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:
25453
Service:
DTV
Call Sign:
KYW-TV
Channel:
30 (UHF)
File Number:
0000027398
FRN:
0003482189
Date Submitted:
10/29/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CBS BROADCASTING INC.

Doing Business As: CBS BROADCASTING INC.

Daniel G. Ryson

2020 M. St., NW - Licensing DEPT

WASHINGTON, DC 20036

United States

+1 (202) 457-4505 dryson@cbs.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

Daniel G Ryson

Director of Spectrum Management

CBS

Daniel G. Ryson

2020 M. St., NW - Licensing DEPT

Washington, DC 20036

United States

+1 (202) 457-4074 dryson@cbs.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. Yes
Briefly describe transition plan New side-mount antenna for interim use will be installed on Tower ASR 1023152 while new bottom mount stacked UHF 30 antenna is mounted on Tower ASR 1035474.

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)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Sigma CD200P2
Year 1999
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 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? Yes
Manufacturer
Model ULXTED-144
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 94.4 kW
Justification for New Transmitter See Attachment 36A Primary Transmitter Overview and Cost Considerations Statement. Comparable transmitter is a ULXTED-100.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 4 inches
Length 100.0 feet
Other Electrical Service Yes
Description 100 feet of 2-inch conduit and 100 feet of 3-inch conduit.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 25 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Surge Suppressor

Parallel surge suppressor required for proper operation of transmitter. See Attachment 2A, Item D2.

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model ULXTE-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.3 kW
Justification for New Transmitter Transmitter required at interim site while main site antenna and transmission line are being replaced.

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 4 inches
Length 50.0 feet
Other Electrical Service Yes
Description 100 feet each of 2-inch and 3-inch conduit.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 0.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Surge Suppressor

Parallel surge suppressor. Required for proper operation of interim transmitter. See Attachment 4, Item D1.

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)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 790.0 kW
Manufacturer
Model TFU-30GBH-R
Year 1999

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 960.0 kW
Manufacturer
Model TFU-28JBH/VP-R O8
Year 2019
Justification for New Antenna Existing antenna cannot be retuned. Quote revised to improve pattern after accommodating top-mount WPSG(TV) Philadelphia. See Attachment 25.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 8 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
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

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
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 Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 420.0 kW
Manufacturer
Model TFU-24WB/VP C160
Year 2019
Justification for New Antenna Main site unavailable during construction of post-transition facility.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim 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? 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)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
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 Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1550 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1350 feet per run
Justification for New Transmission Line Existing segments are an incorrect match for new channel. (Line Length reduced from 1,550 to 1,350 feet 19 Nov 2019.) See Attachment 5A.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 800 feet per run
Justification for New Transmission Line Interim site requires transmitter to be connected to the antenna.

Interim 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

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Interim
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? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1023152
Coordinates (NAD83) Latitude (NAD83) 40° 02' 39.0" N-
Longitude (NAD83) 075° 14' 25.0" W-
Overall Structure Height 1116.13 feet
Support Structure Height 1112.85 feet
Ground Elevation Above Mean Sea Level (AMSL) 252.29 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner ABC INC DBA = WPVI-TV
Date Constructed 01/01/1957

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
8616 WPVI-TV DTV
12499 WPSG DTV

Auxiliary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Auxiliary 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

Auxiliary Tower

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Other Tower Expenses Not Listed

Name Description

Structural Engineering Interim Tower

Structural studies of various antenna and transmission line configuration options on interim tower. Please see Attachments 94 and 97 for quotations.

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex?
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? No
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1035474
Coordinates (NAD83) Latitude (NAD83) 40° 02' 33.0" N-
Longitude (NAD83) 075° 14' 32.0" W-
Overall Structure Height 1276.23 feet
Support Structure Height 1272.95 feet
Ground Elevation Above Mean Sea Level (AMSL) 242.78 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner ABC, INC. DBA = WPVI-TV
Date Constructed 10/23/1998

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
12499 WPSG DTV
8616 WPVI-TV DTV

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 needed for undocumented/poorly documented tower
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 Other
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 250
Explanation Company lacks internal resources.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development 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
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare and file Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement No
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Transmitter Engineering

Engineering Design Services Transmitter Replacement Project

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination 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)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

FCC Filing Fee - STL

FCC Filing Fee - STL

Interim Bldg. Asbestos Removal

Interim Bldg. asbestos removal

Interim Bldg. Contingency

Interim Bldg. misc costs from GC, electrical, mechanical, and fire suppression subcontractors.

Interim Bldg. Electrical Contractor

Interim Bldg. Electrical Contractor

Interim Bldg. Fire Detection

Interim Building Fire Detection and Suppression System.

Interim Bldg. GC and Mech. Contractor

Interim Bldg. GC and Mech. Contractor

Interim Site Generator

Interim Site Generator

STL to Interim Site

STL Hardware to Interim Site

Temp Roadway 2

Temporary Roadway 2 - Required for delivery of long antennas onto property to avoid sharp turn onto existing access roadway. Cost split 50/50 with WPSG. Please see Attachment 104.

Temp Roadway 1

Temporary Roadway Required for Ice Bridge Construction at Interim Tower. Please see quote in Attachment 99. Cost is split 50/50 with WPSG.

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 $5,746,082.46 $3,135,133.63 N/A $2,931,996.17 N/A
Total for all systems $9,483,379.92 $6,195,221.51 N/A $5,120,908.04 N/A
Interim Transmitter ULXTE-40 $1,179,260.82 $977,978.53 $878,841.07
Surge Suppressor $1,510.82 $1,510.82 Parallel surge suppressor. Required for proper operation of interim transmitter. See Attachment 4, Item D1. $1,510.82 If this is left blank, form shows an error stating that the Sub-Total is greater than Estimated Cost. However, the $1,510.82 Sub-Total is the same as the Estimated Cost.
Other Electrical Service: 100 feet each of 2-inch and 3-inch conduit. $7,400.00 $7,400.00 100 feet each of two-inch and three-inch conduit. Widelity Cost Catalog pricing used. N/A N/A
4" Rigid Conduit and Wiring (Cost per foot) $5,050.00 $4,800.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $5,870.00 Required for proper operation of the interim transmitter. See Attachment 4, Item D1. $5,870.00 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $783,244.71 See Attachment 4, Items A, B, and E. Includes Change Orders Q-73688 (Attachment 39), Q‐79360 (Attachment 41), Q‐82319 (Attachment 42) and Q‐83384 (Attachment 43). RF accessories, transformer, surge suppressor, and shipping listed separately. $783,244.71 Subtotal equals estimated cost.
5 Ton system $20,250.00 $10,153.00 Please see proposal in Attachment 101. Total cost split 50/50 with WPSG. $10,153.00 N/A
Other -- Building Addition Size: 0.0 $25,000.00 $25,000.00 Leasehold improvements to building required to accommodate new transmitter equipment. N/A N/A
UHF inside RF system including switching $147,500.00 $140,000.00 N/A $78,062.54 N/A
Primary Transmitter ULXTED-144 $4,566,821.64 $2,157,155.10 $2,053,155.10
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $642,803.95 ***System Notice: Estimate adjusted and locked because line has been superseded.***This cost is for an IOT transmitter capable of meeting our HPol-only CCRPN ERP. $642,803.95 N/A
25 Ton system $91,500.00 $87,000.00 N/A N/A N/A
Surge Suppressor $3,021.64 $3,021.64 Parallel surge suppressor is required for proper operation of transmitter. See Attachment 2B, Item D2. $3,021.64 N/A
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW $2,630,000.00 $1,392,335.91 Cost based on ULXTED-100 Estimate (Attachment 2B) line Items A, B, C, and E plus three change orders minus already-reimbursed $642,803.95 from GatesAir Invoice GO10004708-DP in another now-locked cost category. See also Attachment 82. $1,392,335.91 Sub-total equals estimate cost.
Transformer 3 phase/480v - 300 KVA $36,800.00 $14,993.60 Required for proper operation of repack transmitter. See Attachment 2A, Item D1. $14,993.60 N/A
4" Rigid Conduit and Wiring (Cost per foot) $10,100.00 $9,600.00 N/A N/A N/A
Other Electrical Service: 100 feet of 2-inch conduit and 100 feet of 3-inch conduit. $7,400.00 $7,400.00 100 feet each of two-inch and three-inch conduit. Widelity Cost Catalog pricing used. N/A N/A

Components

Actual Information Description File Name
Surge Suppressor

Component Description:
Please see Attachment 38.
Amount:
$503.61

Component Description:
Please see Attachment 40.
Amount:
$1,007.21
Other Electrical Service: 100 feet each of 2-inch and 3-inch conduit. Information not provided.
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA

Component Description:
Please see Attachment 38
Amount:
$1,956.67

Component Description:
Please see Attachment 40.
Amount:
$3,913.33
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Please see Attachment 38.
Amount:
$260,254.50

Component Description:
Please see Attachment 40.
Amount:
$156,957.41

Component Description:
Invoice is for 1/3 down payment for interim transmitter.
Amount:
$291,302.29

Component Description:
Installation plus change orders. Please see Attachment 44 for details.
Amount:
$74,730.51
5 Ton system

Component Description:
HVAC unit final payment. Please see proposal in attachment 101. Cost split 50/50 with WPSG.
Amount:
$8,162.20

Component Description:
HVAC down payment. Please see proposal in attachment 101. Cost split 50/50 with WPSG.
Amount:
$1,990.80
Other -- Building Addition Size: 0.0 Information not provided.
UHF inside RF system including switching

Component Description:
Please see Attachment 38.
Amount:
$26,020.85

Component Description:
Please see Attachment 40.
Amount:
$52,041.69
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Invoice is for 1/3 down payment for main transmitter.
Amount:
$642,803.95

Component Description:
CBS requests to have this cost rejected since it has been moved to the revised transmitter category.
Amount:
N/A
25 Ton system Information not provided.
Surge Suppressor

Component Description:
This invoice is the primary transmitter progress payment. The amount shown here is based on the ratio of unreimbursed costs times non-upgraded invoice amount. See Attachment 36E.
Amount:
$1,601.03

Component Description:
Please see Statement in Attachment 37.
Amount:
$1,420.61
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW

Component Description:
Please see Statement in Attachment 37
Amount:
$600,819.57

Component Description:
Primary Transmitter Installation and change orders. Please see Attachment 82.
Amount:
$114,396.28

Component Description:
"Comparable" ULXTED-100 transmitter progress payment based on ratio of unreimbursed cost times non-upgraded invoice amount. See Attachment 36E.
Amount:
$677,120.06
Transformer 3 phase/480v - 300 KVA

Component Description:
Invoice is for primary transmitter progress payment. The amount shown here is based on the ratio of unreimbursed costs times non-upgraded invoice amount. See Attachment 36E.
Amount:
$7,944.40

Component Description:
Please see Statement in Attachment 37.
Amount:
$7,049.20
4" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Other Electrical Service: 100 feet of 2-inch conduit and 100 feet of 3-inch conduit. 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 $676,720.00 $527,233.00 N/A $455,707.70 N/A
Total for all systems $9,483,379.92 $6,195,221.51 N/A $5,120,908.04 N/A
Interim Antenna TFU-24WB/VP C160 $365,240.00 $113,980.00 $83,780.00
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized $103,100.00 $80,580.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Please see Attachment 6A, Line 1 and Line 4. Excludes vertical polarization (Line 2) and the custom bracket (Line 3) that was subsequently canceled. Cost split equally with WPSG. Please see Attachment 71. $80,580.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $0.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,200.00 N/A
Primary Antenna TFU-28JBH/VP-R O8 $311,480.00 $413,253.00 $371,927.70
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $393,270.00 Antenna requires additional structural capability to support other antenna stacked above and pattern optimization to compensate for nearby transmission line. See Attachment 5A, Line 1 (minus $37,200 for upgraded V-Pol cost) and Attachment 25. $353,943.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Please see Attachment 5A, Line 22. $5,760.00 N/A
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) $15,250.00 $13,583.00 See Attachment 5A, Line 2. $12,224.70 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized

Component Description:
Please see Attachment 6A, Line 1 and Line 4. Excludes vertical polarization (Line 2) and the custom bracket (Line 3) that was subsequently canceled. Cost split equally with WPSG. Please see Attachment 71.
Amount:
$80,580.00
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized Information not provided.
Sweep test of existing antenna

Component Description:
Interim antenna sweep test. Cost shared equally with KYW-TV. Please see Attachment 71.
Amount:
$3,200.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Antenna minus V-Pol cost 45% down payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$176,971.50

Component Description:
Antenna minus V-Pol cost 45% progress payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$176,971.50
Sweep test of existing antenna

Component Description:
Sweep testing 45% progress payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$2,880.00

Component Description:
Sweep testing 45% down payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$2,880.00
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex 45% down payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$6,112.35

Component Description:
Elbow complex 45% progress payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$6,112.35

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 $654,050.00 $415,575.05 N/A $383,273.22 N/A
Total for all systems $9,483,379.92 $6,195,221.51 N/A $5,120,908.04 N/A
Interim Transmission Line $185,600.00 $92,556.80 $92,556.80
Rigid Transmission Line - copper, 6 1/8" broadband $185,600.00 $92,556.80 See Attachment 6A, Line 5 plus change order 7-25-2019 (Attachment 73). Costs shared equally with KYW-TV. Please see Attachment 71. $92,556.80 N/A
Primary Transmission Line $468,450.00 $323,018.25 $290,716.42
Rigid Transmission Line - copper, 8 3/16" $468,450.00 $323,018.25 1,350 feet of 8 3/16-inch 75 Ohm line. Please see Attachment 5A line 3 for quote. Length and cost reduced 19 Nov 2019. $290,716.42 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
See Attachment 6A, Line 5. Cost shared equally with KYW-TV. Please see Attachment 71.
Amount:
$83,434.80

Component Description:
Cut Line Sections. Please see Attachment 6A Line 5. Cost split equally with KYW-TV.
Amount:
$7,365.00

Component Description:
Cut Line Sections. Please see Attachment 6A Line 5 and Attachment 73. Cost split equally with KYW-TV.
Amount:
$1,757.00
Rigid Transmission Line - copper, 8 3/16"

Component Description:
Transmission line 45% down payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$145,358.21

Component Description:
Sweep testing 45% progress payment. See Attachment 5A for quotation and Attachment 25 for further info.
Amount:
$145,358.21

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 $1,134,100.00 $855,212.37 N/A $244,690.87 N/A
Total for all systems $9,483,379.92 $6,195,221.51 N/A $5,120,908.04 N/A
Primary Tower TOWER $447,300.00 $434,250.00 $45,175.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $12,500.00 50% of Widelity Cost Catalog pricing. Half of cost is shared with WPSG(TV) Facility ID 12499. This cost increased because actual tower documentation was found to be less accurate than initially thought. $8,750.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $421,750.00 Please see quotes in Attachments 58 and 60. Half of costs are shared with WPSG (TV) Facility ID 12499. Tower does not have a candelabra but is complex due to stacked antennas. $36,425.00 N/A
Auxiliary Tower TOWER $686,800.00 $420,962.37 $199,515.87
Structural Engineering Interim Tower $29,000.00 $29,000.00 Structural studies of various antenna and transmission line configuration options on interim tower. Please see Attachments 94 and 97 for quotations. Cost split 50/50 with WPSG. $12,875.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $12,500.00 50% of Widelity Cost Catalog pricing. Half of cost is shared with WPSG(TV). $3,950.00 N/A
Major tower reinforcement/modifications $421,000.00 $200,000.00 50% of Widelity Cost Catalog pricing. Half of cost is shared with WPSG(TV). $28,228.50 N/A
Tall Tower (greater than 500') $210,500.00 $179,462.37 50% of Antenna and Line Rigging quote (Attachment 28) plus 50% of Tower Ice Bridge quote (Attachment 31) Half of cost is shared with WPSG(TV). $154,462.37 N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Invoice is for a 50% final payment. Because this expense is shared with WPSG(TV) Facility ID 12499, KYW-TV seeks reimbursement for only half of the Total Invoice Amount.
Amount:
$4,375.00

Component Description:
Invoice is for a 50% Down payment. Because this expense is shared with WPSG(TV) Facility ID 12499, KYW-TV seeks reimbursement for only half of the Total Invoice Amount.
Amount:
$4,375.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Down payment for antenna and TX line installation. Cost shared 50/50 with WPSG. Please see Attachment 58 for quote.
Amount:
$36,425.00
Structural Engineering Interim Tower

Component Description:
Tower extension structural analysis. Cost split 50/50 with WPSG.
Amount:
$9,875.00

Component Description:
Structural analysis - Batwing. Cost split 50/50 with WPSG.
Amount:
$3,000.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Invoice is for a 50% Down payment. Because this expense is shared with WPSG(TV) Facility ID 12499, KYW-TV seeks reimbursement for only half of the Total Invoice Amount.
Amount:
$3,950.00
Major tower reinforcement/modifications

Component Description:
Install Interim Ice Bridge Grounding. Please see quote in Attachment 56. Cost shared 50% with WPSG.
Amount:
$6,928.50

Component Description:
Remove 3-Inch line from tower. Cost shared 50% with WPSG. Please see quote in Attachment 54.
Amount:
$21,300.00
Tall Tower (greater than 500')

Component Description:
Initial payment to Install ice bridge. Cost is shared 50/50 (Fractional Cents Rounded Down) with WPSG(TV).
Amount:
$26,842.37

Component Description:
Final costs to Install antenna, line, and assist with tuning. Cost is shared 50/50 with WPSG(TV).
Amount:
$52,275.00

Component Description:
Down payment costs to Install antenna, line, and assist with tuning. Cost is shared 50/50 with WPSG(TV).
Amount:
$52,275.00

Component Description:
Progress payment to Install ice bridge. Cost is shared 50/50 with WPSG(TV).
Amount:
$23,070.00

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 $111,385.00 $107,900.00 N/A $53,237.50 N/A
Total for all systems $9,483,379.92 $6,195,221.51 N/A $5,120,908.04 N/A
Outside Professional Services $111,385.00 $107,900.00 $53,237.50
Project management of the transition $39,500.00 $37,500.00 Company lacks sufficient internal resources. N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $937.50 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,400.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Transmitter Engineering $50,900.00 $50,900.00 Transmitter Installation Electrical Engineering. Please see Attachment 83 for estimate. $50,900.00 N/A

Components

Actual Information Description File Name
Project management of the transition Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Preliminary interference study.
Amount:
$937.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare FCC Form 2100 CP Application, Engineering Section.
Amount:
$1,400.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Transmitter Engineering

Component Description:
Interim Transmitter Installation Engineering Design. Progress Payment. Split 50/50 with WPSG.
Amount:
$4,581.00

Component Description:
Interim Transmitter Installation Engineering Design. Progress Payment. Split 50/50 with WPSG.
Amount:
$5,090.00

Component Description:
Interim Transmitter Installation Engineering Design. Progress Payment. Split 50/50 with WPSG.
Amount:
$7,635.00

Component Description:
Interim Transmitter Installation Engineering Design. Progress Payment. Split 50/50 with WPSG.
Amount:
$7,635.00

Component Description:
Interim Transmitter Installation Engineering Design. Progress Payment. Split 50/50 with WPSG.
Amount:
$12,725.00

Component Description:
Interim Transmitter Installation Engineering Design. Progress Payment. Split 50/50 with WPSG.
Amount:
$13,234.00

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 $1,161,042.46 $1,154,167.46 N/A $1,052,002.58 N/A
Total for all systems $9,483,379.92 $6,195,221.51 N/A $5,120,908.04 N/A
Other Expenses $1,161,042.46 $1,154,167.46 $1,052,002.58
Equipment Delivery and Handling Charges $49,566.46 $49,566.46 Based on actual costs. Please see Attachments 44 ($12,643.16), 75 ($3,003.75), 77 ($7,235.51), 78 ($1,829.90), 79 (641.61), and 82 ($24,212.53). $49,566.46 Sub-total equals estimate.
FCC Filing Fee - STL $0.00 $0.00 See FCC Wireless Bureau Fee Filing Guide (Attachment 16 page 19). We were instructed by the Repack Administrator to move 100% of this cost to repack station WPSG so $0.00 is being requested for KYW-TV. $0.00 N/A
Interim Bldg. Asbestos Removal $2,895.00 $2,895.00 Please see quote in Attachment 61. Cost shared equally with WPSG. $2,895.00 N/A
Interim Bldg. Contingency $42,456.50 $42,456.50 Please see proposal Attachment 14. Costs will be split 50/50 with WPSG. We will only seek reimbursement for actual costs, which will be itemized. $42,414.14 N/A
Interim Bldg. Electrical Contractor $449,270.50 $449,270.50 Interim Building Electrical Contractor. See Attachment 14. Site is to be used by KYW-TV and WPSG so only half of the quoted cost is shown here. $449,270.48 N/A
Interim Bldg. Fire Detection $75,240.00 $75,240.00 Interim Building Fire Detection and Suppression System. See Attachment 14. Site is to be used by KYW-TV and WPSG so only half of the quoted cost is shown here. $75,240.00 N/A
Interim Bldg. GC and Mech. Contractor $324,617.50 $324,617.50 Interim Building General Contractor and Mechanical Subcontractor. See Attachment 14. Site is to be used by KYW-TV and WPSG so only half of the quoted cost is shown here. $324,617.48 N/A
Interim Site Generator $146,965.50 $146,965.50 Interim Site Generator. Please see proposal provided as Attachment 90. $80,831.02 N/A
STL to Interim Site $0.00 $0.00 STL equipment, including transmitters, receivers, antennas, waveguide, and frequency coordination. See Attachments 29 and 31. We were instructed by the Repack Administrator to move 100% of this cost to WPSG so $0.00 is being requested here. $0.00 N/A
Temp Roadway 2 $9,988.00 $9,988.00 Temporary Roadway 2 - Required for delivery of long antennas onto property to avoid sharp turn onto existing access roadway. Cost split 50/50 with WPSG. Please see Attachment 104. N/A N/A
Temp Roadway 1 $22,493.00 $22,493.00 Temporary Roadway Required for Ice Bridge Construction at Interim Tower. Please see quote in Attachment 99. Cost is split 50/50 with WPSG. $22,493.00 N/A
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $4,675.00 See Attachment 26 $4,675.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $20,000.00 $20,000.00 N/A N/A N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Transmitter shipping. Please see Attachment 82.
Amount:
$24,212.53

Component Description:
Freight for Interim Transmission Line cut line sections. Cost shared equally with KYW-TV. Please see Attachment 71.
Amount:
$7,235.51

Component Description:
Freight for Interim Transmission Line cut line sections. Cost shared equally with KYW-TV. Please see Attachment 71.
Amount:
$641.61

Component Description:
Interim Antenna, Elbow Complex, Line Freight. Please see Attachment 71.
Amount:
$3,003.75

Component Description:
Freight for Interim Transmission Line cut line sections. Cost shared equally with KYW-TV. Please see Attachment 71.
Amount:
$1,829.90

Component Description:
Interim transmitter shipping based on actual cost. Please see Attachment 44.
Amount:
$12,643.16
FCC Filing Fee - STL

Component Description:
Invoice is for FCC License Application for studio transmitter link. We were instructed by the Repack Administrator to move 100% of this cost to repack station WPSG so $0.00 is being requested for KYW-TV.
Amount:
N/A
Interim Bldg. Asbestos Removal

Component Description:
Asbestos removal. Cost shared equally with WPSG. Please see quotation Attachment 61.
Amount:
$2,895.00
Interim Bldg. Contingency

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$1,694.00

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$2,904.00

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$3,114.90

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$7,567.50

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$9,395.74

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$13,430.50

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Misc Costs from contractors. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$4,307.50
Interim Bldg. Electrical Contractor

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is Elec contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$22,463.52

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is Elec contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$22,463.52

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is Elec contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$112,317.62

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is Elec contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$112,317.62

Component Description:
Invoice is down payment for building General Contractor, Mech subcontractor, Elec Contractor, and Fire Detection and Suppression. This cost is Elec. Contractor. Site used by KYW-TV and WPSG so 50% of the quoted cost is shown here.
Amount:
$179,708.20
Interim Bldg. Fire Detection

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Fire Detection contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$3,762.00

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Fire Detection contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$3,762.00

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Fire Detection contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$18,810.00

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for Fire Detection contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$18,810.00

Component Description:
Invoice is down payment for building General Contractor, Mech subcontractor, Elec Contractor, and Fire Detection and Suppression. This cost is Fire Detection and Suppression. Site used by KYW-TV and WPSG so 50% of the quoted cost is shown here.
Amount:
$30,096.00
Interim Bldg. GC and Mech. Contractor

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for GC and Mech contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$16,230.87

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for GC and Mech contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$81,154.37

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for GC and Mech contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$81,154.37

Component Description:
Invoice is down payment for building General Contractor, Mech subcontractor, Elec Contractor, and Fire Detection and Suppression. This cost is GC and Mech Contractor. Site used by KYW-TV and WPSG so 50% of the quoted cost is shown here.
Amount:
$129,847.00

Component Description:
Invoice is for interim building General Contractor, Mech contractor, Elec contractor, and Fire Detection and Suppression. This cost is for GC and Mech contractor. Site used by KYW-TV and WPSG so 50% of cost is shown here.
Amount:
$16,230.87
Interim Site Generator

Component Description:
Interim Transmitter Generator. Cost split 50/50 with WPSG.
Amount:
$51,437.92

Component Description:
Interim Transmitter Generator. Cost split 50/50 with WPSG.
Amount:
$29,393.10
STL to Interim Site

Component Description:
Invoice is for frequency coordination of studio transmitter link. We were instructed by the Repack Administrator to move 100% of this cost to repack station WPSG so $0.00 is being requested for KYW-TV.
Amount:
N/A
Temp Roadway 2 Information not provided.
Temp Roadway 1

Component Description:
Temporary Roadway. Please see Attachment 99 for quote. Cost split 50/50 with WPSG.
Amount:
$22,493.00
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
Required notification to nearby healthcare facilities. See Attachment 27.
Amount:
$4,675.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
MVPD Notification of Channel Change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $9,483,379.92 $6,195,221.51 $5,120,908.04

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. Yes
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.

Andrew J Siegel

Assistant Secretary


10/29/2020

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.

Andrew J Siegel

Assistant Secretary


10/29/2020

Attachments

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