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:
10242
Service:
DTV
Call Sign:
KQCA
Channel:
23 (UHF)
File Number:
0000026714
FRN:
0001587583
Date Submitted:
02/08/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Hearst Stations Inc.

Doing Business As: Hearst Stations Inc.

PO Box 1800

Raleigh, NC 27601

United States

+1 (919) 839-0300 shartzell@brookspierce.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

The Preparer is same as the reimbursement contact.

 

 

 

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 attached transition plan document

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 CD3200P2
Year 2005
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 ULXTE-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.3 kW
Justification for New Transmitter Existing IOT transmitter cannot be converted to post-transition channel, see GatesAir EOL and HTV IOT to Solid-State Justification statements. An IOT replacement is more expensive than proposed SS transmitter. See attached Comark IOT Transmitter quote.

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 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description See attached quote for transmitter installation electrical service
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
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

Sales Tax

sales tax

Change Order

required changes to transmitter configuration and services

Heat Exchanger Filters

Filters for transmitter heat exchangers needed due to environmental conditions

RF Accessories

Additional RF components required for transmitter operation and integration into current RF environment

Electrical Accessories

Surge protection required by manufacturer

Transmitter Remote Control

equipment to integrate repack transmitter into current transmitter remote control

Transmitter de-install

remove and dispose old transmitter

Shipping

transmitter shipping

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 Retune Existing
Antenna Use Primary (Main)
Description of Use N/A
Ownership Leased
Owner American Tower Corp.
Site N/A
Is the existing antenna shared with another station or stations? Yes
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 Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels 80
Design power capacity in use 45.0 %
Lower Limit 502.00 MHz
Upper Limit 678.00 MHz
Other Antenna Type N/A
ERP: 600.0 kW
Manufacturer Dielectric
Model DeltastarTUG-05-16/80H-2-B
Year 2003

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
51499 KMAX-TV
33875 KCRA-TV

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

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? Yes
Type New
Number of channels supported 3
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
23
24
35

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax

Combiner Sales Tax

Shipping

Combiner Frieght

Electrical

Combiner electrical install

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use backup to main antenna
Ownership Owned
Owner N/A
Site N/A
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 Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
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-24DSB-C170
Year 2010

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Aux and interim use
Change Type Purchase New
Is this a request for upgraded equipment? No
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? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
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: 425.0 kW
Manufacturer
Model TFU-28DSC-RO4
Year 2019
Justification for New Antenna Current antenna is channel specific and cannot be used on post-transition channel. Antenna must be replaced.

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
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 7 3/16 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

Auxiliary Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax

Antenna sales tax

Shipping

Antenna shipping

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 Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Leased
Owner American Tower Corp.
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 2200 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
51499 KMAX-TV
33875 KCRA-TV

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

void

entered row to satisfy form

Auxiliary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup
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 7 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1800 feet per run

Auxiliary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use backup
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1800 feet per run
Justification for New Transmission Line Current transmission line segment length is not compatible with post-transition channel and must be replaced.

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Line sweep

Sweep transmission line to determine if usable on post-transition channel

Sales Tax

estimated sales tax based on California and local sales tax rate of 8.25%

Shipping

transmission line shipping

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1015686
Coordinates (NAD83) Latitude (NAD83) 38° 15' 54.0" N-
Longitude (NAD83) 121° 29' 28.0" W-
Overall Structure Height 2000.30 feet
Support Structure Height 1904.83 feet
Ground Elevation Above Mean Sea Level (AMSL) 0.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Hearst Stations Inc.
Date Constructed 10/01/1985

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
51499 KMAX-TV DTV
33875 KCRA-TV DTV
52953 KSPX-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 documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Consulting

Tower consulting and tower project management

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 380
Explanation Need RF and design experience not available in-house.
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
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 No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
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 Site Survey

Transmitter planning survey & transmitter building drawings

Non-Catalog legal expenses

Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues

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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
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? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Contract Labor

labor directly related to the station channel change

Transmitter site access

transmitter road work required for tower crew to access site for tower work

in-house labor

in-house labor directly related to station's repack

Transmitter site grounds

Restore area around transmitter site after heavy equipment damage by tower crew

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 $1,264,763.43 $1,163,727.37 N/A $1,162,889.15 N/A
Total for all systems $3,211,977.93 $2,668,604.44 N/A $2,644,912.62 N/A
Primary Transmitter ULXTE-40 $1,264,763.43 $1,163,727.37 $1,162,889.15
Transmitter Remote Control $7,468.94 $7,468.94 equipment needed to integrate repack transmitter into current transmitter remote control system $7,468.94 N/A
Shipping $11,438.34 $11,438.34 Transmitter shipping $11,438.34 N/A
Electrical Accessories $3,075.53 $3,075.53 Required by transmitter manufacturer. See related quotes. $3,075.53 N/A
Change Order $19,830.14 $19,830.14 ***System Notice: Estimate adjusted and locked because line has been superseded.***required changes to transmitter configuration $19,830.14 N/A
Sales Tax $68,647.08 $68,647.08 sales tax per GatesAir transmitter quote $68,647.08 N/A
RF Accessories $72,220.30 $72,220.30 Additional RF components required for replacement transmitter operation. . $72,220.30 N/A
Transmitter de-install $32,823.10 $32,823.10 See two quotes in attachments. 29001 Proposal-Signed KQCA TV Transformer Removal- Thorton rd Walnut Grove CA 95690 revised 8-12-20.pdf Xmtr removal.pdf $32,823.10 N/A
Other Electrical Service: See attached quote for transmitter installation electrical service $71,725.00 $71,725.00 transmitter installation electrical service per attached quotes and invoices $71,725.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $5,870.00 N/A $5,870.00 N/A
Heat Exchanger Filters $4,985.00 $4,985.00 filters for heat exchanges needed due to environmental conditions $4,985.00 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $865,643.94 N/A $864,805.72 N/A

Components

Actual Information Description File Name
Transmitter Remote Control

Component Description:
KQCA transmitter remote control equipment
Amount:
$7,468.94
Shipping

Component Description:
KQCA transmitter shipping
Amount:
$11,438.34
Electrical Accessories

Component Description:
KQCA transmitter electrical transfer switch
Amount:
$1,133.04

Component Description:
KQCA transmitter surge suppressor
Amount:
$1,942.49
Change Order

Component Description:
KQCA change order Q-74972 equipment
Amount:
$19,830.14
Sales Tax

Component Description:
KQCA transmitter sales tax 1
Amount:
$68,647.08
RF Accessories

Component Description:
KQCA transmitter RF accessories
Amount:
$72,220.30
Transmitter de-install

Component Description:
KQCA transmitter de-install down payment
Amount:
$4,700.00

Component Description:
KQCA transmitter de-install 3
Amount:
$9,192.00

Component Description:
KQCA transmitter de-install payment 2
Amount:
$18,931.10
Other Electrical Service: See attached quote for transmitter installation electrical service

Component Description:
KQCA transmitter electrical installation 4
Amount:
$6,595.00

Component Description:
KQCA transmitter electrical installation 3
Amount:
$6,513.00

Component Description:
KQCA transmitter electrical installation 2
Amount:
$9,769.50

Component Description:
KQCA transmitter electrical installation 1
Amount:
$48,847.50
Transformer 3 phase/480v - 150 KVA

Component Description:
KQCA transmitter transformer
Amount:
$5,870.00
Heat Exchanger Filters

Component Description:
KQCA heat exchanger filters
Amount:
$4,985.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
KQCA transmitter installation
Amount:
$64,099.19

Component Description:
Deposit on Transmitter
Amount:
$95,853.94

Component Description:
KQCA transmitter plumbing installation 4
Amount:
$3,552.48

Component Description:
KQCA transmitter delivery
Amount:
$122,523.37

Component Description:
KQCA transmitter plumbing installation 1
Amount:
$34,443.26

Component Description:
KQCA transmitter plumbing installation 2
Amount:
$15,537.00

Component Description:
Second Deposit on Transmitter
Amount:
$215,264.19

Component Description:
KQCA transmitter plumbing installation 3
Amount:
$13,510.00

Component Description:
KQCA cooling system manifold replacement
Amount:
$1,000.00

Component Description:
KQCA transmitter prior to shipment
Amount:
$299,022.29

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 $385,674.59 $580,361.22 N/A $563,871.76 N/A
Total for all systems $3,211,977.93 $2,668,604.44 N/A $2,644,912.62 N/A
Primary Antenna DeltastarTUG-05-16/80H-2-B $120,612.85 $322,421.98 $322,421.98
Sales Tax $19,259.40 $19,259.40 per GatesAir invoice US0337860 $19,259.40 N/A
Shipping $9,413.45 $9,413.45 per GatesAir invoice US0337860 $9,413.45 N/A
New combiner, cost per channel (without antenna) $84,200.00 $287,773.83 See attached invoices. There are currently two combiners with switching so this quote is a like-for-like replacement of the existing system. One existing combiner is a CIF and replacing it with a manifold combiner saves $$ and time. $287,773.83 N/A
Sweep test of existing antenna $6,730.00 $4,965.30 N/A $4,965.30 N/A
Electrical $1,010.00 $1,010.00 per invoice $1,010.00 N/A
Auxiliary Antenna TFU-28DSC-RO4 $265,061.74 $257,939.24 $241,449.78
Sales Tax $17,255.25 $17,255.25 California sales tax $17,255.25 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $222,494.50 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $206,005.04 N/A
Shipping $14,526.49 $14,526.49 Shipping per Dielectric invoice $14,526.49 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $0.00 Side mount brackets per attached Dielectric quote $0.00 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $0.00 N/A $0.00 N/A
Sweep test of existing antenna $6,730.00 $3,663.00 N/A $3,663.00 N/A

Components

Actual Information Description File Name
Sales Tax

Component Description:
KQCA combiner sales tax
Amount:
$19,259.40
Shipping

Component Description:
KQCA combiner freight
Amount:
$9,413.45
New combiner, cost per channel (without antenna)

Component Description:
KQCA RF Scout wire sales tax
Amount:
$44.10

Component Description:
KQCA RF Scout wire
Amount:
$504.00

Component Description:
KQCA combiner 1/3 prior to ship
Amount:
$95,580.69

Component Description:
KQCA combiner delivery
Amount:
$47,090.86

Component Description:
KQCA RF Scout wire shipping
Amount:
$291.40

Component Description:
KQCA combiner installation
Amount:
$48,682.09

Component Description:
KQCA combiner 1/3 down payment
Amount:
$95,580.69
Sweep test of existing antenna

Component Description:
KQCA main RF system & combiner sweep
Amount:
$4,965.30
Electrical

Component Description:
WDSU combiner electrical
Amount:
$1,010.00
Sales Tax

Component Description:
KQCA antenna sales tax
Amount:
$15,368.12

Component Description:
KQCA antenna sales tax 2
Amount:
$1,887.13
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
KQCA Dielectric Aux antenna; payments 1&2 - 45%; $103,002.52
Amount:
$103,002.52

Component Description:
KQCA Dielectric Aux antenna; 45% payment prior to ship
Amount:
$103,002.52
Shipping

Component Description:
KQCA antenna shipping
Amount:
$14,526.49
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) Information not provided.
Sweep test of existing antenna

Component Description:
KQCA combiner, antenna, transmission line sweep
Amount:
$3,663.00

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 $594,785.53 $400,674.24 N/A $400,674.24 N/A
Total for all systems $3,211,977.93 $2,668,604.44 N/A $2,644,912.62 N/A
Primary Transmission Line $0.00 $0.00 $0.00
void $0.00 $0.00 N/A N/A N/A
Auxiliary Transmission Line $594,785.53 $400,674.24 $400,674.24
Shipping $42,364.26 $42,364.26 per Dielectric invoices $42,364.26 N/A
Sales Tax $24,421.27 $24,421.27 sales tax based on California and local sales tax rate of 8.25% $24,421.27 N/A
Line sweep $6,000.00 $6,000.00 Test transmission line to determine if it will work on post-transition channel $6,000.00 N/A
Rigid Transmission Line - copper, 7 3/16" $522,000.00 $327,888.71 per Dielectric invoices $327,888.71 N/A

Components

Actual Information Description File Name
void Information not provided.
Shipping

Component Description:
KQCA transmission line shipping
Amount:
$24,232.50

Component Description:
KQCA additional TL shipping 2
Amount:
$1,658.22

Component Description:
KQCA TL xfmr shipping
Amount:
$80.00

Component Description:
KQCA additional TL hangers shipping
Amount:
$3,239.81

Component Description:
KQCA additional TL shipping 1
Amount:
$1,658.22

Component Description:
KQCA additional TL shipping
Amount:
$11,495.51
Sales Tax

Component Description:
KQCA transmission line sales tax
Amount:
$24,037.32

Component Description:
KQCA TL xfmr sales tax
Amount:
$383.95
Line sweep

Component Description:
KQCA transmission line sweep
Amount:
$6,000.00
Rigid Transmission Line - copper, 7 3/16"

Component Description:
KQCA TL xfmr
Amount:
$4,388.00

Component Description:
KQCA transmission line
Amount:
$22,874.30

Component Description:
KQCA additional TL hangers
Amount:
$5,177.25

Component Description:
KQCA Dielectric Aux Transmission line; payments 1&2 - 45%; $138,698.33
Amount:
$138,698.33

Component Description:
KQCA auxiliary transmission line 45% payment prior to ship
Amount:
$138,698.33

Component Description:
KQCA additional TL 1
Amount:
$2,730.00

Component Description:
KQCA additional TL elbows
Amount:
$7,627.50

Component Description:
KQCA additional TL
Amount:
$7,695.00

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 $648,387.00 $299,909.04 N/A $299,909.04 N/A
Total for all systems $3,211,977.93 $2,668,604.44 N/A $2,644,912.62 N/A
Primary Tower TOWER $648,387.00 $299,909.04 $299,909.04
Tower Consulting $4,287.00 $4,287.00 tower consulting per invoices $4,287.00 N/A
Major tower reinforcement/modifications $421,000.00 $0.00 restudied the tower under new load conditions and no modifications are required N/A N/A
Tall Tower (greater than 500') $210,500.00 $269,622.04 per BEI invoices $269,622.04 N/A
Structural engineering tower load study for well documented tower $12,600.00 $26,000.00 see invoices $26,000.00 N/A

Components

Actual Information Description File Name
Tower Consulting

Component Description:
KQCA tower consulting September 2019
Amount:
$200.00

Component Description:
KQCA tower consulting 2
Amount:
$150.00

Component Description:
KQCA tower consulting August 2019
Amount:
$200.00

Component Description:
KQCQ tower consulting 3
Amount:
$450.00

Component Description:
KQCA tower consulting invoice 1
Amount:
$3,287.00
Major tower reinforcement/modifications Information not provided.
Tall Tower (greater than 500')

Component Description:
KQCA antenna and line installation change order
Amount:
$32,892.04

Component Description:
KQCA antenna & line installation down payment
Amount:
$23,673.00

Component Description:
KQCA antenna and line installation completion payment
Amount:
$94,692.00

Component Description:
KQCA antenna & line installation progress payment
Amount:
$118,365.00
Structural engineering tower load study for well documented tower

Component Description:
KQCA feasibility structural evaluation 1
Amount:
$11,250.00

Component Description:
KQCA invoice 1 for tower structural analysis. Supporting quote provided
Amount:
$1,750.00

Component Description:
KQCA tower feasibility structural analysis
Amount:
$11,250.00

Component Description:
KQCA Invoice 2 for tower structural analysis. Supporting quote provided
Amount:
$1,750.00

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 $224,733.82 $136,178.21 N/A $131,209.07 N/A
Total for all systems $3,211,977.93 $2,668,604.44 N/A $2,644,912.62 N/A
Outside Professional Services $224,733.82 $136,178.21 $131,209.07
Non-Catalog legal expenses $21,288.82 $21,288.82 Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues per attached invoices $21,288.82 N/A
Transmitter Site Survey $20,600.00 $20,600.00 Transmitter Site Survey. Quote with description attached. $20,600.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $5,324.00 per TI Digital quote and invoices $5,324.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $416.50 N/A $416.50 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $458.25 N/A $458.25 N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $1,897.75 N/A $1,897.75 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $2,192.12 N/A $2,192.12 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $250.00 N/A $250.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $250.00 N/A $250.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $1,050.00 N/A $1,050.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $1,450.00 N/A $1,450.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $437.50 N/A $437.50 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
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $1,530.86 N/A
Project management of the transition $60,040.00 $74,063.27 Per attached TI Digital invoices $74,063.27 -

Components

Actual Information Description File Name
Non-Catalog legal expenses

Component Description:
KQCA non-catalog legal 6
Amount:
$11,029.00

Component Description:
KQCA non-catalog legal 3
Amount:
$1,081.00

Component Description:
KQCA non-catalog legal 5
Amount:
$376.00

Component Description:
KQCA non-catalog legal 2
Amount:
$3,690.02

Component Description:
KQCA non-catalog legal expenses 4/1/2017-4/30/2018
Amount:
$2,596.20

Component Description:
KQCA non-catalog legal 4
Amount:
$2,516.60
Transmitter Site Survey

Component Description:
KQCA GatesAir Site Survey
Amount:
$20,600.00
Comprehensive coverage verification via field study, if needed

Component Description:
KQCA coverage verification 2
Amount:
$2,662.00

Component Description:
KQCA coverage verification 1
Amount:
$2,662.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
KQCA Prepare and File request for Special Temporary Authorization
Amount:
$416.50
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
KQCA Prepare and file FCC Form 2100 (main) License to Cover Application
Amount:
$458.25
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application

Component Description:
KQCA Aux Antenna, Prepare and File Form 2100 Construction Permit or License Application
Amount:
$1,897.75
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
KQCA Prepare and File FCC Form 2100, Construction Permit Application 3
Amount:
$130.00

Component Description:
KQCA Prepare and File FCC Form 2100, Construction Permit Application 2
Amount:
$1,054.52

Component Description:
KQCA legal-Prepare and File FCC Form 2100, Construction Permit Application
Amount:
$1,007.60
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application

Component Description:
KQCA RF consulting auxiliary antenna license to cover
Amount:
$250.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
KQCA RF Consulting for main antenna license to cover
Amount:
$250.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application

Component Description:
KQCA RF consulting for auxiliary antenna construction permit
Amount:
$1,050.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
prepare engineering section for construction permit application
Amount:
$1,450.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering study for new channel assignment
Amount:
$437.50
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
KQCA Prepare and/or review reimbursement Form 399 3
Amount:
$47.00

Component Description:
KQCA Prepare and/or review reimbursement Form 399 5
Amount:
$52.50

Component Description:
KQCA Prepare and/or review reimbursement Form 399 4
Amount:
$94.00

Component Description:
KQCA legal-Prepare and/or review reimbursement Form 399
Amount:
$1,037.30

Component Description:
KQCA Prepare and/or review reimbursement Form 399 2
Amount:
$300.06
Project management of the transition

Component Description:
KQCA project management January and February 2016
Amount:
$177.53

Component Description:
KQCA project management April 2020
Amount:
$880.20

Component Description:
KQCA project management November 2017
Amount:
$297.50

Component Description:
KQCA project management 32
Amount:
$1,980.45

Component Description:
KQCA project management February 2020
Amount:
$3,576.00

Component Description:
KQCA project management March 2020
Amount:
$635.40

Component Description:
KCRA Project Management October 2016
Amount:
$610.98

Component Description:
KQCA project management October 2020
Amount:
$450.00

Component Description:
KQCA project management January 2020
Amount:
$15,539.10

Component Description:
KQCA project management October 2019
Amount:
$506.11

Component Description:
KQCA project management June 2019
Amount:
$607.36

Component Description:
KQCA project management December 2019
Amount:
$2,391.18

Component Description:
KQCA project management October 2017
Amount:
$437.50

Component Description:
KQCA project management May 2019
Amount:
$1,419.03

Component Description:
KQCA project management September 2019
Amount:
$112.50

Component Description:
KQCA project management August 2017
Amount:
$700.00

Component Description:
KCQA project management 13
Amount:
$280.00

Component Description:
KQCA project management November 2016
Amount:
$691.25

Component Description:
KQCA project management December 2016
Amount:
$175.00

Component Description:
KQCA project management 4 (half of original invoice)
Amount:
$175.00

Component Description:
KQCA project management March 2017
Amount:
$665.00

Component Description:
KQCA project management January 2018
Amount:
$318.75

Component Description:
KQCA project management 29
Amount:
$6,304.96

Component Description:
KQCA project management July 2017
Amount:
$472.50

Component Description:
KQCA project management January 2017
Amount:
$1,111.25

Component Description:
KQCA project management June 2016
Amount:
$848.14

Component Description:
KQCA project management September 2017
Amount:
$210.00

Component Description:
KQCA project management 30
Amount:
$359.35

Component Description:
KQCA project management February 2018
Amount:
$75.00

Component Description:
KQCA project management May 2020
Amount:
$3,127.05

Component Description:
KQCA project management 25
Amount:
$75.00

Component Description:
KQCA project management 33
Amount:
$6,768.37

Component Description:
KQCA: Project Management March 2018
Amount:
$131.25

Component Description:
KQCA project management 27
Amount:
$6,536.14

Component Description:
KQCA project management December 2017
Amount:
$225.00

Component Description:
KQCA project management 23
Amount:
$75.00

Component Description:
KQCA project management May 2017
Amount:
$560.00

Component Description:
KQCA project management June-July 2020
Amount:
$2,064.72

Component Description:
KQCA project management 24
Amount:
$375.00

Component Description:
KQCA project management 26
Amount:
$956.25

Component Description:
KQCA project management September 2016
Amount:
$114.44

Component Description:
KQCA project management 28
Amount:
$894.86

Component Description:
KQCA project management April 2017
Amount:
$367.50

Component Description:
KQCA project management 31
Amount:
$9,785.65

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 $93,633.56 $87,754.36 N/A $86,359.36 N/A
Total for all systems $3,211,977.93 $2,668,604.44 N/A $2,644,912.62 N/A
Other Expenses $93,633.56 $87,754.36 $86,359.36
Transmitter site grounds $7,685.63 $7,685.63 per Asta Construction invoice $7,685.63 N/A
Transmitter site access $24,615.83 $24,615.83 Per Asta Construction invoice $24,615.83 N/A
Contract Labor $4,209.46 $4,209.46 accounting labor directly related to the Spectrum Repack project $4,209.46 N/A
in-house labor $10,067.09 $10,067.09 per attached documentation $10,067.09 N/A
MVPD Notification of Channel Change $8,236.80 $8,236.80 Attorney assistance in coordinating MVPD notification $8,236.80 N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 Attorney review to ensure FCC compliance N/A N/A
Equipment Storage $25,823.75 $25,823.75 actual cost $25,823.75 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $5,720.80 N/A $5,720.80 N/A

Components

Actual Information Description File Name
Transmitter site grounds

Component Description:
KQCA transmitter site grounds restoration
Amount:
$7,685.63
Transmitter site access

Component Description:
KQCA transmitter site access road gravel revised
Amount:
$24,615.83
Contract Labor

Component Description:
KQCA accounting labor
Amount:
$4,209.46
in-house labor

Component Description:
KQCA in-house labor 2
Amount:
$1,985.21

Component Description:
KQCA in-house labor 3
Amount:
$2,372.28

Component Description:
KQCA in-house accounting labor 1
Amount:
$5,709.60
MVPD Notification of Channel Change

Component Description:
KQCA MVPD notifications 2
Amount:
$4,118.40

Component Description:
KQCA MVPD notifications
Amount:
$4,118.40
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
KQCA antenna and transmission line storage
Amount:
$15,990.00

Component Description:
KCQA combiner storage and delivery
Amount:
$4,687.50

Component Description:
KQCA transmitter storage
Amount:
$5,146.25
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
KQCA medical notifications
Amount:
$5,720.80

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,211,977.93 $2,668,604.44 $2,644,912.62

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.

John Drain

Hearst Television SVP Chief Financial Officer


02/08/2021

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

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

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

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

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

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

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

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

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

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

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

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

Douglas Durkee

Hearst Television Manager of Spectrum Repack


02/08/2021

Attachments

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