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:
58261
Service:
DCA
Call Sign:
WWDT-CD
Channel:
30 (UHF)
File Number:
0000028436
FRN:
0019509470
Date Submitted:
08/10/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NBC TELEMUNDO LICENSE LLC

Doing Business As: NBC TELEMUNDO LICENSE LLC

Angela Ball

300 NEW JERSEY AVENUE, NW

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

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Preparer Contact Name and Information

Applicant Address Phone Email

Angela Ball

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

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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 The WWDT-CD antenna is side-mounted on a guyed tower. The facility will flash-cut from Channel 43 to Channel 30 when the new antenna and transmitter are installed.

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 NV7130
Year 2000
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 1.3 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model 2018
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.2 kW
Justification for New Transmitter The NV7000 series is a discontinued product and is no longer supported by the manufacturer. See attached letter.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? 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

Permits, Approval, Drawing services- Documents Coordination

Permits, Approval, Drawing services- Documents Coordination

Removal of Old Ancillary

Dismantle and removal of: old power line, conduit, and related items.

Installation

Installation, Commissioning and Proof-of-Performance

Exhaust Ventilation Installation

Install exhaust heat duct.

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 Class A
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 15.0 kW
Manufacturer
Model ACS24A
Year 2011

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Class A
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 11.6 kW
Manufacturer
Model TLP-16M Custom
Year 2018
Justification for New Antenna Existing antenna (Antenna Concepts) will not function on new channel and cannot be retuned.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Transmission line Accessories

Transmission line Accessories

Elbow 1-50 90 degree, Equal Leg and Anchor Connector

Elbow 1-50 Equal Leg and Anchor Connector

Antenna Shipping

Antenna shipping and handling.

Antenna Mounting Brackets for High windload zone

Antenna Mounting Brackets for High wind load zone, DESIGNED per C70772-5. Input 1-5/8" EIA 1

Antenna Installation Cost

Antenna Installation

Transmission Line

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

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? No

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 1040
Explanation Management of timeline, contractors, deliverables, reporting, etc.
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 Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review 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 No
Additional Field Engineering Service Yes
Number of Days 1
Justification Engineering Site Survey

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

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

Call support

Call support

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 $217,533.13 $151,599.98 N/A $56,963.25 N/A
Total for all systems $646,627.89 $603,363.74 N/A $403,855.89 N/A
Primary Transmitter 2018 $217,533.13 $151,599.98 $56,963.25
Exhaust Ventilation Installation $2,500.00 $2,500.00 Installation of exhaust heat duct from new transmitter through wall to outside with necessary duct work and labor. $0.00 N/A
Installation $75,000.00 $75,000.00 Required transmitter installation, commissioning and proof-of-performance. $45,930.12 N/A
Removal of Old Ancillary $3,000.00 $3,000.00 Dismantling and disconnection of old power lines and conduits. Removal of conduits and other related equipment. $0.00 N/A
Permits, Approval, Drawing services- Documents Coordination $11,033.13 $11,033.13 N/A $11,033.13 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $60,066.85 N/A $0.00 N/A

Components

Actual Information Description File Name
Exhaust Ventilation Installation Information not provided.
Installation

Component Description:
Installation, commissioning and Proof of performance of Rohde & Schwarz TMU9-2 Digital UHF Transmitter.
Amount:
$25,000.00

Component Description:
Installation, commissioning and Proof of performance of Rohde & Schwarz TMU9-2 Digital UHF Transmitter. REVISED
Amount:
$25,000.00

Component Description:
New electrical installation of transmitter at WWDT site.
Amount:
$15,086.90

Component Description:
New electrical installation of transmitter at WWDT site. REVISED
Amount:
$14,115.00

Component Description:
Transmitter Display Unit
Amount:
$1,627.50

Component Description:
Mask Filter Transmitter
Amount:
$4,871.00

Component Description:
Installation of new Dielectric CH30 mask filter Sweep of transmission line and new antenna
Amount:
$20,660.00

Component Description:
FL tax 6.5% on original invoice 746032 attached
Amount:
$316.62
Removal of Old Ancillary Information not provided.
Permits, Approval, Drawing services- Documents Coordination

Component Description:
Permit Approvals, Drawing services and documents coordination expenses for WWDT.
Amount:
$11,033.13
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Broadcast Transmitter System TMx9
Amount:
$41,021.27

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 $130,104.76 $142,083.76 N/A $139,083.76 N/A
Total for all systems $646,627.89 $603,363.74 N/A $403,855.89 N/A
Primary Antenna TLP-16M Custom $130,104.76 $142,083.76 $139,083.76
Antenna Shipping $3,000.00 $3,000.00 Required antenna shipping and handling costs estimate. $0.00 N/A
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $26,300.00 $38,279.00 See attached proposal $38,279.00 N/A
Transmission line Accessories $9,350.16 $9,350.16 N/A $9,350.16 N/A
Antenna Mounting Brackets for High windload zone $10,125.00 $10,125.00 N/A $10,125.00 N/A
Elbow 1-50 90 degree, Equal Leg and Anchor Connector $529.60 $529.60 N/A $529.60 N/A
Antenna Installation Cost $80,800.00 $80,800.00 N/A $80,800.00 N/A

Components

Actual Information Description File Name
Antenna Shipping Information not provided.
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
ANTENNA SIDE MOUNT HORIZONTALLY POLARIZED TLP-16M-R CUSTOM. DESIGNED PER
Amount:
$38,279.00
Transmission line Accessories

Component Description:
FLEXIBLE TRANSMISSION LINE. REVISED
Amount:
$9,350.16

Component Description:
Flexible Transmission Line
Amount:
$9,350.16
Antenna Mounting Brackets for High windload zone

Component Description:
MOUNTING BRACKETS FOR HIGH WINDLOAD ZONE, WWDT-CD
Amount:
$10,125.00
Elbow 1-50 90 degree, Equal Leg and Anchor Connector

Component Description:
Elbow connectors
Amount:
$529.60
Antenna Installation Cost

Component Description:
Connect new transmission line to antenna, weatherproof all connections. Remove old antenna and transmission line from tower and dispose offsite. Date of Service: Feb/March 2020
Amount:
$80,800.00

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $269,940.00 $281,180.00 N/A $203,244.39 N/A
Total for all systems $646,627.89 $603,363.74 N/A $403,855.89 N/A
Outside Professional Services $269,940.00 $281,180.00 $203,244.39
Additional Field Engineering Service, 1 Days $3,800.00 $3,800.00 N/A $2,700.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $0.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $0.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $37,732.00 N/A
Project management of the transition $164,320.00 $180,000.00 ESTIMATED COST IS GREATER THAN PREDETERMINED COST ESTIMATE $159,384.29 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $2,000.00 Estimated cost is greater than predetermined cost estimated $0.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,630.00 N/A $1,368.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $132.30 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $1,927.80 N/A

Components

Actual Information Description File Name
Additional Field Engineering Service, 1 Days

Component Description:
Engineering Services for Southwest Tower
Amount:
$1,200.00

Component Description:
Engineering Services for Tower
Amount:
$1,500.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
FIELD STUDY REVISED
Amount:
$18,866.00

Component Description:
FIELD STUDY REVISED
Amount:
$18,866.00

Component Description:
Field survey
Amount:
$18,866.00

Component Description:
Field study survey-Final payment for WWDT
Amount:
$18,866.00
Project management of the transition

Component Description:
Project lead and Repack Finance resource- Professional services for the station
Amount:
$11,333.01

Component Description:
Project Management and Repack Implementation
Amount:
$1,456.66

Component Description:
Project Management and Repack Implementation. REVISED
Amount:
$1,456.66

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services-58261 REVISED
Amount:
$11,952.41

Component Description:
Repack Finance Resource- project Management services
Amount:
$11,520.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services
Amount:
$3,792.00

Component Description:
Project lead and Repack Finance resource- Professional services for the station
Amount:
$11,952.41

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services
Amount:
$2,844.00

Component Description:
Repack Finance Resource- project Management services
Amount:
$2,212.00

Component Description:
Project management services for May 2018
Amount:
$600.00

Component Description:
Point B - August 2019 invoice for Project Management work at WWDT
Amount:
$3,465.00

Component Description:
Fort Myers-Engagement Leader and repack Finance Resource for the Station
Amount:
$5,825.00

Component Description:
Point B - November 2019 invoice for Project Management work at WWDT
Amount:
$2,291.00

Component Description:
Fort Myers-Repack Finance Resource-Project Management Services
Amount:
$2,148.90

Component Description:
Point B project management services for the month of February 2019. See all line items.
Amount:
$1,450.00

Component Description:
WWDT- Fort Myers-Engagement Leader-Project Management Services
Amount:
$3,927.00

Component Description:
Repack Finance- Project management services for WWDT
Amount:
$4,582.00

Component Description:
Point B - July 2019 invoice for Project Management work at WWDT
Amount:
$3,850.00

Component Description:
Project Management and Repack Implementation
Amount:
$1,456.66

Component Description:
Project Management
Amount:
$3,465.00

Component Description:
Point B - January 2020 invoice for project management work at WWDT
Amount:
$15,237.00

Component Description:
Point B - May 2019 invoice for Project Management work at WWDT
Amount:
$3,927.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services
Amount:
$158.00

Component Description:
September 2018 Project Management
Amount:
$1,200.00

Component Description:
Provided project management services for WWDT-CD (WWDT) to determine any zoning or building permitting requirements. Updated invoice to include name of project manager.
Amount:
$3,800.00

Component Description:
Project management to determine any zoning or building permitting requirements. Uploaded invoice to include name of project manager.
Amount:
$1,900.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services
Amount:
$474.00

Component Description:
Project Management and Repack Implementation Engineering Service
Amount:
$525.00

Component Description:
July 2018 Project Management
Amount:
$377.34

Component Description:
Project Management and Repack Implementation Engineering Service
Amount:
$826.94

Component Description:
Repack Finance resource for the station
Amount:
$2,212.00

Component Description:
Project Management
Amount:
$435.00

Component Description:
Point B - September 2019 invoice for Project Management work at WWDT
Amount:
$6,048.00

Component Description:
Point B - invoice for project management work at WWDT
Amount:
$9,661.00

Component Description:
Repack Finance Resource- project Management services
Amount:
$948.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services
Amount:
$1,264.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services- 58261
Amount:
$948.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services-58261. REVISED
Amount:
$2,148.90

Component Description:
Point B - October 2019 invoice for Project Management work at WWDT
Amount:
$7,344.50

Component Description:
WWDT- Fort Myers-Engagement Leader & Finance Resources-Project Management Services
Amount:
$15,237.00

Component Description:
Project Management Invoice
Amount:
$290.00

Component Description:
Point B Project Management January 2019
Amount:
$1,015.00

Component Description:
May 2018 Project Management updated
Amount:
$2,250.00

Component Description:
Fort Myers-Engagement Leader and Repack Finance Resource
Amount:
$3,871.00

Component Description:
Project lead and Repack Finance resource- Professional services for the station
Amount:
$10,632.00

Component Description:
Project lead and Repack Finance resource- Professional services for the station. REVISED
Amount:
$10,632.00

Component Description:
Project Management and Repack Implementation Engineering Service
Amount:
$2,251.94

Component Description:
Project Management and Repack Implementation Engineering Service REVISED
Amount:
$826.94

Component Description:
June 2018 Project Management
Amount:
$300.00

Component Description:
Project management services for WWDT
Amount:
$4,004.00

Component Description:
August 2018 Project Management
Amount:
$6,195.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource-Project Management Services- 58261. REVISED
Amount:
$4,582.00

Component Description:
June 2018 Project Management
Amount:
$450.00

Component Description:
Project management lead and Finance resources for the station
Amount:
$7,319.00

Component Description:
WWDT- Fort Myers-Repack Finance Resource- Project Management Services- 58261
Amount:
$2,686.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application
Amount:
$1,927.80
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Address transition timing and coordination issues w/ other stations and wireless
Amount:
$315.00

Component Description:
Address transition timing and coordination issues w/ other stations and wireless
Amount:
$90.00

Component Description:
Address transition timing and coordination issues w/ other stations and wireless
Amount:
$918.00

Component Description:
Address transition timing and coordination issues w/ other stations and wireless
Amount:
$45.00
Prepare and or review reimbursement form

Component Description:
Prepare and or review reimbursement form
Amount:
$43.65

Component Description:
Prepare and or review reimbursement form
Amount:
$45.00

Component Description:
Prepare and or review reimbursement form
Amount:
$43.65
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Attorney fees to review documents and reimbursement application
Amount:
$1,927.80

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 $29,050.00 $28,500.00 N/A $4,564.49 N/A
Total for all systems $646,627.89 $603,363.74 N/A $403,855.89 N/A
Other Expenses $29,050.00 $28,500.00 $4,564.49
Call support $5,000.00 $5,000.00 N/A $2,543.15 ok
Disposal Costs (for equipment and other waste, net of any salvage value) $2,500.00 $2,500.00 Haul away and proper disposal of old antenna, mask filter, pump, pump control, heat exchanger and related items. $0.00 N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $2,000.00 N/A
Develop and air announcement of upcoming channel change $1,000.00 $1,000.00 N/A $0.00 N/A
Equipment Storage $3,000.00 $3,000.00 N/A $0.00 N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A $0.00 N/A
Equipment Delivery and Handling Charges $5,000.00 $5,000.00 N/A $21.34 N/A

Components

Actual Information Description File Name
Call support

Component Description:
Live Answering Enterprise Plan 01 MAR 2020 - 31 MAR 2020 818-385-2504. REVISED
Amount:
$1,348.95

Component Description:
Live Answering Usage $1.40 per minute 8183852504 3/1-3/31 REVISED
Amount:
$1,194.20

Component Description:
Live answering direct call and plan support for the station
Amount:
$1,348.95

Component Description:
Live Answering support for the station
Amount:
$1,194.20

Component Description:
Live Answering Usage $1.40 per minute 8183852504 3/1-3/31
Amount:
$1,194.20

Component Description:
Live Answering Enterprise Plan 01 MAR 2020 - 31 MAR 2020 818-385-2504
Amount:
$1,348.95
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification Mailing Complete per FCC Repack
Amount:
$2,000.00
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
MVPD Notification of Channel Change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Freight and shipping costs, FEDEX Ground
Amount:
$21.34

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $646,627.89 $603,363.74 $403,855.89

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.

Angela Ball

Assistant Secretary


08/10/2022

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

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

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

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

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

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

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

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

Angela Ball

Assistant Secretary


08/10/2022

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.

Angela Ball

Assistant Secretary


08/10/2022

Attachments

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