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:
73358
Service:
LPT
Call Sign:
W38DL-D
Channel:
35 (UHF)
File Number:
0000089349
FRN:
0005828736
Eligibility Status:
Eligible
Date Submitted:
06/16/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WNYT-TV, LLC

Doing Business As: WNYT-TV, LLC

Ryan Vandewiele

3415 UNIVERSITY AVE., WEST

ST. PAUL, MN 55114

United States

+1 (651) 642-4334 kshuldes@hbi.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

Charles R. Naftalin

Legal Counsel

Holland & Knight LLP

800 17th Street, N.W.

Suite #1100

Washington, DC 20006

United States

+1 (202) 457-7040 charles.naftalin@hklaw.com

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 See Exhibit 1 (explaining the station's use of an emergency and other antennas in order to maintain some measure of service during its transition to its final displacement channel).

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 MX1000U
Year 2003
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1000 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 UAXTE-1R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 600 W
Justification for New Transmitter The existing transmitter is channel-specific and cannot be retuned. Its manufacturer is defunct and the transmitter is out of production. See "Cost" Section for explanation of increase in transmitter power. See Exh. 1.

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) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Other Electrical Service Yes
Description Panel, Conduit & Wire, Breakers, Power Distribution Units & Installation
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

Receiver, Translator

Main Channel Receiver

Filter, Mask, Repair Parts

Load Kit to Repair Damaged Mask Filter/Load Assembly

Surge Suppressor

Surge Suppressor, Main Electrical Panel

Commissioning, Transmitter

Transmitter Installation Performance Proof

Filter, Mask, Retuning

Retune Mask Filter from Interim to New Main Channel

Mask Filter, Damage Evaluation

Evaluation of Mask Filter for Damage

Mask Filter, Post Repair - Field Matching , Test

Field Tuning, Repaired Mask Filter Assembly Components

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 Slotted Coaxial
ERP: 3.0 kW
Manufacturer
Model ALP4L1-HSM
Year 2003

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? No
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 ALP12L7-ESOC
Year 2020
Justification for New Antenna Current antenna is channel specific and is "out of core". Station is changing channels.

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 1 5/8 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? 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

Interim Antenna, Side Mount Brackets

Side Mount Brackets for Channel 35 Interim Use

Emergency Antenna Sweep Test

Sweep Test Existing Channel 36 Broadcast Antenna for Emergency Channel 35 Use

Interim Antenna, Sweep Test

Sweep Test Analysis of Interim Antenna

Emergency Antenna Connectors and Interbay Coaxial Line

Connectors and Cable to Replace Failed Coax Section Between Power Divider and Radiating Element for Emergency Antenna

Interim Antenna

Channel 35 Antenna for Interim Channel Use

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 300 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 300 feet per run
Justification for New Transmission Line The replacement antenna will be installed on a different position on the transmission tower.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? Yes

Primary 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 Modify Existing
Tower Use Primary (Main)
Ownership Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1035419
Coordinates (NAD83) Latitude (NAD83) 42° 38' 14.0" N-
Longitude (NAD83) 073° 10' 06.0" W-
Overall Structure Height 249.34 feet
Support Structure Height 200.13 feet
Ground Elevation Above Mean Sea Level (AMSL) 3438.28 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WAMC
Date Constructed 01/01/1983

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
70849 WAMC-FM FM

Other Types of Users

Users
Public Safety

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study need for guyed or free-standing tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major 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

Name Description

Tower Mapping

Verification and Documentation of Structural Integrity and all Appurtenances

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 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 2
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 Yes
Quantity 4
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 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
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

Name Description

Filter, Receiver, Interim Channel

Receiver Filter for Studio Monitoring in Heavy RF Environment

Filter, Receiver, New Main Channel

Receiver Filter for Studio Monitoring in Heavy RF Environment

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 $105,287.50 $105,701.99 N/A $57,035.49 N/A
Total for all systems $550,461.65 $536,342.70 N/A $219,726.12 N/A
Primary Transmitter UAXTE-1R37 $105,287.50 $105,701.99 $57,035.49
Commissioning, Transmitter $5,195.00 $5,195.00 N/A N/A N/A
Filter, Mask, Retuning $7,850.00 $7,850.00 Transmission Mask Filter may be retuned to new permanent channel following interim operation. See Exh. 1. $0.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $1,169.68 Electrical needs require only a 15kVA transformer. $1,169.68 N/A
Receiver, Translator $3,047.50 $3,047.50 N/A $2,971.00 N/A
Other Electrical Service: Panel, Conduit & Wire, Breakers, Power Distribution Units & Installation $5,000.00 $5,000.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts $28,100.00 $52,894.81 Transmitter price includes the mask filter, patch panel, and station load assembly. $52,894.81 N/A
Mask Filter, Damage Evaluation $7,500.00 $7,500.00 N/A $0.00 N/A
Mask Filter, Post Repair - Field Matching , Test $8,500.00 $8,500.00 N/A $0.00 N/A
Surge Suppressor $6,000.00 $6,000.00 N/A N/A N/A
Filter, Mask, Repair Parts $8,545.00 $8,545.00 Truckers damaged the mask filter / load assembly during shipment. See Exhibit 1. $0.00 N/A

Components

Actual Information Description File Name
Commissioning, Transmitter Information not provided.
Filter, Mask, Retuning Information not provided.
Transformer 3 phase/480v - 150 KVA

Component Description:
Materials needed for translator.
Amount:
$1,169.68
Receiver, Translator

Component Description:
Invoice relating to receiver/translator.
Amount:
$2,971.00
Other Electrical Service: Panel, Conduit & Wire, Breakers, Power Distribution Units & Installation Information not provided.
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts

Component Description:
Initial deposit for the transmitter.
Amount:
$17,631.60

Component Description:
Second down payment for the transmitter.
Amount:
$17,631.60

Component Description:
Final payment for the transmitter.
Amount:
$17,631.61
Mask Filter, Damage Evaluation

Component Description:
Mask filter damage evaluation, repair diagnosis and related communication. Portion of invoice is redacted as inapplicable.
Amount:
$7,500.00
Mask Filter, Post Repair - Field Matching , Test

Component Description:
Mask Filter, Post Repair-Field Matching, Test. Portion of invoice is redacted as inapplicable.
Amount:
$8,500.00
Surge Suppressor Information not provided.
Filter, Mask, Repair Parts

Component Description:
Load kit.
Amount:
$8,545.00

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 $68,392.15 $63,885.15 N/A $33,672.15 N/A
Total for all systems $550,461.65 $536,342.70 N/A $219,726.12 N/A
Primary Antenna ALP12L7-ESOC $68,392.15 $63,885.15 $33,672.15
Elbow complex, single channel, 1 5/8” input (if needed) $6,900.00 $880.00 N/A N/A N/A
Side Mount antenna brackets $4,625.00 $6,368.00 Side mount requires a custom, tapered side mount for a freestanding tower. Estimated cost based on vendor's quote. N/A N/A
Sweep test of transmission line and antenna $5,730.00 $5,500.00 Estimated cost is based on antenna manufacturer's quote. N/A N/A
Interim Antenna, Side Mount Brackets $3,915.00 $3,915.00 Brackets to mount interim antenna. See Exh. 1. $3,915.00 N/A
Emergency Antenna Sweep Test $4,300.00 $4,300.00 Evaluation of abandoned Channel 36 antenna for emergency operation on Channel 35. $4,300.00 N/A
Interim Antenna, Sweep Test $6,400.00 $6,400.00 N/A $6,400.00 N/A
Interim Antenna $18,317.50 $18,317.50 Station moved to Channel 35 on an interim basis. The estimated cost reflects standard MFR 15% discount on H-Pol model antenna. See Exh. 1. $18,317.50 N/A
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Elliptical $17,465.00 $17,465.00 Quoted price for final antenna is for horizontal polarization only - the Station will not request reimbursement for any cost incurred for obtaining an elliptical upgrade. See Exh. 1. N/A N/A
Emergency Antenna Connectors and Interbay Coaxial Line $739.65 $739.65 Transmission Line & Connectors to Repair Damaged Antenna for Emergency Use $739.65 N/A

Components

Actual Information Description File Name
Elbow complex, single channel, 1 5/8” input (if needed) Information not provided.
Side Mount antenna brackets Information not provided.
Sweep test of transmission line and antenna Information not provided.
Interim Antenna, Side Mount Brackets

Component Description:
Portion of invoice relating to custom brackets. See Quote, Line 2.
Amount:
$1,957.50

Component Description:
Portion of invoice relating to custom mounts. See Quote, Line 2.
Amount:
$1,957.50
Emergency Antenna Sweep Test

Component Description:
Emergency antenna sweet test
Amount:
$4,300.00
Interim Antenna, Sweep Test

Component Description:
Interim antenna sweep test
Amount:
$6,400.00
Interim Antenna

Component Description:
Portion of invoice relating to interim antenna. See Quote, Line 12.
Amount:
$9,158.75

Component Description:
Portion of invoice relating to the interim antenna. See Quote, Line 12
Amount:
$9,158.75
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Elliptical Information not provided.
Emergency Antenna Connectors and Interbay Coaxial Line

Component Description:
OHM Reducer to Type "N" Female
Amount:
$284.48

Component Description:
Ohm Reducers (Unflanged, to "N" Female and Type "N"Female)
Amount:
$455.17

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 $7,200.00 $6,678.56 N/A $6,678.54 N/A
Total for all systems $550,461.65 $536,342.70 N/A $219,726.12 N/A
Primary Transmission Line $7,200.00 $6,678.56 $6,678.54
Flexible Foam Transmission Line - dielectric, 1 5/8" $7,200.00 $6,678.56 N/A $6,678.54 N/A
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators $0.00 $0.00 The transmitter package included a panel and load with the mask filter assembly and its cost is included in "transmitter expenses". N/A N/A

Components

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

Component Description:
Portion of invoice relating to transmission line. See Quote, Line 3-11.
Amount:
$3,339.27

Component Description:
Portion of invoice relating to transmission line. See Quote, Line 3-11.
Amount:
$3,339.27
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators 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 $262,052.00 $289,062.00 N/A $113,442.25 N/A
Total for all systems $550,461.65 $536,342.70 N/A $219,726.12 N/A
Primary Tower TOWER $262,052.00 $289,062.00 $113,442.25
Tower Rigging Short Tower (less than 500') $56,190.00 $84,400.00 Tower rigging cost exceeds predetermined cost estimate due to the extra expense of analyzing and preparing an emergency antenna and interim operation in order to better maintain service to the public during the displacement process. $59,906.25 N/A
Study needed for guyed or free-standing tower $8,700.00 $7,500.00 N/A $7,500.00 N/A
Tower Mapping $7,162.00 $7,162.00 Tower Inspection and Appurtenance Details were not readily available for leased structure. $7,162.00 N/A
Major tower reinforcement/modifications $190,000.00 $190,000.00 N/A $38,874.00 N/A

Components

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

Component Description:
Emergency antenna repair
Amount:
$1,682.50

Component Description:
Tower rigging - removed disused ALP-4 antenna and line 5" transmission line, ultrascan and accessories. Install new TLP-12 antenna and line.
Amount:
$52,800.00

Component Description:
Emergency antenna evaluation
Amount:
$1,023.75

Component Description:
Tower rigging to remove emergency broadcast antenna.
Amount:
$4,400.00
Study needed for guyed or free-standing tower

Component Description:
Broadcast analysis (4 of 4)
Amount:
$1,250.00

Component Description:
Broadcast analysis (3 of 4)
Amount:
$1,250.00

Component Description:
Broadcast analysis (2 of 4)
Amount:
$2,500.00

Component Description:
Broadcast analysis (1 of 4)
Amount:
$2,500.00
Tower Mapping

Component Description:
Tower mapping
Amount:
$3,581.00

Component Description:
Tower mapping
Amount:
$3,581.00
Major tower reinforcement/modifications

Component Description:
Broadcast structural services (50% down payment)
Amount:
$19,437.00

Component Description:
Broadcast structural services (final down payment)
Amount:
$19,437.00

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 $84,630.00 $47,925.00 N/A $0.00 N/A
Total for all systems $550,461.65 $536,342.70 N/A $219,726.12 N/A
Outside Professional Services $84,630.00 $47,925.00 $0.00
Comprehensive coverage verification via field study, if needed $52,600.00 $20,500.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $8,940.00 $4,400.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $3,250.00 N/A N/A N/A
Form 399 assistance or other Program Management costs $6,000.00 $6,000.00 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,560.00 $2,550.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,100.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,050.00 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
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,575.00 N/A N/A N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,700.00 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 $22,900.00 $23,090.00 N/A $8,897.69 N/A
Total for all systems $550,461.65 $536,342.70 N/A $219,726.12 N/A
Other Expenses $22,900.00 $23,090.00 $8,897.69
Filter, Receiver, New Main Channel $325.00 $325.00 Filter to allow reception of main channel translator at WNYT's studio in environment with heavy RF interference. N/A N/A
Filter, Receiver, Interim Channel $325.00 $325.00 Filter to allow reception of interim channel translator at WNYT's studio in environment with heavy RF interference. $40.00 N/A
Equipment Delivery and Handling Charges $18,000.00 $18,000.00 N/A $12,209.83 N/A
FCC Filing Fees - Special Temporary Authorization request $305.00 $800.00 We anticipate four STA's to allow emergency and interim operation during construction. 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 $805.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $1,500.00 $1,500.00 N/A ($3,352.14) N/A
Equipment Storage $1,000.00 $1,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Filter, Receiver, New Main Channel Information not provided.
Filter, Receiver, Interim Channel

Component Description:
Retune filter
Amount:
$40.00
Equipment Delivery and Handling Charges

Component Description:
Freight charges relating to transmitter.
Amount:
$3,815.10

Component Description:
Shipping cost related to Ohm reducers.
Amount:
$10.14

Component Description:
Freight cost relating to interim antenna, custom mounts and transmission line.
Amount:
$1,555.74

Component Description:
Freight relating to receiver/translator.
Amount:
$59.54

Component Description:
Haul equipment to station.
Amount:
$6,750.00

Component Description:
Shipping cost related to Ohm reducers.
Amount:
$10.89

Component Description:
Mask filter assembly delivery
Amount:
$1,532.00

Component Description:
Shipping and handling charge related to retune filter.
Amount:
$8.42
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.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal of temporary broadcast antenna.
Amount:
$300.00

Component Description:
Sale of articles from the Station's tower to a scrap yard.
Amount:
($510.56)

Component Description:
Sale of articles from Station's tower to a scrap yard.
Amount:
($179.80)

Component Description:
Sale of articles from Station's tower to a scrap yard.
Amount:
($17.78)

Component Description:
Sale of articles from Station's tower to a scrap yard.
Amount:
($2,944.00)

Component Description:
Scrap removal
Amount:
$610.00
Equipment Storage Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $550,461.65 $536,342.70 $219,726.12

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.

Ryan Vandewiele

Vice President


06/16/2021

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.

Ryan Vandewiele

Vice President


06/16/2021

Attachments

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