TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
NBC Telemundo License LLC	Angela Ball PO Box 20001 Suite 700 Washington, DC 20001 United States	+1 (202) 524-6413	angela.ball@nbcuni.com	Limited Liability Company

Applicant

Address

Phone

Applicant Type

NBC Telemundo License LLC

Angela Ball

PO Box 20001

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6413

angela.ball@nbcuni.com

Limited Liability Company

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
Angela Ball Assistant Secretary NBCUniversal, LLC	300 New Jersey Ave. NW Suite 700 Washington, DC 20001 United States	+1 (202) 524-6413	angela.ball@nbcuni.com

Applicant

Address

Phone

Angela Ball

Assistant Secretary

NBCUniversal, LLC

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6413

angela.ball@nbcuni.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	Use existing main transmitter on existing aux antenna. Remove main antenna,. Install new antenna, replace IOT aux with new solid state on new channel for use as main on new antenna. Replace IOT main with solid state as aux and replace aux antenna.

Transmitters

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

Auxiliary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Auxiliary (Backup)
	Description of Use	To maintain coverage when main transmitter or antenna are unavailable
	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	DCX Millenium
	Year	1998
	Type	Inductive Output Tube
	IOT Power Type	Two
	Power Capacity	40 kW

Auxiliary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Auxiliary (Backup)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Manufacturer
	Model	THU9-36
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	55 kW
	Justification for New Transmitter	New Solid State transmitter is requested as existing IOT is EOL. A Solid State transmitter is less expensive then a replacement IOT.

Auxiliary 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	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	Contractor estimate on electrical disconnect and reconnect.
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

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Architectural Modification	Architectural Labor, Electrical and mechanical addition
Installation and Commissioning of WCAU AUX Transmitter System	AUX Transmitter installation and commissioning
General Condition- permits, inspections, sight safety management, close out docs. and other services	General Condition - please see scope of work attached
Heat Exchanger Stacking	WCAU Aux Heat Exchanger Stacking kit
Transmission Facility Design	Design of floor plan and electrical plans for transmitter room
WCAU Aux Filter Cooling Kit	WCAU Aux Filter Cooling Kit
RF System	RF System for new transmitter: Filter and Output Switching
Transmitter Building Addition-modification and Leasehold improvement	Architectural, Electrical, Mechanical, HVAC demolition and restoration/New York

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	DCXP-2
	Year	2009
	Type	Inductive Output Tube
	IOT Power Type	Two
	Power Capacity	55 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	THU9-60
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	88.5 kW
	Justification for New Transmitter	New Solid State transmitter is requested as existing IOT is EOL. A Solid State transmitter is less expensive then a replacement IOT.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	Yes
	Size	5500.0 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
Transmitter Installation, test and Commissioning	Transmitter Installation, test and commissioning and supervision
Install Transmitter Coolers and CRAC units	NBC Universal, Install Transmitter Coolers and CRAC units
Transmitter Combiner and TX interconnect Kit	WCAU Main- combiner installation
RF System Installation and Electrical Work	RF System Installation and Electrical Work

Antennas

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

Auxiliary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Auxiliary (Backup)
	Description of Use	To maintain coverage when primary antenna is unavailable
	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?	Yes
Existing Antenna Manufacturer and Type	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	N/A
	Design power capacity in use	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Other Antenna Type	N/A
	ERP:	739.0 kW
	Manufacturer
	Model	TFU-22ETT/VP-R O6
	Year	2011

Auxiliary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Auxiliary (Backup)
	Description of Use	Used to maintain coverage when main antenna is unavailable
	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?	Yes
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:	618.0 kW
	Manufacturer
	Model	TFU-22JTH/VP-R O6
	Year	2019
	Justification for New Antenna	New antenna required because existing auxiliary is single channel and will not work on new channel (Ch 28)

Auxiliary Antenna

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	6 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

Auxiliary Antenna

Other Antenna Cost Not Listed

Name	Description
Building and Planning permit submittal-not included structural analysis	Scope if services related to Antenna
DACs Monitoring system	DACs system excludes installation and commissioning
Antenna Installation	Install ginpole and remove and replace top mounted antenna.
Transmission line Accessories for AUX Antenna	Transmission accessories for WCAU AUX

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?	No
	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	Top Mount
	Antenna position in stack	Top
	Polarization	Elliptical
	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:	700.0 kW
	Manufacturer
	Model	TFU-22ETT/VP-R O6
	Year	2009

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?	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?	Yes
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Top
	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:	618.0 kW
	Manufacturer
	Model	TFU-22ETT/VP-R O6
	Year	2019
	Justification for New Antenna	Existing antenna will not work on new channel (ch 28)

Primary Antenna

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	6 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?	No

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Antenna Installation	Remove and replace the existing top mounted NBC located on the South East arbor arm. Remove and replace the existing transmission line. Assist with test and tune of new system.
Transmission Line accessories	transitions and connectors for installation
Helicopter pick- Main Antenna	Helicopter lift for WCAU main antenna

Transmission Line

Section	Question	Response
Transmission Line Related Expenses	Do you have transmission line related expenses?	No

Tower Equipment And Rigging Costs

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

Auxiliary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Auxiliary (Backup)
	Description of Use	used to maintain coverage when main antenna is unavailable
	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
Existing Tower Structure Registration	ASR Number	1025386
Coordinates (NAD83)	Latitude (NAD83)	40° 02' 31.2" N-
	Longitude (NAD83)	075° 14' 10.4" W-
	Overall Structure Height	582.01 feet
	Support Structure Height	507.87 feet
	Ground Elevation Above Mean Sea Level (AMSL)	284.12 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	NBC Telemundo License LLC
	Date Constructed	07/29/2005

Auxiliary Tower

Tower Modification Costs

Section	Question	Response
Engineering Study	Please what type of engineering study is required, if any:	Study needed for documented tower
Tower Reinforcements	Please select whether tower reinforcements are needed:	Serious Reinforcements needed

Auxiliary Tower

Tower Rigging Costs

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

Auxiliary Tower

Other Tower Expenses Not Listed

Information not provided.

Primary Tower

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?	Candelabra
	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	No
	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	1231524
Coordinates (NAD83)	Latitude (NAD83)	40° 02' 30.1" N-
	Longitude (NAD83)	075° 14' 10.1" W-
	Overall Structure Height	1254.91 feet
	Support Structure Height	1124.00 feet
	Ground Elevation Above Mean Sea Level (AMSL)	292.98 feet
	Structure Type	GTOWER - Guyed Structure Used for Communication Purposes
	Tower Owner	Global Tower, LLC. through American Towers, LLC
	Date Constructed	11/02/2011

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
63153	WCAU	DTV

Primary Tower

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:	Minor Reinforcements needed

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	1040
	Explanation	Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters.
Outside RF consulting Engineering Services	Perform engineering study for new channel assignment and antenna development	No
	Prepare engineering section of Form FCC Construction Permit Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	Prepare engineering section of Form FCC License to Cover Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	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	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	No
	Quantity	N/A
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	No
	FAA Consultation (including preparation of FAA Form 7460)	No
	Negotiation of Lease and other Matter for Shared Locations	No
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	Yes
	Number of Days	40
	Justification	Ground level RF design

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Information not provided.

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

Other Expenses

Other Expenses Not Listed

Name	Description
Safety Measurements- Fire Alarm Equipment	Install Fire Alarm system and other related equipments.
WCAU TV aerial lift	Hired Police corporals/Detectives for Aerial lift project

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	$7,254,180.70	$5,539,247.04	N/A	$5,199,573.24	N/A
Total for all systems	$11,272,588.48	$8,675,139.66	N/A	$7,165,846.00	N/A
Primary Transmitter THU9-60	$3,578,352.70	$2,529,304.30		$2,332,624.66
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW	$2,630,000.00	$1,600,000.00	N/A	$1,413,603.50	N/A
Transmitter Installation, test and Commissioning	$350,000.00	$350,000.00	N/A	$339,716.86	N/A
RF System Installation and Electrical Work	$315,148.00	$315,148.00	N/A	$315,148.00	N/A
Transmitter Combiner and TX interconnect Kit	$32,410.00	$32,410.00	N/A	$32,410.00	N/A
Install Transmitter Coolers and CRAC units	$204,064.00	$204,064.00	N/A	$204,064.00	N/A
Other -- Building Addition Size: 5500.0	$8,530.70	$8,530.70	N/A	$8,530.70	N/A
Switchgear - industrial 800 amp	$38,200.00	$19,151.60	15kv Switchgear Test, Inspect, and Evaluate	$19,151.60	N/A
Auxiliary Transmitter THU9-36	$3,675,828.00	$3,009,942.74		$2,866,948.58
Other Electrical Service: Contractor estimate on electrical disconnect and reconnect.	$665,000.00	$665,000.00	N/A	$630,622.80	N/A
General Condition- permits, inspections, sight safety management, close out docs. and other services	$65,000.00	$65,000.00	N/A	$50,850.00	N/A
Transmission Facility Design	$560,000.00	$560,000.00	N/A	$535,234.59	N/A
Transmitter Building Addition-modification and Leasehold improvement	$358,000.00	$358,000.00	N/A	$325,650.32	N/A
RF System	$55,000.00	$55,000.00	see attached transmitter proposal	$54,686.42	N/A
WCAU Aux Filter Cooling Kit	$3,015.00	$3,015.00	N/A	$3,015.00	N/A
Heat Exchanger Stacking	$2,563.00	$2,563.00	N/A	$2,563.00	N/A
Installation and Commissioning of WCAU AUX Transmitter System	$109,000.00	$109,000.00	N/A	$109,000.00	N/A
Architectural Modification	$50,000.00	$50,000.00	Labor, Electrical and Mechanical addition	$33,211.71	N/A
5 Ton system	$20,250.00	$20,250.00	N/A	$0.00	N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW	$1,788,000.00	$1,122,114.74	N/A	$1,122,114.74	N/A

Components

Actual Information Description	File Name
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW	Component Description: CA8PPXX325 8 Pole, liquid, Five Port 8 3-16" patch panel, TX balancing load interconnect kit (4 Ca, Test Load Divider - 120kW Test Load Set, Main Absorber 50kW load interconnect, Switch Frame to mask filter and load interconnect kit Amount: $177,296.50 Component Description: CA8PPXX325 8 pole, liquid cooled, tunable CIF Mask Filter REVISED Amount: $183,011.00 Component Description: This is the invoice, purchase order, and quote for the main transmitter for this site. Included is a cover letter explaining which portion we want to be reimbursed for. Amount: $1,082,398.00 Component Description: Final progress payment. please find attached revised invoice with revised quote. REVISED Amount: $183,011.00 Component Description: deposit 45% of the total quote for transmitter RFS system cost Amount: $153,909.00
Transmitter Installation, test and Commissioning	Component Description: Site Inspections / Punchlist Amount: $12,911.04 Component Description: Construction Phase Services Amount: $7,314.03 Component Description: Design Coordination and Construction/ Permit Set Amount: $6,748.83 Component Description: Design Coordination and Construction/ Permit Set Amount: $60,739.41 Component Description: Review Equipment Data, Design Team Site Survey and Report Brief Amount: $8,607.36 Component Description: WCAU Main R&S THU9-60 Transmitter Installation, Test & Commissioning, Test & Commissioning, Transmission Line Installation Supervision, Antenna & Transmission Line Test & Tune Amount: $58,500.00 Component Description: Review Equipment Data, Design Team Site Survey and Report. Amount: $7,448.83 Component Description: Professional Services thru September 27, 2019. REVISED Amount: $13,261.04 Component Description: P.O. Line Item 2, Design Coordination and Construction Permit Set (90%) REVISED Amount: $60,739.41 Component Description: PO Line item 1, review equipment data, design team site survey and report are included here for reimbursement. No Variance. PO Line Item 5, expenses. REVISED Amount: $8,607.36 Component Description: Review Equipment Data, Design Team Site Survey and Report. Amount: $7,664.03 Component Description: Line 1 and 2, Transmitter installation and test, and test commissioning are place here for reimbursement. REVISED Amount: $51,900.00 Component Description: WCAU Main R&S THU9-60 Transmitter Installation, Test & Commissioning. REVISED Amount: $117,000.00 Component Description: WCAU TV Main transmitter installation professional cost REVISED Amount: $14,628.06 Component Description: WCAU Main R&S THU9-60 Transmitter Installation, Test & Commissioning. REVISED Amount: $19,500.00 Component Description: Review Equipment Data, Design Team Site Survey and Report. REVISED Amount: $7,314.03 Component Description: Professional Services thru July 13, 2018. REVISED Amount: $7,567.52 Component Description: Professional services for WCAU transmitter installation Amount: $13,261.04 Component Description: Main Transmitter Facility design expenses Amount: $7,567.52 Component Description: Please see line 1 and 2 Amount: $17,300.00 Component Description: WCAU Main Transmitter expenses- Expenses Receipts are not manageable since excluded. Amount: $8,607.36 Component Description: please find attached quote, main transmitter installation professional services Amount: $7,448.83 Component Description: New Main Transmitter Facility design expenses Amount: $60,739.41 Component Description: WCAU main transmitter installation- professional service. please find attached quote Amount: $7,314.03 Component Description: WCAU TV Main transmitter installation professional cost Amount: $14,628.06 Component Description: professional services for WCAU main transmitter Amount: $7,664.03 Component Description: New cable for Transformer Amount: $18,886.58 Component Description: please see line item 1 & 2 from the invoice Amount: $51,900.00 Component Description: Floor improvement expenses is not reimbursable per FCC Reviewer. Amount: N/A Component Description: please see line item 1 and 2. Amount: $103,800.00
RF System Installation and Electrical Work	Component Description: Lump sum work for Electrical work and Shelby acquired by Riggs Distler and Company Amount: $22,626.50 Component Description: Rf system installation and Electrical work- please find attached quote Amount: $125,824.00 Component Description: Electrical work for R&S Transmitter and RF installation. Shelby Mechanical acquired by Riggs & Distler Company, attached both invoice in this package. Amount: $42,045.00 Component Description: Electrical work and RF system installation. please find attached quote Amount: $72,940.70 Component Description: Lump sum portion of work completed - Electrical and RF systems Installation for WCAU Amount: $51,711.80
Transmitter Combiner and TX interconnect Kit	Component Description: Transmitter Combiner and TX interconnect kit- please find attached quote Amount: $32,410.00
Install Transmitter Coolers and CRAC units	Component Description: Part of Repack 10 coolers installation Amount: $10,283.35 Component Description: Part of 10 NBC Coolers - submittals and Equipment Purchasing. Amount: $59,107.50 Component Description: NBC, Install Transmitter Coolers and CRAC units. Amount: $5,050.00 Component Description: Repack part of NBC 10 install Coolers - Rig & Install heat exchangers, make connections to equipment. Amount: $96,180.50 Component Description: Repack part of NBC 10 install coolers - Final invoice prior Retainage. Amount: $33,442.65 Component Description: Repack part of NBC 10 install Coolers - Rig & Install heat exchangers, make connections to equipment. REVISED Amount: $10,283.35
Other -- Building Addition Size: 5500.0	Component Description: Kit- bleed orifice for transmitter Amount: $70.00 Component Description: Air Dehydrator for R&S Transmitter. Amount: $6,297.00 Component Description: Please find quote for transmitter additional cost Amount: $1,743.70 Component Description: Switch frame Port Cover Amount: $420.00
Switchgear - industrial 800 amp	Component Description: switchgear test and inspect for WCAU. Shelby Mechanical acquired by Riggs Distler. please find both invoice. Amount: $19,151.60
Other Electrical Service: Contractor estimate on electrical disconnect and reconnect.	Component Description: Other Electrical Service, Contractor estimate on electrical disconnect and reconnect Amount: $31,531.14 Component Description: Electrical New Work Amount: $157,655.70 Component Description: 10% deducted for retention proportionally from invoice line item 6 REVISED Amount: $157,665.70 Component Description: 10% deducted for retention from the invoice item line 4 REVISED Amount: $31,531.34 Component Description: Electrical work. please see line item 7 on invoice and deduct 10% from the line item for retention. REVISED Amount: $220,717.98 Component Description: 10% deducted for the line item 5 on the invoice for retention. REVISED Amount: $94,593.42 Component Description: 10% deducted from the invoice line item 2. REVISED Amount: $126,124.56 Component Description: Electrical work. please see line item 7 on invoice and deduct 10% from the line item for retention Amount: $220,717.98 Component Description: Pull out existing 15 KVA #2 cable to the existing Transformer, and Provided and installed (3) 200 amp Load Break Elbows. REVISED Amount: $18,886.58 Component Description: 10% deducted for retention proportionally from invoice line item 6 REVISED Amount: $157,655.70 Component Description: Wrong category. New cable for transformer cost for Main Transmitter. Amount: N/A Component Description: Other electrical service, contract estimate on electrical disconnect and reconnect. REVISED Amount: $31,531.34 Component Description: wrong category Amount: N/A Component Description: 10% deducted from the invoice line item 2. REVISED Amount: $126,124.56 Component Description: 10% deducted for the line item 5 on the invoice for retention. REVISED Amount: $94,593.42
General Condition- permits, inspections, sight safety management, close out docs. and other services	Component Description: General Condition - permits, inspections, sight safety management, close out docs, and other services Amount: $4,176.00 Component Description: General Conditions and Close Out Documents Amount: $7,830.00 Component Description: General condition, permit, inspections, site safety management, close out docs, and other services are requested here for reimbursement. REVISED Amount: $7,830.00 Component Description: 10% deducted from the invoice line item 1 and 2 for retention REVISED Amount: $4,176.00 Component Description: WCAU AUX transmitter facility- General Condition expenses - 10% deducted from the line item 1- see page 5 from package. REVISED Amount: $25,740.00 Component Description: please line item 1 and 10% deduction for retention. REVISED Amount: $9,360.00 Component Description: 10% deducted for retention from invoice item 1 REVISED Amount: $3,744.00 Component Description: 10% deducted for retention from invoice item 1&2 Amount: $7,800.00 Component Description: 10% deducted from the invoice line item 1 and 2 for retention REVISED Amount: $4,176.00 Component Description: WCAU AUX transmitter facility- General Condition expenses - 10% deducted from the line item 1- see page 5 from package Amount: $25,740.00 Component Description: General condition, permit, inspections, site safety management, close out docs, and other services are requested here for reimbursement, REVISED Amount: $9,360.00 Component Description: 10% deducted for retention from invoice item 1 REVISED Amount: $3,744.00
Transmission Facility Design	Component Description: WCAU AUX Construction Management Services Amount: $10,084.00 Component Description: WCAU Aux Construction Management Services Amount: $7,792.00 Component Description: Site Investigation, Report and Recommendations Plans and Specifications / Permit Set Amount: $66,285.84 Component Description: Construction Phase Services Amount: $7,468.00 Component Description: Construction Phase Services Amount: $12,000.00 Component Description: Beam Removal, Concrete Fill In, Lintal Repair, Prep & Paint Block Wall, Core Hole for WCAU, Asbestos removal, UPS shutdown temp power, Asbestos removal @ new windows, Add'l Line Set, Removal of Control Junction box, Transmitter Extra Scope Amount: $81,837.16 Component Description: Transmission Facility Design -Architectural Demo Scope, Electrical Demo Scope, Architectural New Work Amount: $15,415.38 Component Description: Transmission Facility Design Amount: $16,485.84 Component Description: Construction Management services for WCAU AUX Transmitter. REVISED Amount: $7,792.00 Component Description: Site Investigation, Report and Recommendations. Plans and Specifications / Permit Set REVISED Amount: $66,285.84 Component Description: Engineering services- new AUX transmitter facility- professional services. REVISED Amount: $12,000.00 Component Description: Professional Services thru January 8, 2021. REVISED Amount: $7,468.00 Component Description: please see line item 9 an 10 for reimbursement request and 10% deducted from each. REVISED Amount: $15,415.38 Component Description: AUX transmitter facility design- Change of order attached. REVISED Amount: $81,837.16 Component Description: Transmission facility design services costs are listed here for reimbursement. REVISED Amount: $5,480.01 Component Description: Constructions management services_AUX facility Amount: $10,084.00 Component Description: Task 1, Design modifications, Plans and Specifications; Task 2, Construction Phase Services for additional scope. REVISED Amount: $3,000.00 Component Description: Task 1, Plans and Specifications. REVISED Amount: $82,783.20 Component Description: Design and Construction Management Services. REVISED Amount: $5,983.68 Component Description: Final payment- Design Modifications/Plans & construction services. please see attached quote REVISED Amount: $2,000.00 Component Description: Design Engineering fee Adjustment for Base Design. REVISED Amount: $53,073.96 Component Description: Design Modifications/Plans, construction phase services- 2nd payment. please find attached quote. REVISED Amount: $22,696.00 Component Description: Design Modifications/Plans and Specifications. REVISED Amount: $29,821.50 Component Description: WCAU plans and specifications for the transmitter Amount: $82,783.20 Component Description: Demo Plans Amount: $17,796.34 Component Description: Site Investigations, Report, plan and permit set, and construction phase services Amount: $66,285.84 Component Description: Work completed for Design modifications/Plans and specifications Amount: $29,821.50 Component Description: Construction Management services for WCAU AUX Transmitter Amount: $7,792.00 Component Description: 2nd payment - Construction Management service AUX transmitter Amount: $9,237.00 Component Description: 3rd payment- Design Modifications/Plans & construction services. please see attached quote Amount: $3,000.00 Component Description: Receipts are not attached. please see cover letter for the request Amount: $8,607.36 Component Description: Final payment- Design Modifications/Plans & construction services. please see attached quote Amount: $2,000.00 Component Description: Review Equipment Data, Design Team Site Survey and Report Brief Amount: $9,307.36 Component Description: Final payment for the Construction management services for AUX Transmitter. REVISED Amount: $10,084.00 Component Description: 3rd payment- Construction management services for Aux transmitter Amount: $15,293.00 Component Description: 10% deducted for retention from the invoice line item 8. Amount: N/A Component Description: Line 4, transmission facility design are included here. REVISED Amount: $16,485.84 Component Description: Task-2 Construction Management Services Amount: $5,983.68 Component Description: Engineering services- new AUX transmitter facility- professional services Amount: $12,000.00 Component Description: Professional Services thru January 24, 2020. REVISED Amount: $7,792.00 Component Description: fees for Base Design for WCAU AUX Transmitter Facility Amount: $53,073.96 Component Description: 3rd payment- Uploaded under wrong category Amount: N/A Component Description: Professional service- New AUX Transmitter facility Amount: $7,468.00 Component Description: 4th payment- Construction management services for AUX transmitter Amount: $2,594.00 Component Description: Design Coordination and Construction/Permit Set, Expenses Amount: $61,439.41 Component Description: please see line item 9 an 10 for reimbursement request and 10% deducted from each. Amount: $11,722.50 Component Description: Design Modifications/Plans, construction phase services- 2nd payment. please find attached quote. Amount: $22,696.00 Component Description: Line items 3,4,5. Transmission Facility Design are included here for reimbursement. REVISED Amount: $15,415.38 Component Description: uploaded under wrong category Amount: N/A Component Description: Room air-conditioning design to support new transmitter design; Demo plans Amount: $68,107.68 Component Description: AUX transmitter facility design- Change of order attached Amount: $92,319.16
Transmitter Building Addition-modification and Leasehold improvement	Component Description: please see line items 2-5 from the invoice for all demolition scope of work and minus 10% adjusted for retention from the each line item. REVISED Amount: $72,730.26 Component Description: T&M Work for Demolition of Old Transmitter Equipment Amount: $16,792.11 Component Description: Please see invoice item 2 and 3 from the invoice item, 10% retention for each item Amount: $1,572.75 Component Description: Labor to dismantle old transmission equipment Amount: $83,798.44 Component Description: please see line items 2-5 from the invoice for all demolition scope of work and minus 10% adjusted for retention from the each line item Amount: $72,730.26 Component Description: 10% deducted from the line item 3 & 4 on invoice for retention Amount: $13,461.30 Component Description: T&M demolition work for additional Equipment Amount: $35,000.00 Component Description: 10% retainage adjusted for this payment requesting for Electrical Demolition scope for line 3. Amount: $16,485.84 Component Description: Retention release for all transmitter and building modification cost Amount: $117,329.51
RF System	Component Description: Please see cover letter with expedited shipping explanation Amount: $3,808.76 Component Description: Wrong category. Electrical work was completed for Main Transmitter. Amount: N/A Component Description: switch frame to mask filter and load interconnect kit. please see attached quote line 2.1 Amount: $29,194.16 Component Description: RF system connection components from Dielectric Amount: $21,683.50 Component Description: Please see quote, $1,904.38 is the requesting amount. This is for various conductor for RF equipment please find notes for Expedited shipping on cover letter. Amount: $1,904.38
WCAU Aux Filter Cooling Kit	Component Description: WCAU Aux Filter Cooling Kit Amount: $3,015.00
Heat Exchanger Stacking	Component Description: WCAU AUX Heal Exchanger Stacking Kit Amount: $2,563.00
Installation and Commissioning of WCAU AUX Transmitter System	Component Description: Aux Transmitter to Patch Panel 6-50 IFL Installation. REVISED Amount: $11,000.00 Component Description: AUX transmitter to patch panel installation. please line item 1 REVISED Amount: $11,000.00 Component Description: 30% of the work done of WCAU AUX installation and commissioning Amount: $29,400.00 Component Description: 60% Major completion of AUX installation for WCAU Amount: $58,800.00 Component Description: remaining balance. please find attached Estimate Amount: $9,800.00
Architectural Modification	Component Description: Labor, electric and mechanical component addition and deduct 10% retention (3690.19) from the line item 6 of invoice. REVISED Amount: $33,211.71 Component Description: 10% deducted from the line item 4-Architectural work for retention Amount: $3,907.26 Component Description: 10% deducted from the line item 5 for retention proportionally Amount: $1,953.63 Component Description: Labor, electric and mechanical component addition and deduct 10% retention (3690.19) from the line item 6 of invoice. Amount: $33,211.71
5 Ton system	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW	Component Description: T&M work for support of Transmission equipment install Amount: $49,959.74 Component Description: WRC AUX load kit is not reimbursable for WCAU station AUX transmitter expenses Amount: $158,735.00 Component Description: This is the invoice for the aux transmitter for this site. This includes the quote and invoice. We are asking to be reimbursed for the total amount of the invoice. Amount: $913,420.00

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	$1,441,932.00	$1,389,903.90	N/A	$1,160,478.31	N/A
Total for all systems	$11,272,588.48	$8,675,139.66	N/A	$7,165,846.00	N/A
Primary Antenna TFU-22ETT/VP-R O6	$773,110.00	$820,810.00		$679,021.59
Transmission Line accessories	$80,000.00	$80,000.00	Included in antenna proposal	$78,333.29	N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$60,000.00	actual cost exceed predetermined cost	$52,147.97	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$289,500.00	N/A	$179,230.33	N/A
Antenna Installation	$385,600.00	$385,600.00	N/A	$363,600.00	N/A
Helicopter pick- Main Antenna	$5,710.00	$5,710.00	Custom Lugs for Helicopter pick for MAIN WCAU antenna	$5,710.00	N/A
Auxiliary Antenna TFU-22JTH/VP-R O6	$668,822.00	$569,093.90		$481,456.72
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$172,931.40	N/A	$172,931.40	N/A
Transmission line Accessories for AUX Antenna	$160,000.00	$160,000.00	N/A	$120,519.82	ok...will do
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$29,470.50	please see attached quote	$29,470.50	N/A
Antenna Installation	$160,000.00	$160,000.00	N/A	$156,185.00	N/A
DACs Monitoring system	$33,342.00	$33,342.00	DACs monitoring system for WCAU	$0.00	N/A
Building and Planning permit submittal-not included structural analysis	$6,950.00	$6,950.00	Permitting Analysis Review and submittal Package	$2,350.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
Transmission Line accessories	Component Description: OTHER COMPLEX - FEED THROUGH. CONSISTS OF REQUIRED TRANSMISSION LINE COMPONENTS Amount: $15,710.63 Component Description: T/L 6-50 EIA LENGTH UP TO 5' FIXED FLG 1. REVISED Amount: $1,062.60 Component Description: Prior shipping payment. 45% of the line item 2,5 and 6 and please find revised quote. Amount: $15,710.43 Component Description: Horizontal wall anchor, ceiling hanger and elbow 7-75. Amount: $19,648.00 Component Description: Prior shipping payment. 45% of the line item 2,5 and 6 and please find revised quote. Amount: $15,710.43 Component Description: Transmission line accessories- anchor, Gas Barrier, Elbow 8-75 Amount: $14,034.75 Component Description: M6 Panel both kit Amount: $160.00 Component Description: WCAU-Engineering services - Transmission line layout Amount: $9,636.91 Component Description: See lines 2, 4-6 of invoice Amount: $19,143.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: OTHER Elbow complex, single channel at antenna input, per OHM feedline (if needed) Standard Elbow complex to include 4 elbows and 1 line length to be determined, (assuming 10 foot or less). Amount: $9,004.72 Component Description: T/L 6-50 EIA LENGTH UP TO 5' FIXED FLG 1 END/SWIVEL FLG 1 END EHT COATED - 1 @ 58.5" LONG EHT Amount: $1,062.60 Component Description: please see attached adjusted Invoice for Elbow complex and other Transmission line component Amount: $17,588.30 Component Description: please see invoice line 3 and 4 - prior shipping- 45% of the line item. Please see revised quote. Amount: $9,004.72 Component Description: Elbow Assy, Transmission line. please find attached quote Amount: $7,046.00 Component Description: Please see attached quote Amount: $6,035.00 Component Description: transmission line, RF components- please find attached quote. Amount: $5,839.00 Component Description: See line 3 of invoice Amount: $5,572.35 Component Description: Other Elbow Complex, please see line item 3 & 4 REVISED Amount: $9,004.72
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: UHF - HIGH POWER TOP MOUNT 200 - 1,000 KW One station antenna, top of stack, elliptically polarized Amount: $84,604.50 Component Description: Please see item 1 antenna cost. 2nd installment . REVISED QUOTE Amount: $86,465.70 Component Description: Please see item 1 antenna cost. 2nd installment . REVISED QUOTE Amount: $84,604.50 Component Description: Remaining Balance payment for the Item 1. please see attached quote Amount: $10,021.33 Component Description: See line 1 for Main Antenna Amount: $84,604.50 Component Description: See line 1 of invoice Amount: $84,604.50
Antenna Installation	Component Description: Line 3 and 4, Transmission Line Installation, and Antenna and Transmission line test and tune are here for reimbursement. REVISED Amount: $3,600.00 Component Description: Transmission line installation for Antenna test and tune. please see line 3 and 4. Amount: $13,200.00 Component Description: please see line item 3 and 4 from the invoice Amount: $2,200.00 Component Description: Supervision of transmission line and Antenna line test and tune. please see line item 3 and 4. Amount: $6,600.00 Component Description: Final Payment- WCAU antenna replacement services using helicopter Amount: $96,600.00 Component Description: Down payment to secure helicopter services- Perform Antenna replacement for WCAU ATC Tower Amount: $267,000.00 Component Description: Primary Tower install services Amount: $167,000.00
Helicopter pick- Main Antenna	Component Description: Custom lug for helicopter pick for Main Antenna Amount: $5,710.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: UHF - HIGH POWER TOP MOUNT (200 - 1,000 KW) One station antenna, top of stack, elliptically polarized Amount: $86,465.70 Component Description: UHF - HIGH POWER TOP MOUNT (200- 1000W) ONE STATION ANTENNA, ELLIPTICALLY POLARIZED Amount: $86,465.70 Component Description: Requesting line 1 UHF High Power Mount (200 and1000 KW) to include here for reimbursement. REVISED QUOTE Amount: $86,465.70 Component Description: Requesting line 1 UHF and High Power Mount (200 and 1000 KW) to include here for reimbursement. REVISED Amount: $86,465.70
Transmission line Accessories for AUX Antenna	Component Description: RIGID TRANSMISSION LINE COPPER 7 - 3/16 75 OHM EIA - 560 FT (495V and 120 H) Amount: $59,068.91 Component Description: RIGID TRANSMISSION LINE - COPPER 7-3/16" 75 OHM EIA - 560 FT (495'V 120' H) Amount: $59,068.91 Component Description: T/L 7-75 EIA LENGTH 15' TO 20' FIXED FLG EA 1 END/ SWIVEL FLG 1 END 1@18" LONG 2@79" LONG 2@103.875" LONG Amount: $1,042.50 Component Description: See Quote line 7, T/L 7-75 EIA LENGTH 15' TO 20' FIXED FLG 1 END. REVISED SWIVEL FLG 1 END Amount: $11,100.00 Component Description: Transmission line accessories for WCAU AUX antenna. REVISED Amount: $1,062.60 Component Description: Please see line item 3 and 7 from the attached invoice for the T/L expenses. Amount: $59,068.91 Component Description: Elbow, EHT Coated, reducer for WCAU antenna accessories. REVISED Amount: $10,261.20 Component Description: Requesting line 3 and 7 included here for reimbursement. REVISED QUOTE Amount: $59,068.91 Component Description: Wall anchor for AUX antenna-WCAU Amount: $1,339.50 Component Description: Wrong Category Amount: N/A Component Description: WRONG CATEGORY Amount: N/A Component Description: Please see item 3 in the quote- rigid T/L for WCAU AUX Amount: $11,100.00 Component Description: please see line item 3 and 7 from the attached invoice for the T/L expenses. Amount: $59,068.91
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: T/L 6-50 EIA LENGTH UP TO 5' FIXED FLG 1 END/ SWIVEL FLG 1 END EHT COATED, 1 @ 57" LONG Amount: $1,062.60 Component Description: XFMR 6-50 / 6-75 UHF 3 ST, REDUCER 7-75 X 6-75 EIA CU, ELB OW 6-50 DIGIT 9 X 9 "QS", GAS STOP 6-50 W/ HI POW ER CONN "QS", CEILING HANGER KIT 7" & 8" T/L Amount: $10,261.20 Component Description: ELBOW COMPLEX KIT WCAU. SINGLE CHANNEL AT ANTENNA INPUT, PER 7 - 3/16" 75 OHM FEEDLINE (IF NEEDED). INCLUDES QTY. 4, UNEQUAL LEG, BROADBAND DIGITLINE ELBOWS AND UP TO QTY. 2, TLSCR75-5 CUT LENGTHS (LENGTH TBD). Amount: $1,239.00 Component Description: OTHER ELBOW COMPLEX KIT WCAU. SINGLE CHANNEL AT ANTENNA INPUT, PER 7-3/16" 7 5 OHM FEEDLINE (IF NEEDED). Amount: $5,572.35 Component Description: OTHER ELBOW COMPLEX KIT WCAU. SINGLE CHANNEL AT ANTENNA INPUT, PER 7-3/16" 75 OHM Amount: $5,572.35 Component Description: See revised quote. ELBOW COMPLEX KIT WCAU. SINGLE CHANNEL AT ANTENNA INPUT, PER 7-3/16" 7 5 OHM FEEDLINE REVISED Amount: $12,383.00 Component Description: Line 2, other elbow complex kit for WCAU cost is requested here for reimbursement. REVISED QUOTE Amount: $5,572.35 Component Description: Requesting line 2 Elbow to include here for reimbursement. REVISED Amount: $5,572.35 Component Description: Please see item 2 in attached quote Amount: $12,383.00 Component Description: This is only for the cost of line item 2. The elbow complex Amount: $5,572.35 Component Description: Elbow 7-75 digit EHT. please attached quote Amount: $5,763.00 Component Description: WRONG CATEGORY Amount: N/A Component Description: Requesting line 2 Elbow to include here for reimbursement. REVISED Amount: $5,572.35
Antenna Installation	Component Description: Aux Antenna System commissioning and transmitter Proof. please line item 2. REVISED Amount: $10,000.00 Component Description: aux install for WCAU Amount: $57,500.00 Component Description: Install cost for WCAU aux antenna Amount: $57,500.00 Component Description: Aux Antenna System commissioning and transmitter Proof. please line item 2 Amount: $10,000.00 Component Description: Additional cost for AUX antenna Installation Amount: $31,185.00
DACs Monitoring system	Component Description: DACS monitoring system for WCAU transmitter Amount: $33,342.00
Building and Planning permit submittal-not included structural analysis	Component Description: A&E Design Services permit drawings and Building and planning permit clearance Amount: $2,350.00
Sweep test of existing antenna	Information not provided.

Cost Information

Transmission Line

Information not provided.

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	$1,880,400.00	$840,684.33	N/A	$25,901.33	N/A
Total for all systems	$11,272,588.48	$8,675,139.66	N/A	$7,165,846.00	N/A
Auxiliary Tower TOWER	$1,275,100.00	$475,901.33		$25,901.33
Serious tower reinforcement/modifications	$1,052,000.00	$250,000.00	N/A	$0.00	N/A
Structural engineering tower load study for well documented tower	$12,600.00	$25,901.33	Structural analysis and tower mapping for load study	$25,901.33	N/A
Tall Tower (greater than 500')	$210,500.00	$200,000.00	N/A	$0.00	N/A
Primary Tower GTOWER	$605,300.00	$364,783.00		$0.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$300,000.00	N/A	$0.00	N/A
Minor tower reinforcement/modifications	$158,000.00	$50,000.00	N/A	$0.00	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$14,783.00	Tower mapping and structural engineering	$0.00	N/A

Components

Actual Information Description	File Name
Serious tower reinforcement/modifications	Information not provided.
Structural engineering tower load study for well documented tower	Component Description: WCAU_Broadcast Tower mapping expenses, tax added Amount: $8,928.00 Component Description: Structural analysis for load study Amount: $6,333.33 Component Description: This is just for the cost of the structural engineering tower load study with no tax. It does not include the cost for mapping. UPDATED INVOICE. Amount: $6,333.33 Component Description: WCAU TV Repack Structural Analysis Amount: $7,840.00 Component Description: Tower modifications review for WCAU Amount: $2,800.00
Tall Tower (greater than 500')	Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Information not provided.
Minor tower reinforcement/modifications	Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: This is just for the cost of the broadcast tower mapping plus tax. It does not include the structural. UPDATED INVOICE Amount: $8,928.00

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	$312,665.00	$529,198.61	N/A	$468,875.41	N/A
Total for all systems	$11,272,588.48	$8,675,139.66	N/A	$7,165,846.00	N/A
Outside Professional Services	$312,665.00	$529,198.61		$468,875.41
Additional Field Engineering Service, 40 Days	$26,000.00	$26,000.00	N/A	$20,779.81	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	$0.00	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$79,000.00	N/A	$78,775.73	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	$495.00	N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	$4,210.00	$4,000.00	N/A	$1,285.20	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$453.60	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,500.00	N/A	$2,147.70	N/A
Prepare and or review reimbursement form	$2,630.00	$2,500.00	N/A	$1,499.79	N/A
Project management of the transition	$164,320.00	$387,948.61	Project Management costs higher than predetermined	$363,438.58	N/A

Components

Actual Information Description	File Name
Additional Field Engineering Service, 40 Days	Component Description: Repack Site Survey and Planning at WCAU Transmitter Site 9-11 October 2017 Amount: $4,500.00 Component Description: Spinner DAU - Revised quote less the AMS that was Subject: ordered with the transmitter. REVISED Amount: $15,705.00 Component Description: Repack Site Survey and Planning at WCAU Transmitter Site 9-11 October 2017. REVISED Amount: $4,500.00 Component Description: Travel expenses are not manageable Amount: $4,500.00 Component Description: Engineering Site Survey, see attached site survey report for supporting documentation. Amount: $5,074.81 Component Description: Engineering services for DAU at WCAU station site main transmitter. please find attached quote Amount: $15,705.00
RF Exposure Measurements	Information not provided.
Comprehensive coverage verification via field study, if needed	Component Description: RF Testing and field measurements, interference study for WCAU station. please see attached quote Amount: $25,348.65 Component Description: RF Work to perform Measurement, coverage charts, interference study for WCAU station. please see attached quote Amount: $53,427.08
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $495.00
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $678.30 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $464.10 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $142.80
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Preparation of minor change application Amount: $415.80 Component Description: Preparation of minor change application, see line 1 of invoice less 10% vendor discount. Amount: $37.80
Address transition timing and coordination issues w/ other stations and wireless	Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $178.50 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $107.10 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $107.10 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $1,080.00 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $675.00
Prepare and or review reimbursement form	Component Description: See lines 2-4 of invoice, less 10% vendor discount. Amount: $371.79 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $43.65 Component Description: Review of Form 399. Amount: $43.65 Component Description: Amendment of 399 estimates Amount: $189.00 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $43.65 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $45.00 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $45.00 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $405.00 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $45.00 Component Description: Review of Form 399 Amount: $43.65 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $45.90 Component Description: Post-Auction Repacking - WCAU; NBCU1816; Wilkinson Barker Knauer, LLP Amount: $178.50
Project management of the transition	Component Description: Point B Project Management August 2019 Amount: $19,327.00 Component Description: WCAU - Point B invoice April 2020 Amount: $2,386.00 Component Description: Professional services- Site visit. Please see attached Expense receipts Amount: $3,974.62 Component Description: Project Management Services Amount: $4,200.00 Component Description: WCAU - Point B invoice March 2020 Amount: $3,220.00 Component Description: Anthony Flores provided continued scheduling coordination with Vertical tech services Amount: $300.00 Component Description: WCAU - Point B invoice February 2020 Amount: $4,830.00 Component Description: WCAU-Project Management Services- 63153 Amount: $948.00 Component Description: Point B Project Management July 2019 Amount: $22,776.70 Component Description: WCAU-Project Management Services- 63153 Amount: $6,900.00 Component Description: WCAU-Project Management Services- 63153 Amount: $5,335.00 Component Description: Point B project management services for the month of February 2019. See line item. Amount: $3,150.00 Component Description: WCAU-Project Management Services-63153 Amount: $16,208.06 Component Description: Wrong category Amount: N/A Component Description: WCAU - Point B invoice May 2020 Amount: $6,108.00 Component Description: Project Management for Point B for the month of July 2019. These are the new set of invoices with line items describing work done with associated hours. Amount: $22,776.70 Component Description: WCAU Project Management Fees from Point B Amount: $8,868.00 Component Description: Project management and expenses, see attachments for expense receipts Amount: $3,356.09 Component Description: WCAU-Phila-Repack Finance Resource- Project Management Services- 63153 Amount: $6,320.00 Component Description: June 2018 Project Management Amount: $4,750.00 Component Description: Point B Project Management October 2019 Amount: $5,662.00 Component Description: Additional project management services performed by EJC resources. please find attached email thread. Amount: $14,932.00 Component Description: WCAU Project Management Fees from Point B Amount: $19,688.46 Component Description: Point B Project Management December 2019 Amount: $5,720.00 Component Description: WCAU--Project Management Services- 63153 Amount: $7,900.00 Component Description: WCAU-Project Management Services- 63153 Amount: $12,548.00 Component Description: PM service from Anthony Flores, Building permit Coordination, plan checks Amount: $450.00 Component Description: Point B Project Management November 2019 Amount: $5,706.00 Component Description: Wrong category Amount: N/A Component Description: WCAU Aerial lift coordination- June 2019 Amount: $750.00 Component Description: Project Management Amount: $5,060.00 Component Description: WCAU-Project Management Services- 63153 Amount: $5,990.00 Component Description: WCAU Aerial lift rescheduling for pre-construction on July 2019 Amount: $2,732.91 Component Description: Wrong category Amount: N/A Component Description: WNEU Point B project management August 2019 Amount: $17,546.60 Component Description: Project management April 18 Amount: $3,024.70 Component Description: WCAU-Project Management Services- 63153 Amount: $11,844.00 Component Description: project management services from Anthony Flores Amount: $3,750.00 Component Description: Project Management Amount: $2,374.50 Component Description: WNEU Point B Project Management September 2019 Amount: $6,900.00 Component Description: Project Management Services Amount: $2,145.00 Component Description: Modified Point B invoice that includes hours breakdown by resource Amount: $600.00 Component Description: WCAU Project Management Fees from Point B Amount: $948.00 Component Description: Modified SIN001067 invoice to include a breakdown of resource time Amount: $4,200.00 Component Description: WCAU Aerial lift Coordination Amount: $750.00 Component Description: August 2018 Project Management Amount: $5,215.00 Component Description: wrong station invoice Amount: N/A Component Description: Anthony Flores Attended Project coordination calls Amount: $450.00 Component Description: WCAU-Project Management Services-63153 Amount: $5,060.00 Component Description: WCAU-Project Management Services- 63153 Amount: $7,879.00 Component Description: August 2018 Project Management Amount: $150.00 Component Description: WCAU Project Management Fees from Point B Amount: $10,018.00 Component Description: wrong category. it should be upload under AUX transmitter Facilities Amount: N/A Component Description: Modified SIN008963 invoice to include a breakdown of hours by resource Amount: $22,776.40 Component Description: WCAU-Project Management Services- 63153 Amount: $6,900.00 Component Description: Point B Project Management January 2020 Amount: $4,370.00 Component Description: Point B Project Management January 2019 Amount: $1,950.00 Component Description: Point B Project Management September 2019 Amount: $18,177.50 Component Description: November 2018 Project Management Amount: $4,650.00 Component Description: Project Management Services Amount: $975.00 Component Description: Project Management Services Amount: $1,365.00 Component Description: Uploaded in a wrong category Amount: N/A Component Description: Repack Finance Resource-Project Management Services for WCAU. Amount: $3,160.00 Component Description: July 2018 Project Management Amount: $6,905.00 Component Description: WCAU-Project Management Services- 63153 Amount: $7,110.00 Component Description: Project Management Amount: $600.00 Component Description: WRC- Coordination of Aerial lift, secured DHS acknowledgement, and project status Amount: $3,000.00 Component Description: Project Management Services Amount: $348.95 Component Description: Project management services from AFF consulting Amount: $14,271.80 Component Description: Coordination and transition planning with all parties onsite. Amount: $5,000.00 Component Description: WCAU-Project Management Services- 63153 Amount: $17,629.00 Component Description: October 2018 Project Management Amount: $1,650.00 Component Description: Project Management Invoice Amount: $1,670.65 Component Description: WCAU-Project Management Services- 63153 Amount: $7,470.00 Component Description: WCAU--Project Management Services- 63153 Amount: $12,850.00 Component Description: Project Management Services Amount: $1,072.50 Component Description: Wrong category Amount: N/A Component Description: WNEU Point B project management May 2019 Amount: $19,414.00

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	$383,410.78	$376,105.78	N/A	$311,017.71	N/A
Total for all systems	$11,272,588.48	$8,675,139.66	N/A	$7,165,846.00	N/A
Other Expenses	$383,410.78	$376,105.78		$311,017.71
WCAU TV aerial lift	$2,594.78	$2,594.78	N/A	$0.00	N/A
Safety Measurements- Fire Alarm Equipment	$5,689.00	$5,689.00	N/A	$5,689.00	N/A
MVPD Notification of Channel Change	$12,000.00	$12,000.00	N/A	N/A	N/A
Non-zoning permits	$2,500.00	$2,500.00	N/A	$0.00	N/A
Local Zoning	$10,817.00	$10,817.00	$4,700 to prepare tower documents $4,700 to prepare ground documents $750 permit application $667 public hearing	$0.00	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	$0.00	N/A
DTV Medical Facility Notification	$11,550.00	$4,250.00	N/A	$4,250.00	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$335.00	N/A	$0.00	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$77,730.00	$77,730.00	N/A	$77,730.00	N/A
Equipment Delivery and Handling Charges	$110,000.00	$110,000.00	N/A	$109,707.15	N/A
Develop and air announcement of upcoming channel change	$30,000.00	$30,000.00	N/A	$0.00	N/A
Equipment Storage	$120,000.00	$120,000.00	N/A	$113,641.56	N/A

Components

Actual Information Description	File Name
WCAU TV aerial lift	Component Description: Aerial lift project expenses_ Hired city officers/detectives Amount: $2,594.78
Safety Measurements- Fire Alarm Equipment	Component Description: Lump sum for fire Alarm Equipment. please see attached quote. Amount: $5,689.00
MVPD Notification of Channel Change	Information not provided.
Non-zoning permits	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
DTV Medical Facility Notification	Component Description: WCAU FCC ID 63153 Medical Notification Mailing complete per FCC repack Amount: $4,250.00
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: WCAU internal Decommission- 25% down payment Amount: $19,432.50 Component Description: WCAU internal Decommission- Final payment upon completion. please see attached quote Amount: $58,297.50
Equipment Delivery and Handling Charges	Component Description: Lump Sum for Handling for Equipment Amount: $15,214.58 Component Description: Towing charge to Move Conex Box Amount: $300.00 Component Description: Only Shipping charges are requested in this line item. REVISED Amount: $15,214.58 Component Description: Material and handling charges. REVISED Amount: $300.00 Component Description: Only shipping charge requested in this section Amount: $2,822.32 Component Description: Please see invoice line item 1. Amount: $2,808.19 Component Description: Only Shipping charge is requesting in this section Amount: $2,531.25 Component Description: Only total line haul expenses are requested for the payment. Amount: $6,845.00 Component Description: Gap insurance was recommended as a reimbursable item. please find attached docs. Amount: $10,277.42 Component Description: "Gap insurance" was recommended as a reimbursable item. please find attached docs. Amount: $10,282.50 Component Description: FEDEX priority Shipping, REVISED Amount: $269.32 Component Description: Please attached email thread regarding "Gap Insurance" accepted. Amount: $9,710.00 Component Description: Towing charge to move Conex Box Amount: $300.00 Component Description: Please find revised invoice and email thread regarding "Gap Insurance" discussion. Amount: $10,252.42 Component Description: Remaining 5,000.00 for storage and handling of equipment. Shelby acquired by Riggs Distler & Company. Amount: $15,214.58 Component Description: Antennas and Accessories Amount: $10,798.20 Component Description: Total Line Haul Fuel Surcharge Percentage Amount: $269.83 Component Description: Total Line haul Gap Insurance Amount: $10,282.50 Component Description: please find attached revised invoice and email thread regarding "Gap Insurance". Amount: $9,710.00 Component Description: Aerials and Accessories Amount: $2,073.68 Component Description: Total Line Haul Amount: $1,672.23 Component Description: Please see line item 1 for shipping item and slips Amount: $2,808.19 Component Description: Antennas and accessories Amount: $13,434.63 Component Description: Filter 7-16 tuned pack (Antenna Parts) Amount: $186.51 Component Description: please see line item 1 for the freight charge. Amount: $2,531.25 Component Description: Total Line Haul Fuel Surcharge Percent Amount: $214.07 Component Description: Total Line Haul Extra Labor Limited access pick up Amount: $8,695.00 Component Description: Shipping and handling cost. please see attached invoice with shipping slip Amount: $269.32 Component Description: total Line Haul Gap Insurance Amount: $10,277.42 Component Description: please find revised invoice attached and "Gap insurance" email thread discussion. Amount: $9,745.00 Component Description: Shelby acquired by Riggs Distler. only Storage expenses are requesting in the section. Amount: $5,000.00 Component Description: please line item 1 for the shipping cost. Amount: $2,822.32
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: Truck w/operator (2days), Tele handler (Lull) to load @WCAU, Tele handler (Lull) to unload @WCAU, Labor & Misc. for above Amount: $10,400.00 Component Description: Only storage expenses are requested in Storage line in 399 form. REVISED Amount: $5,000.00 Component Description: Please see invoice line item 2, storage change only Amount: $1,200.00 Component Description: Storage cost is requesting is this section. Amount: $7,120.00 Component Description: Please see line item 2 from the attached invoice, quote line 24, storage charges Amount: $15,900.00 Component Description: Misc expenses for storage and Tele handler Amount: $9,300.00 Component Description: Please line item 2 for the storage expenses- revised-added shipping slips Amount: $15,900.00 Component Description: Storage expenses for 6 months. please see attached pricing proposal. Amount: $22,600.00 Component Description: Storage Conex foe Domino Lane, PA. Amount: $2,968.00 Component Description: Lump sum work for Equipment and support and storage Amount: $25,000.00 Component Description: Lump sum work for Storage and Delivery Amount: $12,438.56 Component Description: 6 month storage cost for WCAU Aux Transmitter Amount: $29,315.00 Component Description: Delivery and PAF VAN 15 months storage cost. Please item 2 on invoice Amount: $7,120.00 Component Description: Chapman 48' flatbed storage cost. please see line item 2 on the invoice along with shipping slips. Amount: $1,200.00 Component Description: Aux Transmitter Warehouse Rental & Transportation Amount: $18,300.00 Component Description: Storage expenses are not included for the payment request. Amount: $10,400.00

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$11,272,588.48	$8,675,139.66	$7,165,846.00

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.	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

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.	Angela Ball Assistant Secretary 09/28/2022

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.

Angela Ball

Assistant Secretary

09/28/2022

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.	Angela Ball Assistant Secretary 09/28/2022

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.

Angela Ball

Assistant Secretary

09/28/2022

Certification

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.
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. 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 all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates. 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 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.	Angela Ball Assistant Secretary 09/28/2022

Section

Question

Response

Submission of Final Allocation or Accounting Information Statements

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

Angela Ball

Assistant Secretary

09/28/2022

(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

Auxiliary Transmitter

Existing Transmitter Information

Auxiliary Transmitter

New Transmitter Costs

Auxiliary Transmitter

Other Transmitter Costs

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Auxiliary Antenna

Existing Antenna Information

Auxiliary Antenna

New Antenna Costs

Auxiliary Antenna

Other Antenna Costs

Auxiliary Antenna

Other Antenna Cost Not Listed

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Tower Equipment And Rigging Costs

Auxiliary Tower

Existing Tower

Auxiliary Tower

Tower Modification Costs

Auxiliary Tower

Tower Rigging Costs

Auxiliary Tower

Other Tower Expenses Not Listed

Primary Tower

Existing Tower

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

Primary Tower

Tower Modification 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