Applicant | Address | Phone | 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 |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
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|
|
Applicant | Address | Phone | |
---|---|---|---|
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 |
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). |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
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 |
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. |
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 |
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 |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
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 |
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. |
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 |
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 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
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 |
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 |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
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 |
Facility ID | Call Sign | Service |
---|---|---|
70849 | WAMC-FM | FM |
Users |
---|
Public Safety |
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 |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Tower Mapping |
Verification and Documentation of Structural Integrity and all Appurtenances |
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 |
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 |
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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $105,287.50 | $105,701.99 | N/A | $52,894.81 | N/A |
Total for all systems | $550,461.65 | $536,342.70 | N/A | $182,510.70 | N/A |
Primary Transmitter UAXTE-1R37 | $105,287.50 | $105,701.99 | $52,894.81 | ||
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. | $0.00 | N/A |
Receiver, Translator | $3,047.50 | $3,047.50 | N/A | $0.00 | 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 |
Actual Information Description | File Name |
---|---|
Commissioning, Transmitter | Information not provided. |
Filter, Mask, Retuning | Information not provided. |
Transformer 3 phase/480v - 150 KVA | |
Receiver, Translator | |
Other Electrical Service: Panel, Conduit & Wire, Breakers, Power Distribution Units & Installation | Information not provided. |
UHF - Air Cooled Solid State Transmitter 320 - 700 Watts | |
Mask Filter, Damage Evaluation | |
Mask Filter, Post Repair - Field Matching , Test | |
Surge Suppressor | Information not provided. |
Filter, Mask, Repair Parts |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $68,392.15 | $63,885.15 | N/A | $11,439.65 | N/A |
Total for all systems | $550,461.65 | $536,342.70 | N/A | $182,510.70 | N/A |
Primary Antenna ALP12L7-ESOC | $68,392.15 | $63,885.15 | $11,439.65 | ||
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. | $0.00 | 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. | $0.00 | 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 |
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 | |
Emergency Antenna Sweep Test | |
Interim Antenna, Sweep Test | |
Interim Antenna | |
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Elliptical | Information not provided. |
Emergency Antenna Connectors and Interbay Coaxial Line |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $7,200.00 | $6,678.56 | N/A | $0.00 | N/A |
Total for all systems | $550,461.65 | $536,342.70 | N/A | $182,510.70 | N/A |
Primary Transmission Line | $7,200.00 | $6,678.56 | $0.00 | ||
Flexible Foam Transmission Line - dielectric, 1 5/8" | $7,200.00 | $6,678.56 | N/A | $0.00 | 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 |
Actual Information Description | File Name |
---|---|
Flexible Foam Transmission Line - dielectric, 1 5/8" | |
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $262,052.00 | $289,062.00 | N/A | $110,942.25 | N/A |
Total for all systems | $550,461.65 | $536,342.70 | N/A | $182,510.70 | N/A |
Primary Tower TOWER | $262,052.00 | $289,062.00 | $110,942.25 | ||
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 | $5,000.00 | 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 |
Actual Information Description | File Name |
---|---|
Tower Rigging Short Tower (less than 500') | |
Study needed for guyed or free-standing tower | |
Tower Mapping | |
Major tower reinforcement/modifications |
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 | $182,510.70 | 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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $22,900.00 | $23,090.00 | N/A | $7,233.99 | N/A |
Total for all systems | $550,461.65 | $536,342.70 | N/A | $182,510.70 | N/A |
Other Expenses | $22,900.00 | $23,090.00 | $7,233.99 | ||
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. | $0.00 | N/A |
Equipment Delivery and Handling Charges | $18,000.00 | $18,000.00 | N/A | $10,586.13 | 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 |
Actual Information Description | File Name |
---|---|
Filter, Receiver, New Main Channel | Information not provided. |
Filter, Receiver, Interim Channel | |
Equipment Delivery and Handling Charges | |
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) | |
Equipment Storage | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $550,461.65 | $536,342.70 | $182,510.70 |
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 |
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. |
|
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 |
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). |
|
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 |