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:
37101
Service:
DTV
Call Sign:
KETD
Channel:
15 (UHF)
File Number:
0000028706
FRN:
0001529247
Date Submitted:
03/29/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Estrella Television License LLC

1845 EMPIRE AVENUE

BURBANK, CA 91504

United States

+1 (818) 729-5300 chrisb@lbimedia.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

Samuel Hariton

Widelity, Inc.

4031 University Drive

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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 The plan is for KETD to replace the existing channel 45 system with a new channel 15 antenna, new 3-1/8" line and new transmitter. KETD will need to use an interim antenna and line in order to facilitate transition. See attached narrative statement.

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 UAX-4000AT
Year 2011
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 4.2 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-16
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 10.8 kW
Justification for New Transmitter Retuning requires replacing the mask filter and extensive testing. This cannot be completed in an overnight maintenance and would result in a prolonged outage. An interim transmitter would be needed during this time to ensure continuous broadcast.

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 The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
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

4 Port Switch

A 4 port switch is necessary to allow switching from the interim antenna to the new main antenna.

Internal Transmission Line

Internal Transmission Line

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
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: 100.0 kW
Manufacturer
Model AL12M-45-PM
Year 2011

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? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Side 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: 200.0 kW
Manufacturer
Model TFU-12DSB-F/VP
Year 2017
Justification for New Antenna The existing antenna is not capable of supporting the new channel and will need to be replaced.

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? Yes
Broadband or Single Channel? Broadband
Feed Line Size 3 1/8 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

Primary 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 Purchase New
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
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 100 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 100 feet per run
Justification for New Transmission Line New primary antenna will be placed at the same height but on opposite side of tower from existing main. This tower is shared so the station's placement is constrained by the tower owner.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Dehydrator

R46345 Dehydrator 200C

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? Terrain Constrained
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? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1023484
Coordinates (NAD83) Latitude (NAD83) 39° 40' 17.4" N-
Longitude (NAD83) 105° 13' 08.0" W-
Overall Structure Height 273.95 feet
Support Structure Height 271.98 feet
Ground Elevation Above Mean Sea Level (AMSL) 7685.60 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Bear Creek Development Corporation
Date Constructed 11/08/1988

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
26929 KQMT FM
14040 KRMA-TV DTV
35574 KQKS FM
57219 KCEC DTV

Other Types of Users

Users
Fire
Denver Water
County Denver
Civil Air Ptrl
City Denver
Police
West Metro Fire

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: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural Analysis

After the mapping is complete, a structural analysis will need to be run.

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 712
Explanation KETD does not have sufficient resource capacity and expertise in house to handle all of the Project Management related tasks necessary to facility on-time completion of the station's build by the Construction Deadline.
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 2
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 2
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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 10
Justification Supervision and inspection of work completed

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
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 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

Equipment Rental

Equipment Rental

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 $771,177.68 $280,537.29 N/A $174,159.67 N/A
Total for all systems $2,051,593.66 $1,341,968.38 N/A $515,605.10 N/A
Primary Transmitter ULXTE-16 $771,177.68 $280,537.29 $174,159.67
Internal Transmission Line $3,954.95 $3,954.95 Dielectric Quote CLE 084 RevB $0.00 N/A
4 Port Switch $16,000.00 $16,000.00 N/A $0.00 N/A
10 Ton system $38,900.00 $37,000.00 N/A N/A N/A
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors. $40,000.00 $40,000.00 N/A $12,896.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A $1,981.33 N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $7,009.61 See Estimated Cost Justification KETD-110-1st Primary Transmitter - UHF - Liquid Cooled Solid State Transmitter 10.8 kW v0 $7,009.61 N/A
UHF - Air Cooled Solid State Transmitter 3.6 kW $152,272.73 $152,272.73 ***System Notice: Estimate adjusted and locked because line has been superseded.***Per GatesAir Quote Q-79399 + shipping and taxes $152,272.73 N/A

Components

Actual Information Description File Name
Internal Transmission Line Information not provided.
4 Port Switch Information not provided.
10 Ton system Information not provided.
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.

Component Description:
75KVA Transformer
Amount:
$6,396.00

Component Description:
Transmitter Electrical work
Amount:
$6,500.00
Transformer 3 phase/480v - 150 KVA

Component Description:
KETD-110-1st Primary Transmitter - 3 Phase, 480 V, 150 KVA Transformer
Amount:
$1,981.33
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
UAXTE-6R44 Transmitter
Amount:
$7,009.61
UHF - Air Cooled Solid State Transmitter 3.6 kW

Component Description:
UAXTE-6R44 Transmitter
Amount:
$152,272.73

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 $266,220.00 $75,338.69 N/A $53,014.24 N/A
Total for all systems $2,051,593.66 $1,341,968.38 N/A $515,605.10 N/A
Primary Antenna TFU-12DSB-F/VP $266,220.00 $75,338.69 $53,014.24
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) $9,340.00 $7,053.69 Please see Estimated Cost Justification KETD Primary Antenna Elbow Complex and Dehydrator categories v0 $7,053.69 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $39,885.00 Please see attached Dielectric Quote CLE084RevB and Invoice MAN01020. Cost of antenna plus $5,670.00 for freight $36,744.70 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A $2,815.85 N/A

Components

Actual Information Description File Name
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
KETD-210-Primary Antenna - Elbow Complex
Amount:
$468.69

Component Description:
KETD-210-Primary Antenna - Elbow Complex
Amount:
$6,585.00
Sweep test of existing antenna

Component Description:
KETD-210-Primary Antenna - Sweep Test
Amount:
$6,400.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
CO Sales Tax
Amount:
$447.93

Component Description:
UHF Low Power Side Mount Antenna
Amount:
$33,885.00

Component Description:
CO Sales Tax- Invoice 503002
Amount:
$2,411.77
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
KETD-210-Primary Antenna - Side Mount Brackets
Amount:
$187.10

Component Description:
KETD-210-Primary Antenna - Side Mount Brackets
Amount:
$2,628.75

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 $10,227.82 $12,032.94 N/A $12,032.94 N/A
Total for all systems $2,051,593.66 $1,341,968.38 N/A $515,605.10 N/A
Primary Transmission Line $10,227.82 $12,032.94 $12,032.94
Dehydrator $4,327.82 $4,327.82 see Estimated Cost Justification KETD Primary Antenna Elbow Complex and Dehydrator categories v0 $4,327.82 N/A
Flexible Air Transmission Line - dielectric, 3" $5,900.00 $7,705.12 Per Estimated Estimated Cost Justification KETD-310-Primary Transmission Line - 3 Air Dielectric V1 $7,705.12 N/A

Components

Actual Information Description File Name
Dehydrator

Component Description:
KETD-310-Primary transmission line - dehydrator
Amount:
$287.57

Component Description:
KETD-310-Primary transmission line - dehydrator
Amount:
$4,040.25
Flexible Air Transmission Line - dielectric, 3"

Component Description:
KETD-310-Primary Transmission Line - 3" Air Dielectric
Amount:
$292.22

Component Description:
CO Sales Tax Invoice 829005
Amount:
$127.20

Component Description:
KETD-310-Primary Transmission Line - 3"" Air Dielectric
Amount:
$4,105.70

Component Description:
Reducer 4-50 EIA X 3-50 EIA STD "QS
Amount:
$3,180.00

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 $617,300.00 $587,000.00 N/A $104,114.00 N/A
Total for all systems $2,051,593.66 $1,341,968.38 N/A $515,605.10 N/A
Primary Tower TOWER $617,300.00 $587,000.00 $104,114.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A $34,488.00 N/A
Structural Analysis $12,000.00 $12,000.00 N/A $4,136.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A $65,490.00 N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.
Minor tower reinforcement/modifications

Component Description:
Final PMT 50%
Amount:
$17,244.00

Component Description:
Down PMT 50%
Amount:
$17,244.00
Structural Analysis

Component Description:
ENGINEERING
Amount:
$4,136.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
KTED / KCEC Contract Demo Beam Supplies (3) Mobilization Costs
Amount:
$6,220.00

Component Description:
KETD Antenna Installation
Amount:
$55,520.00

Component Description:
KETD-410-Existing Primary Tower - Complex Tower, Tower Rigging and Equipment
Amount:
$3,750.00

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 $299,436.00 $300,412.30 N/A $142,978.10 N/A
Total for all systems $2,051,593.66 $1,341,968.38 N/A $515,605.10 N/A
Outside Professional Services $299,436.00 $300,412.30 $142,978.10
Additional Field Engineering Service, 10 Days $20,000.00 $20,000.00 N/A $3,125.00 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A $13,512.50 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 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
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A $134.10 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $11,541.15 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $11,541.15 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,520.90 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $2,520.90 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
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 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 $250.00 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $15,050.25 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $15,050.25 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $351.00 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
Project management of the transition $112,496.00 $106,800.00 N/A $96,493.20 N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 10 Days

Component Description:
Principal Engineer (Jacobsmeyer)
Amount:
$3,125.00
RF Exposure Measurements

Component Description:
Services for KETD SEE PO# HE-021120-001
Amount:
$8,000.00

Component Description:
KETD Repack Engineering Services
Amount:
$5,512.50
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Review FCC grant of extension and waiver request
Amount:
$134.10
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
KETD-550-Attorney - Negotiate Lease and Other Matters
Amount:
$541.35

Component Description:
Total Professional Services
Amount:
$1,965.60

Component Description:
For Professional Services Rendered
Amount:
$2,036.25

Component Description:
Total Professional Services
Amount:
$839.70

Component Description:
KETD, Castle Rock, CO Channel Repack
Amount:
$3,528.00

Component Description:
KETD-550-Attorney - Negotiate Lease and Other Matters
Amount:
$407.25

Component Description:
For Professional Services Rendered
Amount:
$1,464.75

Component Description:
Legal services
Amount:
$351.00

Component Description:
Email corr w/ C. Buchanan and M. Todd re: repack construction
Amount:
$407.25
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
KETD-550-Attorney - License to Cover Application (Main)
Amount:
$407.25

Component Description:
Prepare KETD repack channel license application
Amount:
$2,113.65
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Consulting engineer - J. Davis - Hourly
Amount:
$250.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Professional Fees
Amount:
$297.75

Component Description:
KETD-530-RF Eng - Engineering Study for New Channel Assignment
Amount:
$14,752.50
Prepare and or review reimbursement form

Component Description:
Legal Services
Amount:
$351.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$4,313.05

Component Description:
Project management
Amount:
$3,107.60

Component Description:
Project Management
Amount:
$636.70

Component Description:
Project Management
Amount:
$7,751.80

Component Description:
Project Management
Amount:
$2,200.55

Component Description:
Project Management
Amount:
$2,774.55

Component Description:
Project management
Amount:
$7,045.50

Component Description:
Project Management
Amount:
$5,614.90

Component Description:
Project Management
Amount:
$2,060.35

Component Description:
Project Management
Amount:
$3,580.55

Component Description:
Project Management
Amount:
$206.65

Component Description:
Project Management
Amount:
$3,099.45

Component Description:
Project Management
Amount:
$994.50

Component Description:
Project Management
Amount:
$2,343.50

Component Description:
Project Management
Amount:
$743.60

Component Description:
Project Management
Amount:
$1,197.35

Component Description:
Project Management
Amount:
$3,169.60

Component Description:
Project Management
Amount:
$2,409.05

Component Description:
Project Management
Amount:
$3,387.70

Component Description:
Project management
Amount:
$908.75

Component Description:
Project Management
Amount:
$1,865.70

Component Description:
Project Management
Amount:
$2,383.80

Component Description:
Project Management
Amount:
$3,331.00

Component Description:
Project Management
Amount:
$3,257.80

Component Description:
Project Management
Amount:
$2,266.55

Component Description:
Project Management
Amount:
$2,512.30

Component Description:
Project Management
Amount:
$1,843.05

Component Description:
Project Management
Amount:
$1,814.40

Component Description:
Project Management
Amount:
$2,724.85

Component Description:
Project Management
Amount:
$2,202.80

Component Description:
Project Management
Amount:
$1,259.55

Component Description:
Project Management
Amount:
$1,394.00

Component Description:
Project Management
Amount:
$3,054.25

Component Description:
Project Management
Amount:
$1,208.35

Component Description:
Project Management
Amount:
$3,295.50

Component Description:
Project Management
Amount:
$4,533.60

Component Description:
Project Management
Amount:
$4,533.60

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 $87,232.16 $86,647.16 N/A $29,306.15 N/A
Total for all systems $2,051,593.66 $1,341,968.38 N/A $515,605.10 N/A
Other Expenses $87,232.16 $86,647.16 $29,306.15
MVPD Notification of Channel Change $12,358.16 $12,358.16 Please Estimated Cost Justification KETD-610-MVPD Notification v2 $12,358.16 Please see submitted invoices.
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $884.65 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 N/A $1,599.00 N/A
Local Zoning $5,000.00 $5,000.00 N/A $3,777.09 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $200.00 See Estimated Cost Justification KETD-610-FCC Filing - Special Temporary Authorization v0 $200.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 See Estimated Cost Justification KETD-610-FCC Filing - License to Cover Application v0 $335.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A $146.25 N/A
Non-zoning permits $5,000.00 $5,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $8,322.00 N/A
Equipment Rental $1,684.00 $1,684.00 Please see KETD Equipment Rental Budget Revision Justification Letter $1,684.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
MVPD Notification
Amount:
$4,577.10

Component Description:
Notification of Cable and Satelite
Amount:
$3,890.53

Component Description:
MVPD Notification Services
Amount:
$3,890.53
Develop and air announcement of upcoming channel change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Freight and shipping
Amount:
$884.65
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
KTED / KCEC Contract Demo (Beam Supplies) Add On Mobilization Costs
Amount:
$1,599.00
Local Zoning

Component Description:
Professional Engineering Services
Amount:
$3,777.09
FCC Filing Fees - Special Temporary Authorization request

Component Description:
KETD-610-FCC Filing Fee - Special Temporary Authorization
Amount:
$200.00
FCC Filing Fees - Form 2100 license to cover application

Component Description:
KETD-610-FCC Filing Fee - License to Cover Application
Amount:
$335.00
FCC Filing Fees - Form 2100 minor change CP application

Component Description:
KETD, Castle Rock, CO Channel Repack
Amount:
$146.25
Non-zoning permits Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification
Amount:
$8,322.00
Equipment Rental

Component Description:
KETD-610-Equipment Rental
Amount:
$1,684.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,051,593.66 $1,341,968.38 $515,605.10

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 Everett Todd

Chief Engineer


03/29/2021

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 Everett Todd

Chief Engineer


03/29/2021

Attachments

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