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:
71024-33
Service:
DRT
Call Sign:
KWSU-TV
Channel:
33 (UHF)
File Number:
0000089450
FRN:
0001563949
Eligibility Status:
Eligible
Date Submitted:
09/30/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WASHINGTON STATE UNIVERSITY

Doug Krehbiel

Edward R. Murrow College of Communication

P.O. Box 642530

Pullman, WA 99164

United States

+1 (509) 335-6585 doug.krehbiel@wsu.edu Government Entity

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Denise Crossler

Grant Manager

Washington State University

Denise Crossler

PO Box 642530

Pullman, WA 99164

United States

+1 (509) 335-1557 dcrossler@wsu.edu

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 Displaced facility required securing an alternate site, repair of the tower to be used for the facility's antenna, purchase of a new transmitter, antenna and associated materials and construct the site. See attachments

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 LU1000ATD (Modified)
Year 2002
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 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 102580.01
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 700 W
Justification for New Transmitter Existing channel 17 transmitter was a converted analog Axcera model with fixed tuning, could not be used on the new channel. A full-service mask filter was also installed to protect adjacent channels.

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? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring Yes
Size 1.5 inches
Length 40.0 feet
Other Electrical Service Yes
Description Wiring for disconnect and backup generator
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
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 Log Periodic
ERP: 1.2 kW
Manufacturer
Model CL1469
Year 1995

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 Not in Stack
Polarization Circular
Type Slotted Coaxial
ERP: 1.5 kW
Manufacturer
Model LP-1900-E-4
Year 2019
Justification for New Antenna Old antenna insufficient to operate on granted construction permit (directional pattern, polarization)

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? No

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? 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 Move Equipment
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) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1042236
Coordinates (NAD83) Latitude (NAD83) 47° 34' 34.0" N-
Longitude (NAD83) 117° 18' 02.0" W-
Overall Structure Height 598.09 feet
Support Structure Height 499.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 3629.88 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner SPOKANE SCHOOL DISTRICT NO. 81 DBA = KSPS-TV
Date Constructed 06/01/1967

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
167856 KXMN-LD LPD
61978 KXLY-TV DTV
61956 KSPS-TV DTV
61976 KXMN-LP LPX

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

Repair existing tower

Repair guyed tower, install antenna and feed line

Outside Professional Services Costs

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Section Question Response
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 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 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 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

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 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

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 $56,350.00 $14,000.00 N/A $9,564.34 N/A
Total for all systems $252,412.50 $54,210.00 N/A $29,123.82 N/A
Primary Transmitter 102580.01 $56,350.00 $14,000.00 $9,564.34
1.5" Rigid Conduit and Wiring $3,000.00 $3,000.00 N/A $1,673.12 N/A
Other Electrical Service: Wiring for disconnect and backup generator $5,000.00 $5,000.00 N/A $5,000.00 N/A
5 Ton system $20,250.00 $3,000.00 N/A $39.34 N/A
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts $28,100.00 $3,000.00 Partial reimbursement $2,851.88 N/A

Components

Actual Information Description File Name
1.5" Rigid Conduit and Wiring

Component Description:
rod, misc. bolts, nuts, washers, etc.
Amount:
$110.14

Component Description:
pipe, hangers, connects, elbows
Amount:
$192.04

Component Description:
portion of transmitter cost allowed after PBS. Letter attached
Amount:
$1,370.94
Other Electrical Service: Wiring for disconnect and backup generator

Component Description:
Electrical components and installation- partial invoice
Amount:
$5,000.00
5 Ton system

Component Description:
Facility ID signs
Amount:
$39.34
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts

Component Description:
conduit/parts/labor
Amount:
$2,237.27

Component Description:
Conduit
Amount:
$614.61

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 $10,000.00 $10,000.00 N/A $1,713.00 N/A
Total for all systems $252,412.50 $54,210.00 N/A $29,123.82 N/A
Primary Antenna LP-1900-E-4 $10,000.00 $10,000.00 $1,713.00
UHF-Low Power, Side Mount, Slotted Coaxial, 1.5kW input, Circular $10,000.00 $10,000.00 N/A $1,713.00 N/A

Components

Actual Information Description File Name
UHF-Low Power, Side Mount, Slotted Coaxial, 1.5kW input, Circular

Component Description:
portion of antenna costs not covered by PBS grant. Letter of explanation attached.
Amount:
$1,713.00

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 $177,750.00 $22,000.00 N/A $17,846.48 N/A
Total for all systems $252,412.50 $54,210.00 N/A $29,123.82 N/A
Primary Tower TOWER $177,750.00 $22,000.00 $17,846.48
Repair existing tower $20,000.00 $20,000.00 Structural modifications to comply with tower design guidelines and installation of antenna and feedline $16,742.24 N/A
Tower Rigging Tall Tower (greater than 500') $157,750.00 $2,000.00 Removal of existing antenna from existing tower is the only work necessary for this tower $1,104.24 N/A

Components

Actual Information Description File Name
Repair existing tower

Component Description:
tower reinforcement costs - base plate, guy wires, ground kit
Amount:
$3,630.80

Component Description:
Marking paint
Amount:
$11.45

Component Description:
striping paint
Amount:
$15.18

Component Description:
fiberglass rod guy insulators
Amount:
$405.00

Component Description:
base plate pier pin
Amount:
$44.18

Component Description:
Plywood
Amount:
$242.20

Component Description:
tower bolts
Amount:
$74.85

Component Description:
concrete vibrator
Amount:
$41.50

Component Description:
excavator
Amount:
$912.58

Component Description:
lumber for forms
Amount:
$36.19

Component Description:
lumber/plywood
Amount:
$171.37

Component Description:
torque bars, bolt & pin kits
Amount:
$316.95

Component Description:
tower modification, rate sheet added
Amount:
$7,134.60

Component Description:
removal of old antenna and feedline
Amount:
$1,621.50

Component Description:
compressor
Amount:
$174.89

Component Description:
skidsteer loader
Amount:
$480.42

Component Description:
grade stakes
Amount:
$10.85

Component Description:
concrete for tower base upgrade
Amount:
$976.96

Component Description:
rebar
Amount:
$397.66

Component Description:
visqueen
Amount:
$43.11
Tower Rigging Tall Tower (greater than 500')

Component Description:
travel costs to site
Amount:
$1,104.24

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 $8,312.50 $8,210.00 N/A $0.00 N/A
Total for all systems $252,412.50 $54,210.00 N/A $29,123.82 N/A
Outside Professional Services $8,312.50 $8,210.00 $0.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,500.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $3,000.00 N/A N/A N/A
Form 399 assistance or other Program Management costs $2,000.00 $2,000.00 N/A N/A N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 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 $0.00 $0.00 N/A $0.00 N/A
Total for all systems $252,412.50 $54,210.00 N/A $29,123.82 N/A
Other Expenses $0.00 $0.00 $0.00

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $252,412.50 $54,210.00 $29,123.82

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.

Denise Crossler

Grant & Contract Specialist


09/30/2020

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Denise Crossler

Grant & Contract Specialist


09/30/2020

Attachments

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