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:
16749
Service:
DTV
Call Sign:
KMIR-TV
Channel:
26 (UHF)
File Number:
0000027911
FRN:
0001529627
Date Submitted:
09/07/2021

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ENTRAVISION HOLDINGS, LLC

MARK BOELKE

Suite 6000 West

2425 Olympic Boulevard

Santa Monica, CA 90404

United States

+1 (310) 447-3896 mboelke@entravision.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

Samuel Hariton

Widelity

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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 The plan is for KMIR is to replace the existing channel 46 system with a new channel 26 antenna and a new transmitter.

Transmitters

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

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 DHD20P1
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5.5 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 ULXTE-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 38 kW
Justification for New Transmitter Transmitter cannot be retuned to its post-auction channel. Please see attached "GatesAir_Channel_Change_Notice.pdf".

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description The new main transmitter will require reconfiguration of the electrical service on site. Based on verbal guidance from local electrical contractors, KMIR estimated the electrical work cost.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Name Description

Primary Transmitter - Installation and Proof of Performance

Primary Transmitter - Installation and Proof of Performance

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 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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 42.7 kW
Manufacturer
Model TFU-12DSB-R
Year 2009

Auxiliary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use 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? 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 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: 80.0 kW
Manufacturer
Model TLP-8M
Year 2018
Justification for New Antenna The auxiliary antenna is licensed and can not be retuned from channel 46.

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

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 120.0 kW
Manufacturer
Model JA/MS-HB-12/D46
Year 2009

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? 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-28DSC/VP-R
Year 2018
Justification for New Antenna The existing antenna is single channel on channel 46 and can not be retuned.

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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? 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
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 150 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 Backup
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 200 feet per run
Justification for New Transmission Line New auxiliary line needed due to changing auxiliary antenna location.

Auxiliary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

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 3 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 150 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? Yes
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 254 feet per run
Justification for New Transmission Line New transmission line is necessary because KMIR is increasing its ERP.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Information not provided.

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? Terrain Constrained
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) No
Others Types of Users Yes
Is tower documented for structural analysis? Unknown
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) 33° 52' 00.1" N-
Longitude (NAD83) 116° 26' 02.0" W-
Overall Structure Height 140.00 feet
Support Structure Height 120.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 1573.80 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Insite LLC
Date Constructed 01/01/2000


Other Types of Users

Users
KPSE-LD CH29

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 undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

Structural Analysis

A structural analysis is necessary after the tower mapping is complete.

Replace Auxiliary Antenna

Second tower crew mobilization after the transition deadline to replace auxiliary 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 1062
Explanation The ownership group has multiple transmitter sites (14 TV) and operates with minimal staff. It does not have personnel available for any of these tasks, nor is the staff trained to provide any of these services.
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 No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Site Survey

Site visit to determine final layout and required equipment needed.

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 Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? 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 $1,587,312.00 $574,321.70 N/A $248,623.82 N/A
Total for all systems $3,074,847.00 $1,550,482.94 N/A $535,622.71 N/A
Primary Transmitter ULXTE-60 $1,587,312.00 $574,321.70 $248,623.82
Primary Transmitter - Installation and Proof of Performance $49,312.00 $49,312.00 Please see Estimated Cost Justification KMIR-110-1st Primary Transmitter - Installation and Proof of Performance v0 $37,073.86 N/A
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. Based on verbal guidance from local electrical contractors, KMIR estimated the electrical work cost. $1,250.00 $1,250.00 Please see Estimated Cost Justification KMIR-110-1st Primary Transmitter - Other Electrical Service v0 $1,250.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A $0.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $463,159.70 Please see Estimated Cost Justification KMIR-110-1st Primary Transmitter - UHF Liquid Cooled Solid State 35-50 kW v0 $210,299.96 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Primary Transmitter - Installation and Proof of Performance

Component Description:
Engineering Field Services
Amount:
$7,260.73

Component Description:
Work included the installation of a GatesAir ULXTE-60 transmitter.
Amount:
$29,813.13
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. Based on verbal guidance from local electrical contractors, KMIR estimated the electrical work cost.

Component Description:
Other Electrical
Amount:
$1,250.00

Component Description:
Provide and install a new 600-amp
Amount:
$20,500.00
Transformer 3 phase/480v - 150 KVA Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
New 1st Primary Transmitter
Amount:
$213,815.17

Component Description:
Credit Memo
Amount:
($5,015.21)

Component Description:
Tunning filter from Channel 33 to 26.
Amount:
$1,500.00

Component Description:
ULXTE-20 Transmitter
Amount:
$247,844.53
Switchgear - industrial 800 amp Information not provided.

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 $312,096.00 $236,510.75 N/A $21,049.48 N/A
Total for all systems $3,074,847.00 $1,550,482.94 N/A $535,622.71 N/A
Primary Antenna TFU-28DSC/VP-R $215,966.00 $214,736.00 $8,529.03
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,250.00 Dielectric quote 513379JKT Rev 3 plus est. shipping. $0.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized $186,086.00 $186,086.00 Please see attached Dielectric quote 513379JKT Rev 3. Previous antenna category superseded due to incorrectly documented ERP. Estimated cost on superseded category should be ignored. $8,529.03 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $0.00 N/A
Auxiliary Antenna TLP-8M $96,130.00 $21,774.75 $12,520.45
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $15,374.75 see Estimated Cost Justification KMIR-250-Auxiliary Antenna - UHF Lower Power Side Mount, H-POL v0 $12,520.45 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Please deny this component
Amount:
N/A
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized

Component Description:
OTHER - FREIGHT, SHIPPING, AND HANDLING (1) CHAPMAN 48' FLATBED DELIVERY
Amount:
$13,089.20

Component Description:
Credit Memo
Amount:
($170,614.50)

Component Description:
ANTENNAS -UHF HIGH POWER SIDE MOUNT
Amount:
$14,911.94

Component Description:
New Primary Antenna
Amount:
$75,571.20

Component Description:
Antennas - UHF high power side mount; Other vpol components; Other scatter study; Other elbow complex; Rigid transmission line - copper; etc.
Amount:
$75,571.19
Sweep test of existing antenna Information not provided.
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
OTHER- FREIGHT, SHIPPING, AND HANDLING PAF VAN DELIVERY
Amount:
$2,158.75

Component Description:
Aux Antenna
Amount:
$5,180.85

Component Description:
Aux Antenna
Amount:
$5,180.85
Sweep test of existing antenna Information not provided.

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 $57,908.00 $96,635.24 N/A $67,184.76 N/A
Total for all systems $3,074,847.00 $1,550,482.94 N/A $535,622.71 N/A
Primary Transmission Line $51,308.00 $90,698.54 $61,248.06
Rigid Transmission Line - copper, 6 1/8" $51,308.00 $90,698.54 see Estimated Cost Justification KMIR-310-Primary Transmission Line - Rigid Copper, 6 1_8 v4 $61,248.06 N/A
Auxiliary Transmission Line $6,600.00 $5,936.70 $5,936.70
Flexible Air Transmission Line - dielectric, 1 5/8" $6,600.00 $5,936.70 Please see attached dielectric quote 513424JKT. $5,936.70 x

Components

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

Component Description:
RIGID TRANSMISSION LINE
Amount:
$1,581.00

Component Description:
RIGID TRANSMISSION LINE
Amount:
$4,404.44

Component Description:
KMIR New Primary Transmission Line
Amount:
$22,375.08

Component Description:
OTHER XFMR 6-50 / 6-75 UHF 3 ST BB CHS 14-60 3 STAGE"
Amount:
$3,668.00

Component Description:
Freight and Shipping
Amount:
$2,463.90

Component Description:
ELBOW 6-75 DIGIT 90 DEG 9 X 18
Amount:
$1,680.00

Component Description:
New Transmission Line
Amount:
$22,375.08

Component Description:
ELBOW 6-50 EIA 9x9 CU CH 2-40
Amount:
$5,064.00

Component Description:
RIGID TRANSMISSION LINE
Amount:
$1,718.50

Component Description:
RIGID TRANSMISSION LINE
Amount:
$7,289.32

Component Description:
CA Sales Tax - Invoice 602002
Amount:
$392.46

Component Description:
Freight and shipping
Amount:
$1,535.52

Component Description:
CA Sales Tax - Invoice 603017
Amount:
$568.46

Component Description:
KMIR-310-Primary Transmission LIne - Rigid Copper, 6 1/8
Amount:
$7,105.00

Component Description:
T/L 6-50 Inner Only Up to 20' 4 Pieces 102.00" Long
Amount:
$7,335.00
Flexible Air Transmission Line - dielectric, 1 5/8"

Component Description:
KMIR Auxiliary Transmission Line
Amount:
$2,153.43

Component Description:
1. KMIR-350-Auxiliary Transmission Line
Amount:
$2,153.43

Component Description:
FLEXIBLE TRANSMISSION LINE
Amount:
$1,629.84

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 $873,300.00 $405,000.00 N/A $15,300.00 N/A
Total for all systems $3,074,847.00 $1,550,482.94 N/A $535,622.71 N/A
Primary Tower TOWER $873,300.00 $405,000.00 $15,300.00
Replace Auxiliary Antenna $5,000.00 $5,000.00 N/A $0.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A $15,300.00 N/A
Structural Analysis $0.00 $0.00 6/30/20 - Category deemed non-reimbursable $0.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $0.00 6/30/20 - Category deemed non-reimbursable $0.00 N/A
Major tower reinforcement/modifications $421,000.00 $0.00 6/30/20 - Category deemed non-reimbursable $0.00 N/A

Components

Actual Information Description File Name
Replace Auxiliary Antenna Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Structural Analysis
Amount:
$15,300.00
Structural Analysis

Component Description:
Tower study - 2nd time
Amount:
$1,200.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.
Major tower reinforcement/modifications Information not provided.

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 $216,401.00 $218,200.25 N/A $178,914.65 N/A
Total for all systems $3,074,847.00 $1,550,482.94 N/A $535,622.71 N/A
Outside Professional Services $216,401.00 $218,200.25 $178,914.65
Site Survey $10,000.00 $10,000.00 N/A $0.00 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 -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 $964.40 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 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 $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 $1,500.00 x
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,250.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $2,250.00 N/A
Project management of the transition $167,796.00 $171,950.25 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $171,950.25 N/A

Components

Actual Information Description File Name
Site Survey

Component Description:
For site surveys of KMIR/KVER in Palm Springs, Facility# 16749
Amount:
$2,159.79
Attorney Fees - Prepare and File request for Special Temporary Authorization 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

Component Description:
Prepare the technical portion of FCC form 2100, License o cover w-AM condition
Amount:
$500.00

Component Description:
Attorney Fees - CP application
Amount:
$464.40
Prepare request for Special Temporary Authorization 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

Component Description:
Prepare engineering section of FCC Form 2100 CP Application - Auxiliary
Amount:
$1,500.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare engineering section of FCC Form 2100 (main), COnstruction Permit Application
Amount:
$2,250.00
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Prepare and or Review Reimbursement Form
Amount:
$2,250.00
Project management of the transition

Component Description:
Project Management
Amount:
$1,774.20

Component Description:
Project Management
Amount:
$2,431.85

Component Description:
Project Management
Amount:
$8,531.00

Component Description:
Project Management
Amount:
$5,611.95

Component Description:
Project management
Amount:
$1,309.40

Component Description:
Project Management
Amount:
$5,411.60

Component Description:
Project management
Amount:
$75.00

Component Description:
Project Management
Amount:
$1,914.85

Component Description:
Project Management
Amount:
$4,220.35

Component Description:
Project management
Amount:
$1,914.90

Component Description:
Project Management
Amount:
$6,742.15

Component Description:
Project Management
Amount:
$3,441.70

Component Description:
Project management
Amount:
$2,645.00

Component Description:
Project Management
Amount:
$5,439.50

Component Description:
Project Management
Amount:
$4,485.25

Component Description:
Project Management
Amount:
$3,694.30

Component Description:
Project Management
Amount:
$5,980.30

Component Description:
Project Management
Amount:
$2,345.65

Component Description:
Project Management
Amount:
$1,311.45

Component Description:
Project Management
Amount:
$1,484.90

Component Description:
Project Management
Amount:
$1,878.95

Component Description:
Project Management
Amount:
$6,550.15

Component Description:
Project Management
Amount:
$5,312.50

Component Description:
Project management
Amount:
$2,252.95

Component Description:
Project Management
Amount:
$2,321.30

Component Description:
Project Management
Amount:
$3,797.40

Component Description:
Project Management
Amount:
$6,696.35

Component Description:
Project Management
Amount:
$5,593.90

Component Description:
Project Management
Amount:
$5,745.75

Component Description:
Project Management
Amount:
$3,445.35

Component Description:
Project Management
Amount:
$2,767.00

Component Description:
Project Management
Amount:
$3,851.90

Component Description:
Project Management
Amount:
$3,350.40

Component Description:
Attorney fees related to Project management
Amount:
$1,393.20

Component Description:
Project Management
Amount:
$7,901.85

Component Description:
Project Management
Amount:
$1,675.35

Component Description:
Project Management
Amount:
$4,060.15

Component Description:
Project Management
Amount:
$2,685.05

Component Description:
Project Management
Amount:
$3,123.00

Component Description:
N/A
Amount:
N/A

Component Description:
Project Management
Amount:
$4,299.85

Component Description:
Project Management
Amount:
$2,002.55

Component Description:
Project Management
Amount:
$2,877.95

Component Description:
Project Management
Amount:
$1,439.65

Component Description:
Review KMIR FCC Form 399
Amount:
$851.40

Component Description:
Project Management
Amount:
$4,892.90

Component Description:
Project Management
Amount:
$2,243.10

Component Description:
Project Management
Amount:
$3,339.10

Component Description:
Project Management
Amount:
$4,835.95

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 $27,830.00 $19,815.00 N/A $4,550.00 N/A
Total for all systems $3,074,847.00 $1,550,482.94 N/A $535,622.71 N/A
Other Expenses $27,830.00 $19,815.00 $4,550.00
Develop and air announcement of upcoming channel change $250.00 $250.00 N/A $0.00 N/A
Equipment Storage $1,000.00 $1,000.00 N/A $0.00 N/A
Equipment Delivery and Handling Charges $10,000.00 $10,000.00 Main and auxiliary antenna freight. Offloading equipment rental and labor. $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $3,500.00 $3,500.00 N/A $0.00 N/A
Non-zoning permits $0.00 $0.00 6/30/20 - Category deemed non-reimbursable $0.00 N/A
Local Zoning $0.00 $0.00 6/30/20 - Category deemed non-reimbursable $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
DTV Medical Facility Notification $11,550.00 $3,550.00 please see Estimated Cost Justification KMIR-610-DTV Medical Facility Notification v0 $3,550.00 N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A $1,000.00 N/A

Components

Actual Information Description File Name
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
Local Zoning 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.
DTV Medical Facility Notification

Component Description:
Medical Notification
Amount:
$3,550.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification
Amount:
$1,000.00

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,074,847.00 $1,550,482.94 $535,622.71

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. Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. Yes

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.

Manuel Cavazos , III .

EVP- Director of Technology


09/07/2021

Certification

Back to Top
Section Question Response
Submission of Final Allocation or Accounting Information Statements

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

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

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

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

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

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

Manuel Cavazos , III .

EVP - Director of Technology


09/07/2021

Attachments

Back to Top