Applicant | Address | Phone | Applicant Type | |
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FORSYTH COMMUNITY TV RELAY SYSTEM Doing Business As: FORSYTH COMMUNITY TV RELAY SYSTEM |
ROSEBUD COUNTY COURTHOUSE PO BOX 47 FORSYTH, MT 59327 United States |
+1 (406) 346-2251 | rcc@rosebudcountymt.com | Government Entity |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | Yes |
Briefly describe transition plan | Applicant had 9 channels, located at 3 different sites, displaced during the 2018 "Special Displacement Window". All these channels required antenna and filter replacements. 1 of these channels will require a digital transmitter capable of the change. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | No |
Section | Question | Response |
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Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
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Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Primary (Main) | |
Ownership | Owned | |
Is the existing antenna shared with another station or stations? | Yes | |
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 | ||
Mounting | Top Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 1.0 kW | |
Manufacturer | ||
Model | SL-8 | |
Year | 2012 |
Facility ID | Call Sign |
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187566 | K48MI-D |
187565 | K46LA-D |
Section | Question | Response |
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New Antenna Description | Use | Primary (Main) |
Change Type | Purchase New | |
Ownership | Owned | |
Is antenna shared? | Yes | |
Is antenna directional? | No | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | ||
Mounting | Top Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 1.0 kW | |
Manufacturer | ||
Model | SL-8-3 | |
Year | 2018 | |
Justification for New Antenna | Old Antenna was tuned for Channels 46,48,50 |
Section | Question | Response |
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Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | Yes |
Type | New | |
Number of channels supported | 3 | |
Frequencies of channels supported | RF channel | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | No |
RF Channel Number |
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32 |
34 |
36 |
Section | Question | Response |
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Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
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Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | No |
Section | Question | Response |
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Outside Project Management Services | Do you require outside project management services? | No |
Outside RF consulting Engineering Services | Perform engineering study for displacement application | No |
Prepare engineering section of Form FCC Construction Permit Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | No | |
Prepare Form 601 | No | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | No |
Prepare and file Form FCC License to Cover Application | No | |
Prepare request for Special Temporary Authority | No | |
Negotiation of Lease and other Matter for Shared Locations | No | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Form 399 assistance or other program management costs | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No |
Section | Question | Response |
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AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Permit and Filing Costs | FCC Construction Permit Major Change | No |
FCC Construction Permit Minor Change | No | |
FCC License to Cover Application | No | |
FCC Special Temporary Authority Application | No | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | No |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
Does this relocation require Equipment Storage? | No | |
Point to Point Microwave (STL/ICR) | Frequency Coordination for Unidirection System | No |
Frequency Coordination for Bi-Direction System | No | |
New Point to Point Microwave System | No |
Name | Description |
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East-Mont Communications |
Labor to Install Antenna, Combiner, and Align Transmitters |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $16,661.79 | $4,719.58 | N/A | $4,719.58 | N/A |
Total for all systems | $23,028.45 | $8,431.24 | N/A | $5,421.24 | N/A |
Primary Antenna SL-8-3 | $16,661.79 | $4,719.58 | $4,719.58 | ||
1 kW UHF Combiner (per channel) | $14,100.00 | $2,157.79 | N/A | $2,157.79 | N/A |
UHF-Low Power, Top Mount, Slotted Coaxial, 1.0kW input, Horizontal | $2,561.79 | $2,561.79 | Antenna Cost is $7685.39 $2561.79 per Channel (3) | $2,561.79 | N/A |
Actual Information Description | File Name |
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1 kW UHF Combiner (per channel) | |
UHF-Low Power, Top Mount, Slotted Coaxial, 1.0kW input, Horizontal |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $5,865.00 | $3,210.00 | N/A | $200.00 | N/A |
Total for all systems | $23,028.45 | $8,431.24 | N/A | $5,421.24 | N/A |
Outside Professional Services | $5,865.00 | $3,210.00 | $200.00 | ||
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $300.00 | N/A | N/A | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | Turnkey 399 Eligibility preparation and filing and FCC Form 1876 preparation and filing. | N/A | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $200.00 | N/A | $200.00 | N/A |
Actual Information Description | File Name |
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Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Form 399 assistance or other Program Management costs | Information not provided. |
Prepare/ Review 399 reimbursement form | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $501.66 | $501.66 | N/A | $501.66 | N/A |
Total for all systems | $23,028.45 | $8,431.24 | N/A | $5,421.24 | N/A |
Other Expenses | $501.66 | $501.66 | $501.66 | ||
East-Mont Communications | $501.66 | $501.66 | N/A | $501.66 | N/A |
Actual Information Description | File Name |
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East-Mont Communications |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $23,028.45 | $8,431.24 | $5,421.24 |
Question | Response |
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The facility has ceased operating on its pre-auction channel. | Yes |
Construction of final facilities or all necessary modifications are complete. | Yes |
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. | No |
Section | Question | Response |
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Submission of Estimated Expenses Statements | WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | DOUGLAS MARTENS COMMISSIONER 08/07/2020 |
Section | Question | Response |
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Submission of Final Allocation or Accounting Information Statements | WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | DOUGLAS MARTENS COMMISSIONER 08/07/2020 |