Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
UNIVISION BAKERSFIELD LLC Doing Business As: UNIVISION BAKERSFIELD LLC |
CHRISTOPHER G. WOOD 5999 CENTER DRIVE LOS ANGELES, CA 90045 United States |
+1 (310) 348-3600 | CWOOD@UNIVISION.NET | Limited Liability Company |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Theodore Stoner VP Distribution Technology Strategy Univision Management Company |
Theodore Stoner 9405 NW 41st Street Miami, FL 33178 United States |
+1 (513) 608-0308 | tstoner@univision.net |
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 | Install new antenna and transmission line on existing tower, replace main transmitter mask filter, replace backup transmitter & mask filter, remove existing backup transmitter, antenna and transmission line. See attached Implementation Plan for details. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmitter Description | Type of change | Retune Existing |
Use | Primary (Main) | |
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 | Harris |
Model | UAX-500AT | |
Year | 2012 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 0.55 kW |
Section | Question | Response |
---|---|---|
New IOT Tubes | Number of Tubes (including accessories) needed | N/A |
New Mask Filter | ||
Power | 1.5 kW | |
Other Power | N/A | |
New Exciter | Is a new exciter needed? | No |
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 |
Name | Description |
---|---|
Transmitter Room |
Other Electrical Services |
Section | Question | Response |
---|---|---|
Existing Transmitter Description | Type of change | Purchase New |
Use | Auxiliary (Backup) | |
Description of Use | During failure of or maintenance on the main transmitter | |
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 | DT835A-5 | |
Year | 2002 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 1 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Auxiliary (Backup) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TMU9-1 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 0.6 kW | |
Justification for New Transmitter | Axcera LLC went out of business. Re-channel services pricing was requested from Unique Broadband Services, which has not responded, so it is assumed that support is not available. |
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 | Please see the attached TNJ Electric Proposal. New electrical connection for Aux. Transmitter. | |
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 |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
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 | Class A |
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: | 15.0 kW | |
Manufacturer | ||
Model | BU08C | |
Year | 2002 |
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 | Class A |
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: | 13.0 kW | |
Manufacturer | ||
Model | EPR-16-SK-572602-M3S | |
Year | 2018 | |
Justification for New Antenna | Existing antenna has excessive VSWR at new channel 35, due to its factory optimization for channels 31 and 39, and is therefore not suitable for use on new channel. |
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? | Yes |
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 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
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 Foam | |
Diameter | 1 5/8 inches | |
Other Diameter | N/A | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 90 feet per run |
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 Foam | |
Diameter | Other | |
Other Diameter | 3 1/8 inches | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 100 feet per run | |
Justification for New Transmission Line | Continuity of operation at cutover, avoiding need for tower crew on site or lengthy interruption of operation at that time. |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Modify Existing |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Is this tower consider Complex? | No | |
Is this tower currently shared with any other stations? | Yes | |
One or more FM, AM or TV radio broadcaster(s) | Yes | |
Others Types of Users | No | |
Is tower documented for structural analysis? | Yes | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | No |
ASR Number | ||
Coordinates (NAD83) | Latitude (NAD83) | 35° 27' 14.8" N- |
Longitude (NAD83) | 118° 35' 41.3" W- | |
Overall Structure Height | 105.80 feet | |
Support Structure Height | 75.00 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 7487.00 feet | |
Structure Type | UTOWER - Unguyed - Free Standing Tower | |
Tower Owner | Univision Television Group, Inc. | |
Date Constructed | 06/05/2017 |
Facility ID | Call Sign | Service |
---|---|---|
34438 | KBTF-CD | DTV |
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: | No reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 755 | |
Explanation | Univision stations are only staffed for daily station operations and minor equipment changes, major projects are contracted out externally. The large volume of work associated with repack schedule requires using external project management resources. | |
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 | 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 | 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 | 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 | No | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | Yes | |
Number of Days | 2 | |
Justification | measure frequency response and other electrical characteristics of mask filter that was sent to the factory for re-tuning, shipped back and re-installed at the site |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Facility Expenses | Name | N/A |
Other Distributed Transmission System Expenses Not listed | N/A | |
Name | N/A | |
Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
Permit and Filing Costs | Local Zoning | No |
Non-zoning permits | No | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | 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)? | No |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
Does this relocation require Equipment Storage? | No | |
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | No | |
Does this relocation require MVPD Notification of a Channel Change? | No |
Name | Description |
---|---|
Internal Labor |
Internal Univision Labor directly associated with Repack |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $185,613.70 | $100,183.70 | N/A | $54,429.95 | N/A |
Total for all systems | $513,257.20 | $417,227.44 | N/A | $329,681.30 | N/A |
Primary Transmitter UAX-500AT | $131,720.00 | $46,290.00 | $536.25 | ||
Transmitter Room | $23,490.00 | $23,490.00 | Please see the attached invoice from TNJ Electric, Inc. # 0027681-IN | N/A | N/A |
1.5 kW mask filter | $3,030.00 | $2,800.00 | N/A | N/A | N/A |
UHF and VHF - minor banding issues | $105,200.00 | $20,000.00 | N/A | $536.25 | N/A |
Auxiliary Transmitter TMU9-1 | $53,893.70 | $53,893.70 | $53,893.70 | ||
Other Electrical Service: Please see the attached TNJ Electric Proposal. New electrical connection for Aux. Transmitter. | $1,340.00 | $1,340.00 | Please see the attached TNJ Electric Proposal. | $1,340.00 | N/A |
UHF - Air Cooled Solid State Transmitter 0.6 kW | $52,553.70 | $52,553.70 | see Estimated Cost Justification KABE-CD-150-Auxiliary Transmitter - UHF Air-Cooled Solid State v2 | $52,553.70 | N/A |
Actual Information Description | File Name |
---|---|
Transmitter Room | Information not provided. |
1.5 kW mask filter | Information not provided. |
UHF and VHF - minor banding issues | |
Other Electrical Service: Please see the attached TNJ Electric Proposal. New electrical connection for Aux. Transmitter. | |
UHF - Air Cooled Solid State Transmitter 0.6 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $33,030.00 | $53,240.00 | N/A | $26,798.91 | N/A |
Total for all systems | $513,257.20 | $417,227.44 | N/A | $329,681.30 | N/A |
Primary Antenna EPR-16-SK-572602-M3S | $33,030.00 | $53,240.00 | $26,798.91 | ||
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $2,379.47 | N/A |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $46,840.00 | per RFS Quote 20082632 | $24,419.44 | N/A |
Actual Information Description | File Name |
---|---|
Sweep test of existing antenna | |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $12,929.77 | $12,929.77 | N/A | $12,929.77 | N/A |
Total for all systems | $513,257.20 | $417,227.44 | N/A | $329,681.30 | N/A |
Primary Transmission Line | $12,929.77 | $12,929.77 | $12,929.77 | ||
Flexible Foam Transmission Line - 3 1/8" 1 parallel runs 100 feet | $12,929.77 | $12,929.77 | Per Estimated Cost Justification KABE-CD-310-Primary Transmission Line v0 | $12,929.77 | N/A |
Actual Information Description | File Name |
---|---|
Flexible Foam Transmission Line - 3 1/8" 1 parallel runs 100 feet |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $96,800.00 | $63,278.53 | N/A | $58,278.53 | N/A |
Total for all systems | $513,257.20 | $417,227.44 | N/A | $329,681.30 | N/A |
Primary Tower UTOWER | $96,800.00 | $63,278.53 | $58,278.53 | ||
Short Tower (less than 500') | $84,200.00 | $58,278.53 | Please see Estimated Cost Justification KABE-CD-410-Existing Primary Tower - Short Tower - Tower Rigging and Equipment v1 | $58,278.53 | N/A |
Structural engineering tower load study for well documented tower | $12,600.00 | $5,000.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Short Tower (less than 500') | |
Structural engineering tower load study for well documented tower | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $150,003.73 | $162,060.44 | N/A | $151,811.32 | N/A |
Total for all systems | $513,257.20 | $417,227.44 | N/A | $329,681.30 | N/A |
Outside Professional Services | $150,003.73 | $162,060.44 | $151,811.32 | ||
Additional Field Engineering Service, 2 Days | $473.73 | $473.73 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $473.73 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $5,332.95 | Please see KABE-CD Attorney STA Budget Justification Letter. The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $5,332.95 | see submitted invoices |
Attorney Fees - Negotiation of lease and other matters for shared locations | $4,210.00 | $770.40 | Please see KABE-CD Attorney - Negotiate Lease and Other Matters Budget Justification Letter. The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $770.40 | Invoices received |
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 FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $2,500.00 | 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 | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $1,575.00 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $5,377.92 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $5,377.92 | Please see submitted invoices. |
Project management of the transition | $119,290.00 | $138,295.44 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $138,281.32 | see submitted invoices |
Prepare and or review reimbursement form | $2,630.00 | $2,560.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Additional Field Engineering Service, 2 Days | |
Attorney Fees - Prepare and File request for Special Temporary Authorization | |
Attorney Fees - Negotiation of lease and other matters for shared locations | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Perform engineering study for new channel assignment and antenna development | |
Project management of the transition | |
Prepare and or review reimbursement form | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $34,880.00 | $25,535.00 | N/A | $25,432.82 | N/A |
Total for all systems | $513,257.20 | $417,227.44 | N/A | $329,681.30 | N/A |
Other Expenses | $34,880.00 | $25,535.00 | $25,432.82 | ||
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $400.00 | Estimated Cost include both Legal STA and Engineering STA. Documentation included in the Invoice PDF's that were uploaded. | $400.00 | N/A |
DTV Medical Facility Notification | $11,550.00 | $2,000.00 | N/A | $2,000.00 | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | $335.00 | N/A |
Internal Labor | $22,800.00 | $22,800.00 | N/A | $22,697.82 | N/A |
Actual Information Description | File Name |
---|---|
FCC Filing Fees - Special Temporary Authorization request | |
DTV Medical Facility Notification | |
FCC Filing Fees - Form 2100 license to cover application | |
Internal Labor |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $513,257.20 | $417,227.44 | $329,681.30 |
Question | Response |
---|---|
The facility has ceased operating on its pre-auction channel. | No |
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 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jose Franchi , Franchi . VP Finance 03/23/2021 |
Section | Question | Response |
---|---|---|
Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jose Franchi , Franchi . VP Finance 03/23/2021 |