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:
167320
Service:
LPD
Call Sign:
WASA-LD
Channel:
25 (UHF)
File Number:
0000090020
FRN:
0001529247
Eligibility Status:
Eligible
Date Submitted:
08/30/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Estrella Television License LLC

1845 Empire Avenue

Burbank, CA 91504

United States

+1 (818) 729-5300 bkei@EstrellaMedia.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

Samuel Hariton

Widelity

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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 WASA-LD is planning to purchase an upgraded transmitter and antenna (reimbursable due to change from UHF to VHF), a like-for-like transmission line, and to move to an existing tower.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? No

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? No

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? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Ownership Leased
Is this tower consider Complex? Located on Building
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? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? No
Coordinates (NAD83) Latitude (NAD83) 40° 45' 08.1" N-
Longitude (NAD83) 073° 58' 02.1" W-
Overall Structure Height 902.88 feet
Support Structure Height 902.88 feet
Ground Elevation Above Mean Sea Level (AMSL) 30.84 feet
Structure Type BTWR - Building with Tower
Tower Owner 845 United Nations Limited Partners
Date Constructed 11/15/2009

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
127812 W34DI-D LPD
128222 W31EF-D LPD
74502 W20EF-D LPD
51441 WKOB-LD LPD
60554 W41DO-D LPD

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 254
Explanation WASA-LD requires the aid of outside project management services in order to fulfill the requirements of the repack and will hire an outside firm to ensure a timely and well managed transition.
Outside RF consulting Engineering Services Perform engineering study for displacement application Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Prepare Form 601 Yes
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

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
Permit and Filing Costs FCC Construction Permit Major Change Yes
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Information not provided.

Cost Information

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Antennas

Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $421,000.00 $421,000.00 N/A $0.00 N/A
Total for all systems $473,307.00 $493,424.32 N/A $38,505.62 N/A
Primary Tower BTWR $421,000.00 $421,000.00 $0.00
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) $421,000.00 $421,000.00 Catalog of costs. N/A N/A

Components

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 $45,597.00 $65,819.32 N/A $38,305.62 N/A
Total for all systems $473,307.00 $493,424.32 N/A $38,505.62 N/A
Outside Professional Services $45,597.00 $65,819.32 $38,305.62
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,577.50 N/A $371.25 N/A
Prepare Form 601 $755.00 $755.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $3,025.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,052.50 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $2,235.00 $2,473.87 Please see WASA-LD Attorney STA Budget Revision Justification Letter. The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $2,473.87 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $5,006.70 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time $5,006.70 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,102.50 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $5,331.25 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $5,331.25 N/A
Prepare request for Special Temporary Authorization $1,280.00 $875.00 Please see WASA-LD RF Eng STA Budget Revision Justification Letter $875.00 N/A
Project management of the transition $26,797.00 $41,910.00 Please see Widelity Strategic Support Quote $24,247.55 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
WASA-LD-550-Attorney - License to Cover Application (Main)
Amount:
$371.25
Prepare Form 601 Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Professional Services Rendered
Amount:
$111.37

Component Description:
WASA-LD-550-Attorney - Special Temporary Authorization
Amount:
$714.15

Component Description:
For Professional Services Rendered Through September 30, 2020
Amount:
$1,648.35
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Professional Services Rendered
Amount:
$74.25

Component Description:
For Professional Services Rendered Through May 31, 2022
Amount:
$737.10

Component Description:
For Professional Services Rendered Through March 31, 2021
Amount:
$3,092.40

Component Description:
WASA-LD-550-Attorney - Negotiate Lease and Other Matters
Amount:
$567.00

Component Description:
For Professional Services Rendered Through February 28, 2021
Amount:
$401.85

Component Description:
Professional Services
Amount:
$134.10
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for displacement application

Component Description:
Provide predicted coverage maps
Amount:
$425.00

Component Description:
Conduct channel studies
Amount:
$1,125.00

Component Description:
Various email with 1WTC rooftop manager regarding antenna configuration
Amount:
$175.00

Component Description:
Regarding displacement to Ch-13
Amount:
$1,600.00

Component Description:
Regarding Ch-25 LPTV, develop final technical parameters
Amount:
$1,062.50

Component Description:
Regarding prospective Ch-13 LPTV facility
Amount:
$225.00

Component Description:
Provide predicted coverage map
Amount:
$312.50

Component Description:
Provide Longley-Rice maps
Amount:
$406.25
Prepare request for Special Temporary Authorization

Component Description:
Obtain minor revisions of prospective antenna design
Amount:
$875.00
Project management of the transition

Component Description:
Project Management
Amount:
$2,598.75

Component Description:
Project Managment
Amount:
$4.60

Component Description:
Project Management
Amount:
$387.50

Component Description:
Project Management
Amount:
$325.25

Component Description:
Project Management
Amount:
$77.50

Component Description:
Project Management
Amount:
$89.90

Component Description:
Project Management
Amount:
$29.95

Component Description:
Project Management
Amount:
$217.00

Component Description:
Project Management
Amount:
$38.75

Component Description:
Project Management
Amount:
$501.00

Component Description:
Project Management
Amount:
$363.60

Component Description:
Project Management
Amount:
$1,160.10

Component Description:
Project Management
Amount:
$1,897.20

Component Description:
Project Managment
Amount:
$71.25

Component Description:
Project Management
Amount:
$2,247.50

Component Description:
Project Management
Amount:
$693.85

Component Description:
Project Management
Amount:
$116.25

Component Description:
Project Management
Amount:
$38.75

Component Description:
Project Management
Amount:
$261.65

Component Description:
Project Management
Amount:
$77.50

Component Description:
Project Management
Amount:
$446.10

Component Description:
Project Management
Amount:
$799.25

Component Description:
Project Management
Amount:
$2,242.05

Component Description:
Project Management
Amount:
$179.80

Component Description:
Project Management
Amount:
$265.05

Component Description:
Project Management
Amount:
$820.25

Component Description:
Project Management
Amount:
$1,277.25

Component Description:
Project Management
Amount:
$498.50

Component Description:
Project Management
Amount:
$3,593.80

Component Description:
Project Management
Amount:
$325.70

Component Description:
Project Management
Amount:
$38.75

Component Description:
Project Management
Amount:
$2,286.25

Component Description:
Project Management
Amount:
$276.95
Prepare/ Review 399 reimbursement form Information not provided.

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 $6,710.00 $6,605.00 N/A $200.00 N/A
Total for all systems $473,307.00 $493,424.32 N/A $38,505.62 N/A
Other Expenses $6,710.00 $6,605.00 $200.00
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A N/A N/A
FCC Filing Fees - Form 2100 Major change CP application $4,960.00 $4,960.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $305.00 $200.00 Please see WASA-LD FCC Filing Fee - STA Budget Revision Justification Letter $200.00 N/A

Components

Actual Information Description File Name
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 Major change CP application Information not provided.
FCC Filing Fees - Special Temporary Authorization request

Component Description:
WASA-LD-610-FCC Filing Fee - Special Temporary Authorization
Amount:
$200.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $473,307.00 $493,424.32 $38,505.62

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.

Michael Everett Todd

Chief Engineer


08/30/2022

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.

Michael Everett Todd

Chief Engineer


08/30/2022

Attachments

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