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:
67786
Service:
DTV
Call Sign:
WTCT
Channel:
30 (UHF)
File Number:
0000027991
FRN:
0005077524
Date Submitted:
05/11/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RADIANT LIFE MINISTRIES, INC.

Michael Daly

PO Box 1010

MARION, IL 62959

United States

+1 (618) 997-4700 mjd@tct.tv Not-for-Profit

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. No
Briefly describe transition plan WTCT has transitioned from ch. 17 to ch. 30 service at its current transmitting location, requiring replacement of its single IOT main transmitter, solid state back up transmitter and main antenna due to channel incompatibility and non-support issues.

Transmitters

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

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Back up to main
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 Ranger
Year 2003
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model UAXTE
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1 kW
Justification for New Transmitter Current transmitter is no longer manufactured or supported by Gates Air (Harris) and is not retunable to channel 30.

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 Yes
Size 1 inches
Length 50.0 feet
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 Sigma
Year 2005
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 30 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? No
Manufacturer
Model ULXTE-80
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 50.1 kW
Justification for New Transmitter WTCT's existing single tube 30kw IOT txmtr is no longer manufactured or supported and is not retunable to ch 30. WTCT's repack channel and ERP, given equivalent antenna parameters, also requires a higher TPO (50.1Kkw) than a single IOT transmitter can sup

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) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 3 inches
Length 50.0 feet
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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter removal

Due to space restrictions in WTCT's transmitter building, the station will be required to deconstruct its existing main and backup transmitters, install an interim and then new main txmtr

Primary Transmitter - Other Expenses

Primary Transmitter - Other Expenses

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? 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: 800.0 kW
Manufacturer
Model ATW22H3-HSO-17S
Year 2003

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model ATW25H3-ETO-30H
Year 2018
Justification for New Antenna WTCT's existing antenna is a channel specific slotted cylinder antenna and is not compatible with new repack channel.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 25.0 kW
Manufacturer
Model TFU-WB8-R
Year 2018
Justification for New Antenna Interim antenna required to maintain on air signal continuity during main antenna replacement and tower reinforcement operations.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? 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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change 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 ERI
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 470 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Line extension in Bldg

Main transmitter's rigid tx line will need to be extended approximately 30 feet within the transmitter building to new transmitter location.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 450 feet per run
Justification for New Transmission Line Required for interim antenna installation

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

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? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1040116
Coordinates (NAD83) Latitude (NAD83) 37° 33' 26.0" N-
Longitude (NAD83) 089° 01' 24.0" W-
Overall Structure Height 498.68 feet
Support Structure Height 436.35 feet
Ground Elevation Above Mean Sea Level (AMSL) 839.88 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner TRI STATE CHRISTIAN TV
Date Constructed 10/10/1982


Primary Tower

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Tower Modification Costs

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

Tower analysis performed by ERI to determine if modifications are required for proposed post-repack tower load.

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 595
Explanation WTCT does not have adequate qualified internal staff to manage the construction planning, scheduling, coordination and inspection tasks required to complete this project in a timely and safe manner.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application 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 Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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 No
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

Construction management expense

Outside construction management services

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 Yes
BLM or NFS Coordination 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)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Antenna system unloading

Rigging fee to off load antenna system components after delivery on site

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 $1,453,496.86 $1,434,196.86 N/A $1,278,718.12 N/A
Total for all systems $2,588,489.88 $2,305,640.74 N/A $2,043,129.61 N/A
Primary Transmitter ULXTE-80 $1,326,646.86 $1,313,346.86 $1,278,718.12
Primary Transmitter - Other Expenses $4,111.96 $4,111.96 Please see GatesAir quote Q-87250 $4,111.96 N/A
3" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,500.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $25,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 50.1 kW $1,281,734.90 $1,281,734.90 Please see Estimated Cost Justification WTCT-110-1st Primary Transmitter - ULXTE-80 v0 $1,274,606.16 N/A
Transmitter removal $0.00 $0.00 N/A N/A N/A
Auxiliary Transmitter UAXTE $126,850.00 $120,850.00 $0.00
1" Rigid Conduit and Wiring $850.00 $850.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $120,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Primary Transmitter - Other Expenses

Component Description:
Plumbing Kit
Amount:
$4,111.96
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 50.1 kW

Component Description:
1/3 down payment ULXTE-80 transmitter
Amount:
$408,576.57

Component Description:
Transmitter
Amount:
$408,576.57

Component Description:
ULXTE-80 Transmitter
Amount:
$420,868.02

Component Description:
Labor and materials per quote for install of electrical system for transmitter at Goreville site
Amount:
$36,585.00
Transmitter removal Information not provided.
1" Rigid Conduit and Wiring Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW 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 $303,410.00 $223,870.36 N/A $206,393.18 N/A
Total for all systems $2,588,489.88 $2,305,640.74 N/A $2,043,129.61 N/A
Interim Antenna TFU-WB8-R $0.00 $0.00 $0.00
UHF - High Power, Side Mount, basic slot antenna, 25 kW input, horizontally polarized $0.00 $0.00 Interim antenna was provided for $0.00 from ERI due to scheduling issues N/A N/A
Primary Antenna ATW25H3-ETO-30H $303,410.00 $223,870.36 $206,393.18
Sweep test of existing antenna $6,730.00 $12,900.00 Per Estimated Cost Justification WTCT-210-Primary Antenna - Sweep Test V0 $10,980.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $204,250.36 Please see attached DTVPros Quote JEHQ1361-03C, DTVPros Quote JEHQ1361-03D, and ERI Letter of Justification for Top Mount Antenna $193,493.18 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $4,800.00 N/A N/A N/A
UHF - High Power, Side Mount, broadband panel, 23 bay,, 1000 kW input, horizontally polarized $1,920.00 $1,920.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Please see attached DTVPros Quote JEHQ1361-03C $1,920.00 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 25 kW input, horizontally polarized Information not provided.
Sweep test of existing antenna

Component Description:
WTCT-210-Primary Antenna - Sweep Test
Amount:
$1,920.00

Component Description:
WTCT-210-Primary Antenna - Sweep Test
Amount:
$2,560.00

Component Description:
Sweep Test
Amount:
$1,920.00

Component Description:
Repack sweep tests per quote
Amount:
$4,580.00

Component Description:
WTCT-210-Primary Antenna - Sweep Test
Amount:
$1,920.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
UHF-HIGH POWER TOP MOUNT
Amount:
$57,643.60

Component Description:
UHF-HIGH POWER TOP MOUNT (200-1000KW)
Amount:
$78,205.97

Component Description:
Antenna
Amount:
$57,643.61

Component Description:
Top Mount Antenna
Amount:
$57,643.60
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
UHF - High Power, Side Mount, broadband panel, 23 bay,, 1000 kW input, horizontally polarized

Component Description:
WTCT-210-Primary Antenna - UHF High Power Side Mount, H-POL
Amount:
$1,920.00

Component Description:
UHF-High Power Top Mount (200-1000KW) ATW25H3-HTO-30H antenna
Amount:
$57,643.61

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 $50,093.02 $23,543.02 N/A $23,543.02 N/A
Total for all systems $2,588,489.88 $2,305,640.74 N/A $2,043,129.61 N/A
Interim Transmission Line $26,550.00 $0.00 $0.00
Flexible Air Transmission Line - dielectric, 3" $26,550.00 $0.00 WTCT’s interim transmission line was already available on the tower and was used by ERI free of charge N/A N/A
Primary Transmission Line $23,543.02 $23,543.02 $23,543.02
Line extension in Bldg $23,543.02 $23,543.02 Please see Estimated Cost Justification WTCT-310-Primary Transmission Line - Line Extension in Transmitter Building v1 $23,543.02 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3" Information not provided.
Line extension in Bldg

Component Description:
WTCT-310-Primary Transmission Line - Line Extension in Transmitter Building
Amount:
$10,694.09

Component Description:
Transmitter
Amount:
$3,960.94

Component Description:
WTCT-310-Primary Transmission Line - Line Extension in Transmitter Building
Amount:
$3,960.94

Component Description:
WTCT-310-Primary Transmission Line - Line Extension in Transmitter Building
Amount:
$3,960.94

Component Description:
Andrew 1 5/8" Virtual Foam Cable
Amount:
$4,927.05

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 $535,300.00 $399,770.50 N/A $399,770.50 N/A
Total for all systems $2,588,489.88 $2,305,640.74 N/A $2,043,129.61 N/A
Primary Tower TOWER $535,300.00 $399,770.50 $399,770.50
Short Tower (less than 500') $84,200.00 $141,306.00 Please see Major Reinforcements and Tower Rigging Revision Justification Cover Letter $141,306.00 N/A
Tower Structural Analysis $3,800.00 $3,800.00 Please see attached ERI Proposal 20171219-592 $3,800.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $4,100.00 Please see attached ERI Proposal 20171219-592 $4,100.00 N/A
Major tower reinforcement/modifications $421,000.00 $250,564.50 see Estimated Cost Justification WTCT-410-Existing Primary Tower - Major Tower Reinforcement_Modifications v0 $250,564.50 N/A

Components

Actual Information Description File Name
Short Tower (less than 500')

Component Description:
WTCT-410-Existing Primary Tower - Tower Rigging, Short Tower
Amount:
$58,153.00

Component Description:
WTCT-410-Existing Primary Tower - Tower Rigging, Short Tower
Amount:
$14,130.60

Component Description:
WTCT-410-Existing Primary Tower - Tower Rigging, Short Tower
Amount:
$69,022.40
Tower Structural Analysis

Component Description:
WTCT-410-Existing Primary Tower - Structural Analysis
Amount:
$3,800.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Includes onsite climbing and ground inspections of the subject tower by an ERI engineer to document current condition,
Amount:
$4,100.00
Major tower reinforcement/modifications

Component Description:
Reinforcing Material
Amount:
$23,970.70

Component Description:
Reinforcing Material
Amount:
$116,292.00

Component Description:
Reinforcing Material
Amount:
$110,301.80

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 $222,500.00 $204,175.00 N/A $131,309.79 N/A
Total for all systems $2,588,489.88 $2,305,640.74 N/A $2,043,129.61 N/A
Outside Professional Services $222,500.00 $204,175.00 $131,309.79
Construction management expense $12,000.00 $12,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $750.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 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 - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,750.00 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $1,750.00 see submitted invoices
Project management of the transition $94,010.00 $111,675.00 per Widelity Quote $87,128.65 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $50,000.00 N/A $41,681.14 N/A

Components

Actual Information Description File Name
Construction management expense Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Preparation of Engineering
Amount:
$750.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Prepare and or review reimbursement form Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Preparation of engineering
Amount:
$1,750.00
Project management of the transition

Component Description:
Project Management
Amount:
$2,792.80

Component Description:
Project management
Amount:
$2,636.80

Component Description:
Project Management
Amount:
$40.95

Component Description:
Project Management
Amount:
$2,699.50

Component Description:
Project Management
Amount:
$1,620.55

Component Description:
Project management
Amount:
$4,321.40

Component Description:
Project Management
Amount:
$2,334.10

Component Description:
Project Management
Amount:
$2,234.10

Component Description:
Project Management
Amount:
$1,229.70

Component Description:
Project Management
Amount:
$2,376.60

Component Description:
Project Management
Amount:
$4,513.80

Component Description:
Project Management
Amount:
$3,399.80

Component Description:
Project Management
Amount:
$1,647.15

Component Description:
Project Management - May 2018
Amount:
$2,579.10

Component Description:
Project Management
Amount:
$3,764.15

Component Description:
Project Management
Amount:
$1,661.20

Component Description:
Project Management
Amount:
$2,857.50

Component Description:
Project Management
Amount:
$3,344.60

Component Description:
Project Management
Amount:
$3,347.00

Component Description:
Project Management
Amount:
$2,775.20

Component Description:
Project Management
Amount:
$2,094.05

Component Description:
Project management
Amount:
$1,232.55

Component Description:
Project Management
Amount:
$3,139.90

Component Description:
Project Management
Amount:
$2,880.45

Component Description:
Project Management
Amount:
$1,708.25

Component Description:
Project Management
Amount:
$1,387.95

Component Description:
Project Management
Amount:
$4,173.40

Component Description:
Project Management
Amount:
$1,558.20

Component Description:
Project Management
Amount:
$2,377.50

Component Description:
Project Management
Amount:
$1,197.35

Component Description:
Project Management
Amount:
$2,881.85

Component Description:
Project Management
Amount:
$1,206.55

Component Description:
Project Management
Amount:
$4,743.50

Component Description:
Project Management
Amount:
$1,583.10

Component Description:
Project Management
Amount:
$1,372.55

Component Description:
Project Management
Amount:
$80.30

Component Description:
Project Management
Amount:
$4,743.50

Component Description:
Project Management
Amount:
$1,335.20
Comprehensive coverage verification via field study, if needed

Component Description:
Professional Services through November 27, 2020
Amount:
$11,910.00

Component Description:
Professional services through December 31, 2020
Amount:
$7,940.00

Component Description:
Professional Services through October 30, 2020
Amount:
$21,831.14

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 $23,690.00 $20,085.00 N/A $3,395.00 N/A
Total for all systems $2,588,489.88 $2,305,640.74 N/A $2,043,129.61 N/A
Other Expenses $23,690.00 $20,085.00 $3,395.00
Equipment Delivery and Handling Charges $2,000.00 $2,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $2,000.00 $2,000.00 N/A N/A N/A
MVPD Notification of Channel Change $2,500.00 $2,500.00 N/A N/A N/A
Antenna system unloading $1,000.00 $1,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $8,000.00 N/A $2,950.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 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
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Non-zoning permits $500.00 $500.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,500.00 $2,500.00 N/A $445.00 N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.
Antenna system unloading Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification
Amount:
$2,950.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Non-zoning permits Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Lease on 8'X40' Tan Container #1473
Amount:
$445.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,588,489.88 $2,305,640.74 $2,043,129.61

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. Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

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

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

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

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

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

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

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

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

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

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

Michael Daly

Secretary


05/11/2021

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.

Michael Daly

Secretary


05/11/2021

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information Statements

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

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

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

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

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

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

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

Michael Daly

Secretary


05/11/2021

Attachments

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