Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

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

Facility ID:
73910
Service:
DTV
Call Sign:
WPXI
Channel:
23 (UHF)
File Number:
0000028030
FRN:
0014361083
Date Submitted:
07/16/2021

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WPXI, LLC

Doing Business As: WPXI, LLC

Director of Engineering

4145 EVERGREEN ROAD

PITTSBURGH, PA 15214

United States

+1 (412) 237-1100 doe@wpxi.com Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

Otto Schellin

Director of Engineering

WPXI, LLC

Otto Schellin

4145 Evergreen Road

Pittsburgh, PA 15214

United States

+1 (412) 237-1184 doe@wpxi.com

Broadcaster Information and Transition Plan

Back to Top
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 Build CH23 xmtr, replace ant stack with CH23 ant mounted on pole. Use the CH48 main feedline for a new CH23 aux ant. Install a new feedline for the CH23 main ant.Remain on air using the CH48 aux ant.After transition, remove the CH48 aux ant and feedline.

Transmitters

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

Auxiliary Transmitter

Back to Top

Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Auxiliary (Backup)
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 DHD60P2
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 14 kW

Auxiliary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-24
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 16.1 kW
Justification for New Transmitter Current auxiliary transmitter cannot be retuned.

Auxiliary Transmitter

Back to Top

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 Yes
Description 480V transformers, raceway, wire, distribution panels, conduit, pump wiring and labor to provide electrical service. Cost represents 30% of total quoted amount to account for aux transmitter needs.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Auxiliary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Name Description

Auxiliary Transmitter - Power Sensor

Auxiliary Transmitter - Power Sensor

Exterior Foundation

Concrete pads for heat exchangers. 50% of total on the main transmitter and 50% on the aux transmitter.

Auxiliary Transmitter - Ice Bridge Foundation

Auxiliary Transmitter - Ice Bridge Foundation

Interior Work

Labor to unload and position all transmitter equipment, framing to install RF filters, patch previous transmission line entry points. 50% of total on the main transmitter and 50% on the aux transmitter.

Auxiliary Transmitter - Piping Installation

Auxiliary Transmitter - Piping Installation

Auxiliary Transmitter - Additional Installation

Auxiliary Transmitter - Additional Installation

Primary Transmitter

Back to Top

Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model CD200P2
Year 1999
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 kW

Primary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTED-80
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 50.1 kW
Justification for New Transmitter Current transmitter cannot be retuned to the new channel assignment. Also, IOT replacement transmitter would be more costly.

Primary Transmitter

Back to Top

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 Yes
Description 480V transformers, raceway, wire, distribution panels, conduit, pump wiring and labor to provide electrical service. Cost represents 70% of total quoted amount to account for main transmitter needs.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
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? 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

Back to Top

Other Transmitter Cost Not Listed

Name Description

Primary Transmitter - Additional Connectors

Primary Transmitter - Additional Connectors

Primary Transmitter - Additional Installation

Primary Transmitter - Additional Installation

Exterior Foundation

Concrete pads for heat exchangers 50% of total on the main transmitter and 50% on the aux transmitter.

Spare Transmitter Parts

WPXI currently has an inventory of replacement amplifiers, power supplies, circuit breakers, circuit assemblies and a manufacturer supplied parts kit for our main transmitter. These parts are not compatible with the new transmitter and must be replaced.

Interior Work

Labor to unload and position all transmitter equipment, framing to install RF filters, patch previous transmission line entry points.50% of total on the main transmitter and 50% on the aux transmitter.

Primary Transmitter - Ice Bridge Foundation

Primary Transmitter - Ice Bridge Foundation

Spare Cooling System Parts

To replace currently existing spare parts inventory on our cooling system. These parts are not compatible with the new transmitter and must be replaced.

Primary Transmitter - Power Sensor

Primary Transmitter - Power Sensor

Primary Transmitter - Piping Installation

Primary Transmitter - Piping Installation

Antennas

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

Auxiliary Antenna

Back to Top

Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use Auxiliary (Backup)
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-30DSC-R O4
Year 2008

Auxiliary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Auxiliary(Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-28DSC-R O4
Year 2018
Justification for New Antenna Current antenna can not be tuned to the new channel.

Auxiliary Antenna

Back to Top

Other Antenna Costs

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? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Auxiliary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Primary Antenna

Back to Top

Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
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: 1000.0 kW
Manufacturer
Model TFU-30GBH-R O6
Year 1999

Primary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
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-27ETT/VP-R O6
Year 2018
Justification for New Antenna Current antenna can not be tuned to the new channel.

Primary Antenna

Back to Top

Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Auxiliary Transmission Line

Back to Top

Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Auxiliary(Backup)
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 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 600 feet per run

Auxiliary Transmission Line

Back to Top

New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use Auxiliary(Backup)
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 300 feet per run
Justification for New Transmission Line Need to re-route line to new entry point on building.

Auxiliary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

Ice Bridge

Needed to protect new transmission line from falling ice off the tower. Also includes concrete foundation necessary for the ice bridge installation. 50% of total on the main transmitter and 50% on the aux transmitter.

Primary Transmission Line

Back to Top

Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type 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 850 feet per run

Primary Transmission Line

Back to Top

New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type 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 921 feet per run
Justification for New Transmission Line The current line will be in use for the current channel. We will need to install new line for new channel.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

Ice Bridge

Needed to protect new transmission line from falling ice off the tower. Also includes concrete foundation necessary for the ice bridge installation. 50% of total on the main transmitter and 50% on the aux transmitter.

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

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?
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
ASR Number 1032235
Coordinates (NAD83) Latitude (NAD83) 40° 27' 47.7" N-
Longitude (NAD83) 080° 00' 15.5" W-
Overall Structure Height 846.77 feet
Support Structure Height 741.46 feet
Ground Elevation Above Mean Sea Level (AMSL) 1200.12 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner IWG Towers Assets II, LLC
Date Constructed 06/01/1967

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
59968 WWSW-FM FM
55709 WSHH FM

Other Types of Users

Users
WQNF304 Two Way
WYC531 Two Way

Primary Tower

Back to Top

Tower Modification Costs

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

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

Existing Primary Tower - Relocate and Reinstall Tower Lighting

Existing Primary Tower - Relocate and Reinstall Tower Lighting

Primary Antenna Support Structure

40.8' monopole and 5' wedding cake to support primary top-mount antenna

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 480
Explanation Project manager is required to supervise various outside contractors and be the point person to represent the station.
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 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 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 No
Quantity N/A
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 9
Justification These field engineering costs were necessary for the WPXI new auxiliary antenna and transmission line installation necessitated by the repack

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

Back to Top
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 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? Yes
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

Other Expenses

Back to Top

Other Expenses Not Listed

Information not provided.

Cost Information

Back to Top

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 $3,057,934.09 $2,747,191.37 N/A $2,335,825.87 N/A
Total for all systems $5,169,755.47 $4,546,398.96 N/A $3,771,670.09 N/A
Primary Transmitter ULXTED-80 $2,224,804.93 $2,052,668.34 $1,660,218.82
Primary Transmitter - Piping Installation $2,122.33 $2,122.33 Please see Ruthrauff Service Proposal TD- 19-0108 and actual costs on Invoice 001278785 N/A N/A
Interior Work $3,190.00 $3,190.00 50% of quoted cost for interior work including labor to unload and position all transmitter equipment, framing to install RF filters, patch previous transmission line entry points. 50% of total on the main transmitter and 50% on the aux transmitter $3,190.00 N/A
Exterior Foundation $54,271.00 $54,271.00 50% of quoted cost of exterior concrete pad. This is for the transmitter's heat exchangers and ice protection. 50% of total on the main transmitter and 50% on the aux transmitter $54,271.00 N/A
Primary Transmitter - Additional Connectors $515.00 $515.00 Please see TEXOLVE quote BG041519_WPXI $515.00 N/A
Primary Transmitter - Additional Installation $40,483.76 $40,483.76 Please see Wellington Power Corporation quote dated Nov 13, 2018 and Change Orders #1 and #2 $40,483.76 N/A
Primary Transmitter - Power Sensor $918.15 $918.15 Please see Eos Technology Group quotation 5980 and note that this cost was split 50/50 between WPXI’s primary and auxiliary transmitters. $918.15 N/A
Primary Transmitter - Ice Bridge Foundation $16,377.50 $16,377.50 Please see Mascaro Construction Company Proposal 06-21-2019 & Invoice #10596 .pdf and note this is 50% of proposal amount. 50% is allocated for Auxiliary Transmitter $16,377.50 N/A
Other Electrical Service: 480V transformers, raceway, wire, distribution panels, conduit, pump wiring and labor to provide electrical service. Cost represents 70% of total quoted amount to account for main transmitter needs. $128,100.00 $128,100.00 Please see Estimated Cost Justification WPXI-110-1st Primary Transmitter - Other Electrical Service v0 $128,100.00 N/A
UHF - Liquid Cooled Solid State Transmitter 50.1 kW $306,327.19 $306,327.19 Please see GatesAir Inc., Quote #Q-76061 & Invoice #US0326300.pdf. The estimated cost solely reflects the transmitter upgrade - WPXI acknowledges responsibility for all costs associated with transmitter upgrade. N/A N/A
Spare Transmitter Parts $68,000.00 $68,000.00 WPXI currently has an inventory of replacement amplifiers, power supplies circuit breakers, circuit assemblies and a manufacturer supplied parts kit for our main transmitter. These parts are not compatible with the new transmitter and must be replaced. $0.00 N/A
20 Ton system $115,500.00 $91,817.00 Please see ABM Proposal PP20625 $91,817.00 N/A
Spare Cooling System Parts $16,000.00 $16,000.00 To maintain an inventory of critical cooling system replacement parts equivalent to our current inventory. The current inventory of parts are not compatible with the new transmitter and must be replaced. $0.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,324,546.41 ***System Notice: Estimate adjusted and locked because line has been superseded.***see Estimated Cost Justification WPXI-110-1st Primary Transmitter - UHF Liquid Cooled Solid State, 35-50 kW v0 $1,324,546.41 N/A
Auxiliary Transmitter ULXTE-24 $833,129.16 $694,523.03 $675,607.05
Interior Work $3,190.00 $3,190.00 50% of quoted cost for interior work including labor to unload and position all transmitter equipment, framing to install RF filters, patch previous transmission line entry points. 50% of total on the main transmitter and 50% on the aux transmitter. $3,190.00 N/A
Exterior Foundation $54,271.00 $54,271.00 50% of quoted cost of exterior concrete pad. This is for the transmitter's heat exchangers and ice protection. 50% of total on the main transmitter and 50% on the aux transmitter $54,271.00 N/A
Auxiliary Transmitter - Power Sensor $918.15 $918.15 Please see Eos Technology Group quotation 5980 and note that this cost was split 50/50 between WPXI’s primary and auxiliary transmitters. $918.15 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $545,393.87 N/A $528,600.22 N/A
Auxiliary Transmitter - Piping Installation $2,122.33 $2,122.33 Please see Ruthrauff Service Proposal TD- 19-0108 and actual costs on Invoice 001278785 N/A N/A
Auxiliary Transmitter - Additional Installation $17,350.18 $17,350.18 Please see Wellington Power Corporation quote dated Nov 13, 2018 and Change Orders #1 and #2 $17,350.18 N/A
Other Electrical Service: 480V transformers, raceway, wire, distribution panels, conduit, pump wiring and labor to provide electrical service. Cost represents 30% of total quoted amount to account for aux transmitter needs. $54,900.00 $54,900.00 Please see Estimated Cost Justification WPXI-150-1st Auxiliary Transmitter - Other Electrical Service v0 $54,900.00 N/A
Auxiliary Transmitter - Ice Bridge Foundation $16,377.50 $16,377.50 Please see Mascaro Construction Company Proposal 06-21-2019 & Invoice #10596 .pdf and note this is 50% of proposal amount. 50% is allocated for Primary Transmitter $16,377.50 N/A

Components

Actual Information Description File Name
Primary Transmitter - Piping Installation Information not provided.
Interior Work

Component Description:
WPXI-110-1st Primary Transmitter - Interior Work
Amount:
$3,190.00
Exterior Foundation

Component Description:
Transmitter Work
Amount:
$54,271.00
Primary Transmitter - Additional Connectors

Component Description:
Labor to crimp connectors and text cables
Amount:
$515.00
Primary Transmitter - Additional Installation

Component Description:
WPXI-110-1st Primary Transmitter - Additional Installation
Amount:
$40,483.76
Primary Transmitter - Power Sensor

Component Description:
Belden 9273
Amount:
$918.15
Primary Transmitter - Ice Bridge Foundation

Component Description:
Ice Bridge Foundations
Amount:
$16,377.50
Other Electrical Service: 480V transformers, raceway, wire, distribution panels, conduit, pump wiring and labor to provide electrical service. Cost represents 70% of total quoted amount to account for main transmitter needs.

Component Description:
Electrical Work 2nd payment
Amount:
$9,100.00

Component Description:
Electrical Work
Amount:
$119,000.00
UHF - Liquid Cooled Solid State Transmitter 50.1 kW Information not provided.
Spare Transmitter Parts Information not provided.
20 Ton system

Component Description:
Conditioning and Controls Proj
Amount:
$91,817.00
Spare Cooling System Parts Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Down payment (1/3 of total not including estimated shipping) for main transmitter
Amount:
$431,075.14

Component Description:
Balance of payments on GatesAir Quote Q-76034 for ULXTED-80 transmitter and associated elements as per quote
Amount:
$342,359.00

Component Description:
GatesAir WPXI-TV Main Transmitter - Invoice 2 of 3
Amount:
$431,075.14

Component Description:
ULXTED-60 Transmitter
Amount:
$120,037.13
Interior Work

Component Description:
WPXI-150-1st Auxiliary Transmitter - Interior Work
Amount:
$3,190.00
Exterior Foundation

Component Description:
WPXI-150-1st Auxiliary Transmitter - Exterior Foundation
Amount:
$54,271.00
Auxiliary Transmitter - Power Sensor

Component Description:
WPXI-150-1st Auxiliary Transmitter - Power Sensor
Amount:
$918.15
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
A. Transmitter
Amount:
$127,794.94

Component Description:
GatesAir WPXI-TV Aux Transmitter - Invoice 2 of 3 total
Amount:
$179,231.29

Component Description:
ULXTE-24 Transmitter
Amount:
$42,342.70

Component Description:
Down payment (1/3 of total cost before estimated shipping) for WPXI-TV Aux Transmitter
Amount:
$179,231.29
Auxiliary Transmitter - Piping Installation Information not provided.
Auxiliary Transmitter - Additional Installation

Component Description:
WPXI-150-1st Auxiliary Transmitter - Additional Installation
Amount:
$17,350.18
Other Electrical Service: 480V transformers, raceway, wire, distribution panels, conduit, pump wiring and labor to provide electrical service. Cost represents 30% of total quoted amount to account for aux transmitter needs.

Component Description:
WPXI-150-1st Auxiliary Transmitter - Other Electrical Service
Amount:
$51,000.00

Component Description:
WPXI-150-1st Auxiliary Transmitter - Other Electrical Service
Amount:
$3,900.00
Auxiliary Transmitter - Ice Bridge Foundation

Component Description:
WPXI-150-1st Auxiliary Transmitter - Ice Bridge Foundation
Amount:
$16,377.50

Cost Information

Back to Top

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 $759,410.00 $435,009.00 N/A $428,450.25 N/A
Total for all systems $5,169,755.47 $4,546,398.96 N/A $3,771,670.09 N/A
Primary Antenna TFU-27ETT/VP-R O6 $555,530.00 $234,861.00 $234,861.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $118,113.05 please see: Estimated Cost Justification WPXI-210-Primary Antenna v0 $118,113.05 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $12,135.00 Direct quoted cost from Dielectric. Is $135.00 over predetermined estimate. $12,135.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $98,212.95 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $98,212.95 N/A
Auxiliary Antenna TFU-28DSC-R O4 $203,880.00 $200,148.00 $193,589.25
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,298.00 N/A $10,298.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, horizontally polarized $161,700.00 $161,700.00 There is no predetermined cost available for the auxiliary antenna. This cost was based on attached quote 700361CMZ-2 WPXI Cox Aux.pdf. $155,141.25 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,750.00 N/A $21,750.00 N/A

Components

Actual Information Description File Name
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
6-50 Feed through components and engineering design
Amount:
$14,140.10

Component Description:
Antenna - UHF top mount
Amount:
$97,346.70

Component Description:
Includes one field engineer on site for one day
Amount:
$5,760.00

Component Description:
ANTENNA - UHF TOP MOUNT
Amount:
$866.25
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Dielectric Elbow Complex - Part of total invoice - 45% Down Payment
Amount:
$5,460.75

Component Description:
WPXI-210-Primary Antenna - 6 1/8" Elbow Complex
Amount:
$5,460.75

Component Description:
WPXI-210-Primary Antenna - 6 1/8" Elbow Complex
Amount:
$1,213.50
Sweep test of existing antenna

Component Description:
For Dielectric main antenna repack sweep
Amount:
$2,880.00

Component Description:
WPXI-210-Primary Antenna - Sweep Test
Amount:
$2,880.00

Component Description:
WPXI-210-Primary Antenna - Sweep Test
Amount:
$640.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
For Dielectric main antenna ($88,782.75), feed-through components ($8,563.95), and transmission line ($866.25).
Amount:
$98,212.95
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
WPXI-250-Auxiliary Antenna - 6 1/8" Elbow Complex
Amount:
$4,634.10

Component Description:
WPXI-250-Auxiliary Antenna - 6 1/8" Elbow Complex
Amount:
$1,029.80

Component Description:
Dielectric Aux Antenna Elbow Complex - Payment 1 of 3 - 45% Down Payment
Amount:
$4,634.10
Sweep test of existing antenna

Component Description:
WPXI-250-Auxiliary Antenna - Sweep Test
Amount:
$640.00

Component Description:
WPXI-250-Auxiliary Antenna - Sweep Test
Amount:
$2,880.00

Component Description:
Dielectric Aux Antenna Repack Sweep - Invoice 1 of 3 - 45% Down Payment
Amount:
$2,880.00
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, horizontally polarized

Component Description:
Antenna - UHF side mount
Amount:
$69,423.75

Component Description:
ANTENNA - UHF SIDE MOUNT
Amount:
$9,166.80

Component Description:
ELBOW COMPLEX, SINGLE CHANNEL
Amount:
$6,260.70

Component Description:
Dielectric Aux Antenna ($69,423.75) and Rigid Transmission Line ($866.25) Invoice 1 of 3 - 45% Down Payment
Amount:
$70,290.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Dielectric Aux Antenna Antenna Mounting Brackets - Invoice 1 of 3 - 45% Down Payment
Amount:
$9,787.50

Component Description:
WPXI-250-Auxiliary Antenna - Side Mount Brackets
Amount:
$2,175.00

Component Description:
WPXI-250-Auxiliary Antenna - Side Mount Brackets
Amount:
$9,787.50

Cost Information

Back to Top

Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $359,947.00 $393,509.21 N/A $340,903.69 N/A
Total for all systems $5,169,755.47 $4,546,398.96 N/A $3,771,670.09 N/A
Primary Transmission Line $242,694.50 $279,256.71 $276,946.69
Rigid Transmission Line - copper, 6 1/8" $186,042.00 $222,604.21 Please see Estimated Cost Justification WPXI-310-Primary Transmission Line - 6 1:8" Rigid Copper v0 $220,294.19 N/A
Ice Bridge $56,652.50 $56,652.50 Please see GTI America Quote Q18-06-037c $56,652.50 N/A
Auxiliary Transmission Line $117,252.50 $114,252.50 $63,957.00
Ice Bridge $56,652.50 $56,652.50 Please see GTI America Quote Q18-06-037c $56,652.50 N/A
Rigid Transmission Line - copper, 6 1/8" $60,600.00 $57,600.00 N/A $7,304.50 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Rigid transmission line
Amount:
$4,021.62

Component Description:
Hanger Hor 6 1/8 3 PT Suspension
Amount:
$4,156.50

Component Description:
RIGID TRANSMISSION LINE - COPPER
Amount:
$32,774.30

Component Description:
Elbow 6-50 digit
Amount:
$13,394.70

Component Description:
ELBOW 6-50 DIGIT 9 X 18 EHT REINFORCED
Amount:
$2,976.60

Component Description:
Elbow 6-50 digit
Amount:
$13,394.70

Component Description:
GAS STOP 6-50 W/ HI POWER CONN "QS
Amount:
$3,311.66

Component Description:
Rigid transmission line
Amount:
$61,470.04

Component Description:
Rigid transmission line
Amount:
$61,470.04

Component Description:
T/L 6-50 EIA LENGTH 15'
Amount:
$9,247.98

Component Description:
RIGID TRANSMISSION LINE - COPPER
Amount:
$14,076.05
Ice Bridge

Component Description:
Labor for steel assembly and erection of bridge
Amount:
$18,948.75

Component Description:
Tower rigging services - Other
Amount:
$37,703.75
Ice Bridge

Component Description:
WPXI-350-Auxiliary Transmission Line - Ice Bridge
Amount:
$18,948.75

Component Description:
WPXI-350-Auxiliary Transmission Line - Ice Bridge
Amount:
$37,703.75
Rigid Transmission Line - copper, 6 1/8"

Component Description:
WPXI-350-Auxiliary Transmission Line - 6 1/8" Rigid Copper
Amount:
$866.25

Component Description:
WPXI-350-Auxiliary Transmission Line - 6 1/8" Rigid Copper
Amount:
$192.50

Component Description:
Elbow 6-50 EIA 9.00 X 18.00 CU REIN CH 2-48
Amount:
$2,510.00

Component Description:
T/L 6-50 EIG Length
Amount:
$3,735.75

Cost Information

Back to Top

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 $587,383.00 $577,583.00 N/A $496,330.00 N/A
Total for all systems $5,169,755.47 $4,546,398.96 N/A $3,771,670.09 N/A
Primary Tower GTOWER $587,383.00 $577,583.00 $496,330.00
Existing Primary Tower - Relocate and Reinstall Tower Lighting $4,638.00 $4,638.00 Please see Wellington Power Corporation Change Order #2A $4,638.00 N/A
Primary Antenna Support Structure $149,145.00 $149,145.00 No predetermined cost available. This is for the primary antenna support structures needed including a 40.8' monopole and a 5' wedding cake which are not currently part of tower. $149,145.00 N/A
Structural engineering tower load study for well documented tower $12,600.00 $14,300.00 Required a site visit and climb. $2,800.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $409,500.00 N/A $339,747.00 N/A

Components

Actual Information Description File Name
Existing Primary Tower - Relocate and Reinstall Tower Lighting

Component Description:
Change Order #2A- Transmitter - Relocate Lights
Amount:
$4,638.00
Primary Antenna Support Structure

Component Description:
Dielectric Main Antenna Support Structure - Payment 1 of 3 - 45% Down Payment
Amount:
$67,115.25

Component Description:
Wedding cake mount adapter
Amount:
$14,914.50

Component Description:
Wedding cake mount adapter
Amount:
$67,115.25
Structural engineering tower load study for well documented tower

Component Description:
Structural Analysis
Amount:
$2,800.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Tower rigging services
Amount:
$52,008.75

Component Description:
Project Extras:
Amount:
$25,902.00

Component Description:
GTI America 75% remainder payment for main antenna installation
Amount:
$178,500.00

Component Description:
Rigging review for top stack changeout.
Amount:
$6,500.00

Component Description:
GTI America 25% down payment for main and aux antenna installation
Amount:
$76,836.25

Cost Information

Back to Top

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 $238,015.00 $226,600.00 N/A $58,265.90 N/A
Total for all systems $5,169,755.47 $4,546,398.96 N/A $3,771,670.09 N/A
Outside Professional Services $238,015.00 $226,600.00 $58,265.90
Additional Field Engineering Service, 9 Days $9,850.00 $9,850.00 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $9,850.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 N/A N/A N/A
Attorney Fees -Prepare and File 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
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 N/A 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 N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $75,840.00 $72,000.00 N/A $48,415.90 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 9 Days

Component Description:
WPXI-580-RF Eng - Additional Field Engineering
Amount:
$3,450.00

Component Description:
Includes one field engineer for extra days
Amount:
$6,400.00
Comprehensive coverage verification via field study, if needed Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees -Prepare and File 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.
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 Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$426.25

Component Description:
Project Management
Amount:
$8,613.75

Component Description:
Project Management
Amount:
$17,713.60

Component Description:
Project Management
Amount:
$10,811.25

Component Description:
Project Management
Amount:
$310.00

Component Description:
Project Management
Amount:
$2,791.05

Component Description:
Project Management
Amount:
$852.50

Component Description:
Project Management
Amount:
$6,897.50
RF Exposure Measurements Information not provided.

Cost Information

Back to Top

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 $167,066.38 $166,506.38 N/A $111,894.38 N/A
Total for all systems $5,169,755.47 $4,546,398.96 N/A $3,771,670.09 N/A
Other Expenses $167,066.38 $166,506.38 $111,894.38
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A $1,250.00 N/A
Equipment Storage $13,044.00 $13,044.00 Please see Estimated Cost Justification WPXI-610-Equipment Storage v0 $13,044.00 N/A
Equipment Delivery and Handling Charges $93,850.38 $93,850.38 see Estimated Cost Justification WPXI-610-Equipment Delivery and Handling v5 $93,850.38 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $38,287.00 $38,287.00 Cost based on Estimate from GatesAir for decommissioning and removal of the channel 48 transmitters N/A N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 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
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,750.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
Mailing Complete per FCC Repack
Amount:
$1,250.00
Equipment Storage

Component Description:
WPXI-610-Equipment Storage
Amount:
$2,727.00

Component Description:
WPXI-610-Equipment Storage
Amount:
$3,300.00

Component Description:
WPXI-610-Equipment Storage
Amount:
$7,017.00
Equipment Delivery and Handling Charges

Component Description:
Extra costs for trucking and equipment move out of site
Amount:
$14,605.00

Component Description:
PROJECT EXTRAS TO JUNE 6, 2019
Amount:
$31,897.91

Component Description:
FREIGHT AND SHIPPING
Amount:
$1,822.50

Component Description:
FREIGHT AND SHIPPING
Amount:
$2,657.85

Component Description:
Freight and Shipping
Amount:
$820.85

Component Description:
FREIGHT AND SHIPPING
Amount:
$5,359.15

Component Description:
FREIGHT AND SHIPPING
Amount:
$1,461.46

Component Description:
Tower Parts
Amount:
$12,650.00

Component Description:
TRANSMISSION LINE-RIGID
Amount:
$22,575.66
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Medical notification
Amount:
$3,750.00

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,169,755.47 $4,546,398.96 $3,771,670.09

Reimbursement Status

Back to Top
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

Certification

Back to Top
Section Question Response
Submission of Estimated Expenses Statements

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

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

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

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

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

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

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

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

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

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

Otto Schellin

Director of Engineering


07/16/2021

Certification

Back to Top
Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

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

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

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

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

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

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

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

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

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

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

Otto Schellin

Director of Engineering


07/16/2021

Attachments

Back to Top