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:
72358
Service:
DTV
Call Sign:
KSNW
Channel:
15 (UHF)
File Number:
0000028606
FRN:
0009961889
Date Submitted:
03/10/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Nexstar Media Inc.

Doing Business As:

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Elizabeth Ryder

General Counsel

Nexstar Media Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv

Broadcaster Information and Transition Plan

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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 See attached Transition Plan document.

Transmitters

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

Primary Transmitter

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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 Unknown
Year 2004
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 kW

Primary Transmitter

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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 THU9EVO-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 61 kW
Justification for New Transmitter See attached quotes. Upgrade to an SS transmitter at one power level above what's required for TPO.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 3 inches
Length 75.0 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? Yes
Size 100.0 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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Electrical and Installation

Transmitter Electrical and Installation

Transmitter Remote Control

Transmitter Remote Control

Transmitter Building Minor Modification

Transmitter Building Minor Modification

Additional Transmitter Costs

Additional Transmitter Costs

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model 102917.01-TRN-U-1000-FA
Transmitter Type Other Type
Other Transmitter Type UHF Air Cooled Broadband
Power capacity 1.2 kW
Justification for New Transmitter Interim transmitter needed while full power transmitter is removed and new transmitter installed; see Microwave Rentals quote 200106

Interim Transmitter

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Other Transmitter Costs

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

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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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 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: 900.0 kW
Manufacturer
Model DIELECTRIC TFU-30GTH-R 04
Year 2004

Primary Antenna

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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 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-20GTH/VP-R 06
Year 2019
Justification for New Antenna Existing coaxial slot antenna is not designed to operate on repacked channel.

Primary Antenna

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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? Broadband
Feed Line Size 7 3/16 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

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Other Antenna Cost Not Listed

Name Description

Additional Antenna Costs

Additional Antenna Costs

Antenna Mounting Adapter

Antenna Mounting Adapter

Interim Antenna

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New Antenna Costs

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? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 200.0 kW
Manufacturer
Model TFU-16WB-R C160
Year 2019
Justification for New Antenna No backup antenna exists.

Interim Antenna

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Other Antenna Costs

Section Question Response
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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
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 DIELECTRIC
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 19 3/4 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1330 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Line Sweep

Need to confirm operation of new line.

Test Transition

Test Transition

Reducer

Reducer

Transmission LIne 8-75

Transmission LIne 8-75

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length 19 ¾ '
Other Segment Length
Number of parallel runs 1
Length 1000 feet per run
Justification for New Transmission Line Needed for interim antenna.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Additional Transmission Line Components

Additional Transmission Line Components

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
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 1244913
Coordinates (NAD83) Latitude (NAD83) 37° 46' 26.0" N-
Longitude (NAD83) 097° 30' 53.0" W-
Overall Structure Height 1070.85 feet
Support Structure Height 1019.34 feet
Ground Elevation Above Mean Sea Level (AMSL) 1367.11 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Nexstar Broadcasting, Inc.
Date Constructed 08/27/2004


Primary Tower

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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: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Heavy Equipment Ground Prep.

Ground Prep to Support Heavy Equipment and Deliveries for RePack Project. Please see Calvin Opp Concrete Estimate # 23218 Attached.

Ice Shield

Modify and raise ice shield to accommodate new heat exchanger lines

Weather Delays, Additional Charges

Weather Delays, Additional Charges

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 173
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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 No
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

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Other Professional Services Expenses Not Listed

Name Description

Minor Change Application

Prepare Engineering Portion of Minor Modification to Post Transition Construction Permit Application

Other Expenses

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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

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Other Expenses Not Listed

Name Description

Sales and Use Tax Due

Sales and Use Tax Due

Equipment Rentals

Equipment Rentals

Cost Information

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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 $2,147,493.38 $1,322,443.38 N/A $1,316,463.51 N/A
Total for all systems $3,802,525.04 $2,950,316.84 N/A $2,722,620.26 N/A
Interim Transmitter 102917.01-TRN-U-1000-FA $79,000.00 $79,000.00 $79,000.00
UHF Air Cooled Broadband $79,000.00 $79,000.00 Interim transmitter required during replacement of main transmitter $79,000.00 N/A
Primary Transmitter THU9EVO-40 $2,068,493.38 $1,243,443.38 $1,237,463.51
Additional Transmitter Costs $45,502.00 $45,502.00 See Rohde & Schwarz quote 302097.0 $45,502.00 N/A
Transmitter Building Minor Modification $13,000.00 $13,000.00 Duct heater with installation and repairs to building following transmitter installation; see quotes from Five Star Mechanical and Linder. $12,526.51 N/A
Transmitter Remote Control $506.38 $506.38 See Heartland Video quote WISQ64683 $0.00 N/A
Transmitter Electrical and Installation $159,985.00 $159,985.00 See Land Communications quote 1101 $159,985.00 N/A
Other -- Building Addition Size: 100.0 $5,000.00 $5,000.00 Need to move walls, plumbing, electrical wiring, lighting fixtures, etc. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $3,900.00 $0.00 See Transmitter Electrical and Installation Costs N/A N/A
Switchgear - industrial 800 amp $38,200.00 $0.00 See Transmitter Electrical and Installation Costs N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,019,450.00 See R&S Quote 183252.0 less upgrade cost $1,019,450.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $0.00 See Transmitter Electrical and Installation Costs N/A N/A

Components

Actual Information Description File Name
UHF Air Cooled Broadband

Component Description:
Interim transmitter, installment #2
Amount:
$39,500.00

Component Description:
Interim transmitter, installment #1
Amount:
$39,500.00
Additional Transmitter Costs

Component Description:
Additional transmitter costs
Amount:
$4,170.00

Component Description:
Additional transmitter cost
Amount:
$41,332.00
Transmitter Building Minor Modification

Component Description:
Electrical for duct heater
Amount:
$2,046.51

Component Description:
Duct heater
Amount:
$8,780.00

Component Description:
Transmitter building close holes in wall from transmitter installation
Amount:
$1,700.00
Transmitter Remote Control

Component Description:
SNMP Plus for transmitter remote control
Amount:
$506.38
Transmitter Electrical and Installation

Component Description:
Transmitter electrical and installation
Amount:
$159,985.00
Other -- Building Addition Size: 100.0 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 52 - 61 kW

Component Description:
Transmitter, less upgrade cost
Amount:
$1,019,450.00
Service entrance 3 phase/800 amp/208 volt Information not provided.

Cost Information

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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 $533,163.00 $332,056.00 N/A $332,056.00 N/A
Total for all systems $3,802,525.04 $2,950,316.84 N/A $2,722,620.26 N/A
Interim Antenna TFU-16WB-R C160 $196,230.00 $108,325.00 $108,325.00
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $101,925.00 See Dielectric quote 700436CMZ-1 $101,925.00 N/A
Primary Antenna TFU-20GTH/VP-R 06 $336,933.00 $223,731.00 $223,731.00
Additional Antenna Costs $3,678.00 $3,678.00 See change orders on Dielectric order confirmation 1699015 and order confirmation 1931124 $3,678.00 N/A
Antenna Mounting Adapter $20,175.00 $20,175.00 See Dielectric quote DMS152-5; allows new antenna base flange to mount onto existing tower top hole pattern. $20,175.00 N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $12,878.00 See Dielectric quote DMS152-5 $12,878.00 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 , elliptically or circularly polarized $289,500.00 $180,600.00 See Dielectric quote DMS152-5 less vpol ($18,000) which is not reimbursable $180,600.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
Aux antenna, balance due
Amount:
$10,192.50

Component Description:
Aux antenna, installment #1
Amount:
$45,866.25

Component Description:
Aux antenna, installment #2
Amount:
$45,866.25
Additional Antenna Costs

Component Description:
Antenna change orders, lines 2-4 of invoice
Amount:
$605.00

Component Description:
Additional antenna components
Amount:
$3,073.00
Antenna Mounting Adapter

Component Description:
Antenna mounting adapter, line 2 from invoice, installment #1
Amount:
$9,078.75

Component Description:
Antenna mounting adapter, balance due
Amount:
$141.40

Component Description:
Antenna mounting adapter, installment #2
Amount:
$9,078.75

Component Description:
Antenna mounting adapter, installment #3
Amount:
$1,876.10
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow complex, balance due
Amount:
$1,287.80

Component Description:
Elbow complex, installment #2
Amount:
$5,795.10

Component Description:
Elbow Complex, line 3 from invoice, installment #1
Amount:
$5,795.10
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Main antenna, installment #2
Amount:
$81,270.00

Component Description:
Main antenna, balance due
Amount:
$18,060.00

Component Description:
Main antenna, line 1 from invoice, installment #1
Amount:
$81,270.00

Cost Information

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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 $221,766.00 $177,023.80 N/A $177,023.80 N/A
Total for all systems $3,802,525.04 $2,950,316.84 N/A $2,722,620.26 N/A
Interim Transmission Line $204,758.00 $160,015.80 $160,015.80
Additional Transmission Line Components $2,758.00 $2,758.00 See change orders in Dielectric order confirmation 1699065 $2,758.00 N/A
Rigid Transmission Line - copper, 6 1/8" $202,000.00 $157,257.80 See Dielectric quote 700436CMZ-1 $157,257.80 N/A
Primary Transmission Line $17,008.00 $17,008.00 $17,008.00
Transmission LIne 8-75 $2,490.00 $2,490.00 See Dielectric quote DMS152-5 $2,490.00 N/A
Reducer $2,973.00 $2,973.00 See Dielectric quote DMS152-5 $2,973.00 N/A
Test Transition $5,145.00 $5,145.00 See Dielectric quote DMS152-5 $5,145.00 N/A
Line Sweep $6,400.00 $6,400.00 N/A $6,400.00 N/A

Components

Actual Information Description File Name
Additional Transmission Line Components

Component Description:
Additional transmission line components
Amount:
$2,758.00

Component Description:
Additional transmission line components
Amount:
$2,758.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Transmission line, balance due
Amount:
$5,155.50

Component Description:
Transmission line, installment #3
Amount:
$10,570.28

Component Description:
Transmission line, items 2 and 6 from invoice, installment #1
Amount:
$70,766.01

Component Description:
Transmission line, items 2 and 6 from invoice, installment #2
Amount:
$70,766.01
Transmission LIne 8-75

Component Description:
Transmission line, installment #2
Amount:
$1,120.50

Component Description:
Transmission line, balance due
Amount:
$249.00

Component Description:
Transmission line, line 4 from invoice, installment #1
Amount:
$1,120.50
Reducer

Component Description:
Reducer, installment #2
Amount:
$1,337.85

Component Description:
Reducer, balance due
Amount:
$297.30

Component Description:
Reducer, line 5 from invoice, installment #1
Amount:
$1,337.85
Test Transition

Component Description:
Trans test, installment #2
Amount:
$2,315.25

Component Description:
Test Transition, balance due
Amount:
$514.50

Component Description:
Trans test, line 6 from invoice, installment #1
Amount:
$2,315.25
Line Sweep

Component Description:
Sweep test
Amount:
$6,400.00

Cost Information

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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 $594,624.79 $822,824.79 N/A $671,824.79 N/A
Total for all systems $3,802,525.04 $2,950,316.84 N/A $2,722,620.26 N/A
Primary Tower TOWER $594,624.79 $822,824.79 $671,824.79
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A N/A N/A
Tall Tower (greater than 500') $210,500.00 $447,300.00 see PCI quotes 20308-5 Interim $198,600 and 20309-5 Main $248,700 $447,300.00 N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A $11,000.00 N/A
Heavy Equipment Ground Prep. $40,109.79 $40,109.79 Ground Prep to Support Heavy Equipment and Deliveries for RePack Project. Please see Calvin Opp Concrete Estimate # 23218 Attached. $40,109.79 N/A
Ice Shield $135,600.00 $135,600.00 See PCI quote 20307-5 $135,600.00 N/A
Weather Delays, Additional Charges $37,815.00 $37,815.00 See PCI Addendum to Proposal 20308-5 $37,815.00 N/A

Components

Actual Information Description File Name
Minor tower reinforcement/modifications Information not provided.
Tall Tower (greater than 500')

Component Description:
Interim antenna installation, installment #1
Amount:
$132,400.00

Component Description:
Interim antenna installation, installment #2
Amount:
$66,200.00

Component Description:
Main antenna installation, installment #2
Amount:
$82,900.00

Component Description:
Main antenna installation, installment #1
Amount:
$165,800.00
Structural engineering tower load study for well documented tower

Component Description:
Structural analysis
Amount:
$3,000.00

Component Description:
Structural analysis, installment #2
Amount:
$4,000.00

Component Description:
Structural analysis, 50% deposit
Amount:
$4,000.00
Heavy Equipment Ground Prep.

Component Description:
Ground prep for tower equipment
Amount:
$40,109.79
Ice Shield

Component Description:
Ice shield, installment #1
Amount:
$90,400.00

Component Description:
Ice Shield, installment #2
Amount:
$45,200.00
Weather Delays, Additional Charges

Component Description:
Weather delays and additional charges
Amount:
$37,815.00

Cost Information

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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 $63,644.00 $59,700.00 N/A $24,675.50 N/A
Total for all systems $3,802,525.04 $2,950,316.84 N/A $2,722,620.26 N/A
Outside Professional Services $63,644.00 $59,700.00 $24,675.50
Project management of the transition $27,334.00 $25,950.00 N/A $17,838.00 N/A
Minor Change Application $2,500.00 $2,500.00 See related invoice $2,500.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 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 - 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 $4,100.00 $3,000.00 N/A $2,225.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $625.00 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 $1,487.50 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project management services Feb 2020
Amount:
$50.00

Component Description:
Project management services Apr 2020
Amount:
$120.00

Component Description:
Project management services Jul 2020
Amount:
$85.00

Component Description:
Project management services
Amount:
$79.00

Component Description:
Project management services
Amount:
$1,027.00

Component Description:
Project management service Aug 2020
Amount:
$45.00

Component Description:
Project management services
Amount:
$825.00

Component Description:
Project management services May 2020
Amount:
$85.00

Component Description:
Project management services Jan 2020
Amount:
$75.00

Component Description:
Project management services
Amount:
$387.00

Component Description:
Project management services Jun 2020
Amount:
$25.00

Component Description:
Project management services April 2019
Amount:
$247.00

Component Description:
Project management services
Amount:
$5,004.50

Component Description:
Project management services
Amount:
$1,027.00

Component Description:
Project management services 3.2.19 through 3.29.19
Amount:
$300.00

Component Description:
Project management services June 2019
Amount:
$25.00

Component Description:
Project management services
Amount:
$150.00

Component Description:
Project management services Mar 2020
Amount:
$115.00

Component Description:
Project management services, item 3 from invoice summary
Amount:
$549.00

Component Description:
Vendor has issued a revised invoice; see 29328R
Amount:
$900.00

Component Description:
Vendor has issued a revised invoice; see 29328R
Amount:
$150.00

Component Description:
Project management services, items 1,3-5 from invoice summary
Amount:
$1,788.00

Component Description:
Project management services 6.1.19 through 6.28.19
Amount:
$375.00

Component Description:
Project management services 1.27.18 through 3.30.18
Amount:
$600.00

Component Description:
Project management services 2.1.19 through 3.1.19
Amount:
$375.00

Component Description:
Project management services May 2019
Amount:
$162.50

Component Description:
Project management services 10.2018
Amount:
$50.00

Component Description:
Project management services April 2019
Amount:
$247.00

Component Description:
Project management services
Amount:
$564.00

Component Description:
Project management services 10.27.18 through 11.30.18
Amount:
$875.00

Component Description:
Project management services July 2019
Amount:
$50.00

Component Description:
Project management services 3.30.19 to 4.26.19
Amount:
$375.00

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$375.00

Component Description:
Project management services 12.1.18 through 1.31.19
Amount:
$1,050.00

Component Description:
Vendor has issued a revised invoice; see 29328R
Amount:
($900.00)

Component Description:
Vendor has issued a revised invoice; see 29328R
Amount:
($150.00)

Component Description:
Prepare FCC Schedule 387, item 2 from invoice summary
Amount:
$300.00

Component Description:
Project management services
Amount:
$316.00

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$225.00

Component Description:
Project management services 5.26.18 through 6.29.18
Amount:
$375.00

Component Description:
Project management services, item 1 from invoice summary
Amount:
$750.00

Component Description:
Project management services March 2019
Amount:
$39.00
Minor Change Application

Component Description:
Minor Modification of CP Application
Amount:
$2,500.00
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 - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Prepare STA Amendment
Amount:
$725.00

Component Description:
Prepare STA
Amount:
$1,500.00

Component Description:
Prepare STA
Amount:
$1,500.00

Component Description:
Prepare STA Amendment
Amount:
$725.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Prepare License to Cover Application
Amount:
$625.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering study for new channel assignment
Amount:
$1,312.50

Component Description:
Engineering study for new channel assignment
Amount:
$175.00
Prepare and or review reimbursement form Information not provided.

Cost Information

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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 $241,833.87 $236,268.87 N/A $200,576.66 N/A
Total for all systems $3,802,525.04 $2,950,316.84 N/A $2,722,620.26 N/A
Other Expenses $241,833.87 $236,268.87 $200,576.66
Sales and Use Tax Due $65,000.00 $65,000.00 Estimated sales tax $64,762.99 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $1,000.00 $1,000.00 N/A N/A N/A
Equipment Rentals $4,325.00 $4,325.00 Forklift and other equipment rental; see related invoices $4,324.80 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Develop and produce crawls and spots for viewer notification. N/A N/A
Equipment Storage $26,350.00 $26,350.00 See related invoices $26,350.00 N/A
Equipment Delivery and Handling Charges $38,078.87 $38,078.87 See related freight and shipping invoices $38,078.87 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $64,500.00 $64,500.00 See USA Commercial quotes 12 and 48 $64,500.00 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 $6,000.00 N/A $2,560.00 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A

Components

Actual Information Description File Name
Sales and Use Tax Due

Component Description:
Tax due on duct heater electrical
Amount:
$153.49

Component Description:
Tax due on weather delays and additional work
Amount:
$2,892.38

Component Description:
Tax due on Duct Heater
Amount:
$658.50

Component Description:
Tax on equipment rental
Amount:
$13.13

Component Description:
Kansas Use Tax Due
Amount:
$17,073.00

Component Description:
Tax on equipment rental
Amount:
$254.99

Component Description:
Sales tax due on interim antenna installation, installment #1
Amount:
$9,930.00

Component Description:
Sales tax due on interim antenna installation, installment #2
Amount:
$4,965.00

Component Description:
Sales tax due on ice shield, installment #1
Amount:
$6,780.00

Component Description:
Sales tax due on ice shield, installment #2
Amount:
$3,390.00

Component Description:
Sales tax due on main antenna installation, installment #1
Amount:
$12,435.00

Component Description:
Sales tax due on main antenna installation, installment #2
Amount:
$6,217.50
Non-zoning permits Information not provided.
Local Zoning Information not provided.
Equipment Rentals

Component Description:
Equipment rental
Amount:
$175.00

Component Description:
Equipment rentals from tower company
Amount:
$750.00

Component Description:
Equipment rental
Amount:
$3,399.80
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Transmitter storage
Amount:
$22,730.00

Component Description:
Interim antenna storage
Amount:
$2,870.00

Component Description:
Main antenna storage
Amount:
$750.00
Equipment Delivery and Handling Charges

Component Description:
Shipping for antenna components
Amount:
$903.19

Component Description:
Interim antenna shipping costs
Amount:
$5,081.90

Component Description:
Antenna shipping costs
Amount:
$774.82

Component Description:
Shipping for antenna components
Amount:
$1,716.81

Component Description:
Transmitter consolidation services
Amount:
$15,153.25

Component Description:
Interim antenna freight cost
Amount:
$6,682.50

Component Description:
Antenna shipping costs
Amount:
$363.33

Component Description:
Main antenna freight
Amount:
$7,403.07
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Transmitter disposal costs
Amount:
$41,500.00

Component Description:
Disposal costs
Amount:
$23,000.00

Component Description:
Disposal costs
Amount:
$23,000.00

Component Description:
Disposal costs
Amount:
$41,500.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of medical facilities
Amount:
$2,560.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,802,525.04 $2,950,316.84 $2,722,620.26

Reimbursement Status

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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

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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.

Elizabeth Ryder

General Counsel


03/10/2022

Certification

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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.

Elizabeth Ryder

General Counsel


03/10/2022

Attachments

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