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:
71680
Service:
DTV
Call Sign:
WSWP-TV
Channel:
8 (High VHF)
File Number:
0000027974
FRN:
0002017572
Date Submitted:
05/09/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

West Virginia Educational Broadcasting Authority

Butch Antolini

600 Capitol Street

Charleston, WV 25301

United States

+1 (304) 556-4903 bantolini@wvpublic.org Government Entity

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

Robert Gehman

Consulting Engineer

Kessler and Gehman Associates, Inc.

Robert Gehman

507 NW 60 Street

Suite D

Gainesville, FL 32607

United States

+1 (352) 332-3157 bob@kesslerandgehman.com

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 Replace transmitter and antenna using existing line. Acquire interim antenna and line for continued operation during construction and duration of the assigned phase. Map and analyze tower; design and implement modifications if required.

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 PTCD10P1-i
Year 2007
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 4 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 VAXTE-16R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 9.6 kW
Justification for New Transmitter The manufacturer of the existing transmitter advises that the transmitter cannot be re-tuned to the assigned channel. See attachment.

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) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 100.0 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? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Other Transmitter Costs

Other Transmitter Costs

Additional Interior RF System

Interior RF System Existing Transmitter to Interim Transmission line

Standby Exciter and Switch

Standby Exciter with Automatic Change Over Switch

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? Yes
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: 24.0 kW
Manufacturer
Model THV-6A10-R 3C140
Year 2007

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? Yes
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: 24.0 kW
Manufacturer
Model PSIVLP4OIM-8-EP
Year 2018
Justification for New Antenna The existing primary antenna is a single channel slotted coaxial which cannot accommodate the assigned 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? Single Channel
Feed Line Size 3 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Other Antenna Costs

Other Antenna Costs

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? 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 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: 27.5 kW
Manufacturer
Model ETH-8-8
Year 2018
Justification for New Antenna An interim antenna is necessary to keep station on the air during primary antenna replacement and for the duration of the assigned phase. Station will attempt to rent if renting is available at time of acquisition.

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? 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

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 Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 450 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 Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 420 feet per run
Justification for New Transmission Line See Propagation Systems, Inc invoice 2204.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep Tests

Sweep Tests

Other Transmission Line Parts

Other Transmission Line Parts

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 Flexible Air
Diameter 1 5/8 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 350 feet per run
Justification for New Transmission Line An interim transmission line is necessary for the interim antenna to keep station on the air during primary antenna replacement and for the duration of the assigned phase. Station will attempt to rent if renting is available at time of acquisition.

Interim 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 Leased
Is this tower consider Complex? Terrain Constrained
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
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 1035131
Coordinates (NAD83) Latitude (NAD83) 37° 53' 46.4" N-
Longitude (NAD83) 080° 59' 20.3" W-
Overall Structure Height 468.83 feet
Support Structure Height 377.29 feet
Ground Elevation Above Mean Sea Level (AMSL) 2958.95 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner West Virginia Educational Broadcasting Authority
Date Constructed 02/08/2010

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
71689 WVBY FM

Other Types of Users

Users
WVBY microwave
WSWP microwave

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: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural Analysis

Structural Analysis

Installation of Used Antenna

Installation of Used Antenna

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 204
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 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 1
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 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 No
Additional Field Engineering Service Yes
Number of Days 18
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Engineering Services

Other Engineering Services

Other Legal Services

Other Legal Services

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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Other Equipment Costs

Other Equipment Costs

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 $443,915.94 $264,451.67 N/A $210,251.67 N/A
Total for all systems $2,027,608.98 $1,682,579.94 N/A $801,794.94 N/A
Primary Transmitter VAXTE-16R37 $443,915.94 $264,451.67 $210,251.67
Additional Interior RF System $15,994.99 $15,994.99 See "WSWP Transition Plan" Attachment. $15,994.99 N/A
Other Transmitter Costs $2,470.95 $2,470.95 N/A $2,470.95 N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $4,730.53 N/A $4,730.53 N/A
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $331,500.00 $187,055.20 See attached / uploaded PDF file titled "Gates US0340402 v201209jgv2.pdf" $187,055.20 N/A
Standby Exciter and Switch $25,000.00 $25,000.00 See "WSWP Transition Plan" Attachment. N/A N/A

Components

Actual Information Description File Name
Additional Interior RF System

Component Description:
Holzberg 71538 v220321pmv1
Amount:
$15,994.99
Other Transmitter Costs

Component Description:
Gates US0343264 v220321pmv1
Amount:
$2,470.95
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
Switchgear - industrial 800 amp

Component Description:
Pillar 376522 v220428pmv2
Amount:
$4,730.53
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
Gates US0340402 v201209jgv2
Amount:
$174,014.20

Component Description:
Gates US0343266-343267 v220320pmv1b
Amount:
$13,041.00
Standby Exciter and Switch 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 $388,573.00 $386,303.00 N/A $64,218.00 N/A
Total for all systems $2,027,608.98 $1,682,579.94 N/A $801,794.94 N/A
Interim Antenna ETH-8-8 $215,140.00 $213,400.00 $5,000.00
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 $22,000.00 N/A N/A N/A
High VHF - High Power Side Mount One Station horizontally polarized $180,000.00 $180,000.00 Estimated cost is based on the Cost Catalog estimate for this item. $5,000.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Primary Antenna PSIVLP4OIM-8-EP $173,433.00 $172,903.00 $59,218.00
High VHF - High Power Top Mount One Station elliptically or circularly polarized $55,962.00 $55,962.00 N/A $55,962.00 N/A
Other Antenna Costs $3,256.00 $3,256.00 N/A $3,256.00 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $7,400.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
High VHF - High Power Top Mount One Station horizontally polarized $99,885.00 $99,885.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Estimated cost is based on the Cost Catalog estimate for this item. $0.00 N/A

Components

Actual Information Description File Name
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) Information not provided.
High VHF - High Power Side Mount One Station horizontally polarized

Component Description:
Moved to 'Installation of Used Antenna' under 'Tower Equipment And Rigging Cost Info'
Amount:
N/A

Component Description:
Lima 8003 v210831pmv1
Amount:
$5,000.00
Sweep test of existing antenna Information not provided.
High VHF - High Power Top Mount One Station elliptically or circularly polarized

Component Description:
PSI 2204 v220509pmv2
Amount:
$55,962.00
Other Antenna Costs

Component Description:
SCMS INV28191 v220321pmv1
Amount:
$3,256.00
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna Information not provided.
High VHF - High Power Top Mount One Station horizontally polarized

Component Description:
Moved to 'High VHF - High Power Top Mount One Station elliptically or circularly polarized '
Amount:
N/A

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 $72,803.00 $53,423.00 N/A $36,173.00 N/A
Total for all systems $2,027,608.98 $1,682,579.94 N/A $801,794.94 N/A
Interim Transmission Line $11,550.00 $10,850.00 $0.00
Flexible Air Transmission Line - dielectric, 1 5/8" $11,550.00 $10,850.00 N/A N/A N/A
Primary Transmission Line $61,253.00 $42,573.00 $36,173.00
Other Transmission Line Parts $11,173.00 $11,173.00 N/A $11,173.00 N/A
Sweep Tests $6,400.00 $6,400.00 N/A N/A N/A
Rigid Transmission Line - copper, 3 1/8" $43,680.00 $25,000.00 N/A $25,000.00 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 1 5/8" Information not provided.
Other Transmission Line Parts

Component Description:
PSI 2204 v220509pmv2
Amount:
$11,173.00
Sweep Tests Information not provided.
Rigid Transmission Line - copper, 3 1/8"

Component Description:
PSI 2204 v220509pmv2
Amount:
$25,000.00

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 $873,900.00 $786,292.23 N/A $361,292.23 N/A
Total for all systems $2,027,608.98 $1,682,579.94 N/A $801,794.94 N/A
Primary Tower TOWER $873,900.00 $786,292.23 $361,292.23
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A N/A N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $355,692.23 N/A $355,692.23 N/A
Structural Analysis $3,500.00 $3,500.00 N/A $3,500.00 N/A
Installation of Used Antenna $2,100.00 $2,100.00 N/A $2,100.00 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 Information not provided.
Major tower reinforcement/modifications Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Pillar 379722A v220428pmv2
Amount:
$355,692.23
Structural Analysis

Component Description:
FDH SIN007923 v220321pmv1
Amount:
$3,500.00
Installation of Used Antenna

Component Description:
Premier 0068-20 v220320pmv1
Amount:
$2,100.00

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 $186,021.73 $138,139.73 N/A $120,889.73 N/A
Total for all systems $2,027,608.98 $1,682,579.94 N/A $801,794.94 N/A
Outside Professional Services $186,021.73 $138,139.73 $120,889.73
Other Legal Services $28,032.79 $28,032.79 N/A $28,032.79 N/A
Other Engineering Services $2,900.00 $2,900.00 The Estimated Cost includes other engineering services such as RF calculations, evolving transition plan calculations, bid spec prep / distribution / award recommendation / etc and discussion, etc. $2,900.00 N/A
Additional Field Engineering Service, 18 Days $3,736.94 $3,736.94 See attached quote from Kessler and Gehman Associates, Inc. $3,736.94 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $58,700.00 N/A $58,700.00 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
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 $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - 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 $2,050.00 $2,050.00 N/A $2,050.00 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
Prepare and or review reimbursement form $2,630.00 $16,520.00 The Estimated Cost includes Form 399 submissions including ongoing Actual Cost invoice prep and submission, and amendments as needed. $16,520.00 N/A
Project management of the transition $32,232.00 $1,950.00 N/A $1,950.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,000.00 N/A $1,000.00 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 $3,500.00 N/A $3,500.00 N/A

Components

Actual Information Description File Name
Other Legal Services

Component Description:
Akin Gump 1819641 v210916pmv1
Amount:
$169.00

Component Description:
Akin Gump 1946182 v211006pmv1
Amount:
$1,664.00

Component Description:
Akin Gump 1921363 v211015pmv1
Amount:
$326.25

Component Description:
Akin Gump 1925146 v211015pmv1
Amount:
$435.00

Component Description:
Akin Gump 1746414 v210925pmv1
Amount:
$126.00

Component Description:
Akin Gump 1742362 v210916pmv1
Amount:
$1,939.16

Component Description:
Akin Gump 1770885 v210925pmv1
Amount:
$36.00

Component Description:
Akin Gump 1733137 v210923pmv1
Amount:
$606.50

Component Description:
Akin Gump 1714759 v210923pmv1
Amount:
$106.50

Component Description:
Akin Gump 1888451 v210923pmv1
Amount:
$966.75

Component Description:
Akin Gump 1892904 v210924pmv1
Amount:
$7,160.00

Component Description:
Akin Gump 1914931 v211106pmv2
Amount:
$1,470.00

Component Description:
Akin Gump 1912342 v211007pmv1
Amount:
$672.00

Component Description:
Akin Gump 1884346 v210929pmv1
Amount:
$821.06

Component Description:
Akin Gump 1884714 v211119pmv2
Amount:
$112.50

Component Description:
Akin Gump 1929274 v211015pmv1
Amount:
$174.00

Component Description:
Akin Gump 1958259 v211026pmv1
Amount:
$504.00

Component Description:
Akin Gump 1896557 v211007pmv1b
Amount:
$2,058.00

Component Description:
Akin Gump 1950551 v220304pmv1
Amount:
$412.31

Component Description:
Akin Gump 1719160 v210923pmv1
Amount:
$361.84

Component Description:
Akin Gump 1757561 v210925pmv1
Amount:
$412.75

Component Description:
Akin Gump 1736519 v210916pmv1
Amount:
$491.50

Component Description:
Akin Gump 1959540 v220304pmv1
Amount:
$118.87

Component Description:
Akin Gump 1955161 v220304pmv1
Amount:
$74.30

Component Description:
Akin Gump 1727627 v210916pmv1
Amount:
$2,406.50

Component Description:
Akin Gump 1942655 v211006pmv1
Amount:
$4,368.00

Component Description:
Akin Gump 1965164 v220304pmv1
Amount:
$40.00
Other Engineering Services

Component Description:
KGA 575-451 v210219jgv1
Amount:
$200.00

Component Description:
KGA 930-114 v220320pmv1
Amount:
$1,225.00

Component Description:
KGA 575-429 v210316jgv1
Amount:
$250.00

Component Description:
KGA 575-442 v210219jgv1
Amount:
$1,225.00
Additional Field Engineering Service, 18 Days

Component Description:
KGA 575-330 v210709jgv1
Amount:
$3,736.94
Comprehensive coverage verification via field study, if needed

Component Description:
KGA 575-502 v220228jgv1
Amount:
$58,700.00
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.
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:
KGA 575-430 v210315jgv1
Amount:
$1,550.00

Component Description:
KGA 575-432 v210315jgv1
Amount:
$500.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
KGA 575-336 v210715jgv1
Amount:
$2,500.00

Component Description:
KGA 575-456 v220105pmv1
Amount:
$1,150.00

Component Description:
KGA 575-485 v211029pmv1
Amount:
$1,215.00

Component Description:
KGA 575-476 v220105pmv1
Amount:
$975.00

Component Description:
KGA 575-461 v220105pmv1
Amount:
$325.00

Component Description:
KGA 575-439 v210219jgv1
Amount:
$435.00

Component Description:
KGA 575-522 v220304pmv1
Amount:
$645.00

Component Description:
KGA 575-499 v220105pmv1
Amount:
$835.00

Component Description:
KGA 575-449 v210219jgv1
Amount:
$550.00

Component Description:
KGA 575-445 v210219jgv1
Amount:
$1,845.00

Component Description:
KGA 575-469 v220105pmv1
Amount:
$950.00

Component Description:
KGA 575-448 v210219jgv1
Amount:
$25.00

Component Description:
KGA 575-508 v220124jgv1
Amount:
$75.00

Component Description:
KGA 575-515 v220214pmv1
Amount:
$225.00

Component Description:
KGA 575-524 v220322jgv1
Amount:
$3,100.00

Component Description:
KGA 575-494 v220105pmv1
Amount:
$1,670.00
Project management of the transition

Component Description:
KGA 575-362 v210713jgv1
Amount:
$150.00

Component Description:
KGA 575-353 v210713jgv1
Amount:
$225.00

Component Description:
KGA 575-377 v210709jgv1
Amount:
$150.00

Component Description:
KGA 575-346 v210713jgv1
Amount:
$225.00

Component Description:
KGA 575-421 v200813pmv1
Amount:
$150.00

Component Description:
KGA 575-340 v210713jgv1
Amount:
$300.00

Component Description:
KGA 575-389 v200813pmv1
Amount:
$150.00

Component Description:
KGA 575-401 v200813pmv1
Amount:
$150.00

Component Description:
KGA 575-415 v200813pmv1
Amount:
$150.00

Component Description:
KGA 575-397 v200813pmv1
Amount:
$150.00

Component Description:
KGA 575-368 v210713jgv1
Amount:
$150.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
KGA 575-459 v211229pmv1
Amount:
$1,000.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
KGA 575-332 v210720jgv1
Amount:
$2,500.00
Perform engineering study for new channel assignment and antenna development

Component Description:
KGA 575-332 v210720jgv1
Amount:
$3,500.00

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 $62,395.31 $53,970.31 N/A $8,970.31 N/A
Total for all systems $2,027,608.98 $1,682,579.94 N/A $801,794.94 N/A
Other Expenses $62,395.31 $53,970.31 $8,970.31
Equipment Storage $20,000.00 $20,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $3,125.00 N/A $3,125.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $3,245.04 $3,245.04 N/A $3,245.04 N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 N/A N/A N/A
MVPD Notification of Channel Change $1,925.00 $1,925.00 Estimated cost is based on the need for one day of outside consulting services to complete the MVPD Notifications. $1,925.00 N/A
Other Equipment Costs $675.27 $675.27 N/A $675.27 N/A

Components

Actual Information Description File Name
Equipment Storage Information not provided.
DTV Medical Facility Notification

Component Description:
KGA 575-425 v200813pmv1
Amount:
$3,125.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Pillar 376520 v220428pmv2
Amount:
$1,045.00

Component Description:
Gates US0343264 v220321pmv1
Amount:
$38.04

Component Description:
Gates US0340402 v201209jgv2
Amount:
$2,162.00
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change

Component Description:
KGA 575-424 v200813pmv1
Amount:
$1,925.00
Other Equipment Costs

Component Description:
Fastenal WVCH192232 v210830pmv1
Amount:
$675.27

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,027,608.98 $1,682,579.94 $801,794.94

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

Certification

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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.

Jeffrey C Gehman

Engineering Associate


05/09/2022

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.

Jeffrey C Gehman

Engineering Associate


05/09/2022

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information Statements

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

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

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

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

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

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

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

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

Jeffrey C Gehman

Engineering Associate


05/09/2022

Attachments

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