna are removed and replaced with new channel equipment.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
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? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1037622
Coordinates (NAD83) Latitude (NAD83) 33° 16' 15.2" N-
Longitude (NAD83) 092° 42' 14.2" W-
Overall Structure Height 598.09 feet
Support Structure Height 595.79 feet
Ground Elevation Above Mean Sea Level (AMSL) 213.91 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC
Date Constructed 07/01/1981

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
4217 KBSA FM

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

Install inerim antenna and line

Installation of interim antenna and line.

Structural engineering tower load study for documented tower

Tower load study

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 1100
Explanation No existing Director of engineering, station owned by a small group with no available personnel competent to achieve tasks necessary to complete repack requirements.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
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 No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 10
Justification Testing and commissioning oversight.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $985,300.00 $937,300.00 N/A $707,154.45 N/A
Total for all systems $2,275,226.51 $2,100,455.34 N/A $1,207,736.22 N/A
Primary Transmitter CTX724 $859,300.00 $817,300.00 $587,154.45
10 Ton system $60,500.00 $57,500.00 N/A $29,654.45 N/A
Other Electrical Service: Auxiliary convenience power for transmitter and monitoring equipment. $15,000.00 $15,000.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,400.00 $9,800.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $650,000.00 N/A $557,500.00 N/A
Auxiliary Transmitter CTX706A $126,000.00 $120,000.00 $120,000.00
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $120,000.00 N/A $120,000.00 N/A

Components

Actual Information Description File Name
10 Ton system

Component Description:
HVAC Expansion
Amount:
$29,654.45
Other Electrical Service: Auxiliary convenience power for transmitter and monitoring equipment. Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA Information not provided.
Switchgear - industrial 800 amp Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
Parts needed for installation of main transmitter
Amount:
$14,500.00

Component Description:
This is a combined quote and invoice for final payment on the main transmitter.
Amount:
$128,600.00

Component Description:
New Attachment includes cover letter requested by reviewer. $414,400 is 80% down payment, NOT INCLUDING estimated installation and proof of performance charges of $25,000 which are not reimbursable at this time. Ref: MSG1892346
Amount:
$414,400.00
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
New Attachment includes cover letter requested by reviewer. $84000 is 80% down payment, NOT INCLUDING estimated installation and proof of performance charges of $15,000 which are not reimbursable at this time. Ref: MSG1892346
Amount:
$84,000.00

Component Description:
This is a combined quote and invoice for final payment on the auxiliary transmitter.
Amount:
$36,000.00

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 $540,220.00 $526,900.00 N/A $264,540.00 N/A
Total for all systems $2,275,226.51 $2,100,455.34 N/A $1,207,736.22 N/A
Interim Antenna SWEDM16OI/49 $257,780.00 $246,800.00 $78,390.00
Temporary lease of tower space for interim antenna $38,400.00 $38,400.00 There was not a Predetermined Cost with respect to the lease for the interim antenna. $38,400 is the actual cost negotiated with the tower owner. It is a one-time payment. $38,400.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $180,000.00 N/A $39,990.00 N/A
Primary Antenna SWCDS20OM/18 $282,440.00 $280,100.00 $186,150.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $11,700.00 N/A $10,250.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 530 kW input, horizontally polarized $235,000.00 $235,000.00 N/A $175,900.00 N/A

Components

Actual Information Description File Name
Temporary lease of tower space for interim antenna

Component Description:
Rent for interim antenna tower space - one-time fee.
Amount:
$38,400.00
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Sweep test of existing antenna Information not provided.
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
The Invoice due dates are on page 2 of Invoice 18254 at the end of the Description column. 50% was due 8-3 (not paid). Full amount ($39990) due by 9-14.
Amount:
$39,990.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
The Invoice due dates are on page 4 of Invoice 18253 at the end of the Description column. 50% was due 8-3 (not paid). Full amount ($10250) due by 9-14.
Amount:
$10,250.00
Sweep test of existing antenna Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 530 kW input, horizontally polarized

Component Description:
The Invoice due dates are on page 4 of Invoice 18253 at the end of the Description column. 50% was due 8-3 (not paid). Full amount ($175900) due by 9-14.
Amount:
$175,900.00

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 $152,560.00 $150,748.83 N/A $150,748.83 N/A
Total for all systems $2,275,226.51 $2,100,455.34 N/A $1,207,736.22 N/A
Interim Transmission Line $35,400.00 $35,253.83 $35,253.83
Flexible Air Transmission Line - dielectric, 3" $35,400.00 $35,253.83 We are revising this Estimated Cost in September 2018. When we originally stated our Estimate, 14 months ago, it was below the Predetermined Cost Estimate. $35,253.83 is the current pricing by this Vendor. We believe it is fair and representative. $35,253.83 The difference between the 'Estimate' and the 'Actual' is $1,653.83. We are not certain of the cause of the variance. We note that the Actual is significantly lower than the cost amount posited in the Catalog of Potential Expenses and Estimated Costs.
Primary Transmission Line $117,160.00 $115,495.00 $115,495.00
Rigid Transmission Line - copper, 6 1/8" $117,160.00 $115,495.00 We are revising this Estimated Cost in September 2018. When we originally stated our Estimate, 14 months ago, it was below the Predetermined Cost Estimate. $115,495.00 is the current pricing by this Vendor. We believe it is fair and representative. $115,495.00 The Sub-Total of $115,495.00 includes spare parts having a total cost of $5,768.00. These were inadvertently omitted from the original Estimated Cost.

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
In the Invoice the costs are itemized under "coax and coax accessories." The sum of those costs is $35,253.83. The Invoice due dates are on page 2 at the end of the Description column. 50% was due 8-3 (not paid). Full amount ($35253.83) due by 9-14.
Amount:
$35,253.83
Rigid Transmission Line - copper, 6 1/8"

Component Description:
New attachment includes Cover Letter requested by reviewer. Sum of transmission line costs is $115,495. Due dates are on page 4 of 18253 at the end of Description column. 50% due 8-3 (not paid). Full amount ($115495) due 9-14.
Amount:
$115,495.00

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 $253,975.00 $154,675.00 N/A $43,475.00 N/A
Total for all systems $2,275,226.51 $2,100,455.34 N/A $1,207,736.22 N/A
Primary Tower GTOWER $253,975.00 $154,675.00 $43,475.00
Install inerim antenna and line $33,000.00 $33,000.00 The more recent, current actual cost for the work (per the vendor's invoice) is $33000. According to the Catalog of Potential Expenses, the reasonable cost range is $36,000 - $112,500. Thus, the $33,000 expense is justified. $33,000.00 The rigging work was done in late November on a rushed schedule to meet the November 30 deadline to vacate our pre-auction channel. See Engineering STA, File No. 0000063608, granted 11/27/18. The cost for this was higher than originally projected.
Tall Tower (greater than 500') $210,500.00 $111,200.00 N/A $0.00 N/A
Structural engineering tower load study for documented tower $10,475.00 $10,475.00 N/A $10,475.00 N/A

Components

Actual Information Description File Name
Install inerim antenna and line

Component Description:
Rigging services for temporary antenna.
Amount:
$33,000.00
Tall Tower (greater than 500')

Component Description:
Tower rigging costs relating to installation of permanent antenna and related equipment
Amount:
$111,200.00
Structural engineering tower load study for documented tower

Component Description:
Estimate for services and Invoice 460201860 for: Structural engineering - tower load study for documented tower
Amount:
$10,475.00

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 $239,985.00 $228,250.00 N/A $11,980.00 N/A
Total for all systems $2,275,226.51 $2,100,455.34 N/A $1,207,736.22 N/A
Outside Professional Services $239,985.00 $228,250.00 $11,980.00
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A $2,500.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $173,800.00 $165,000.00 N/A $9,480.00 N/A
Additional Field Engineering Service, 10 Days $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Estimate and Invoice for transition timing and coordination issues - coordinating power reductions with other stations on tower
Amount:
$2,500.00
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
Estimate for services, Purchase Order, and Invoice 336956 - project management relating to transition
Amount:
$9,480.00
Additional Field Engineering Service, 10 Days 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 $103,186.51 $102,581.51 N/A $29,837.94 N/A
Total for all systems $2,275,226.51 $2,100,455.34 N/A $1,207,736.22 N/A
Other Expenses $103,186.51 $102,581.51 $29,837.94
MVPD Notification of Channel Change $10,000.00 $10,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,000.00 $3,000.00 N/A N/A N/A
Equipment Storage $29,996.51 $29,996.51 This cost is for ongoing rental of equipment storage space necessary because of delays beyond licensee’s control in construction of the post-transition facility. See May 20, 2020 Media Bureau grant of tolling request, LMS File No. 0000113814. $28,231.44 N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $22,000.00 $22,000.00 N/A $1,606.50 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A $0.00 N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Invoice for continued equipment storage fees
Amount:
$1,765.08

Component Description:
This is the fixed amount due for rental of equipment storage facilities.
Amount:
$14,110.82

Component Description:
Rental Fees for Equipment Storage - 10/23/2019-12/17/2019
Amount:
$3,530.16

Component Description:
Rental fees for equipment storage 12/18/2019 - 4/7/2020
Amount:
$7,060.30

Component Description:
Rental fees for equipment storage 4/8/2020-5/5/2020
Amount:
$1,765.08
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Removal and demolition of equipment
Amount:
$1,606.50
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,275,226.51 $2,100,455.34 $1,207,736.22

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.

William H. Pollack

Manager, LLC


07/13/2020

Attachments

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