TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
WXTV LICENSE PARTNERSHIP, G.P. Doing Business As: WXTV LICENSE PARTNERSHIP, G.P.	Christopher G. Wood 5999 CENTER DRIVE LOS ANGELES, CA 90045 United States	+1 (310) 348-3600	CWOOD@UNIVISION.NET	General Partnership

Applicant

Address

Phone

Applicant Type

WXTV LICENSE PARTNERSHIP, G.P.

Doing Business As: WXTV LICENSE PARTNERSHIP, G.P.

Christopher G. Wood

5999 CENTER DRIVE

LOS ANGELES, CA 90045

United States

+1 (310) 348-3600

CWOOD@UNIVISION.NET

General Partnership

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
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

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

Broadcaster Information and Transition Plan

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, mask filter, and switching components; use existing transmission line and transmitter; sweep/tune/test line & antenna; conduct proof of performance measurements on transmitter. See attached Implementation Plan for details.

Transmitters

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

Primary Transmitter

Existing Transmitter Information

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	Gatesair
	Model	UAXT-1AT
	Year	2015
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	1.1 kW

Primary Transmitter

Retuning Transmitter Costs

Section	Question	Response
New IOT Tubes	Number of Tubes (including accessories) needed	N/A
New Mask Filter
	Power	3 kW
	Other Power	N/A
New Exciter	Is a new exciter needed?	No

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	No
	Size	N/A
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A

Primary Transmitter

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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	Class A
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Other
	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	Single Channel Panel
	ERP:	5.8 kW
	Manufacturer
	Model	4DR-16-2HW
	Year	2015

Primary Antenna

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?	No
	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	Horizontal
	Type	Other
	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	Single Channel Panel
	ERP:	6.6 kW
	Manufacturer
	Model	4DR-4S
	Year	2018
	Justification for New Antenna	Existing antenna panels are channel-specific and not usable on new channel.

Primary Antenna

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?	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?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

Section	Question	Response
Transmission Line Related Expenses	Do you have transmission line related expenses?	No

Tower Equipment And Rigging Costs

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

Primary Tower

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?	Candelabra
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	Yes
	Is tower documented for structural analysis?	Yes
	Is tower compliant with Rev G?	Yes
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1231524
Coordinates (NAD83)	Latitude (NAD83)	40° 02' 30.1" N-
	Longitude (NAD83)	075° 14' 10.1" W-
	Overall Structure Height	1254.91 feet
	Support Structure Height	1124.00 feet
	Ground Elevation Above Mean Sea Level (AMSL)	292.98 feet
	Structure Type	GTOWER - Guyed Structure Used for Communication Purposes
	Tower Owner	Global Tower, LLC. through American Towers, LLC
	Date Constructed	11/02/2011

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
55305	WTVE	DTV
51434	WTDY-FM	FM
9622	WOGL	FM
63153	WCAU	DTV
60560	WUVP-DT	DTV
65190	WRTI	FM
12211	WPPZ-FM	FM
72278	WPHA-CD	DTV
51984	WPPX-TV	DTV
12499	WPSG	DTV
7623	WGTW-TV	DTV
1283	WDPN-TV	DTV
28480	WPPT	DTV
74213	WXTU	FM
30572	WPHI-FM	FM
28628	WIP-FM	FM

Other Types of Users

Users
WZPA-LD
WDUM-LD
W36DO-D

Primary Tower

Tower Modification Costs

Section	Question	Response
Engineering Study	Please what type of engineering study is required, if any:	Study needed for tower with candelabra
Tower Reinforcements	Please select whether tower reinforcements are needed:	Minor Reinforcements needed

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Tower Permit Drawing Package	The generation of a tower construction drawing package for one (1) broadcasters/customers.
Ground and Building Drawing Package	The generation of a civil construction drawing package for one (1) broadcasters/customers.

Outside Professional Services Costs

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	No
	Quantity	N/A
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	No
	FAA Consultation (including preparation of FAA Form 7460)	No
	Negotiation of Lease and other Matter for Shared Locations	Yes
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	No
	RF exposure measurements	No
	Additional Field Engineering Service	No
	Number of Days	N/A
	Justification	N/A

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
ATC Site Coordination Meeting	ATC Site Coordination Meetings per WFPA Cost Repack Breakdown

Other Expenses

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

Other Expenses

Other Expenses Not Listed

Name	Description
Site Project Management	ATC fee for site coordination, management, and lease administration
Tower Project Management	ATC tower reconfiguration project management fee
Internal Labor	Internal Univision Labor directly associated with Repack

Cost Information

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	$109,355.00	$24,680.34	N/A	$19,732.14	N/A
Total for all systems	$999,603.10	$626,069.80	N/A	$515,845.33	N/A
Primary Transmitter UAXT-1AT	$109,355.00	$24,680.34		$19,732.14
3 kW mask filter	$4,155.00	$19,750.00	Per R&S Quote 117282.2	$19,732.14	N/A
UHF and VHF - minor banding issues	$105,200.00	$4,930.34	Please see WFPA-CD UHF and VHF - minor banding issues Revision Justification Cover Letter	$0.00	N/A

Components

Actual Information Description	File Name
3 kW mask filter	Component Description: DP 35% Due Upon FAT PO# Line 1 Amount: $6,315.75 Component Description: 1st Primary Transmitter - 3 kW Mask Filter Amount: $1,410.54 Component Description: DP forecast deposit; DP 30% downpayment Amount: $5,413.50 Component Description: DP 35% Final Payment PO# Line 1 Amount: $6,592.35
UHF and VHF - minor banding issues	Component Description: Invoice moved to correct budget category per NMI message Amount: N/A

Cost Information

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	$33,030.00	$18,720.00	N/A	$12,292.64	N/A
Total for all systems	$999,603.10	$626,069.80	N/A	$515,845.33	N/A
Primary Antenna 4DR-4S	$33,030.00	$18,720.00		$12,292.64
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	N/A	N/A
UHF - Lower Power Side Mount, Class A One Station antenna -- basic	$26,300.00	$12,320.00	Please see WFPA antenna quote 001Q29263 and Antenna Clarification, plus freight charges on invoice	$12,292.64	N/A

Components

Actual Information Description	File Name
Sweep test of existing antenna	Information not provided.
UHF - Lower Power Side Mount, Class A One Station antenna -- basic	Component Description: Prepare suite and make connections from transmission system to new antenna, switch transmitter to new antenna for testing, coordinate cutover plan with other repack stations. Amount: $2,089.12 Component Description: 0-007 Kathrein-Scala 4DR-4S CH-35 (596-602 MHz) PARAPANEL UHF-TV Amount: $10,203.52

Cost Information

Transmission Line

Information not provided.

Cost Information

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	$608,400.00	$324,461.36	N/A	$256,400.00	N/A
Total for all systems	$999,603.10	$626,069.80	N/A	$515,845.33	N/A
Primary Tower GTOWER	$608,400.00	$324,461.36		$256,400.00
Structural engineering tower load study for a documented tower with candelabra	$20,000.00	$15,261.36	see Estimated Cost Justification WFPA-CD-410-Existing Primary Tower - Structural Engineering Tower Load Study v0	$14,600.00	N/A
Tower Permit Drawing Package	$4,700.00	$4,700.00	See line 167 of attached American Tower cost estimate.	N/A	N/A
Ground and Building Drawing Package	$4,700.00	$4,700.00	See line 168 of attached American Tower cost estimate.	N/A	N/A
Minor tower reinforcement/modifications	$158,000.00	$50,000.00	N/A	N/A	N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$249,800.00	Vertical Technology Services, LLC. Quote #18241-PA-REV-1	$241,800.00	N/A

Components

Actual Information Description	File Name
Structural engineering tower load study for a documented tower with candelabra	Component Description: Vendor Credit - Broadcast Tower Mapping Amount: ($661.36) Component Description: BROADCAST STRUCTURAL, BROADCAST REPACK Amount: $6,333.00 Component Description: BROADCAST TOWER MAPPING - DOMINO LANE PA Amount: $8,928.36
Tower Permit Drawing Package	Information not provided.
Ground and Building Drawing Package	Information not provided.
Minor tower reinforcement/modifications	Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Component Description: "50% Downpayment - upon award/full execution of agreement Reroute existing 6"" line to side mount antenna on arbor and in transmitter room" Amount: $124,900.00 Component Description: "Final 50% upon completion of project Reroute existing 6"" line to side mount antenna on arbor and in transmitter room" Amount: $116,900.00

Cost Information

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	$150,980.00	$170,350.00	N/A	$154,972.29	N/A
Total for all systems	$999,603.10	$626,069.80	N/A	$515,845.33	N/A
Outside Professional Services	$150,980.00	$170,350.00		$154,972.29
ATC Site Coordination Meeting	$2,500.00	$2,500.00	Please see attached WFPA Cost Breakdown and ATC Invoice 460211202	$2,500.00	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$2,000.00	N/A	$1,418.85	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	$35.55	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
Project management of the transition	$119,290.00	$144,600.00	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$144,566.64	Invoices submitted
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	$2,000.00	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$1,625.00	N/A
Prepare and or review reimbursement form	$2,630.00	$2,500.00	N/A	$326.25	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,500.00	American tower tenant coordination fees; see line 175 of attached ATC cost estimate	$2,500.00	N/A

Components

Actual Information Description	File Name
ATC Site Coordination Meeting	Component Description: WFPA-CD-590-ATC Site Coordination Meeting Amount: $2,500.00
Attorney Fees - Negotiation of lease and other matters for shared locations	Component Description: Legal Services Amount: $248.85 Component Description: Legal Services Amount: $102.60 Component Description: Legal Services Amount: $783.00 Component Description: Legal Services Amount: $142.20 Component Description: Legal Services Amount: $142.20
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: Legal Services Amount: $35.55
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Information not provided.
Project management of the transition	Component Description: Project Management Services Amount: $329.22 Component Description: Project Management Amount: $2,859.25 Component Description: K. Lahm - Execution plan update - 8/3/2018 Amount: $75.00 Component Description: Field work planning discussion Amount: $112.50 Component Description: Project management Amount: $221.65 Component Description: Project Management Amount: $3,034.50 Component Description: Project Management Services Amount: $231.00 Component Description: WFPA-CD-510-Project Management Amount: $75.00 Component Description: Project Management Amount: $64.50 Component Description: Project Management Services Amount: $316.50 Component Description: Project management Services Amount: $375.00 Component Description: Project management Services Amount: $135.00 Component Description: Project Management Services Amount: $555.00 Component Description: Project Management Amount: $456.66 Component Description: Project management Services Amount: $313.75 Component Description: Project management services Amount: $622.50 Component Description: Project management services Amount: $1,035.00 Component Description: Project Management Amount: $2,682.45 Component Description: Project Management Services Amount: $129.00 Component Description: Project Management Services Amount: $189.00 Component Description: Project Management Amount: $4,597.65 Component Description: Project management Services, Amount: $244.40 Component Description: Project Management Services Amount: $290.55 Component Description: Project Management Amount: $841.50 Component Description: Project Management Services Amount: $81.42 Component Description: Project management Services Amount: $278.75 Component Description: Project management Services Amount: $468.75 Component Description: Project Management Services, Amount: $415.36 Component Description: Project Management Amount: $1,642.15 Component Description: Project Management Services Amount: $211.25 Component Description: Project Management Amount: $1,829.40 Component Description: Project management Amount: $396.25 Component Description: Project Management Services Amount: $81.25 Component Description: Project Management Services Amount: $48.75 Component Description: Project Management Services Amount: $427.50 Component Description: Project Management Services, Amount: $771.72 Component Description: Project management Services Amount: $431.25 Component Description: Project Management Amount: $3,072.95 Component Description: Project management Services Amount: $254.80 Component Description: Project management Services Amount: $393.75 Component Description: Project Management Services Amount: $153.00 Component Description: Project Management Services Amount: $602.98 Component Description: Project management Services Amount: $707.50 Component Description: Project Management Services Amount: $1,519.50 Component Description: Project management Services Amount: $138.75 Component Description: Project Management Services Amount: $708.00 Component Description: Project Management Services Amount: $308.10 Component Description: Project Management Amount: $2,461.85 Component Description: Project Management Services Amount: $46.50 Component Description: Project management Services Amount: $429.00 Component Description: Project Management Amount: $4,483.10 Component Description: Project Management Services Amount: $916.50 Component Description: Project management Services Amount: $663.75 Component Description: Project Management Services Amount: $613.60 Component Description: Project Management Amount: $3,327.40 Component Description: Project Management Amount: $4,201.20 Component Description: Project Management Services Amount: $1,204.50 Component Description: Project management Services Amount: $401.05 Component Description: Project Management Services Amount: $111.00 Component Description: Project management Services Amount: $223.60 Component Description: Project Management Amount: $4,119.05 Component Description: Project Management Amount: $495.60 Component Description: Invoice revisions to meet FCC submittal requirements Amount: $22.50 Component Description: Project Management Services Amount: $516.84 Component Description: Project Management Services Amount: $292.50 Component Description: Project management Services Amount: $116.35 Component Description: Project management Amount: $438.75 Component Description: Project Management Amount: $4,425.60 Component Description: Project Management Amount: $3,575.30 Component Description: Project management Services Amount: $414.70 Component Description: Project management Services Amount: $269.75 Component Description: Project Management Amount: $411.00 Component Description: Project management services Amount: $1,300.50 Component Description: Project management Services Amount: $405.00 Component Description: Project Management Services Amount: $428.34 Component Description: Project management Amount: $227.50 Component Description: Project Management Amount: $4,030.85 Component Description: Project Management Amount: $549.00 Component Description: Project Management Amount: $2,826.25 Component Description: Project Management Services Amount: $415.50 Component Description: Project management Services Amount: $218.75 Component Description: Project management Services Amount: $247.50 Component Description: Project management Services Amount: $403.75 Component Description: Project Management Amount: $3,598.75 Component Description: Project Management Amount: $3,837.20 Component Description: Project Management Services Amount: $423.00 Component Description: Project Management Amount: $356.25 Component Description: Project Management Services Amount: $469.50 Component Description: Project Management Amount: $639.56 Component Description: Project Management Services Amount: $745.76 Component Description: Project Management Amount: $3,978.80 Component Description: Project Management Services Amount: $400.50 Component Description: Project Management Amount: $2,765.90 Component Description: Project Management Services Amount: $867.30 Component Description: Project management services Amount: $46.50 Component Description: Project Management Services Amount: $297.70 Component Description: Project management Services Amount: $252.50 Component Description: Project management Services Amount: $272.50 Component Description: Project management Amount: $154.05 Component Description: Project Management Amount: $2,622.00 Component Description: Project Management Amount: $345.74 Component Description: Project Management Services Amount: $342.50 Component Description: Project Management Services Amount: $160.50 Component Description: Project management Services Amount: $531.25 Component Description: Project Management Services Amount: $256.25 Component Description: Project management Services Amount: $291.25 Component Description: Project Management Amount: $3,384.10 Component Description: Project management Services Amount: $355.00 Component Description: Project Management Amount: $2,990.55 Component Description: Project management Amount: $503.75 Component Description: Project Management Amount: $3,267.15 Component Description: Engineering Travel Amount: $4,930.34 Component Description: Project management Amount: $486.25 Component Description: Project management Services Amount: $307.50 Component Description: Project Management Amount: $1,483.60 Component Description: Project Management Services Amount: $57.00 Component Description: Project management Amount: $430.00 Component Description: Project Management Amount: $2,832.90 Component Description: Project Management Services Amount: $289.50 Component Description: Project management Services Amount: $556.25 Component Description: Project management Services Amount: $723.45 Component Description: Project Management Amount: $1,896.00 Component Description: Project Management Services Amount: $75.00 Component Description: Project Management Amount: $2,135.70 Component Description: Project Management Amount: $3,118.30 Component Description: Project Management Amount: $2,183.25 Component Description: Project management Amount: $149.50 Component Description: Project Management Services Amount: $85.50 Component Description: Project management services Amount: $538.50 Component Description: Project Management Services Amount: $216.45 Component Description: Project Management Amount: $1,237.30 Component Description: Project Management Services Amount: $156.65 Component Description: Project management services Amount: $225.00 Component Description: Project management Services Amount: $368.75 Component Description: Project management Services Amount: $32.50 Component Description: Project management Services Amount: $224.25 Component Description: Project management Amount: $295.00 Component Description: Project management Services Amount: $283.40 Component Description: Project management Services Amount: $130.00 Component Description: Project Management Amount: $337.50 Component Description: Project management Services Amount: $275.00 Component Description: Project Management Amount: $1,114.30 Component Description: Project management Services Amount: $573.75 Component Description: Project Management Services Amount: $590.00 Component Description: Project management Services Amount: $272.35 Component Description: Project management Services Amount: $485.00 Component Description: Project Management Services Amount: $129.00 Component Description: Project management services Amount: $141.00 Component Description: Cost Reconciliation Amount: $3,638.95 Component Description: Project Management Services Amount: $268.75
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	Component Description: WFPA-CD-530-RF Eng - Construction Permit Application (Main) Amount: $2,000.00
Perform engineering study for new channel assignment and antenna development	Component Description: K. Lahm - Remote coaching of final field data collection & preparation of UAXT transmitter performance report - 2/27 & 3/16/2020 Amount: $875.00 Component Description: K. Lahm - Mask filter selection 7/3/2018 & radiation center analysis 12/26/2019 Amount: $125.00 Component Description: "Engineering study work for new channel assignment and antenna development (Off-the-shelf Antenna), Preparation of the engineering section of FCC Form 2100." Amount: $125.00 Component Description: Professional Services Amount: $250.00 Component Description: K. Lahm - Proof measurement network analyzer Amount: $250.00
Prepare and or review reimbursement form	Component Description: Legal Services Amount: $195.75 Component Description: Legal Services Amount: $130.50
Address transition timing and coordination issues w/ other stations and wireless	Component Description: CAPITAL CONTRIBUTION - DOMINO LANE PA Amount: $2,500.00

Cost Information

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	$97,838.10	$87,858.10	N/A	$72,448.26	N/A
Total for all systems	$999,603.10	$626,069.80	N/A	$515,845.33	N/A
Other Expenses	$97,838.10	$87,858.10		$72,448.26
Develop and air announcement of upcoming channel change	$71.10	$71.10	Please see WFPA-CD Channel Change Announcement Budget Revision Justification Letter	$71.10	N/A
Tower Project Management	$5,000.00	$5,000.00	See attached ATC site cost estimate spreadsheet, line 170	N/A	N/A
Site Project Management	$9,480.00	$9,480.00	See attached ATC site cost estimate spreadsheet	$9,480.00	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$16,485.00	$16,485.00	Please see attached Magness Demolition Proposal Rev 1	$16,485.00	N/A
Local Zoning	$667.00	$667.00	See line 222 of attached American Tower cost estimate.	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$335.00	N/A	$335.00	N/A
FCC Filing Fees - Form 2100 minor change CP application	$1,110.00	$1,070.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$2,000.00	N/A	$2,000.00	N/A
AM Pattern Disturbance -- Impact study	$7,890.00	$7,500.00	N/A	N/A	N/A
Internal Labor	$44,500.00	$44,500.00	N/A	$44,077.16	N/A
Non-zoning permits	$750.00	$750.00	See line 202 of attached American Tower cost estimate.	N/A	N/A

Components

Actual Information Description	File Name
Develop and air announcement of upcoming channel change	Component Description: WFPA-CD-610-Channel Change Announcement Amount: $71.10
Tower Project Management	Information not provided.
Site Project Management	Component Description: PO LINE 1 - NTP Billable - Project Mgmt Amount: $9,480.00
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: WFPA - Decommission and remove equipment at 310 Domino Lane Amount: $16,485.00
Local Zoning	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Component Description: WFPA-CD-610-FCC Filing Fee - License to Cover Amount: $335.00
FCC Filing Fees - Form 2100 minor change CP application	Information not provided.
DTV Medical Facility Notification	Component Description: Medical Notification Mailing Complete per FCC Repack Amount: $2,000.00
AM Pattern Disturbance -- Impact study	Information not provided.
Internal Labor	Component Description: Internal Labor 2018 Amount: $8,693.06 Component Description: Internal Labor 2020 Amount: $3,038.17 Component Description: Internal Labor 2021 Amount: $2,665.19 Component Description: Internal Labor 2019 Amount: $28,823.63 Component Description: Internal Labor 2017 Amount: $857.11
Non-zoning permits	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$999,603.10	$626,069.80	$515,845.33

Reimbursement Status

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

Certification

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.
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. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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). 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. 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. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Jose Franchi , Franchi . VP Finance 06/15/2021

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Jose Franchi , Franchi .

VP Finance

06/15/2021

Certification

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).
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 certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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) . 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. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Jose Franchi , Franchi . VP Finance 06/15/2021

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).

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 certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Jose Franchi , Franchi .

VP Finance

06/15/2021

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

Retuning Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Other Types of Users

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services

Components