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:
47905
Service:
DTV
Call Sign:
WMAQ-TV
Channel:
29 (UHF)
File Number:
0000027997
FRN:
0019509470
Date Submitted:
03/15/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NBC TELEMUNDO LICENSE LLC

Margaret L. Tobey

300 NEW JERSEY AVE, N.W.

SUITE 700

WASHINGTON, DC 20001

United States

+1 (202) 524-6401 MARGARET.TOBEY@NBCUNI.COM Limited Liability Company

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

Margaret L Tobey

NBCUniversal, LLC

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6401 Margaret.Tobey@nbcuni.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 Install new transmitter for new channel, keep old transmitter in place for use until antenna is replaced. During antenna replacement operate from existing auxiliary site. After channel change return to new main. Replace auxiliary filter.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Retune Existing
Use Auxiliary (Backup)
Ownership Owned
Owner 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 Rohde & Schwarz
Model NV8000
Year 2013
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 9.43 kW

Auxiliary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed N/A
New Mask Filter
Power 10 kW
Other Power N/A
New Exciter Is a new exciter needed? No

Auxiliary 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) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service No
Description N/A
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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 DCX
Year 2001
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40 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 THU9-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31 kW
Justification for New Transmitter New Transmitter required as the current transmitter is not longer supported (see attached note) 31 KW TPO chosen to allow one step of headroom. Solid State transmitter chosen as it is less expensive then a new solid state (see attached proposal.

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) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description See attached proposal
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 20 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 150.0 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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Installation

Installation, Supervision, Test, and Commissioning of new transmitter

Willis Tower Building Improvements

Detailed proposal attached

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Auxiliary (Backup)
Description of Use Used to maintain coverage when main transmitter or antenna is unavilable
Ownership Leased
Owner American Tower
Site N/A
Is the existing antenna shared with another station or stations? Yes
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 Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 12
Design power capacity in use 50.0 %
Lower Limit 470.00 MHz
Upper Limit 860.00 MHz
Other Antenna Type N/A
ERP: 350.0 kW
Manufacturer Dielectric
Model TUF-C4-12/48U-2B
Year 2013

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

Facility ID Call Sign
72115 WGN-TV
73226 WLS-TV

Auxiliary 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

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? Yes
Type Additional Module
Number of channels supported 1
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
33

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? 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 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: 350.0 kW
Manufacturer
Model TFU-12GBH-R 06
Year 2001

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? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Middle
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: 377.0 kW
Manufacturer
Model TFU- 12GTH/VP-R O6
Year 2019
Justification for New Antenna The current antenna is a single channel antenna (ch 29) and will not work on the new channel (ch 33)

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? 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 6 1/8 inches inches
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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Willis Tower East

Shared combiner facility for Willis Tower tenants

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 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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 500 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Adapters and Transitions

Connectors & Transitions to reuse Transmission line

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 Leased
Is this tower consider Complex? Located on Building
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1032959
Coordinates (NAD83) Latitude (NAD83) 41° 52' 44.1" N-
Longitude (NAD83) 087° 38' 10.2" W-
Overall Structure Height 1729.97 feet
Support Structure Height 1435.35 feet
Ground Elevation Above Mean Sea Level (AMSL) 595.14 feet
Structure Type BTWR - Building with Tower
Tower Owner 233 Broadcast, LLC
Date Constructed 01/01/2002

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
51165 WGCI-FM FM
6377 WTMX FM
66978 WEDE-CD DTV
72115 WGN-TV DTV
32334 WJYS DTV
10801 WFMT FM
168662 WMEU-CD DTV
10802 WTTW DTV
48772 WPWR-TV DTV
22211 WFLD DTV
71283 WCFS-FM FM
70119 WSNS-TV DTV
73226 WLS-TV DTV
70042 WLIT-FM FM
71428 WCIU-TV DTV
9613 WBBM-FM FM
71425 WWME-CD DTV
28621 WJMK FM
74178 WKSC-FM FM
53971 WEBG FM
73228 WLS-FM FM
9617 WBBM-TV DTV

Other Types of Users

Users
W264BF

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: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Located on Building
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Triple Stack Deconstruction

Deconstruction of existing triple stack. Details in attached Willis Tower Engineering statement

Double Stack Construction

Construction of new double stack on Willis Tower for WMAQ and WFLD.

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 1040
Explanation Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
Prepare engineering section of Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare engineering section of 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
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 Yes
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 Yes
Additional Field Engineering Service Yes
Number of Days 40
Justification internal to building RF engineering

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Internal Reimbursement

Internal Reimbursement for Doug Lung

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 Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
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

Auxiliary Facility Usage Fees

American Tower Fee for utilization of auxiliary while main antenna is under construction

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 $2,065,312.00 $1,752,732.00 N/A $1,570,156.69 N/A
Total for all systems $5,821,299.67 $5,447,946.64 N/A $2,499,415.61 N/A
Primary Transmitter THU9-20 $1,951,802.00 $1,694,832.00 $1,570,156.69
Other Electrical Service: See attached proposal $10,000.00 $10,000.00 Cost internal to construction project. See estimate attached and total below. N/A N/A
Other -- HVAC Service Type: C Size:20 (Other) $1,000.00 $1,000.00 Cost internal to construction project, see estimate attached and total below. N/A N/A
Willis Tower Building Improvements $860,252.00 $860,252.00 see attached Willis Tower construction document which outlines build of space for transmitter including HVAC, plumbing for cooling system, electrical, and fire suppression $860,252.00 N/A
Transmitter Installation $113,550.00 $113,550.00 See attached Electron Dynamics Quote $113,550.00 N/A
Other -- Building Addition Size: 150.0 $20,000.00 $20,000.00 Cost internal to construction project, see estimate attached and total below. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $690,030.00 See attached proposal for a R&S THU9-20. THU9-20 Transmitter selected as it provides for one step of headroom above the required 25.5kW, $596,354.69 N/A
Auxiliary Transmitter NV8000 $113,510.00 $57,900.00 $0.00
10 kW mask filter $8,310.00 $7,900.00 N/A N/A N/A
UHF and VHF - minor banding issues $105,200.00 $50,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Other Electrical Service: See attached proposal Information not provided.
Other -- HVAC Service Type: C Size:20 (Other) Information not provided.
Willis Tower Building Improvements

Component Description:
TBD
Amount:
$860,252.00
Transmitter Installation

Component Description:
WMAQ - Electron Dynamics invoice for remaining 70% of transmitter install
Amount:
$79,485.00

Component Description:
WMAQ - Electron Dynamics invoice for 30% of transmitter install
Amount:
$34,065.00
Other -- Building Addition Size: 150.0 Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Main transmitter
Amount:
$596,354.69
10 kW mask filter Information not provided.
UHF and VHF - minor banding issues 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 $850,166.67 $781,862.67 N/A $709,562.67 N/A
Total for all systems $5,821,299.67 $5,447,946.64 N/A $2,499,415.61 N/A
Primary Antenna TFU- 12GTH/VP-R O6 $765,966.67 $721,862.67 $709,562.67
Willis Tower East $464,166.67 $464,166.67 See attached Willis Tower Engineering Statement $464,166.67 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $245,396.00 Vertical Component of cost is 17,550 and has been subtracted form total requested $245,396.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $12,300.00 included in antenna cost N/A N/A
Auxiliary Antenna TUF-C4-12/48U-2B $84,200.00 $60,000.00 $0.00
Adding a module to existing combiner (without antenna) $84,200.00 $60,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Willis Tower East

Component Description:
TBD
Amount:
$464,166.67
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
TBD
Amount:
$245,396.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Adding a module to existing combiner (without antenna) Information not provided.

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 $5,556.00 $5,556.00 N/A $0.00 N/A
Total for all systems $5,821,299.67 $5,447,946.64 N/A $2,499,415.61 N/A
Primary Transmission Line $5,556.00 $5,556.00 $0.00
Adapters and Transitions $5,556.00 $5,556.00 see attached antenna proposal N/A N/A

Components

Information not provided.

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 $2,215,850.00 $2,186,250.00 N/A $0.00 N/A
Total for all systems $5,821,299.67 $5,447,946.64 N/A $2,499,415.61 N/A
Primary Tower BTWR $2,215,850.00 $2,186,250.00 $0.00
Triple Stack Deconstruction $584,750.00 $584,750.00 See attached Willis Tower engineering statement. Costs reflect WMAQ's share of deconstruction costs. N/A N/A
Double Stack Construction $839,500.00 $839,500.00 See attached Willis Tower engineering document. Costs reflect WMAQ's share of Double Stack Construction N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A
Tower Helicopter Lift $200,000.00 $200,000.00 cost estimate pending formal plan N/A N/A

Components

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 $484,555.00 $528,000.97 N/A $219,696.25 N/A
Total for all systems $5,821,299.67 $5,447,946.64 N/A $2,499,415.61 N/A
Outside Professional Services $484,555.00 $528,000.97 $219,696.25
Internal Reimbursement $150,000.00 $150,000.00 N/A $4,084.84 N/A
Additional Field Engineering Service, 40 Days $40,000.00 $40,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 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
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $718.20 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 $642.24 N/A
Project management of the transition $164,320.00 $214,250.97 Project Management costs have exceeded the pre-determined costs $214,250.97 Project Management costs have exceeded the pre-determined cost

Components

Actual Information Description File Name
Internal Reimbursement

Component Description:
NBC - Invoice for Doug Lung time worked on Repack
Amount:
$4,084.84
Additional Field Engineering Service, 40 Days Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Preparation of minor change application
Amount:
$226.80

Component Description:
See line 1 of invoice, less 10% vendor discount.
Amount:
$491.40
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Review of 399
Amount:
$43.65

Component Description:
Review amendments to form 399 cost estimates
Amount:
$529.20

Component Description:
See line 2 of invoice, less 10% vendor discount.
Amount:
$69.39
Project management of the transition

Component Description:
Project management and expenses, see attachments for expense receipts
Amount:
$4,016.90

Component Description:
WMAQ - Point B invoice July 2020
Amount:
$12,964.00

Component Description:
Project Management
Amount:
$11,522.40

Component Description:
N/A
Amount:
N/A

Component Description:
Point B Project Management Fees for WMAQ
Amount:
$22,545.00

Component Description:
Point B Project Management Fees for WMAQ
Amount:
$13,182.02

Component Description:
Point B Project Management Fees for WMAQ
Amount:
$8,217.84

Component Description:
Point B Project Management Fees for WMAQ
Amount:
$9,476.29

Component Description:
Point B Project Management fees for WMAQ
Amount:
$11,881.26

Component Description:
October 2018 Project Management
Amount:
$1,015.00

Component Description:
Project Management Invoice
Amount:
$11,344.24

Component Description:
WMAQ - Point B invoice June 2020
Amount:
$6,396.00

Component Description:
WMAQ - Point B invoice August 2020
Amount:
$12,202.00

Component Description:
Project Management Services
Amount:
$975.00

Component Description:
WMAQ - Point B Project Management January 2020
Amount:
$2,316.00

Component Description:
Point B project management services for the month of February 2019. See line item.
Amount:
$9,047.52

Component Description:
Point B Project Management January 2019
Amount:
$13,856.60

Component Description:
WMAQ - Point B Project Management July 2019
Amount:
$9,476.29

Component Description:
Project Management Services
Amount:
$2,145.00

Component Description:
WMAQ - Point B Project Management December 2019
Amount:
$395.00

Component Description:
WMAQ - Point B invoice March 2020
Amount:
$158.00

Component Description:
Project Management Services
Amount:
$348.95

Component Description:
WMAQ - Point B Project Management November 2019
Amount:
$8,217.84

Component Description:
Updated November 2018 Project Management so line items are for correct amount. Also updated total invoice amount and reimbursement amount to match invoice correctly.
Amount:
$4,864.63

Component Description:
Project Management Services
Amount:
$1,365.00

Component Description:
WMAQ - Point B Project Management October 2019
Amount:
$29,004.77

Component Description:
WMAQ - Point B Project Management September 2019
Amount:
$22,545.00

Component Description:
WMAQ - Point B Project Management August 2019
Amount:
$13,182.00

Component Description:
WMAQ - Point B invoice April 2020
Amount:
$6,712.00

Component Description:
WMAQ - Point B invoice May 2020
Amount:
$6,180.00

Component Description:
Project Management
Amount:
$11,396.00

Component Description:
Project Management Services
Amount:
$1,072.50

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 $199,860.00 $193,545.00 N/A $0.00 N/A
Total for all systems $5,821,299.67 $5,447,946.64 N/A $2,499,415.61 N/A
Other Expenses $199,860.00 $193,545.00 $0.00
Non-zoning permits $20,000.00 $20,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $5,250.00 N/A N/A N/A
Auxiliary Facility Usage Fees $45,000.00 $45,000.00 See attached extract from our lease with American Tower. If our auxiliary facility is utilized for more then 24 hours in a month we must pay $25,000. Due to the extent of work at Willis Tower we expect to use our auxiliary for at least 3 months. N/A N/A
MVPD Notification of Channel Change $12,000.00 $12,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 N/A N/A N/A
Equipment Storage $10,000.00 $10,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $20,000.00 $20,000.00 Delivery of equipment to transmitter area in Willis Tower N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $59,280.00 $59,280.00 See attached construction cost document (page 4) for demolition costs which are not included in the build. N/A N/A
Local Zoning $20,000.00 $20,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,821,299.67 $5,447,946.64 $2,499,415.61

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.

Margaret L. Tobey

Assistant Secretary


03/15/2021

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.

Margaret L. Tobey

Assistant Secretary


03/15/2021

Attachments

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