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:
67989
Service:
LPD
Call Sign:
WGUD-LD
File Number:
0000084280
FRN:
0018223693
Date Submitted:
01/28/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SCRANTON BROADCASTING COMPANY, LLC

Doing Business As: SCRANTON BROADCASTING COMPANY, LLC

Tim Wall

3318 PASCAGOULA STREET

PASCAGOULA, MS 39567

United States

+1 (228) 623-1854 tim@wgudthewave.com Limited Liability Company

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

The Preparer is same as the reimbursement contact.

 

 

 

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 Purchase of Transmitter, Mask filter, Feed line , and Antenna. Current transmitter and Mask filter can not be retuned to our new channel. Electrical modifications will be required for new transmitter. Upgrade of antenna structure to Revision "G".

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 100
Year 2014
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .2 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? No
Manufacturer
Model TAUD-250
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity .25 kW
Justification for New Transmitter The Existing Transmitter is not able to be retuned.

Primary 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? Yes
Type Cooling Only
Size Other
Other Size 2 tons
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

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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 Class A
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: 28.0 kW
Manufacturer
Model ALP16L2-HSP
Year 2010

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? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 3.0 kW
Manufacturer
Model SWEDL16EC/31
Year 2020
Justification for New Antenna Existing Antenna not retunable

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? 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

Primary 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 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 Foam
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 400 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Foam
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 400 feet per run
Justification for New Transmission Line Feedline was swept and found to need replacement for the conbersion to channel 31

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1042284
Coordinates (NAD83) Latitude (NAD83) 30° 26' 55.0" N-
Longitude (NAD83) 088° 33' 05.0" W-
Overall Structure Height 365.15 feet
Support Structure Height 365.15 feet
Ground Elevation Above Mean Sea Level (AMSL) 9.84 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Scranton Broadcasting Company, LLC
Date Constructed 01/01/1974


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 undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: No 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

Information not provided.

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Construct New
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? 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
ASR Number 1042284
Coordinates (NAD83) Latitude (NAD83) 30° 26' 55.0" N-
Longitude (NAD83) 088° 33' 05.0" W-
Overall Structure Height 365.15 feet
Support Structure Height 365.15 feet
Ground Elevation Above Mean Sea Level (AMSL) 9.84 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Scranton Broadcasting Company, LLC
Date Constructed 01/01/1974


Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? Yes
Height 360.00 feet
Justification for New Tower A structural analysis has been attached.(Moss_Point_360'_GT_Analysis_Report) This analysis details the condition of the existing tower and concludes that the existing tower is in poor condition and fails to meet the 161-mph wind speeds required by code.

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

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Number of Hours N/A
Explanation N/A
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 No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 No
Quantity N/A
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
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

Geotechnical Survey and Report

Geotechnical survey #1 consisting of the collection of soil core samples and their analysis to determine proper soil properties to be used in the analysis of pad, dead-man, or shallow poured caisson type foundation designs.

Geotechnical Survey and Report 2

Geotechnical survey #2 consisting of the collection of soil core samples and their analysis to determine proper soil properties to be used in the analysis of pad, dead-man, or shallow poured caisson type foundation designs.

Old Tower Removal

Control Drop of old tower

Engineering Inspection and Class IV Rigging Plan Development

Onsite engineering inspection and development of Class IV Rigging Plan in accordance with the ANSI/TIA-322 and ANSI/ASSE A10.48 standards for the subject structure and scope of work.

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? No
Permit and Filing Costs Local Zoning No
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
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

Boundary Survey

Boundary Survey for towersite property to determine Utilites, Transmitter Building, Fences, Driveways and any water features. (2.5 acres)

Concrete Break up and Removal

Break up and Removal of (2) existing concrete foundations

Construction Mats

Additional charges for construction mats to provide a stable work surface for installing the 360-foot replacement tower on ERI Sales Order 38761D.

Land Clearing

Land Clearing for new tower and preparations for new tower install

Project Management

Project Management overseeing the entire repack process

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 $19,207.00 $19,207.00 N/A $15,707.00 N/A
Total for all systems $1,322,226.78 $1,180,548.77 N/A $1,030,218.77 N/A
Primary Transmitter TAUD-250 $19,207.00 $19,207.00 $15,707.00
Other -- Building Addition Size: 200.0 $800.00 $800.00 Electrical Update $800.00 N/A
Other -- HVAC Service Type: C Size:2 (Other) $3,500.00 $3,500.00 N/A $0.00 N/A
UHF - Air Cooled Solid State Transmitter .25 kW $14,907.00 $14,907.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $14,907.00 The final invoice included an additional $260.00 for shipping and handling of product sales, including packing material.

Components

Actual Information Description File Name
Other -- Building Addition Size: 200.0

Component Description:
Electrical Update
Amount:
$800.00
Other -- HVAC Service Type: C Size:2 (Other) Information not provided.
UHF - Air Cooled Solid State Transmitter .25 kW

Component Description:
"Technalogix TAUD-250" This invoice is the balance left owed after the 50% deposit. This invoice includes shipping and handling.
Amount:
$7,583.50

Component Description:
Deposit on Transmitter. Unit requires modules to interface to existing signals.
Amount:
$7,323.50

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 $62,024.73 $37,794.73 N/A $32,534.73 N/A
Total for all systems $1,322,226.78 $1,180,548.77 N/A $1,030,218.77 N/A
Primary Antenna SWEDL16EC/31 $62,024.73 $37,794.73 $32,534.73
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $0.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $5,650.00 N/A $5,650.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 3 kW input, horizontally polarized $13,818.11 $13,818.11 ***System Notice: Estimate adjusted and locked because line has been superseded.***26133.25 plus approx 800 shipping see attachment $13,818.11 Estimate did not include shipping. Final includes Shipping.of 751.48
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,260.00 N/A $0.00 N/A
- High Power, Side Mount, basic slot antenna, 3 kW input, horizontally polarized $13,066.62 $13,066.62 ***System Notice: Estimate adjusted and locked because line has been superseded.***Side mount Antenna with Mount included $13,066.62 N/A

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Sweep test of existing antenna

Component Description:
Sweep Antenna feedline
Amount:
$5,650.00
UHF - High Power, Side Mount, basic slot antenna, 3 kW input, horizontally polarized

Component Description:
Estimate did not include shipping. Final includes Shipping.of 751.48
Amount:
$13,818.11

Component Description:
Pre-Construction Deposit for Antenna
Amount:
N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
- High Power, Side Mount, basic slot antenna, 3 kW input, horizontally polarized

Component Description:
Deposit on antenna
Amount:
$13,066.62

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 $9,600.00 $4,296.99 N/A $4,296.99 N/A
Total for all systems $1,322,226.78 $1,180,548.77 N/A $1,030,218.77 N/A
Primary Transmission Line $9,600.00 $4,296.99 $4,296.99
Flexible Foam Transmission Line - dielectric, 1 5/8" $9,600.00 $4,296.99 N/A $4,296.99 $100 in shipping has been added into this invoice.

Components

Actual Information Description File Name
Flexible Foam Transmission Line - dielectric, 1 5/8"

Component Description:
Full amount due for 1-5/8" coax on tower. (Includes Shipping)
Amount:
$4,296.99

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 $709,353.05 $601,853.05 N/A $601,853.05 N/A
Total for all systems $1,322,226.78 $1,180,548.77 N/A $1,030,218.77 N/A
Primary Tower TOWER $26,300.00 $3,000.00 $3,000.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $3,000.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Tower condemned during survey and physical climb was not done. $3,000.00 N/A
Primary Tower TOWER $0.00 $0.00 $0.00
Primary Tower $683,053.05 $598,853.05 $598,853.05
New tower $598,853.05 $598,853.05 A letter from ERI has been attached to explain in detail the increase in tower build and installation. This file is labeled WGUD_ltr_20210916. $598,853.05 The cost is greater due to the sales tax and freight included in the second invoice.
Short Tower (less than 500') $84,200.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower Engineering Services, Tower unsafe and does not meet Reg G
Amount:
$3,000.00

Component Description:
Cover letter for Tower Survey
Amount:
N/A
New tower

Component Description:
50% Remaining Balance on Custom Tower, Tower Installation and Foundation Installation - Sales Tax and Freight Included
Amount:
$311,661.05

Component Description:
50% Deposit on Custom Tower Build
Amount:
$33,582.50

Component Description:
50% Deposit on Custom Tower, Tower Installation and Foundation Installation
Amount:
$287,192.00

Component Description:
Balance due on Foundation Installation.
Amount:
$66,161.00

Component Description:
Credit Memo - Tower Installation 50% Deposit
Amount:
($63,153.50)

Component Description:
Credit Memo - Custom Tower 50% Remaining Balance
Amount:
($50,589.05)

Component Description:
Credit Memo - Foundation Installation 50% Remaining Balance
Amount:
($66,161.00)

Component Description:
Credit Memo - Tower Installation 50% Remaining Balance
Amount:
($63,153.50)

Component Description:
50% Foundation Installation
Amount:
$66,161.00

Component Description:
Balance due on custom tower build. Includes Sales Tax and Freight.
Amount:
$50,589.05

Component Description:
Credit Memo - Custom Tower Deposit
Amount:
($33,582.50)

Component Description:
50% Deposit of Tower Installation
Amount:
$63,153.50

Component Description:
Credit Memo - Foundation Installation 50% Deposit
Amount:
($66,161.00)

Component Description:
Balance due on Tower Installation.
Amount:
$63,153.50
Short Tower (less than 500') Information not provided.

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 $213,527.00 $208,882.00 N/A $70,757.00 N/A
Total for all systems $1,322,226.78 $1,180,548.77 N/A $1,030,218.77 N/A
Outside Professional Services $213,527.00 $208,882.00 $70,757.00
Engineering Inspection and Class IV Rigging Plan Development $9,400.00 $9,400.00 N/A $9,400.00 N/A
Old Tower Removal $39,462.00 $39,462.00 N/A $39,462.00 N/A
Geotechnical Survey and Report 2 $4,770.00 $4,770.00 Due to site conditions uncovered by the first Geotechnical Report, the design of the drilled shaft foundations requires a single boring to take soil samples to a depth of 80-feet below grade. The results of this second Geotechnical Investigation and Report are necessary, and the need for this deeper boring is due to circumstances that could not be foreseen or predicted. $4,770.00 N/A
Geotechnical Survey and Report $8,625.00 $8,625.00 N/A $8,625.00 N/A
RF Exposure Measurements $21,050.00 $21,050.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $84,200.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,105.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,105.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,520.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,310.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,365.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,260.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,580.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $2,500.00 N/A $2,500.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $4,000.00 N/A $4,000.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,630.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,000.00 N/A $2,000.00 N/A

Components

Actual Information Description File Name
Engineering Inspection and Class IV Rigging Plan Development

Component Description:
50% DEPOSIT ENG SVC - RIGGING PLAN
Amount:
$4,700.00

Component Description:
50% BALANCE ENG SVC RIGGING PLAN
Amount:
$4,700.00
Old Tower Removal

Component Description:
Old Tower Removal
Amount:
$19,731.00

Component Description:
Controlled Tower Drop 50% Remaining Balance
Amount:
$19,731.00
Geotechnical Survey and Report 2

Component Description:
Full Invoice Amount
Amount:
$4,770.00
Geotechnical Survey and Report

Component Description:
Geotechnical Survey and Report Invoice Balance. Payment from WGUD to be made upon the complettion of the project.
Amount:
$4,312.50

Component Description:
Geotechnical Survey and Report 50% Deposit
Amount:
$4,312.50
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare Engineering section of Construction Permit Application
Amount:
$2,500.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform engineering study for new channel assignment and antenna Deveopment
Amount:
$4,000.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Complete and review 2100-399
Amount:
$2,000.00

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 $308,515.00 $308,515.00 N/A $305,070.00 N/A
Total for all systems $1,322,226.78 $1,180,548.77 N/A $1,030,218.77 N/A
Other Expenses $308,515.00 $308,515.00 $305,070.00
Project Management $69,000.00 $69,000.00 N/A $69,000.00 N/A
Land Clearing $5,000.00 $5,000.00 Tree Removal and Fence Removal for new tower construction. Removal of pilings at front gate entrance to make room for construction company’s tower rigging crew to get equipment in and out. Paths cleared for new anchor points. $5,000.00 N/A
Construction Mats $138,770.00 $138,770.00 N/A $138,770.00 N/A
Concrete Break up and Removal $89,500.00 $89,500.00 N/A $89,500.00 N/A
Boundary Survey $2,800.00 $2,800.00 N/A $2,800.00 N/A
MVPD Notification of Channel Change $0.00 $0.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,000.00 $1,000.00 N/A $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $1,000.00 $1,000.00 N/A N/A N/A
Non-zoning permits $0.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A N/A N/A

Components

Actual Information Description File Name
Project Management

Component Description:
Invoice for entire Project Management services of FCC repack. In-house hourly rate agreed of $150 per hour to oversee the entire project.
Amount:
$69,000.00
Land Clearing

Component Description:
Full Amount of Invoice
Amount:
$5,000.00
Construction Mats

Component Description:
Construction mats needed for heavy equipment to complete the tower install. Letter of explanation from ERI is in attached documents.
Amount:
$138,770.00
Concrete Break up and Removal

Component Description:
Break up and removal of (2) existing concrete foundation structures to make room for the tower rigging crew prior to new tower construction.
Amount:
$89,500.00

Component Description:
Balance Due
Amount:
$49,500.00

Component Description:
Deposit Amount
Amount:
$40,000.00

Component Description:
Credit Memo CM-WGUD-091521
Amount:
($89,500.00)
Boundary Survey

Component Description:
Boundary Survey Invoice
Amount:
$2,800.00
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change

Component Description:
Develop and air announcement of upcoming channel change. WGUD 51 to WGUD 31
Amount:
$1,000.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits 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.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,322,226.78 $1,180,548.77 $1,030,218.77

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
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.

Tim R Wall

Owner


01/28/2022

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.

Tim R Wall , Wall .

Owner


01/28/2022

Attachments

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