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:
131159
Service:
LPD
Call Sign:
WIVD-LD
Channel:
26 (UHF)
File Number:
0000088701
FRN:
0004320057
Eligibility Status:
Eligible
Date Submitted:
09/01/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

IMAGE VIDEO TELEPRODUCTIONS, INC.

Doing Business As: IMAGE VIDEO TELEPRODUCTIONS, INC.

Mike Tonges

6755 FREEDOM AVE., N.W.

NORTH CANTON, OH 44720

United States

+1 (330) 284-2574 MCTONGES@AOL.COM Corporation

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

Tony Zummallen

President

Q Communications, LLC

Tony Zummallen

705B SE Melody Lane #314

Lee's Summit, MO 64063

United States

+1 (816) 729-1177 tony@Qcomm.tv

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 the transmitter and antenna per the channel reassignment using reasonable and customary engineering and business practices.

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 AT7400
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 400 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? No
Manufacturer
Model TMU-9-3 EVO
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.14 kW
Justification for New Transmitter Higher power transmitter needed in order to reach licensed 15kW ERP. Existing transmitter is obsolete and cannot be retuned.

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) No
Transformer (480V) No
Rigid Conduit and Wiring No
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

Name Description

Hotel expenses

Hotel expenses

Airfare

Airfare

Travel labor

Travel labor rate

Transmitter Shipping

Shipping of transmitter to site

Transmission Site Prep

Preparation of transmitter site to accept new transmitter. Includes receiving and inventory of transmitter and all components; pre-assembly of cabinets and subassemblies; making sure materials on site for installation crew

Rental car expenses

Rental car expenses

Decommission

De-install and disconnect old transmitter and all components

Meals and sundries

Meals and sundries

Vehicle expenses

Vehicle expenses - mileage - IRS 2019

Transmitter Tax

Sales tax collected by vendors as part of the repack.

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 1
Number of Panels 1
Design power capacity in use 100.0 %
Lower Limit 470.00 MHz
Upper Limit 890.00 MHz
ERP: 6.0 kW
Manufacturer
Model BKU5
Year 2008

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? No
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
ERP: 15.0 kW
Manufacturer
Model PSILPD16ACA-26-EP
Year 2019
Justification for New Antenna New antenna required to account for pattern change from original antenna/channel.

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? 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Antenna Shipping fees

Shipping of antenna to site

Antenna Sales Tax

Antenna sales tax

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

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? No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1226927
Coordinates (NAD83) Latitude (NAD83) 40° 21' 31.8" N-
Longitude (NAD83) 081° 30' 01.5" W-
Overall Structure Height 308.07 feet
Support Structure Height 300.85 feet
Ground Elevation Above Mean Sea Level (AMSL) 1207.99 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner SpectraSite Communications, LLC. through American Towers, LLC.
Date Constructed 09/14/2001


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: No 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 200
Explanation Required to assist in the turnkey management of the channel relocation project in order that the existing personnel can maintain and operate the station's daily operational requirements and plans.
Outside RF consulting Engineering Services Perform engineering study for displacement application 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 1
Prepare Form 601 Yes
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 1
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 No
Additional Field Engineering Service No

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 Yes
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
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 $126,530.00 $100,029.28 N/A $44,999.28 N/A
Total for all systems $335,579.18 $289,350.46 N/A $94,235.76 N/A
Primary Transmitter TMU-9-3 EVO $126,530.00 $100,029.28 $44,999.28
Transmitter Tax $8,400.00 $8,400.00 Estimated sales tax collected by vendors as part of the repack. Actual costs to be determined. N/A N/A
Vehicle expenses $580.00 $580.00 Per attached QCommunications quote. N/A N/A
Meals and sundries $540.00 $540.00 Per attached QCommunications quote. N/A N/A
Decommission $8,000.00 $8,000.00 Per attached QCommunications quote. N/A N/A
Rental car expenses $70.00 $70.00 Per attached QCommunications quote. N/A N/A
Transmission Site Prep $7,250.00 $7,250.00 Per attached QCommunications quote. N/A N/A
Transmitter Shipping $2,500.00 $2,500.00 Estimated shipping costs for transmitter. Actual costs to be determined. $0.00 N/A
Travel labor $3,690.00 $3,690.00 Per attached QCommunications quote. N/A N/A
Airfare $500.00 $500.00 Per attached QCommunications quote. N/A N/A
Hotel expenses $1,000.00 $1,000.00 Per attached QCommunications quote. N/A N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $84,000.00 $44,999.28 Per Rohde & Schwarz quote #321430.4 - attached to invoice submittal #9500119750 $44,999.28 N/A
Transmitter Building Site Survey/Installation $10,000.00 $22,500.00 Per attached QCommunications quote. N/A N/A

Components

Actual Information Description File Name
Transmitter Tax Information not provided.
Vehicle expenses Information not provided.
Meals and sundries Information not provided.
Decommission Information not provided.
Rental car expenses Information not provided.
Transmission Site Prep Information not provided.
Transmitter Shipping Information not provided.
Travel labor Information not provided.
Airfare Information not provided.
Hotel expenses Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Transmitter, includes mask and shipment costs. INV 9500119750. NOTE: Vendor name is Rohde & Schwarz; "and" was substituted for special character "&".
Amount:
$44,999.28
Transmitter Building Site Survey/Installation 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 $29,649.18 $29,649.18 N/A $16,794.18 N/A
Total for all systems $335,579.18 $289,350.46 N/A $94,235.76 N/A
Primary Antenna PSILPD16ACA-26-EP $29,649.18 $29,649.18 $16,794.18
Antenna Sales Tax $2,500.00 $2,500.00 Estimated sales tax collected by vendors as part of the repack. Actual costs to be determined. N/A N/A
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Elliptical $16,352.72 $16,352.72 Per attached PSI quote. $16,352.72 N/A
Antenna Shipping fees $441.46 $441.46 Estimated shipping costs for antenna. Actual costs to be determined. $441.46 N/A
Side Mount antenna brackets $4,625.00 $4,625.00 N/A N/A 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
Antenna Sales Tax Information not provided.
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Elliptical

Component Description:
Request for horizontal equivalent. See cover letter. PSI INV 2066
Amount:
$16,352.72
Antenna Shipping fees

Component Description:
Shipping fees for antenna
Amount:
$441.46
Side Mount antenna brackets Information not provided.
Sweep test of transmission line and antenna Information not provided.

Cost Information

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Transmission Line

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 $77,190.00 $47,370.00 N/A $26,370.00 N/A
Total for all systems $335,579.18 $289,350.46 N/A $94,235.76 N/A
Primary Tower TOWER $77,190.00 $47,370.00 $26,370.00
Tower Rigging Short Tower (less than 500') $56,190.00 $26,370.00 N/A $26,370.00 N/A
Tower mapping and report for structural engineer $21,000.00 $21,000.00 N/A N/A N/A

Components

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

Component Description:
7/8" foam jumper and plate reducer. WIVD - PSI - INV 2066-1
Amount:
$720.00

Component Description:
Revised Antenna Install. WIVD - Baker Tower - Invoice dated 4/6/2020
Amount:
$25,650.00
Tower mapping and report for structural engineer 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 $93,000.00 $103,092.00 N/A $6,072.30 N/A
Total for all systems $335,579.18 $289,350.46 N/A $94,235.76 N/A
Outside Professional Services $93,000.00 $103,092.00 $6,072.30
Comprehensive coverage verification via field study, if needed $52,600.00 $43,732.00 Per Attached QForce Quote 717-R N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $2,235.00 $2,235.00 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
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,577.50 N/A N/A N/A
Prepare Form 601 $755.00 $755.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $3,025.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,052.50 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,102.50 N/A N/A N/A
Prepare request for Special Temporary Authorization $1,280.00 $1,280.00 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A N/A N/A
Form 399 assistance or other Program Management costs $500.00 $500.00 Per attached QCommunications quote. $500.00 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $2,500.00 Per attached QCommunications quote. $2,500.00 N/A
Project management of the transition $21,100.00 $39,270.00 Per attached QCommunications quote. $3,072.30 N/A

Components

Actual Information Description File Name
Comprehensive coverage verification via field study, if needed Information not provided.
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.
Prepare Form 601 Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Perform engineering study for displacement application Information not provided.
Form 399 assistance or other Program Management costs

Component Description:
399 eligibility form
Amount:
$500.00
Prepare/ Review 399 reimbursement form

Component Description:
Form 399 submittal
Amount:
$2,500.00
Project management of the transition

Component Description:
Revised 8/6/20 WIVD - QComm - April PM Hours - INV QC20-293
Amount:
$1,170.40

Component Description:
June PM Hours - QComm - INV QC20-351
Amount:
$808.50

Component Description:
Revised 8/6/20 WIVD - QComm - May PM hours - QC20-327
Amount:
$600.60

Component Description:
PM hours 11/16/19 thru 3/31/20. QComm - INV QC20-269
Amount:
$492.80

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 $9,210.00 $9,210.00 N/A $0.00 N/A
Total for all systems $335,579.18 $289,350.46 N/A $94,235.76 N/A
Other Expenses $9,210.00 $9,210.00 $0.00
Equipment Storage $500.00 $500.00 Expecting multiple staggered equipment deliveries from different vendors and need to store and stage new equipment prior to installation date. Anticipate 6-24 months of storage N/A N/A
Equipment Delivery and Handling Charges $1,000.00 $1,000.00 Transport, forklift rental and handling fees from staging area to transmitter site. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $1,000.00 $1,000.00 4-6 yard disposal bin on site to capture all waste from on site system integration and tower vendors. 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 Major change CP application $4,960.00 $4,960.00 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
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $335,579.18 $289,350.46 $94,235.76

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.

Michael Allen Tonges

President


09/01/2020

Attachments

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