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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:
4240
Service:
FM
Call Sign:
WBHM
File Number:
0000086593
FRN:
0009858812
Eligibility Status:
Eligible
Date Submitted:
12/28/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BD OF TRUSTEES/U OF AL AT BIRMINGHAM

Doing Business As: BD OF TRUSTEES/U OF AL AT BIRMINGHAM

Chuck Holmes

650 11TH STREET SOUTH

BIRMINGHAM, AL 35294

United States

+1 (205) 934-2227 chuck@wbhm.org Government Entity

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Darrell Pierson McCalla

Director of Technology and Chief Engineer

WBHM FM, University of Alabama Birmingham

Darrell McCalla

650 11th Street South

Birmingham, AL 35294

United States

+1 (205) 934-9246 darrell@wbhm.org

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 See Special note in Attached files for Transition Plan. Special Notes for Form 399 for WBHM v2.pdf

Question Response
Sharee Station Facility ID 71221
Call Sign WBRC
Type Commercial
Licensee Name GRAY TELEVISION LICENSEE, LLC
Status LICENSED
DTS No
Community of License BIRMINGHAM, AL
Pre-auction RF Channel 29
Post-auction RF Channel 29
Neilsen DMA Birmingham (Ann and Tusc)
Network Affiliation

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? No

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? No
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 Circular
Type Other
Other Antenna Type RotoTiller
ERP: 16.5 kW
Manufacturer
Model AA-LPX03C-C00
Year 2014

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 Circular
Type Other
Other Antenna Type RotoTiller
ERP: 16.0 kW
Manufacturer
Model LPX-3C 3 Bay
Year 2016
Justification for New Antenna WBRC being on Channel 50 guaranteed a change of frequency for the station would occur as the FCC proceeding progressed. We had funds available and wanted to make sure the Repack Antenna change Would not affect the signal for the Community of license.

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No
FM Band Pass Filters Do you require an FM band pass filter? No
Notch Filter Do you require a Notch filter? No
De-Icers Do you require De-Icers? No
Radomes Do you require Radomes? No

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping Cost

Shipping of Antenna System to Tower location

Plate Reducer

Plate Reducer for antenna ISA06-042-12

Antenna Ice Shield

RLA350-150

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 Rigid
Diameter 3 1/8 inches
Segment Length 20 inches
Number of parallel runs 1
Length 1023 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? Yes
Type Flexible Air
Diameter 1 5/8 inches
Number of parallel runs 1
Length 1150 feet per run
Justification for New Transmission Line The feed line was required to connect the AUX antenna to the RF switch located at the transmitter.
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
Does the Installation of the Transmission Line require additional or replacement Inside RF system elbows, fitting, hangers, etc.? Yes

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Antenna-Install Bohn

LABOR TO INSTALL THE BACKUP ANTENNA, COAX SWITCH, COAX AND OTHER ITEMS ASSOCIATED WITH THE BACKUP SYSTEM FOR WBHM AT THE WBRC-TV TOWER SITE.

Inside-RF Bohn

Inside RF crew installed: Inside RF line system with hangers, elbows, and couplings, (2)coax switches, patch panel, remote control. This includes wiring all coax switches, installation of switch controller, remote control IO and interlocks.

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? No

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 8
Explanation Consultant to do a Tower Survey. Form 399 Preparation help for determining POP counts. Legal help in F399 Preparation.
Outside RF consulting Engineering Services Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
Prepare and file Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No
1 pair IP-only Codecs for fiber, internet or IP microwave systems No

Other Expenses

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Other Expenses Not Listed

Name Description

Consel Review

Counsel Review of correspondence with FCC Reimbursement Team

Cost Information

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Transmitters

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 $11,480.58 $14,316.08 N/A $14,316.08 N/A
Total for all systems $103,744.01 $91,198.82 N/A $88,605.51 N/A
Primary Antenna LPX-3C 3 Bay $11,480.58 $14,316.08 $14,316.08
Antenna Ice Shield $2,550.00 $2,550.00 N/A $2,550.00 N/A
Plate Reducer $325.55 $325.55 Plate Reducer $325.55 N/A
Shipping Cost $705.03 $705.03 N/A $705.03 N/A
High Power 11 kW - 25 kW Circularly-polarized $7,900.00 $10,735.50 Antenna is a 3 bay antenna $10,735.50 Both Sub Total and Actual are the same

Components

Actual Information Description File Name
Antenna Ice Shield

Component Description:
Ice Shield
Amount:
$2,550.00
Plate Reducer

Component Description:
Plate Reducer
Amount:
$325.55
Shipping Cost

Component Description:
shipping
Amount:
$705.03
High Power 11 kW - 25 kW Circularly-polarized

Component Description:
Actual Antenna that has no mounting other than the bolts that hold it to the Tower.
Amount:
$10,735.50

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 $82,959.43 $60,879.43 N/A $60,879.43 N/A
Total for all systems $103,744.01 $91,198.82 N/A $88,605.51 N/A
Primary Transmission Line $82,959.43 $60,879.43 $60,879.43
Inside-RF Bohn $9,116.25 $9,116.25 Inside RF crew installed: Inside RF line system with hangers, elbows, and couplings, (2)coax switches, patch panel, remote control. This includes wiring all coax switches, installation of switch controller, remote control IO and interlocks $9,116.25 N/A
Antenna-Install Bohn $27,186.00 $27,186.00 TOWER SERVICES - SUBCONTRACTED - INSTALLATION OF BACKUP ANTENNA AND COAX ON WBRC TOWER, Connectors, Supervision and extra WX days USED 01/01/2017 date for the invoice $27,186.00 N/A
Interior RF Systems: Elbows, fitting, hangers, etc. $342.38 $342.38 1 5/8 EIA to 7/16th Female Step Reducer and frieght $342.38 N/A
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators $8,364.80 $8,364.80 N/A $8,364.80 N/A
Flexible Air Transmission Line - dielectric, 1 5/8" $37,950.00 $15,870.00 N/A $15,870.00 N/A

Components

Actual Information Description File Name
Inside-RF Bohn

Component Description:
107.25 man hours at $85 an hour Inside RF line system with hangers, elbows, and couplings, (2)coax switches, patch panel, remote control. This includes wiring all coax switches, installation of switch controller, remote control IO and interlocks
Amount:
$9,116.25
Antenna-Install Bohn

Component Description:
SUPERVISION OF TOWER CREW FOR AUX ANTENNA INSTALLATION-required by Tower Owner. 2 Extra WX days
Amount:
$5,250.00

Component Description:
TOWER SERVICES - SUBCONTRACTED - INSTALLATION OF BACKUP ANTENNA AND COAX ON WBRC TOWER and EXTRA DAYS DUE TO WX
Amount:
$21,000.00

Component Description:
2x RFS-158EIAPHCA1580 gas pass connectors
Amount:
$936.00
Interior RF Systems: Elbows, fitting, hangers, etc.

Component Description:
1 5/8 to 7/8 Female Step Reducer Vendor EIN is wrong on invoice the correct is this 46-4309635 RF Specialties
Amount:
$342.38
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators

Component Description:
Connector Hangers elbows controllers and switch for project
Amount:
$8,364.80
Flexible Air Transmission Line - dielectric, 1 5/8"

Component Description:
RFS WORLD Cable HCA 158-50 J - AIR DIELECTRIC 50 OHM CABLE
Amount:
$15,870.00

Cost Information

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Tower Equipment and Rigging Costs

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $7,304.00 $14,003.31 N/A $11,530.00 N/A
Total for all systems $103,744.01 $91,198.82 N/A $88,605.51 N/A
Outside Professional Services $7,304.00 $14,003.31 $11,530.00
Form 399 assistance or other Program Management costs $4,750.00 $4,750.00 Includes Analysis of tower, Pop count Analysis and Contours Study $4,750.00 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $6,700.00 M. Scott Johnson of Fletcher, Heald & Hildreth, PLC Form 399 creation and review $6,700.00 N/A
Project management of the transition $844.00 $2,553.31 Several weeks of F399 issues conversing with the Reimburse Team, Myrna Penn and others. $80.00 N/A

Components

Actual Information Description File Name
Form 399 assistance or other Program Management costs

Component Description:
Analysis of ASRN #1007836 Tower for adding AUX 3 bay FM antenna
Amount:
$4,000.00

Component Description:
Analysis of Current Antenna System Operational Status, NEW Aux Antenna System Operational Status Population analysis and contour studies for all modes of operation
Amount:
$750.00
Prepare/ Review 399 reimbursement form

Component Description:
Atty review of Form 399, coorected 11062020.
Amount:
$6,700.00
Project management of the transition

Component Description:
Counsel concerning issues with WBHM Form 399.and final review
Amount:
$80.00

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 $2,000.00 $2,000.00 N/A $1,880.00 N/A
Total for all systems $103,744.01 $91,198.82 N/A $88,605.51 N/A
Other Expenses $2,000.00 $2,000.00 $1,880.00
Consel Review $2,000.00 $2,000.00 N/A $1,880.00 N/A

Components

Actual Information Description File Name
Consel Review

Component Description:
Review proposed communication with FCC 1.00 400.00 Reimbursement Team
Amount:
$1,880.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $103,744.01 $91,198.82 $88,605.51

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. Yes
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.

Darrell Pierson McCalla

Director of Technology_Chief Operator


12/28/2020

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.

Darrell Pierson McCalla

Director of Technology_Chief Operator


12/28/2020

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. 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.

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

  6. 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.

Charles Wesley Holmes

Excutive Director_General Manager


12/28/2020

Attachments

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