TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
Telecinco, Inc.	Andres Ramirez P.O. Box 43 Mayaguez, PR 00682 United States	+1 (787) 721-4054	Lrosa@telecincoinc.com	Corporation

Applicant

Address

Phone

Applicant Type

Telecinco, Inc.

Andres Ramirez

P.O. Box 43

Mayaguez, PR 00682

United States

+1 (787) 721-4054

Lrosa@telecincoinc.com

Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Alejandro Luciano , PE . Repack Coordinator Alejandro Luciano PE	Alejandro Luciano PE PO Box 194528 SAN JUAN, PR 00919 United States	+1 (787) 717-6984	aluciano@aluciano.com

Applicant

Address

Phone

Alejandro Luciano , PE .

Repack Coordinator

Alejandro Luciano PE

Alejandro Luciano PE

PO Box 194528

SAN JUAN, PR 00919

United States

+1 (787) 717-6984

aluciano@aluciano.com

Broadcaster Information and Transition Plan

Question	Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information.	Yes
Briefly describe transition plan	File for construction permit, construction of Interim Facility, Tower Modifications, facilities maximization, Antenna, transmission line and transmitter installation, RF systems sweep and test, transition to new channel.

Transmitters

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

Primary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	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	AFFINITY
	Year	2008
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	2.0 kW

Primary Transmitter

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	Maxiva ULXTE-24
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	16.1 kW
	Justification for New Transmitter	Existing transmitter on channel 51 is not re-tunable to channel 30.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	Yes
	Size	2 inches
	Length	40.0 feet
	Other Electrical Service	Yes
	Description	UPS for Above transmitter
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	200.0 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

Other Transmitter Cost Not Listed

Name	Description
SURGE PROTECTOR	PARALLEL SURGE PROTECTOR FOR 3PH WYE

Interim Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Interim
	Description of Use	N/A
	Change Type	Purchase
	Manufacturer
	Model	SLIM4_03_UHF_SD_PCM-4P-PPT
	Transmitter Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	2.5 kW
	Justification for New Transmitter	An small interim transmitter is needed to remain on the air while the existing is removed.

Interim Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	Yes
	Size	2 inches
	Length	40.0 feet
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Cooling Only
	Size	5 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
Inside RF System	Is an additional interior RF system required to support this interim transmitter?	No

Interim Transmitter

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing antenna shared with another station or stations?	No
	Is the existing antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	Yes
Existing Antenna Manufacturer and Type	Class	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:	16.0 kW
	Manufacturer
	Model	ATC-24H6C2-51
	Year	2008

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	Yes
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
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:	250.0 kW
	Manufacturer
	Model	TFU-24DSBW/VP-R W (C)
	Year	2018
	Justification for New Antenna	The existing antenna on Channel 51 can't be retuned to new repack channel 30.

Primary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?	Yes
	Type	New
	Number of channels supported	2
	Frequencies of channels supported	RF channel
	Frequency	N/A
	Do you need a combiner output splitter/switcher for dual feed lines?	No
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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Enter a list of RF channel numbers.

RF Channel Number
29
30

Primary Antenna

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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?	Yes
	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	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:	40.0 kW
	Manufacturer
	Model	TLP-16M/VP
	Year	2020
	Justification for New Antenna	An interim antenna is needed to remain on the air while the repack facilities are built

Interim Antenna

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?	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

Interim Antenna

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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	Flexible Air
	Diameter	3 inches
	Other Diameter	N/A
	Segment Length	N/A
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	275 feet per run

Primary Transmission Line

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	Flexible Air
	Diameter	4 inches
	Other Diameter	N/A
	Segment Length	N/A
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	300 feet per run
	Justification for New Transmission Line	The existing line will be used to remain on the air while the new facilities on channel 30 are built.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Type	Flexible Foam
	Diameter	1 5/8 inches
	Segment Length	N/A
	Other Segment Length
	Number of parallel runs	1
	Length	200 feet per run
	Justification for New Transmission Line	An interim transmission line is needed for WRFB interim facilities

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Construct New
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	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?	No
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1043939
Coordinates (NAD83)	Latitude (NAD83)	18° 16' 37.0" N-
	Longitude (NAD83)	065° 51' 11.0" W-
	Overall Structure Height	333.99 feet
	Support Structure Height	300.19 feet
	Ground Elevation Above Mean Sea Level (AMSL)	2411.39 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	ESTRADA, JORGE L DBA = COMMUNICATIONS TOWER SERVICES
	Date Constructed	01/01/1987

Primary Tower

Tower Construction Costs

Section	Question	Response
Construct New Tower	Use	Primary (Main)
	Description of Use	N/A
	Is this a request for upgraded equipment?	No
	Height	250.00 feet
	Justification for New Tower	See Attached tower construction justification document

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Tower Construction Supervision	Structural Engineer Tower Construction Supervision
Site Survey the Tower contractor	Site Visit by ERI tower Contractor

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	750
	Explanation	Station lacks personnel to perform the project management.
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	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	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	2
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	Yes
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	No
	Number of Days	N/A
	Justification	N/A

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Quarterly Progress Reports.	Quarterly Repack Progress Report.

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	No
AM Pattern Disturbance	Is Remediation needed?	No
Facility Expenses	Name	N/A
	Other Distributed Transmission System Expenses Not listed	N/A
	Name	N/A
	Is Notification of a Medical Facility required as a result of DTV broadcasting?	Yes
Permit and Filing Costs	Local Zoning	Yes
	Non-zoning permits	No
	BLM or NFS Coordination	No
	FCC Construction Permit Minor Change	Yes
	FCC License to Cover Application	Yes
	FCC Special Temporary Authority Application	Yes
Other Miscellaneous Expenses	Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)?	Yes
	Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs?	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

Other Expenses Not Listed

Name	Description
State Service Tax	State Service Tax 4 percent
State and City Sales Tax	State and City Sales Tax 11.5 percent
Station Employees Time	Station Employees Time dedicated to the repack functions.

Cost Information

Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$879,344.43	$609,542.67	N/A	$245,265.30	N/A
Total for all systems	$3,806,288.23	$3,209,857.04	N/A	$1,406,125.49	N/A
Interim Transmitter SLIM4_03_UHF_SD_PCM-4P-PPT	$147,290.00	$120,220.40		$99,970.40
2" Rigid Conduit and Wiring (Cost per foot)	$1,040.00	$1,000.00	N/A	N/A	N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	$126,000.00	$99,970.40	See attached Broadcast Depot Sales Quote 206231	$99,970.40	N/A
5 Ton system	$20,250.00	$19,250.00	N/A	N/A	N/A
Primary Transmitter Maxiva ULXTE-24	$732,054.43	$489,322.27		$145,294.90
2" Rigid Conduit and Wiring (Cost per foot)	$1,040.00	$1,000.00	N/A	N/A	N/A
SURGE PROTECTOR	$2,014.43	$2,014.43	*System Notice: Estimate adjusted and locked because line has been superseded.*SEE ATTACHED GATES AIR PROPOSAL ELECTRICAL SECTION.	$2,014.43	N/A
Other Electrical Service: UPS for Above transmitter	$25,000.00	$25,000.00	Based on consultations with manufacturer local sales office.	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	$684,000.00	$441,307.84	See Attached RGB Broadcast Services Main Transmitter Proposal HMDRQ3064 Excluding Section 22 Item 23 Parallel surge Protector and RGB HMDRQ3081 2.4KW Baseline Transmitter proposal.	$143,280.47	N/A
Other -- Building Addition Size: 200.0	$20,000.00	$20,000.00	Based on local construction cost of $100.00 per square ft. The addition is necessary to house the new full power transmitter, combining system, aux transmitter and existing transmitters at the site. A quote will be provided as soon as received.	N/A	N/A

Components

Actual Information Description	File Name
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	Component Description: See WRFB Rev-A_Aux Transmitter Inv. 38448 Amount: $99,970.40
5 Ton system	Information not provided.
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
SURGE PROTECTOR	Component Description: RGB Broadcast Services Corp Invoice HMDRQ3064-02 Electrical Section PARALLEL SURGE PROTECTOR. See Attached Cover Transmiiter Explanation Cover Letter Amount: $2,014.43
Other Electrical Service: UPS for Above transmitter	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	Component Description: See Attached Cover Letter with Baseline Transmitter verified funds excluding Line 15 Item 7401278000.PARALLEL SURGE PROTECTOR and Main transmitter Invoice. Amount: $143,280.47
Other -- Building Addition Size: 200.0	Information not provided.

Cost Information

Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$401,326.00	$201,573.00	N/A	$167,323.00	N/A
Total for all systems	$3,806,288.23	$3,209,857.04	N/A	$1,406,125.49	N/A
Interim Antenna TLP-16M/VP	$54,986.00	$40,686.00		$40,686.00
UHF - High Power, Side Mount, basic slot antenna, 40 kW input, directional,, elliptically or circularly polarized	$25,106.00	$25,106.00	*System Notice: Estimate adjusted and locked because line has been superseded.*See uploaded Dielectric Proposal 200173CMZ-1 less line 2, ADD FOR DUAL CHANNEL 30/29 and line 3, REPACK V POL.	$25,106.00	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$9,180.00	See Attached Dielectric Proposal 200173CMZ-1	$9,180.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	See Attached Dielectric Proposal 200173CMZ-1	$6,400.00	N/A
Primary Antenna TFU-24DSBW/VP-R W (C)	$346,340.00	$160,887.00		$126,637.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,000.00	N/A	N/A	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$13,320.00	SEE ATTACHED DIELECTRIC PROPOSAL NUMBER 800111CMZ-1 LINE 2	$6,660.00	N/A
New combiner, cost per channel (without antenna)	$84,200.00	$39,823.00	SEE ATTACHED DIELECTRIC ANTENNA PROPOSAL 800111CMZ-1 LINE 21	$38,496.50	N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized	$227,000.00	$96,344.00	SEE ATTACHED DIELECTRIC PROPOSAL NUMBER 8000111CMZ-1 LINE 1	$78,280.50	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	SEE ATTACHED DIELECTRIC PROPOSAL NUMBER 800111CMZ-1 LINE 22	$3,200.00	N/A

Components

Actual Information Description	File Name
UHF - High Power, Side Mount, basic slot antenna, 40 kW input, directional,, elliptically or circularly polarized	Component Description: WRFB Interim Antenna Dielectric invoice 1933230 Line 1 reimbursement request. Amount: $12,553.00 Component Description: WRFB Interim antenna Invoice 1933230-2 line 1 Amount: $12,553.00
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: WRFB Interim Antenna Dielectric invoice 1933230 Line 4, Custom Antenna Mounting Brackets, reimbursement request. Amount: $4,590.00 Component Description: WRFB Interim Antenna Invoice 19333230-2 Line 4, Custom Antenna Mounting Brackets. Amount: $4,590.00
Sweep test of existing antenna	Component Description: WRFB Interim Antenna Dielectric invoice 1933230 Line 5 Repack Sweep reimbursement request. Amount: $3,200.00 Component Description: WRFB Interim Antenna Dielectric invoice 1933230-2 Line 5 Repack Sweep reimbursement request. Amount: $3,200.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: WRFB Main Antenna 50% Deposit Invoice MAN00551 Line 3 Item 400004695. Custom Antenna Mounting Brackets Amount: $6,660.00
New combiner, cost per channel (without antenna)	Component Description: WRFB Main Antenna 50% Deposit Invoice MAN00551 Line 22 Item 400004696 Combiner Adjacent Channel Amount: $19,946.50 Component Description: 43.243068% of Invoice 442002 Line 21 Combiner Amount: $17,250.96 Component Description: Dielectric Invoice 442002 Line 21 Product 400004696 Amount: $18,550.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized	Component Description: Main antenna invoice 2nd payment reimbursement request. Invoice 442002 Item 1 Product 400004694 Amount: $34,908.50 Component Description: Dielectric Deposit Invoice MAN0051 Line 1 Amount: $43,372.00 Component Description: 43.243068% of Invoice 442002 Line 1 . Amount: $37,510.77
Sweep test of existing antenna	Component Description: WRFB Dielectric Main Antenna Deposit Invoice MAN00551, Line 23, REPACK SWEEP Amount: $3,200.00

Cost Information

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	$27,000.00	$23,147.29	N/A	$20,909.91	N/A
Total for all systems	$3,806,288.23	$3,209,857.04	N/A	$1,406,125.49	N/A
Interim Transmission Line	$4,800.00	$3,860.00		$3,860.00
Flexible Foam Transmission Line - dielectric, 1 5/8"	$4,800.00	$3,860.00	See uploaded Broadcast Depot sales quote 214688. Items 1,10 and 11 are the components of the transmission line. Those three components totalize $3,860.00	$3,860.00	N/A
Primary Transmission Line	$22,200.00	$19,287.29		$17,049.91
Flexible Air Transmission Line - dielectric, 4"	$22,200.00	$19,287.29	SEE ATTACHED DIELECTRIC PROPOSAL NUMBER 800111CMZ-1 LINE 3	$17,049.91	N/A

Components

Actual Information Description	File Name
Flexible Foam Transmission Line - dielectric, 1 5/8"	Component Description: WRFB Interim Transmission Line Reimbursement Request. Broadcast Depot Invoice 61869 Item 1,10 and 11 Amount: $3,860.00
Flexible Air Transmission Line - dielectric, 4"	Component Description: Dielectric Invoice 442002 Line 4-20 Amount: $7,406.26 Component Description: WRFB Dielectric main antenna 50% Deposit,Invoice MAN00551, Line 4, Item 300006830 FLEXIBLE TRANSMISSION LINE 4" AIR DIELECTRIC 300FT. Includes Items 4-20 Amount: $9,643.65 Component Description: 43.243068% of Invoice 442002 line 3. 4" transmission line. Amount: $8,340.41

Cost Information

Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$1,817,208.18	$1,733,008.18	N/A	$835,779.50	N/A
Total for all systems	$3,806,288.23	$3,209,857.04	N/A	$1,406,125.49	N/A
Primary Tower TOWER	$0.00	$0.00		$0.00
Primary Tower	$1,817,208.18	$1,733,008.18		$835,779.50
Site Survey the Tower contractor	$30,000.00	$30,000.00	See uploaded ERI proposal for site survey. Proposal Number: 20210524-911	$15,000.00	N/A
Tower Construction Supervision	$28,500.00	$28,500.00	Estimated cost of the Tower construction supervision.	N/A	N/A
Short Tower (less than 500')	$84,200.00	$0.00	Tower Rigging cost is included in the tower installation updated cost. ERI Proposal Number: 20210819-545 Item 002 Structural Installation.	$0.00	N/A
New tower	$1,674,508.18	$1,674,508.18	See updated ERI proposal for WRFB Tower Installation including the estimated freight charges. ERI Proposal Number: 20210819-545 Rev. A. Price revision due to steel cost increase as per manufacuturer notification.	$820,779.50	wwwww

Components

Actual Information Description	File Name
Site Survey the Tower contractor	Component Description: 50% deposit reimbursement request on ERI Invoice WRFB-36398A. Amount: $15,000.00
Tower Construction Supervision	Information not provided.
Short Tower (less than 500')	Information not provided.
New tower	Component Description: 50% Deposit reimbursement request, WRFB Tower system, ERI Invoice No. WRFB-36398B-1 Amount: $698,562.00 Component Description: Returned Payment Credit Memo CM-2019-01-28-WRFB Amount: ($139,000.00) Component Description: 50% Deposit as per ERI WRFB-001 Invoice for WRFB TOWER CONSTRUCTION ERECTION AND RIGGING. Amount: $261,217.50

Cost Information

Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$280,705.00	$250,424.28	N/A	$70,081.28	N/A
Total for all systems	$3,806,288.23	$3,209,857.04	N/A	$1,406,125.49	N/A
Outside Professional Services	$280,705.00	$250,424.28		$70,081.28
Prepare and or review reimbursement form	$2,630.00	$2,500.00	N/A	$2,500.00	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$5,900.00	See Alejandro Luciano PE Invoice 1253-A lines 2 and 3. WRFB Initial Baseline application and WRFB expanded facilities application totaling $5900.00.	$5,900.00	N/A
Prepare request for Special Temporary Authorization	$4,100.00	$3,000.00	N/A	$2,500.00	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$61,574.28	Please see uploaded Comprehensive Coverage Verification quote from QCommunications, LLC. Quote # 865C	$45,481.28	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	N/A	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$2,000.00	N/A	N/A	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 - Negotiation of lease and other matters for shared locations	$4,210.00	$4,000.00	N/A	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	N/A	N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	$4,210.00	$4,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	N/A	N/A
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
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$3,200.00	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
Project management of the transition	$118,500.00	$112,500.00	N/A	$6,900.00	N/A
Quarterly Progress Reports.	$4,200.00	$4,200.00	Quarterly Repack progress Report Documents preparation and filling.	$3,600.00	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$2,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Prepare and or review reimbursement form	Component Description: Alejandro Luciano PE Invoice 1253-A line 1. WRFB Initial form 399 draft preparation, Initial form completion and filing. Amount: $2,500.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: Alejandro Luciano PE Invoice 1253-A line 2. WRFB Initial baseline application preparation. Amount: $2,400.00 Component Description: Alejandro Luciano PE Invoice 1253-A line 3. WRFB Expanded Facilities application preparation. Amount: $3,500.00
Prepare request for Special Temporary Authorization	Component Description: Alejandro Luciano Invoice 1253-A Line 5, Prepare request for Temporary Authorization. Amount: $2,500.00
Comprehensive coverage verification via field study, if needed	Component Description: Antenna Pattern & CoverAge verification invoice from QComm Amount: $45,481.28
RF Exposure Measurements	Information not provided.
ASR modification (prepare FCC Form 854)	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Information not provided.
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.
Perform engineering study for new channel assignment and antenna development	Component Description: Alejandro Luciano PE Invoice 1253-A line 4. Perform Engineering Study for WRFB new Channel. Amount: $3,200.00
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Project management of the transition	Component Description: Alejandro Luciano P.E. Invoice 1246-A for Project Management of the transition. Amount: $6,900.00
Quarterly Progress Reports.	Component Description: WRFB Quarterly progress reports invoice. Alejandro Luciano PE Invoice # 1244 Amount: $3,600.00
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Information not provided.

Cost Information

Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$400,704.62	$392,161.62	N/A	$66,766.50	N/A
Total for all systems	$3,806,288.23	$3,209,857.04	N/A	$1,406,125.49	N/A
Other Expenses	$400,704.62	$392,161.62		$66,766.50
State Service Tax	$25,592.00	$25,592.00	State Service Tax 4%	$984.00	N/A
Equipment Delivery and Handling Charges	$175,000.00	$175,000.00	See uploaded tower installation additional shipping charges and equipment rental change order fro ERI, plus the previous shipping charges from Dielectric and RGB.	$45,131.89	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	N/A	N/A
Station Employees Time	$49,986.42	$49,986.42	Estimated amount for Stations Employees time exclusively dedicated to the repack functions. See attached WRFB Station personnel expenses document.	N/A	N/A
State and City Sales Tax	$99,120.00	$99,120.00	State and City Sales Tax 11.5%	$17,272.41	N/A
MVPD Notification of Channel Change	$316.20	$316.20	See Attached WRFB MVPD DTVNotification EST-001228 estimate document.	$316.20	N/A
Develop and air announcement of upcoming channel change	$20,000.00	$20,000.00	Based on previous experience during the analog to digital transition	N/A	N/A
Equipment Storage	$5,000.00	$5,000.00	Based on previous experience during the analog to digital transition	N/A	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$4,500.00	$4,500.00	Based on previous experience during the analog to digital transition.	N/A	N/A
Local Zoning	$8,000.00	$8,000.00	Based on previous experience. Estimated fees of the local authority for obtaining permits for the tower work needed.	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	N/A	N/A
FCC Filing Fees - Form 2100 minor change CP application	$1,110.00	$1,070.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$3,062.00	See Attached WRFB Medical DTVNotification Estimate EST-001215.	$3,062.00	N/A

Components

Actual Information Description	File Name
State Service Tax	Component Description: 4% Services tax on invoice 1244 from Alejandro Luciano PE Amount: $144.00 Component Description: Alejandro Luciano PE sales tax on Invoice 1246-A. Amount: $276.00 Component Description: Alejandro Luciano PE Invoice 1253-A. 4% Sales Tax . Amount: $564.00
Equipment Delivery and Handling Charges	Component Description: WRFB Interim Antenna Invoice Line 6, RFREIGHT, reimbursement request. Amount: $3,872.07 Component Description: Baseline Transmitter Estimated Freight Charges. See WRFB Explanation Cover Letter with Transmitter Invoices. Amount: $4,900.00 Component Description: INVOICE 449007, Freight Charges on Dielectric Quotation Number 800111CMZ-1 For WRFB-TV FACILITY ID: 54443 Amount: $32,487.75 Component Description: WRFB Interim antenna Dielectric Invoice 1933230-2 Invoice Line 6, RFREIGHT, reimbursement request. Amount: $3,872.07
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
Station Employees Time	Information not provided.
State and City Sales Tax	Component Description: Sales Tax on the Baseline Transmitter. See WRFB Explanation Cover Letter with Transmitter Invoices. Amount: $17,272.41
MVPD Notification of Channel Change	Component Description: See WRFB MVPD Invoice # INV-001807 Amount: $316.20 Component Description: Reibursement Request on DTVNotification Invoice # INV-001807 Amount: $316.20
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
FCC Filing Fees - Form 2100 minor change CP application	Information not provided.
DTV Medical Facility Notification	Component Description: WRFB Medical Facilities Notification Invoice from DTVNotification. Invoice # INV-001814 Amount: $3,062.00 Component Description: See DTV Medical Invoice. Invoice Number INV-001814 Amount: $3,062.00

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$3,806,288.23	$3,209,857.04	$1,406,125.49

Reimbursement Status

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

Section	Question	Response
Submission of Estimated Expenses Statements	WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.
The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD). The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Alejandro Luciano , PE . Repack Project Manager 11/21/2021

Section

Question

Response

Submission of Estimated Expenses Statements

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

The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

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

Alejandro Luciano , PE .

Repack Project Manager

11/21/2021

Certification

Section	Question	Response
Submission of Actual Cost Documentation Statements	WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) . The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Alejandro Luciano , PE . Repack Project Manager 11/21/2021

Section

Question

Response

Submission of Actual Cost Documentation Statements

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

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

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

Alejandro Luciano , PE .

Repack Project Manager

11/21/2021

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

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Interim Transmitter

New Transmitter Costs

Interim Transmitter

Other Transmitter Costs

Interim Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Enter a list of RF channel numbers.

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

Primary Tower

Tower Construction Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Components

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services

Components