Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
COUNTY OF SAN BERNARDINO, CSA 29 (COUNTY SERVICE AREA) Doing Business As: COUNTY OF SAN BERNARDINO, CSA 29 (COUNTY SERVICE AREA) |
Special Districts Department - Frank Haggard 222 West Hospitality Lane, 2nd Floor SAN BERNARDINO, CA 92415 United States |
+1 (760) 248-7048 | frank.haggard@sdd.sbcounty.gov | Government Entity |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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Michael Couzens Attorney at Law Michael Couzens Law Office |
Michael Couzens 6536 Telegraph Avenue, Suite B201 Oakland, CA 94609 United States |
+1 (510) 658-7654 | cuz@well.com |
Question | Response |
---|---|
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | Yes |
Briefly describe transition plan | Three stations at Lucerne Valley had to change channels and moved into the core. They have done so. License was applied for and granted. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmitter Description | Type of change | Purchase New |
Use | Primary (Main) | |
Ownership | Owned | |
Is this transmitter currently shared with another station? | No | |
Is this transmitter currently in operating condition? | Yes | |
Existing Transmitter Manufacturer and Type | Manufacturer | |
Model | TAUD-100 | |
Year | 2013 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 100 W |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TAUD-100 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 100 W | |
Justification for New Transmitter | Attached justification dated November 12, 2019 |
Section | Question | Response |
---|---|---|
Other Transmitter Costs | ||
Does the transmitter installation require a Transmitter Building Site Survey/Installation? | No | |
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Rigid Conduit and Wiring | No | |
Other Electrical Service | No | |
HVAC Service | Does the replacement transmitter require HVAC Service? | No |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | No |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 37 | |
Explanation | $13,160 divided by three stations or $4,386.67 per station | |
Outside RF consulting Engineering Services | Perform engineering study for displacement application | No |
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 | Yes |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | 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 |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Permit and Filing Costs | FCC Construction Permit Major Change | No |
FCC Construction Permit Minor Change | Yes | |
FCC License to Cover Application | Yes | |
FCC Special Temporary Authority Application | Yes | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | 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 |
Name | Description |
---|---|
Combiner |
Combiner |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $13,750.00 | $10,830.91 | N/A | $10,830.91 | N/A |
Total for all systems | $27,964.35 | $18,760.96 | N/A | $18,760.96 | N/A |
Primary Transmitter TAUD-100 | $13,750.00 | $10,830.91 | $10,830.91 | ||
UHF - Air Cooled Solid State Transmitter 50.001 - 150 Watts | $13,750.00 | $10,830.91 | Actual Cost | $10,830.91 | The estimates are for one station. Our invoices for equipment to serve three stations using the same existing antenna. |
Actual Information Description | File Name |
---|---|
UHF - Air Cooled Solid State Transmitter 50.001 - 150 Watts |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $12,464.35 | $7,930.05 | N/A | $7,930.05 | N/A |
Total for all systems | $27,964.35 | $18,760.96 | N/A | $18,760.96 | N/A |
Outside Professional Services | $12,464.35 | $7,930.05 | $7,930.05 | ||
Prepare/ Review 399 reimbursement form | $1,710.00 | $2,286.69 | actual cost | $2,286.69 | N/A |
Project management of the transition | $3,903.50 | $1,936.67 | 1/3 of Attorney billing from 3 invoices attached | $1,936.67 | N/A |
Form 399 assistance or other Program Management costs | $2,248.35 | $2,248.35 | 1876 Prep | $2,248.35 | addt'l proj mgmt |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $910.00 | based on actual. | $910.00 | Five attached invoices set forth all work in channel change under displacement and for reimbursement applications. Estimates are for one station but work was for three stations concurrently. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $548.34 | Legal fees license to cover CP | $548.34 | actual cost |
Actual Information Description | File Name |
---|---|
Prepare/ Review 399 reimbursement form | |
Project management of the transition | |
Form 399 assistance or other Program Management costs | |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $1,750.00 | $0.00 | N/A | $0.00 | N/A |
Total for all systems | $27,964.35 | $18,760.96 | N/A | $18,760.96 | N/A |
Other Expenses | $1,750.00 | $0.00 | $0.00 | ||
Combiner | $0.00 | $0.00 | N/A | $0.00 | |
FCC Filing Fees - Special Temporary Authorization request | $305.00 | $0.00 | Fee Exempt Government Entity | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $0.00 | Legal fees to file license to cover cp. | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $0.00 | Fe Exempt Government Entity | $0.00 | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $27,964.35 | $18,760.96 | $18,760.96 |
Question | Response |
---|---|
The facility has ceased operating on its pre-auction channel. | Yes |
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. | Yes |
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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Susan Hansen Consultant 03/06/2021 |
Section | Question | Response |
---|---|---|
Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Susan Hansen Consultant 03/06/2021 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Frank Haggard Supervisor Special Districts 03/06/2021 |