Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
FORT MYERS BROADCASTING COMPANY Doing Business As: FORT MYERS BROADCASTING COMPANY |
Monica Kummer 2824 PALM BEACH BLVD. FORT MYERS, FL 33916 United States |
+1 (239) 479-5504 | Monica.Kummer@fmbcmail.com | Corporation |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Joseph Belisle Belisle Law Firm PA |
Joseph Belisle PO Box 970620 Miami, FL 33197 United States |
+1 (305) 978-7675 | joe@belislelaw.com |
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 | Replace top-mounted FM/TV stack with side-mounted antenna for TV and simple top-mounted FM antenna for WINK-FM. Replace TV transmission line. Upgrade existing IOT transmitter to Solid State. Remove old. Please see attached document. |
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 | Auxiliary (Backup) | |
Ownership | Owned | |
Owner | N/A | |
Is this transmitter currently shared with another station? | Yes | |
Is this transmitter currently in operating condition? | Yes | |
Existing Transmitter Manufacturer and Type | Manufacturer | Comark |
Model | LPTV-8000 | |
Year | 2015 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 0.5 kW |
Facility ID | Call Sign |
---|---|
61504 | WXCW |
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 |
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 | Paragon | |
Year | 2012 | |
Type | Inductive Output Tube | |
IOT Power Type | Two | |
Power Capacity | 60 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | ULXTE-72 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 47.2 kW | |
Justification for New Transmitter | Please See Attached Transition Plan. FMBC proposes reimbursement in the amount of savings by moving to a side-mount antenna and credit for retune expenses not incurred. See attachment "fffffffQuote_Q-78897r1_WINK ULXTE-50 TFU-26 Max 2018-12-17.pdf" |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | Yes | |
Transformer (480V) | No | |
Power | N/A | |
Rigid Conduit and Wiring | Yes | |
Size | 3 inches | |
Length | 50.0 feet | |
Other Electrical Service | No | |
Description | N/A | |
HVAC Service | Does the replacement transmitter require HVAC Service? | No |
Type | N/A | |
Size | N/A | |
Other Size | N/A | |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
Size | N/A | |
Channel 14 Costs | Is an RF Consulting Engineer needed? | N/A |
Is a channel 14 Mask Filer needed? | N/A | |
Is additional field engineering time needed? | N/A | |
Number of Days | N/A |
Name | Description |
---|---|
Removal |
Removal and disposition of existing transmitter |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Interim |
Description of Use | N/A | |
Change Type | Purchase | |
Manufacturer | ||
Model | ULXTE-60 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 31.8 kW | |
Justification for New Transmitter | WINK needs a temporary location to install new primary facility. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | Yes |
Switchgear (industrial 800 amp) | Yes | |
Transformer (480V) | Yes | |
Power | 150 kVA | |
Rigid Conduit and Wiring | Yes | |
Size | 6.13 inches | |
Length | 60.0 feet | |
Other Electrical Service | Yes | |
Description | HVAC, Computer, Phone, STL, Ethernet, ENG, UPS, | |
HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
Type | Cooling Only | |
Size | 20 tons | |
Other Size | N/A | |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | Yes |
Size | 250.0 square feet | |
Channel 14 Costs | Is an RF Consulting Engineer needed? | N/A |
Is a channel 14 Mask Filer needed? | N/A | |
Is additional field engineering time needed? | N/A | |
Number of Days | N/A | |
Inside RF System | Is an additional interior RF system required to support this interim transmitter? | Yes |
Name | Description |
---|---|
Cable |
DIE101873-025 |
Other-Change Orders |
Other-Change Orders |
Sales Tax |
Sales Tax |
Installation and Proof |
UTXTE-INST-H-060 |
Combiner |
Combiner |
Mask Filter |
FLUA-22000-6AT |
RF Accessories |
Accessories |
Exciter |
XTE-EXCITER-MS |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Retune Existing |
Antenna Use | Auxiliary (Backup) | |
Description of Use | Emergency Backup | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing antenna shared with another station or stations? | Yes | |
Is the existing antenna directional? | Yes | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | Class | Class A |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Broadband Panel | |
Number of Stations Supported | 2 | |
Number of Panels | 2 | |
Design power capacity in use | 100.0 % | |
Lower Limit | 470.00 MHz | |
Upper Limit | 860.00 MHz | |
Other Antenna Type | N/A | |
ERP: | 1.6 kW | |
Manufacturer | Dielectric | |
Model | TUA-C2-01/02M-T | |
Year | 2015 |
Facility ID | Call Sign |
---|---|
61504 | WXCW |
Section | Question | Response |
---|---|---|
Sweep Test of Existing Antenna | Do you need a sweep test of existing antenna? | Yes |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
Type | ||
Number of channels supported | N/A | |
Frequencies of channels supported | N/A | |
Frequency |
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 | Top Mount | |
Antenna position in stack | Bottom | |
Polarization | Elliptical | |
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: | 1000.0 kW | |
Manufacturer | ||
Model | TFU-24-JBH/VP-R 08 SP | |
Year | 2012 |
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 | 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: | 1000.0 kW | |
Manufacturer | ||
Model | TFU 31 JSC/VP-R 4C130 | |
Year | 2019 | |
Justification for New Antenna | Channel Change. Existing antenna is not broadband. |
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? | Yes |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
Name | Description |
---|---|
Custom mounts |
Custom mounts |
Elbow Complex |
Elbow Complex |
V pol |
V pol |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Interim |
Description of Use | N/A | |
Change Type | Purchase New | |
Ownership | Owned | |
Owner | N/A | |
Is antenna shared? | Yes | |
Is antenna directional? | Yes | |
Will antenna be located on or in close proximity to an antenna farm? | Yes | |
New Antenna Manufacturer and Type | Class | Full Power |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Broadband Slot | |
Number of Stations Supported | 2 | |
Number of Panels/Bays | 24 | |
Lower Limit | 572.00 MHz | |
Upper Limit | 692.00 MHz | |
Design power capacity in use | 100.0 % | |
Other Antenna Type | N/A | |
ERP: | 567.0 kW | |
Manufacturer | ||
Model | TFU-24WB-R C160 | |
Year | 2019 | |
Justification for New Antenna | Facilitate operation of WINK-TV on pre-transition channel 50 during tower work. NOTE: existing auxiliary is designed to reach cable head-ends only and not suitable for extended operation required for tower work. |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
Type | ||
Number of channels supported | N/A | |
Frequencies of channels supported | N/A | |
Frequency | N/A | |
Do you need a combiner output splitter/switcher for dual feed lines? | N/A | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
Broadband or Single Channel? | N/A | |
Feed Line Size | N/A | |
Side Mount Brackets | Do you require the separate purchase of side mount brackets for an antenna? | No |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
Name | Description |
---|---|
Other Antenna Costs |
Other Antenna Costs |
RF Patch Panel |
To place Interim antenna on the air |
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 | Rigid | |
Diameter | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 19 1/2 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1500 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 | Rigid | |
Diameter | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1500 feet per run | |
Justification for New Transmission Line | Existing stick length of 19.5' is not compatible with post-transition channel 31 |
Section | Question | Response |
---|---|---|
New Transmission Line Costs | Use | Interim |
Description of Use | N/A | |
Change Type | Purchase New | |
Type | Rigid | |
Diameter | 4 1/16 inches | |
Segment Length | 19 ½ ' | |
Other Segment Length | ||
Number of parallel runs | 1 | |
Length | 1300 feet per run | |
Justification for New Transmission Line | Feed interim antenna used to facilitate tower work. |
Name | Description |
---|---|
Rigid TL 4-50 up to 5 ft |
Rigid TL 4-50 up to 5 ft |
Elbow 4-50 Digit 7 X 14 |
Elbow 4-50 Digit 7 X 14 |
Elbow 4-50 EIA 6 X 12 |
Elbow 4-50 EIA 6 X 12 |
Elbow 4-50 EIA 6 x 6 |
Elbow 4-50 EIA 6 x 6 |
Other Transmission Line Parts |
Other Transmission Line Parts |
Rigid TL 4-50 15 ft to 20 ft |
Rigid TL 4-50 15 ft to 20 ft |
Rigid TL 4-50 5 ft to 10 ft |
Rigid TL 4-50 5 ft to 10 ft |
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 | Auxiliary (Backup) | |
Description of Use | Studio Transmitter Link | |
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) | 26° 39' 05.3" N- |
Longitude (NAD83) | 081° 51' 18.3" W- | |
Overall Structure Height | 201.00 feet | |
Support Structure Height | 201.00 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 5.90 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | Ft. Myers Broadcasting Co. | |
Date Constructed | 03/23/1954 |
Facility ID | Call Sign | Service |
---|---|---|
61504 | WXCW | DTV |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | No study needed |
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 |
---|---|---|
Existing Tower Description | Type of change | Modify Existing |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Is this tower consider Complex? | ||
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? | Yes | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1019724 | |
Coordinates (NAD83) | Latitude (NAD83) | 26° 48' 02.2" N- |
Longitude (NAD83) | 081° 45' 47.3" W- | |
Overall Structure Height | 1519.01 feet | |
Support Structure Height | 1432.07 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 29.86 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | FORT MYERS BROADCASTING COMPANY | |
Date Constructed | 07/01/1988 |
Facility ID | Call Sign | Service |
---|---|---|
22094 | WINK-FM | FM |
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: | Serious Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | Other |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Radio Antenna Support |
A replacement support pole for WINK-FM is necessary due to removal of stacked antenna system. |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Construct New |
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? | Yes | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1019724 | |
Coordinates (NAD83) | Latitude (NAD83) | 26° 48' 02.2" N- |
Longitude (NAD83) | 081° 45' 47.3" W- | |
Overall Structure Height | 1519.01 feet | |
Support Structure Height | 1432.07 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 29.86 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | FORT MYERS BROADCASTING COMPANY | |
Date Constructed | 07/01/1988 |
Facility ID | Call Sign | Service |
---|---|---|
22093 | WINK-TV | DTV |
Section | Question | Response |
---|---|---|
Construct New Tower | Use | Primary (Main) |
Description of Use | N/A | |
Is this a request for upgraded equipment? | No | |
Height | 1517.00 feet | |
Justification for New Tower | Existing tower insufficient. |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Addn'l 6' x 65' Long Transmission Line Bridge |
Addn'l 6' x 65' Long Transmission Line Bridge |
Structural Analysis for Primary |
Structural Analysis for Primary |
Tower Mapping for Primary |
Tower Mapping for Primary |
ERI remobilization - Foundation and Tree clearing crew |
ERI remobilization - Foundation and Tree clearing crew |
ERI remobilization - Surveyor |
ERI remobilization - Surveyor |
Section | Question | Response |
---|---|---|
Construct New Tower | Use | Interim |
Description of Use | N/A | |
Height | 1200.00 feet | |
Justification for New Tower | To move primary antenna. |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Interim Antenna and Line Installation |
Interim Antenna and Line Installation |
Tower Mapping for Interim |
Tower Mapping for Interim |
Structural Analysis for Interim |
Structural Analysis for Interim |
Tower Lease |
Tower Lease |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 20 | |
Explanation | These hours are estimated for the preparation and submission of the station's FCC Form 387 transition plan progress reports | |
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 | Yes | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | Yes | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
Do you have Distributed Transmission System engineering services? | N/A | |
Critical Facility | N/A | |
Terrain-Shielded Facility | N/A | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
For Auxiliary Facility | Yes | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | Yes | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
NEPA Section 106 environmental review | No | |
Environmental Assessment | No | |
ASR Modification | No | |
FAA Consultation (including preparation of FAA Form 7460) | No | |
Negotiation of Lease and other Matter for Shared Locations | Yes | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
Other Engineering Services |
Other Engineering Services |
Other Legal Services |
Other Legal Services |
Permitting |
Permitting |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Facility Expenses | Name | N/A |
Other Distributed Transmission System Expenses Not listed | N/A | |
Name | N/A | |
Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
Permit and Filing Costs | Local Zoning | No |
Non-zoning permits | Yes | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | Yes | |
FCC License to Cover Application | Yes | |
FCC Special Temporary Authority Application | Yes | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | Yes |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
Does this relocation require Equipment Storage? | Yes | |
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | Yes | |
Does this relocation require MVPD Notification of a Channel Change? | Yes |
Name | Description |
---|---|
Equipment Delivery and Handling Charges |
Equipment Delivery and Handling Charges |
Internal Labor |
Internal Labor |
Project Oversight |
Cost to cover time of employees exclusively dedicated to the repack. |
STL backup power |
STL backup power |
STL due to New Tower |
STL due to New Tower |
TS Processor |
TS Processor |
Environmental Analysis |
Environmental Analysis |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $5,008,477.23 | $3,108,134.51 | N/A | $2,297,962.78 | N/A |
Total for all systems | $16,270,463.44 | $11,230,797.96 | N/A | $10,165,766.65 | N/A |
Interim Transmitter ULXTE-60 | $3,027,279.32 | $1,519,238.50 | $1,264,776.50 | ||
Exciter | $15,000.00 | $15,000.00 | N/A | N/A | N/A |
RF Accessories | $57,947.28 | $57,947.28 | N/A | $57,947.28 | N/A |
Mask Filter | $45,220.71 | $45,220.71 | N/A | $45,220.71 | N/A |
Combiner | $33,438.99 | $33,438.99 | See attached / uploaded PDF file titled, "Gates US0336697 v200713pmv1" | $33,438.99 | N/A |
Installation and Proof | $97,993.44 | $97,993.44 | See attached / uploaded PDF file titled, "Gates US0336697 v200713pmv1" | $97,993.44 | N/A |
Sales Tax | $64,010.98 | $64,010.98 | See attached / uploaded PDF titled, "Gates US0336697 v200713pmv1". | $64,010.98 | N/A |
Other-Change Orders | $5,664.74 | $5,664.74 | See attached / uploaded PDF file titled "Gates US0336697 v200713pmv1" | $5,664.74 | N/A |
Cable | $334.38 | $334.38 | Cable DIE101873-025 | $334.38 | N/A |
UHF inside RF system including switching | $147,500.00 | $143,500.00 | N/A | N/A | N/A |
Other -- Building Addition Size: 250.0 | $15,000.00 | $15,000.00 | N/A | N/A | N/A |
Other -- HVAC Service Type: C Size:20 (Other) | $15,000.00 | $15,000.00 | N/A | N/A | N/A |
Other Electrical Service: HVAC, Computer, Phone, STL, Ethernet, ENG, UPS, | $50,000.00 | $50,000.00 | N/A | $45,238.00 | N/A |
6.13" Rigid Conduit and Wiring | $10,000.00 | $10,000.00 | N/A | N/A | N/A |
Transformer 3 phase/480v - 150 KVA | $25,550.00 | $8,899.78 | See attached invoices and quotes | $8,899.78 | N/A |
Switchgear - industrial 800 amp | $38,200.00 | $37,150.00 | N/A | N/A | N/A |
Service entrance 3 phase/800 amp/208 volt | $14,400.00 | $14,050.00 | N/A | N/A | N/A |
UHF - Liquid Cooled Solid State Transmitter 31.8 kW | $604,018.80 | $604,018.80 | N/A | $604,018.80 | N/A |
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW | $1,788,000.00 | $302,009.40 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $302,009.40 | N/A |
Primary Transmitter ULXTE-72 | $1,872,967.91 | $1,567,691.01 | $1,033,186.28 | ||
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW | $1,473,000.00 | $1,169,773.10 | The amount entered is the ULXTE-72 total purchase price of $1,518,941.01 less the original $349,167.91 payment made for invoice JW30004472-1 when model ULXTE-50 was being purchased. See attached / uploaded PDF file titled "Gates US0334968 v201014jgv1.pdf" | $684,018.37 | N/A |
Removal | $10,000.00 | $10,000.00 | Disassembly and removal of dual IOT transmitter. | N/A | N/A |
3" Rigid Conduit and Wiring (Cost per foot) | $2,600.00 | $2,450.00 | N/A | N/A | N/A |
Switchgear - industrial 800 amp | $38,200.00 | $36,300.00 | N/A | N/A | N/A |
UHF - Liquid Cooled Solid State Transmitter 31.7 kW | $349,167.91 | $349,167.91 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $349,167.91 | N/A |
Auxiliary Transmitter LPTV-8000 | $108,230.00 | $21,205.00 | $0.00 | ||
1.5 kW mask filter | $3,030.00 | $0.00 | N/A | N/A | N/A |
UHF and VHF - minor banding issues | $105,200.00 | $21,205.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Exciter | Information not provided. |
RF Accessories | |
Mask Filter | |
Combiner | |
Installation and Proof | |
Sales Tax | |
Other-Change Orders | |
Cable | |
UHF inside RF system including switching | Information not provided. |
Other -- Building Addition Size: 250.0 | Information not provided. |
Other -- HVAC Service Type: C Size:20 (Other) | Information not provided. |
Other Electrical Service: HVAC, Computer, Phone, STL, Ethernet, ENG, UPS, | |
6.13" Rigid Conduit and Wiring | Information not provided. |
Transformer 3 phase/480v - 150 KVA | |
Switchgear - industrial 800 amp | Information not provided. |
Service entrance 3 phase/800 amp/208 volt | Information not provided. |
UHF - Liquid Cooled Solid State Transmitter 31.8 kW | |
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW | |
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW | |
Removal | Information not provided. |
3" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
Switchgear - industrial 800 amp | Information not provided. |
UHF - Liquid Cooled Solid State Transmitter 31.7 kW | |
1.5 kW mask filter | Information not provided. |
UHF and VHF - minor banding issues | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $374,738.93 | $370,288.93 | N/A | $313,896.51 | N/A |
Total for all systems | $16,270,463.44 | $11,230,797.96 | N/A | $10,165,766.65 | N/A |
Interim Antenna TFU-24WB-R C160 | $113,274.93 | $109,744.93 | $89,666.91 | ||
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 567 kW input, directional,, horizontally polarized | $85,067.70 | $85,067.70 | N/A | $85,067.70 | N/A |
RF Patch Panel | $20,000.00 | $20,000.00 | N/A | N/A | N/A |
Other Antenna Costs | $1,477.23 | $1,477.23 | N/A | $1,399.21 | N/A |
Sweep test of existing antenna | $6,730.00 | $3,200.00 | N/A | $3,200.00 | N/A |
Primary Antenna TFU 31 JSC/VP-R 4C130 | $254,734.00 | $254,144.00 | $224,229.60 | ||
V pol | $27,120.00 | $27,120.00 | See attached/uploaded PDF file titled "Die MAN01336 v191129jgv1.pdf" | $24,408.00 | N/A |
Elbow Complex | $10,984.00 | $10,984.00 | See attached/uploaded PDF file titled "Die MAN01336 v191129jgv1.pdf" | $9,885.60 | N/A |
Custom mounts | $17,520.00 | $17,520.00 | See attached/uploaded PDF file titled "Die MAN01336 v191129jgv1.pdf" | $15,768.00 | N/A |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | $5,260.00 | $5,000.00 | N/A | N/A | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $5,760.00 | N/A |
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized | $187,120.00 | $187,120.00 | See attached/uploaded PDF file titled "Die MAN01336 v191129jgv1.pdf" | $168,408.00 | N/A |
Auxiliary Antenna TUA-C2-01/02M-T | $6,730.00 | $6,400.00 | $0.00 | ||
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $0.00 | N/A |
Actual Information Description | File Name |
---|---|
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 567 kW input, directional,, horizontally polarized | |
RF Patch Panel | Information not provided. |
Other Antenna Costs | |
Sweep test of existing antenna | |
V pol | |
Elbow Complex | |
Custom mounts | |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | Information not provided. |
Sweep test of existing antenna | |
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized | |
Sweep test of existing antenna | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $511,829.42 | $328,826.56 | N/A | $306,587.60 | N/A |
Total for all systems | $16,270,463.44 | $11,230,797.96 | N/A | $10,165,766.65 | N/A |
Interim Transmission Line | $204,901.42 | $106,436.96 | $106,436.96 | ||
Rigid TL 4-50 15 ft to 20 ft | $1,395.28 | $1,395.28 | N/A | $1,395.28 | N/A |
Other Transmission Line Parts | $5,776.93 | $5,776.93 | N/A | $5,776.93 | N/A |
Elbow 4-50 EIA 6 x 6 | $3,790.12 | $3,790.12 | N/A | $3,790.12 | N/A |
Elbow 4-50 EIA 6 X 12 | $1,498.00 | $1,498.00 | N/A | $1,498.00 | N/A |
Elbow 4-50 Digit 7 X 14 | $4,010.49 | $4,010.49 | See attached / uploaded PDF file titled, "Die ST659004 v200217pmv1" | $4,010.49 | N/A |
Rigid TL 4-50 up to 5 ft | $1,412.40 | $1,412.40 | N/A | $1,412.40 | N/A |
Rigid Transmission Line - copper, 4 1/16" | $184,600.00 | $86,135.54 | N/A | $86,135.54 | N/A |
Rigid TL 4-50 5 ft to 10 ft | $2,418.20 | $2,418.20 | N/A | $2,418.20 | N/A |
Primary Transmission Line | $306,928.00 | $222,389.60 | $200,150.64 | ||
TLSCRs | $3,928.00 | $3,928.00 | See attached/uploaded PDF file titled "Die MAN01336 v191129jgv1.pdf" | $3,535.20 | N/A |
Rigid Transmission Line - copper, 6 1/8" | $303,000.00 | $218,461.60 | See attached/uploaded PDF file titled "Die MAN01336 v191129jgv1.pdf" | $196,615.44 | N/A |
Actual Information Description | File Name |
---|---|
Rigid TL 4-50 15 ft to 20 ft | |
Other Transmission Line Parts | |
Elbow 4-50 EIA 6 x 6 | |
Elbow 4-50 EIA 6 X 12 | |
Elbow 4-50 Digit 7 X 14 | |
Rigid TL 4-50 up to 5 ft | |
Rigid Transmission Line - copper, 4 1/16" | |
Rigid TL 4-50 5 ft to 10 ft | |
TLSCRs | |
Rigid Transmission Line - copper, 6 1/8" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $9,910,977.35 | $6,861,583.95 | N/A | $6,784,635.75 | N/A |
Total for all systems | $16,270,463.44 | $11,230,797.96 | N/A | $10,165,766.65 | N/A |
Interim Tower | $3,614,480.35 | $247,982.35 | $247,980.35 | ||
Interim Antenna and Line Installation | $149,745.28 | $149,745.28 | See attached/uploaded PDF files titled "ERI WINK-300 v191121jgv1.pdf", "ERI WINK-37231 v200206jgv1.pdf" and "ERI WINK-55466 v200428jgv1.pdf" | $149,745.28 | N/A |
New tower between 1000' and 1500' without elevator, presumptive soil conditions | $3,156,000.00 | $1.00 | N/A | $0.00 | N/A |
Tall Tower (greater than 500') | $210,500.00 | $1.00 | N/A | N/A | N/A |
Tower Mapping for Interim | $8,720.59 | $8,720.59 | Tower Mapping for Interim | $8,720.59 | Tower Mapping for Interim |
Structural Analysis for Interim | $6,438.00 | $6,438.00 | Structural Analysis for Interim | $6,438.00 | N/A |
Tower Lease | $83,076.48 | $83,076.48 | 1st year lease agreement at $3200 plus tax per month, thereafter 3% increase per year. | $83,076.48 | N/A |
Auxiliary Tower TOWER | $84,200.00 | $0.00 | $0.00 | ||
Short Tower (less than 500') | $84,200.00 | $0.00 | N/A | N/A | N/A |
Primary Tower TOWER | $1,052,000.00 | $23,400.00 | $23,400.00 | ||
Serious tower reinforcement/modifications | $1,052,000.00 | $23,400.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.***Per proposal, attached as exhibit 7 of Transition Plan. Covers cost to remove obsolete equipment and strengthen tower in order to support transition plan. | $23,400.00 | N/A |
Primary Tower TOWER | $0.00 | $0.00 | $0.00 | ||
Primary Tower | $5,160,297.00 | $6,590,201.60 | $6,513,255.40 | ||
Tall Tower (greater than 500') | $210,500.00 | $0.00 | N/A | N/A | N/A |
New tower between 1500' and 2000' without elevator, presumptive soil conditions | $4,786,135.00 | $6,426,539.60 | ***System Notice: Estimate adjusted and locked because line has been superseded.***See attached / uploaded PDF file titled "ERI WINK-2501-1 v200206jgv1.pdf" | $6,426,539.60 | N/A |
Addn'l 6' x 65' Long Transmission Line Bridge | $81,577.00 | $81,577.00 | N/A | $75,365.80 | N/A |
Structural Analysis for Primary | $4,150.00 | $4,150.00 | See attached / uploaded PDF file titled "PJF 219480 v200715pmv1". | $4,150.00 | N/A |
ERI remobilization - Surveyor | $8,125.00 | $8,125.00 | See attached / uploaded PDF file titled "ERI CO 37937-060321-1 (Remob Surveyor).pdf" | N/A | N/A |
ERI remobilization - Foundation and Tree clearing crew | $62,610.00 | $62,610.00 | See attached / uploaded PDF file titled "ERI CO 37937-060321-2 (Remob Tree Foundation crew).pdf" | N/A | N/A |
Tower Mapping for Primary | $7,200.00 | $7,200.00 | See attached / uploaded PDF titled "PJF 219480 v200715pmv1" | $7,200.00 | N/A |
Actual Information Description | File Name |
---|---|
Interim Antenna and Line Installation | |
New tower between 1000' and 1500' without elevator, presumptive soil conditions | Information not provided. |
Tall Tower (greater than 500') | Information not provided. |
Tower Mapping for Interim | |
Structural Analysis for Interim | |
Tower Lease | |
Short Tower (less than 500') | Information not provided. |
Serious tower reinforcement/modifications | |
Tall Tower (greater than 500') | Information not provided. |
New tower between 1500' and 2000' without elevator, presumptive soil conditions | |
Addn'l 6' x 65' Long Transmission Line Bridge | |
Structural Analysis for Primary | |
ERI remobilization - Surveyor | Information not provided. |
ERI remobilization - Foundation and Tree clearing crew | Information not provided. |
Tower Mapping for Primary |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $136,061.41 | $234,189.91 | N/A | $204,949.91 | N/A |
Total for all systems | $16,270,463.44 | $11,230,797.96 | N/A | $10,165,766.65 | N/A |
Outside Professional Services | $136,061.41 | $234,189.91 | $204,949.91 | ||
Permitting | $50,383.91 | $50,383.91 | See attached invoices / quotes. | $50,383.91 | N/A |
Other Legal Services | $24,702.50 | $24,702.50 | See attached/uploaded Repack legal invoices | $24,702.50 | N/A |
Other Engineering Services | $15,000.00 | $15,000.00 | Cost estimate for other engineering services such as RF calculations, evolving transition plan calculations and discussion, etc. | $12,635.00 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,500.00 | N/A | N/A | N/A |
Attorney Fees - Negotiation of lease and other matters for shared locations | $4,210.00 | $4,000.00 | N/A | N/A | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,250.00 | N/A | N/A | N/A |
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application | $4,210.00 | $4,000.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | N/A | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $3,000.00 | See attached / uploaded PDF file titled, "DLR 243944 v200316pmv1". | $2,250.00 | N/A |
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application | $1,580.00 | $1,500.00 | 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 | $0.00 | N/A |
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application | $2,105.00 | $2,000.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $2,500.00 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | $5,125.00 | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $5,335.00 | See attached Invoice and Quotation | $5,335.00 | Refer to Invoice and Estimate |
Prepare and or review reimbursement form | $2,630.00 | $43,643.50 | The cost estimate includes the initial 399 amendment, anticipated subsequent 399 amendments, and Actual Cost invoice prep and submission by KGA. | $43,643.50 | N/A |
Project management of the transition | $3,160.00 | $58,375.00 | See attached invoices and quotes. | $58,375.00 | N/A |
Actual Information Description | File Name |
---|---|
Permitting | |
Other Legal Services | |
Other Engineering Services | |
Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
Attorney Fees - Negotiation of lease and other matters for shared locations | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare request for Special Temporary Authorization | |
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit 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 | |
Address transition timing and coordination issues w/ other stations and wireless | |
Prepare and or review reimbursement form | |
Project management of the transition |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $328,379.10 | $327,774.10 | N/A | $257,734.10 | N/A |
Total for all systems | $16,270,463.44 | $11,230,797.96 | N/A | $10,165,766.65 | N/A |
Other Expenses | $328,379.10 | $327,774.10 | $257,734.10 | ||
Environmental Analysis | $8,585.00 | $8,585.00 | N/A | $8,585.00 | N/A |
TS Processor | $8,291.50 | $8,291.50 | N/A | $8,291.50 | N/A |
STL due to New Tower | $141,069.84 | $141,069.84 | N/A | $141,069.84 | N/A |
STL backup power | $815.00 | $815.00 | See attached / uploaded PDF file titled "STL backup power v210308jgv1.pdf" | N/A | N/A |
Project Oversight | $28,763.00 | $28,763.00 | Employee cost for planning, coordination and oversight of the repack project. See Response to Administrator at Exhibit II. | N/A | N/A |
Internal Labor | $47,855.51 | $47,855.51 | N/A | $47,855.51 | N/A |
Equipment Delivery and Handling Charges | $35,209.25 | $35,209.25 | See attached / uploaded PDF file titled, "Gates US0336697 v200713pmv1". | $35,209.25 | N/A |
MVPD Notification of Channel Change | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
Develop and air announcement of upcoming channel change | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
Equipment Storage | $27,600.00 | $27,600.00 | See attached / uploaded PDF files titled "Die ship to storage quote.pdf" and "ERI 57150 v210304jgv1.pdf" | $12,000.00 | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
Non-zoning permits | $10,000.00 | $10,000.00 | Building permit for electrical and tower work. | $0.00 | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $190.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,070.00 | See Response to Administrator for cost justification. | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $11,000.00 | N/A | $4,723.00 | N/A |
Actual Information Description | File Name |
---|---|
Environmental Analysis | |
TS Processor | |
STL due to New Tower | |
STL backup power | Information not provided. |
Project Oversight | Information not provided. |
Internal Labor | |
Equipment Delivery and Handling Charges | |
MVPD Notification of Channel Change | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage | |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
Non-zoning permits | Information not provided. |
FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
DTV Medical Facility Notification |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $16,270,463.44 | $11,230,797.96 | $10,165,766.65 |
Question | Response |
---|---|
The facility has ceased operating on its pre-auction channel. | Yes |
Construction of final facilities or all necessary modifications are complete. | No |
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. | No |
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. | Jeffrey C Gehman Engineering Associate 06/22/2021 |
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. | Jeffrey C Gehman Engineering Associate 06/22/2021 |