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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:
62354
Service:
DTV
Call Sign:
KTLM
Channel:
14 (UHF)
File Number:
0000028223
FRN:
0019509470
Date Submitted:
11/17/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NBC TELEMUNDO LICENSE LLC

Angela Ball

300 NEW JERSEY AVENUE, N.W.

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. Yes
Briefly describe transition plan Install broadband side mount antenna below existing main antenna to allow main antenna to be removed and replaced. Antenna will work on new channel if tower work is delayed. Use existing IOT as interim on old channel, install new for new channel.

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 DCX-2
Year 2009
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40 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 THU-9/20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31 kW
Justification for New Transmitter New transmitter required as the vendor no longer supports Comark DCX, non-paragon. Additionally by buying a new main transmitter we not need to purchase and install an auxiliary transmitter for use during repack. See attachment for power justification.

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) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical installation costs will be included in transmitter install
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

RF system modifications

RF system modification and proof necessary to use current main IOT transmitter on pre-repack channel with interim antenna

Transmitter Install

Transmitter installations costs

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 355.0 kW
Manufacturer
Model TFU-31-ETT-R 06
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 Full Power
Mounting Top Mount
Antenna position in stack Top
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: 201.0 kW
Manufacturer
Model TFU-23ETT/VP-R O6
Year 2018
Justification for New Antenna Current antenna will not work on new channel (Ch 14)

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 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

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 60.0 kW
Manufacturer
Model TFU-24WB
Year 2018
Justification for New Antenna New antenna required to support station during transition

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? S
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 1960 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1960 feet per run
Justification for New Transmission Line Current wave guide is not suitable for new channel (ch 14)

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 7 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1900 feet per run
Justification for New Transmission Line Transmission line will feed to new interim antenna for use while installing new main antenna and line.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission line Accessories

Transmission line Accessories for Interim T/L

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)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
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
ASR Number 1056488
Coordinates (NAD83) Latitude (NAD83) 26° 31' 02.0" N-
Longitude (NAD83) 098° 39' 08.0" W-
Overall Structure Height 1915.99 feet
Support Structure Height 1915.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 410.10 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Telemundo Rio Grande Valley, LLC
Date Constructed 10/09/1999

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
60885 KQBO FM
62354 KTLM DTV

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Interim Antenna Install

Interim Antenna install

Removal of old antenna and waveguide

removal of old antenna and waveguide

Customer Structural -ATC Tower Services

Customer Structural-ATC Tower Services

Rigorous Structural Tower Evaluation

Rigorous Structural Tower Evaluation Existing Stainless Tower

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 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 system design

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Channel 14 Coordination

Hire resource to send out notifications to land mobile services for channel 14 coordination.

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 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

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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 $1,927,632.39 $1,433,489.79 N/A $1,162,645.79 N/A
Total for all systems $5,488,049.53 $3,332,563.85 N/A $2,415,252.76 N/A
Primary Transmitter THU-9/20 $1,927,632.39 $1,433,489.79 $1,162,645.79
Transmitter Install $598,780.79 $598,780.79 N/A $598,780.79 N/A
RF system modifications $23,300.00 $23,300.00 This is the cost for RF system components to use the current Comark channel 40 IOT transmitter into an interim antenna on ch 40. It is shown in the "KTLM_Repack_cost_estimates.pdf" attachment as Item 3, "Comark mod kit, RF parts, Proof into Aux antenna" $0.00 N/A
Channel 14 Mask Filter $189,500.00 $104,042.40 N/A $0.00 N/A
Other Electrical Service: Electrical installation costs will be included in transmitter install $143,501.60 $143,501.60 Cost to install transmitter, electrical circuits, and RF ground level RF system. $0.00 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $9,000.00 See attachment "KTLM Transformer Quote" $9,000.00 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $554,865.00 Transmitter cost from attached proposal. Installation and RF system costs have been subtracted as they are reflected elsewhere $554,865.00 N/A

Components

Actual Information Description File Name
Transmitter Install

Component Description:
KTLM - Marsand invoice for 50% of transmitter installation
Amount:
$297,624.58

Component Description:
KTLM - Marsand invoice for 40% of the transmitter installation
Amount:
$238,099.65

Component Description:
KTLM - Marsand invoice for remaining 10% of transmitter installation
Amount:
$59,524.90

Component Description:
Electrical work for new digital transmitter install under repack program
Amount:
$3,531.66
RF system modifications Information not provided.
Channel 14 Mask Filter Information not provided.
Other Electrical Service: Electrical installation costs will be included in transmitter install

Component Description:
Other electrical installation costs
Amount:
$3,531.66
Transformer 3 phase/480v - 150 KVA

Component Description:
Transformers for 2 cabinet DTV transmitter
Amount:
$9,000.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
KTLM - R&S invoice for Transmitter. Upgrade not included as it is non reimbursable
Amount:
$554,865.00

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 $457,112.50 $382,399.00 N/A $327,484.90 N/A
Total for all systems $5,488,049.53 $3,332,563.85 N/A $2,415,252.76 N/A
Interim Antenna TFU-24WB $197,812.50 $195,738.00 $159,490.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $30,000.00 Increase $4,050.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $14,950.00 N/A $14,950.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $15,383.00 Actual cost exceed predetermined expenses $5,085.00 N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $67,702.50 N/A $67,702.50 N/A
UHF - High Power, Side Mount, basic slot antenna, 15 kW input, directional,, horizontally polarized $67,702.50 $67,702.50 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $67,702.50 N/A
Primary Antenna TFU-23ETT/VP-R O6 $259,300.00 $186,661.00 $167,994.90
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,298.00 N/A $9,268.20 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $176,363.00 N/A $158,726.70 N/A

Components

Actual Information Description File Name
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
The installation of side mount antenna bracket
Amount:
$14,950.00

Component Description:
SCATTER STUDY FOR BROADBAND SIDE MOUNT AUX/INTERIM HORIZONTALLY POLARIZED
Amount:
$4,050.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Please see line item 1, Side mount brackets
Amount:
$14,950.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex, Single Channel at Antenna input. please see attached quote.
Amount:
$10,298.00

Component Description:
Elbow 7-75 digit, please see line item 1 only
Amount:
$5,085.00

Component Description:
Please see line item 1 only from the attached invoice
Amount:
$5,085.00
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
This has superseded the previous line item.This only accounts for the cost of the antenna in line item 1. It does not include the cost of line items 2 and 6, and this is why the requested amount back is less than the total invoice amount.
Amount:
$67,702.50
UHF - High Power, Side Mount, basic slot antenna, 15 kW input, directional,, horizontally polarized

Component Description:
See line 1 of invoice
Amount:
$67,702.50

Component Description:
This only accounts for the cost of the antenna in line item 1. It does not include the cost of line items 2 and 6, and this is why the requested amount back is less than the total invoice amount.
Amount:
$67,702.50
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
see line 2 of invoice
Amount:
$4,634.10

Component Description:
Requesting Elbow, single channel or scatter study under this package. please see line item 2
Amount:
$4,634.10
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Line item 1 UHF High Power top mount) is requested under this package
Amount:
$79,363.35

Component Description:
see line 1 of invoice
Amount:
$79,363.35

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $2,127,820.00 $699,420.42 N/A $620,548.55 N/A
Total for all systems $5,488,049.53 $3,332,563.85 N/A $2,415,252.76 N/A
Interim Transmission Line $1,163,500.00 $359,194.32 $284,151.45
Transmission line Accessories $90,000.00 $90,000.00 N/A $55,877.13 N/A
Rigid Transmission Line - copper, 7 3/16" broadband $632,700.00 $45,000.00 N/A $4,080.00 N/A
Rigid Transmission Line - copper, 6 1/8" broadband $440,800.00 $224,194.32 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $224,194.32 N/A
Primary Transmission Line $964,320.00 $340,226.10 $336,397.10
Rigid Transmission Line - copper, 7 3/16" $568,400.00 $45,000.00 N/A $41,171.00 N/A
Rigid Transmission Line - copper, 6 1/8" $395,920.00 $295,226.10 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $295,226.10 N/A

Components

Actual Information Description File Name
Transmission line Accessories

Component Description:
Transmission line accessories
Amount:
$15,851.65

Component Description:
Rigid Transmission line
Amount:
$8,592.50

Component Description:
remaining invoice 666002 from the attached quote 1604002 attached here since "Rigid Transmission Line - copper, 6 1/8" broadband" are locked by the system
Amount:
$31,432.98
Rigid Transmission Line - copper, 7 3/16" broadband

Component Description:
T/L 7-75 EIA length, please see line item 2 from the attached invoice
Amount:
$4,080.00
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
See lines 2-20 of invoice
Amount:
$112,097.16

Component Description:
Only line item 2 is requested for the payment from this attached package
Amount:
$4,080.00

Component Description:
This accounts for the cost of line items 2 and line items 6. It does not include the cost of line item 1 and that is why the requested amount is less than the total invoice amount.
Amount:
$112,097.16
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Rigid transmission line cost
Amount:
$6,705.00

Component Description:
Rigid Transmission line - copper remaining invoice uploaded here
Amount:
$34,466.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Rigid transmission line copper
Amount:
$34,466.00

Component Description:
please line item 3 and 7 from the attached invoice.
Amount:
$147,613.05

Component Description:
RIGID TRANSMISSION LINE
Amount:
$6,705.00

Component Description:
RIGID TRANSMISSION LINE COPPER
Amount:
$31,432.98

Component Description:
see lines 3-22 of invoice
Amount:
$147,613.05

Component Description:
Rigid transmission line
Amount:
$8,592.50

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 $460,619.58 $360,119.58 N/A $8,536.25 N/A
Total for all systems $5,488,049.53 $3,332,563.85 N/A $2,415,252.76 N/A
Primary Tower TOWER $460,619.58 $360,119.58 $8,536.25
Removal of old antenna and waveguide $125,416.67 $125,416.67 cost to remove current antenna and waveguide $0.00 N/A
Rigorous Structural Tower Evaluation $7,036.25 $7,036.25 N/A $7,036.25 N/A
Interim Antenna Install $116,166.66 $116,166.66 N/A $0.00 N/A
Tall Tower (greater than 500') $210,500.00 $110,000.00 N/A N/A N/A
Customer Structural -ATC Tower Services $1,500.00 $1,500.00 N/A $1,500.00 N/A

Components

Actual Information Description File Name
Removal of old antenna and waveguide Information not provided.
Rigorous Structural Tower Evaluation

Component Description:
Remaining 50% invoiced upon Analysis completion
Amount:
$3,518.12

Component Description:
50% on order for Rigorous structural analysis
Amount:
$3,518.13
Interim Antenna Install Information not provided.
Tall Tower (greater than 500') Information not provided.
Customer Structural -ATC Tower Services

Component Description:
Customer Structural
Amount:
$1,500.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $326,065.00 $276,950.00 N/A $211,152.14 N/A
Total for all systems $5,488,049.53 $3,332,563.85 N/A $2,415,252.76 N/A
Outside Professional Services $326,065.00 $276,950.00 $211,152.14
Prepare and or review reimbursement form $2,630.00 $4,000.00 Actual Expenses exceed predetermined cost $3,768.57 N/A
Channel 14 Coordination $9,400.00 $9,400.00 See attached quote "KTLM RF Notifications Land Mobile Communications Quote" $9,400.00 N/A
Additional Field Engineering Service, 40 Days $30,000.00 $30,000.00 N/A $10,000.00 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 $40,000.00 N/A $37,732.00 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
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $2,000.00 N/A $0.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $2,000.00 N/A $189.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $8,300.00 exceed Legal expenses $8,231.75 N/A
Project management of the transition $164,320.00 $159,000.00 N/A $141,830.82 N/A

Components

Actual Information Description File Name
Prepare and or review reimbursement form

Component Description:
See line 1 of invoice, less 10% vendor discount.
Amount:
$113.40

Component Description:
Legal charges for stations KTLM
Amount:
$45.00

Component Description:
See lines 2-4 of invoice, less 10% vendor discount.
Amount:
$310.86

Component Description:
Legal charges for stations KTLM
Amount:
$596.70

Component Description:
Revision of Form 399.
Amount:
$726.66

Component Description:
Legal charges for stations KTLM
Amount:
$107.10

Component Description:
Legal charges for stations KTLM
Amount:
$43.65

Component Description:
Legal charges for stations KTLM
Amount:
$550.80

Component Description:
Legal charges for stations KTLM
Amount:
$900.00

Component Description:
Legal charges for stations KTLM
Amount:
$45.00

Component Description:
Review of Form 399
Amount:
$43.65

Component Description:
Legal charges for stations KTLM
Amount:
$45.00

Component Description:
Review of Form 399
Amount:
$43.65

Component Description:
Legal charges for stations KTLM
Amount:
$35.70

Component Description:
Legal charges for stations KTLM
Amount:
$35.70

Component Description:
Legal charges for stations KTLM
Amount:
$35.70

Component Description:
Legal charges for stations KTLM
Amount:
$90.00
Channel 14 Coordination

Component Description:
Land Mobile Services notifications - phase 1: web site development
Amount:
$4,700.00

Component Description:
Land Mobile Services notifications - phase 2: web site licensee results
Amount:
$4,700.00
Additional Field Engineering Service, 40 Days

Component Description:
Engineering site visit, inspection, measurements, drawing and planning for repack transmitter and RF installation, budgeting and planning.
Amount:
$10,000.00
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
Field Survey Study
Amount:
$20,516.00

Component Description:
Exclude Weather delay expenses from the payment request
Amount:
$18,866.00

Component Description:
Field Survey Study
Amount:
$18,866.00

Component Description:
Field Survey Study
Amount:
$18,866.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
See lines 2 & 3 of invoice, less 10% vendor discount.
Amount:
$151.20

Component Description:
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:
legal charges from WBK
Amount:
$4,340.45

Component Description:
legal charges from WBK
Amount:
$1,927.80

Component Description:
Legal transitional work performed by the attorney.
Amount:
$1,963.50
Project management of the transition

Component Description:
KTLM - Point B invoice August 2020
Amount:
$12,505.00

Component Description:
Repack Finance- Project management services for KTLM
Amount:
$9,480.00

Component Description:
KTLM-Rio Grande-Repack Finance Resource-Project Management Services- 62354
Amount:
$2,528.00

Component Description:
Engineering services to evaluate predicted interference and protection of nearby adjacent channel land mobile T-Band facilities.
Amount:
$3,500.00

Component Description:
KTLM - Point B invoice March 2020
Amount:
$15,126.00

Component Description:
KTLM-Rio Grande-Engagement Leader-Project Management Services_revised
Amount:
$15,056.00

Component Description:
Project Management Services
Amount:
$1,072.50

Component Description:
Project Management Services
Amount:
$2,145.00

Component Description:
KTLM - Point B invoice February 2020
Amount:
$8,144.37

Component Description:
Project Management
Amount:
$1,232.00

Component Description:
October 2018 Project Management
Amount:
$9,640.00

Component Description:
KTLM - Point B invoice October 2020
Amount:
$12,454.00

Component Description:
Project Management Services
Amount:
$348.95

Component Description:
KTLM - Point B invoice May 2020
Amount:
$11,069.00

Component Description:
11 /1 /2018-11 /30/2018 KLTM AUX Anthony Flores coordinated completion of scatter study and re- analysis
Amount:
$750.00

Component Description:
KTLM - Point B invoice June 2020
Amount:
$2,528.00

Component Description:
KTLM - Point B invoice April 2020
Amount:
$15,056.00

Component Description:
KTLM - Point B invoice Sept 2020
Amount:
$15,084.00

Component Description:
KTLM-Rio Grande-Repack Finance Resource-Project Management Services- 62354
Amount:
$4,740.00

Component Description:
KTLM - Point B invoice July 2020
Amount:
$7,268.00

Component Description:
Project Management Services
Amount:
$1,365.00

Component Description:
October 2018 Project Management
Amount:
$450.00

Component Description:
Project Management Services
Amount:
$975.00

Component Description:
Point B project management services for the month of February 2019. See line item.
Amount:
$3,045.00

Component Description:
Project Management Invoice
Amount:
$725.00

Component Description:
Project Management Services - building permit
Amount:
$600.00

Component Description:
Project management services for the station
Amount:
$15,056.00

Component Description:
Professional services for the station
Amount:
$9,480.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $188,800.06 $180,185.06 N/A $84,885.13 N/A
Total for all systems $5,488,049.53 $3,332,563.85 N/A $2,415,252.76 N/A
Other Expenses $188,800.06 $180,185.06 $84,885.13
Equipment Storage $50,000.00 $50,000.00 N/A $41,598.14 N/A
Equipment Delivery and Handling Charges $47,000.00 $47,000.00 N/A $38,988.04 N/A
Call Support $5,000.00 $5,000.00 N/A $1,348.95 N/A
MVPD Notification of Channel Change $12,000.00 $12,000.00 N/A $0.00 N/A
Develop and air announcement of upcoming channel change $30,000.00 $30,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $29,720.06 $29,720.06 N/A N/A N/A
Non-zoning permits $1,500.00 $1,500.00 N/A N/A N/A
Local Zoning $1,500.00 $1,500.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $2,950.00 N/A $2,950.00 N/A

Components

Actual Information Description File Name
Equipment Storage

Component Description:
Please see line items 2 & 4 form the attached invoice.
Amount:
$21,910.00

Component Description:
Consolidation and 13 Months Storage of KTLM Equipment
Amount:
$17,243.14

Component Description:
PAF Van Storage for three months
Amount:
$21,910.00

Component Description:
only storage cost is requesting for the payment
Amount:
$2,445.00
Equipment Delivery and Handling Charges

Component Description:
FREIGHT AND SHIPPING
Amount:
$1,405.25

Component Description:
FREIGHT AND SHIPPING, L7,27 FedEx Express First Overnight
Amount:
$4,504.07

Component Description:
please see line item 1 & 3 from the attached invoice
Amount:
$19,973.47

Component Description:
Only shipping charge is requesting for the payment
Amount:
$4,580.00

Component Description:
Freight and shipping - PAF van delivery
Amount:
$4,580.00

Component Description:
Expedited shipping
Amount:
$7,330.50

Component Description:
Equipment & Delivery charges for stations KTLM
Amount:
$2,600.00

Component Description:
Equipment & Delivery charges for stations KTLM
Amount:
$929.98

Component Description:
Freight and shipping - Chapman 40' flatbed delivery
Amount:
$19,973.47

Component Description:
Shipping expenses Revised
Amount:
$4,504.07
Call Support

Component Description:
Live Answering Enterprise Plan - 01 FEB 2020 - 29 FEB 2020
Amount:
$1,348.95

Component Description:
call support for the station
Amount:
$1,348.95
MVPD Notification of Channel Change

Component Description:
KTLM FCC ID 62354 Medical Notification Mailing Complete per FCC Repack
Amount:
$2,950.00
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
KTLM FCC ID 62354 Medical Notification Mailing Complete per FCC Repack
Amount:
$2,950.00

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $5,488,049.53 $3,332,563.85 $2,415,252.76

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


11/17/2022

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


11/17/2022

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


11/17/2022

Attachments

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