TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
NBC TELEMUNDO LICENSE LLC	Angela Ball 300 NEW JERSEY AVE, N.W. WASHINGTON, DC 20001 United States	+1 (202) 524-6413	ANGELA.BALL@NBCUNI.COM	Limited Liability Company

Applicant

Address

Phone

Applicant Type

NBC TELEMUNDO LICENSE LLC

Angela Ball

300 NEW JERSEY AVE, N.W.

WASHINGTON, DC 20001

United States

+1 (202) 524-6413

ANGELA.BALL@NBCUNI.COM

Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

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

Applicant

Address

Phone

Angela Ball

NBCUniversal, LLC

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6413

angela.ball@nbcuni.com

Broadcaster Information and Transition Plan

Question	Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information.	No
Briefly describe transition plan	Retain current transmitter and antenna for interim use. Install new antenna in place formerly used for analog antenna. Install new transmitter for new channel. Remove and dispose of old transmitter. Existing antenna remains to support new channel antenna

Transmitters

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

Auxiliary Transmitter

Add Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Auxiliary (Backup)
	Description of Use	identical transmitter
	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	TDV2 16K0 LV
	Year	2005
	Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power Capacity	16 kW

Auxiliary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Auxiliary (Backup)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Manufacturer
	Model	THV9-12
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	15 kW
	Justification for New Transmitter	Existing transmitter no longer supported so same identical transmitter purchased to continue support

Auxiliary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	Other Electrical work performed for the new transmitter.
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

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Name	Description
AIR DRYER	P1500W AIR DRYER 115/1/50-60

Primary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is this transmitter currently shared with another station?	No
	Is this transmitter currently in operating condition?	Yes
Existing Transmitter Manufacturer and Type	Manufacturer
	Model	TDV2 16K0 LV
	Year	2005
	Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power Capacity	16 kW

Primary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Primary (Main)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Manufacturer
	Model	THV9-12
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	15 kW
	Justification for New Transmitter	Current transmitter is no longer supported by the vendor and will be used to maintain coverage during transition.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	Electrical Connection to new transmitter.
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

Other Transmitter Cost Not Listed

Name	Description
KNTV Spinner Interconnect	KNTV Spinner Interconnect
THV9-12 Installation and Commissioning	THV9-12 Installation and Commissioning

Antennas

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

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing antenna shared with another station or stations?	No
	Is the existing antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	Yes
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Bottom
	Polarization	Elliptical
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels	N/A
	Design power capacity in use	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Other Antenna Type	N/A
	ERP:	103.1 kW
	Manufacturer
	Model	THV-11A13/VP-R O4
	Year	2005

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	Yes
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Top
	Polarization	Elliptical
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels/Bays	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Design power capacity in use	N/A
	Other Antenna Type	N/A
	ERP:	103.0 kW
	Manufacturer
	Model	THV-11A13/VP-R O4
	Year	2020
	Justification for New Antenna	Current antenna is channelized and will not worn on new Chanel (ch 13)

Primary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?
	Type
	Number of channels supported	N/A
	Frequencies of channels supported	N/A
	Frequency	N/A
	Do you need a combiner output splitter/switcher for dual feed lines?	N/A
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	Single Channel
	Feed Line Size	4 1/16 inches inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis	Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna?	No
Sweep Test	Do you require the sweep testing of transmission line and antenna?	No

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Antenna Installation	Install of antenna, elbow, and DACS system
DAC MONITORING SYSTEM F	DAC MONITORING SYSTEM
Input Complex Feed System	Necessary components to feed the antenna at top of stack

Primary Antenna

Add 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 this antenna currently shared with any other stations?	No
	Is this antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	Yes
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Top
	Polarization	Elliptical
	Type	Other
	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	Complex 3-1/8" 50 OHM
	ERP:	103.1 kW
	Manufacturer
	Model	THV-6A12 VP-R C150SP (S)
	Year	2005

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	Yes
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Top
	Polarization	Elliptical
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels/Bays	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Design power capacity in use	N/A
	Other Antenna Type	N/A
	ERP:	103.1 kW
	Manufacturer
	Model	THV-11A13VP-RO4
	Year	2019
	Justification for New Antenna	Antenna section of Form 399 indicates that the existing and new antenna are both Dielectric model

Primary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?
	Type
	Number of channels supported	N/A
	Frequencies of channels supported	N/A
	Frequency	N/A
	Do you need a combiner output splitter/switcher for dual feed lines?	N/A
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	Broadband
	Feed Line Size	3 1/8 inches inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis	Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna?	No
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
VPOL Components	Repack VPOL Components Costs

Transmission Line

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

Primary Transmission Line

Existing Transmission Line

Section	Question	Response
Existing Transmission Line Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing transmission line shared with another station or stations?	No
	Is Transmission Line in operating condition?	Yes
Existing Transmission Line Manufacturer and Type	Manufacturer
	Type	Rigid
	Diameter	3 1/8 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	400 feet per run

Primary Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Type	Rigid
	Diameter	3 1/8 inches
	Other Diameter	N/A
	Segment Length	Broadband
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	400 feet per run
	Justification for New Transmission Line	New line required so that we can build out the new facility and maintain coverage without building an interim facility.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Trans Test	Transmission Test 3-50

Tower Equipment And Rigging Costs

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

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	Is this tower consider Complex?	Terrain Constrained
	Is this tower currently shared with any other stations?	No
	One or more FM, AM or TV radio broadcaster(s)	N/A
	Others Types of Users	N/A
	Is tower documented for structural analysis?	No
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1010567
Coordinates (NAD83)	Latitude (NAD83)	37° 41' 06.5" N-
	Longitude (NAD83)	122° 26' 04.6" W-
	Overall Structure Height	288.05 feet
	Support Structure Height	183.07 feet
	Ground Elevation Above Mean Sea Level (AMSL)	1253.92 feet
	Structure Type	LTOWER - Lattice Tower
	Tower Owner	American Towers, LLC.
	Date Constructed	12/09/1999

Primary Tower

Tower Modification Costs

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

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	1040
	Explanation	Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters
Outside RF consulting Engineering Services	Perform engineering study for new channel assignment and antenna development	No
	Prepare engineering section of Form FCC Construction Permit Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	Prepare engineering section of Form FCC License to Cover Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	Prepare request for Special Temporary Authority	No
	Quantity	N/A
	Do you have Distributed Transmission System engineering services?	N/A
	Critical Facility	N/A
	Terrain-Shielded Facility	N/A
Attorney and Other Outside Consulting Services	Prepare and file Form FCC Construction Permit Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare and file Form FCC License to Cover Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare request for Special Temporary Authority	Yes
	Quantity	1
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	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	No
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	Yes
	Number of Days	10
	Justification	Ground level RF engineering

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	No
AM Pattern Disturbance	Is Remediation needed?	No
Facility Expenses	Name	N/A
	Other Distributed Transmission System Expenses Not listed	N/A
	Name	N/A
	Is Notification of a Medical Facility required as a result of DTV broadcasting?	Yes
Permit and Filing Costs	Local Zoning	Yes
	Non-zoning permits	Yes
	BLM or NFS Coordination	No
	FCC Construction Permit Minor Change	No
	FCC License to Cover Application	Yes
	FCC Special Temporary Authority Application	Yes
Other Miscellaneous Expenses	Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)?	Yes
	Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs?	Yes
	Does this relocation require Equipment Storage?	Yes
	Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change?	Yes
	Does this relocation require MVPD Notification of a Channel Change?	Yes

Other Expenses

Other Expenses Not Listed

Name	Description
Call support	Call support

Cost Information

Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$905,644.45	$905,644.45	N/A	$786,235.25	N/A
Total for all systems	$4,443,592.82	$3,783,670.84	N/A	$2,185,796.92	N/A
Primary Transmitter THV9-12	$860,443.45	$860,443.45		$782,034.25
KNTV Spinner Interconnect	$50,000.00	$50,000.00	N/A	$45,734.62	N/A
Other Electrical Service: Electrical Connection to new transmitter.	$171,447.79	$171,447.79	see attached electrical proposal	$117,772.50	N/A
THV9-12 Installation and Commissioning	$205,000.00	$205,000.00	N/A	$184,531.47	N/A
High VHF - Liquid Cooled Solid State Transmitter 15 kW	$433,995.66	$433,995.66	N/A	$433,995.66	N/A
Auxiliary Transmitter THV9-12	$45,201.00	$45,201.00		$4,201.00
AIR DRYER	$4,201.00	$4,201.00	N/A	$4,201.00	N/A
High VHF - Liquid Cooled Solid State Transmitter 15 kW	$36,000.00	$36,000.00	N/A	$0.00	N/A
Other Electrical Service: Other Electrical work performed for the new transmitter.	$5,000.00	$5,000.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
KNTV Spinner Interconnect	Component Description: KNTV - Spinner invoice for Spinner Interconnect Amount: $29,478.10 Component Description: Expansion kit for 2 interlocks for 25 KW load Amount: $452.02 Component Description: Spinner UHF Kit for Antenna Monitoring System. REVISED Amount: $15,804.50
Other Electrical Service: Electrical Connection to new transmitter.	Component Description: Electrician labor and material costs Amount: $53,675.29 Component Description: Labor and material costs REVISED Amount: $53,899.74 Component Description: Electrical labor and material costs. Amount: $53,675.29 Component Description: R&S Exciter Kit Installation, Setup & Proof, and Heat Exchanger Stand. REVISED Amount: $12,760.00 Component Description: Connection kit liquid cooling for external filter Amount: $6,587.78 Component Description: Connection kit liquid cooling for external filter. REVISED Amount: $6,587.78 Component Description: Material and Labor costs. REVISED Amount: $37,566.24 Component Description: Wrong Category Amount: N/A Component Description: Repack Project Management Services for April 1 - June 30 2017. REVISED Amount: $375.00 Component Description: Connection double pump DN50 for cooling hoses through bottom, for internal pump. Amount: $375.00 Component Description: Electrical labor and material costs Amount: $37,566.24 Component Description: Duplicate upload Amount: N/A Component Description: Connection double pump DN50 for cooling hoses through bottom for internal pump, and for IMP pump unit. Revised Amount: $3,506.93 Component Description: Exciter Kit Installation, Setup & Proof Amount: $12,760.00 Component Description: Connection double pump DN50 for cooling hoses through bottom for internal pump Amount: $3,506.93 Component Description: Tunwall Switch Controller Amount: $7,183.19 Component Description: Connection double pump DN50 for cooling hoses. REVISED Amount: $3,506.93
THV9-12 Installation and Commissioning	Component Description: Line 1 through 5 are added and requesting here for reimbursement. REVISED Amount: $63,600.00 Component Description: RF Planning and Layout Amount: $55,654.72 Component Description: ELECTRON DYNAMICS, INC invoice #20200512 referencing the same attachment; Line 1 through 4 are added and requesting here for reimbursement. REVISED Amount: $10,600.00 Component Description: Line 1-6 are added here. REVISED Amount: $34,800.00 Component Description: THV9-12 Evo Dual Exciter Upgrade Amount: $19,876.75
High VHF - Liquid Cooled Solid State Transmitter 15 kW	Component Description: KNTV - R&S invoice main transmitter Amount: $433,995.66
AIR DRYER	Component Description: AIR DRYER 115/1/50-60 REVISED Amount: $4,201.00
High VHF - Liquid Cooled Solid State Transmitter 15 kW	Component Description: Wrong category Amount: N/A
Other Electrical Service: Other Electrical work performed for the new transmitter.	Information not provided.

Cost Information

Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$1,369,760.39	$1,291,008.41	N/A	$789,920.41	N/A
Total for all systems	$4,443,592.82	$3,783,670.84	N/A	$2,185,796.92	N/A
Primary Antenna THV-11A13/VP-R O4	$914,100.00	$914,530.00		$418,442.00
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	$9,570.00	$10,000.00	ESTIMATED COST IS GREATER THAN PREDETERMINED COST ESTIMATE	$0.00	N/A
High-VHF, One station antenna -- top mount, elliptically or circularly polarized	$393,500.00	$393,500.00	ESTIMATED COST IS GREATER THAN PREDETERMINED COST ESTIMATED	$0.00	N/A
Input Complex Feed System	$16,725.00	$16,725.00	see Dielectric proposal attached	$0.00	N/A
DAC MONITORING SYSTEM F	$19,305.00	$19,305.00	N/A	$0.00	N/A
Antenna Installation	$475,000.00	$475,000.00	N/A	$418,442.00	N/A
Primary Antenna THV-11A13VP-RO4	$455,660.39	$376,478.41		$371,478.41
High-VHF, One station antenna -- top mount, elliptically or circularly polarized	$393,500.00	$317,906.58	N/A	$317,906.58	N/A
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed)	$9,340.00	$7,481.44	N/A	$7,481.44	CA Sales Tax wasn't originally included in cost estimate
VPOL Components	$46,090.39	$46,090.39	N/A	$46,090.39	N/A
Sweep test of existing antenna	$6,730.00	$5,000.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	Component Description: Elbow complex CH13 KNTV, single channel, at antenna input, per 3-1/8" feedline. REVISED Amount: N/A Component Description: Other Elbow Complex costs are requested Under this section.: New Antenna Primary (Main) added to the back end of 399 form THV-6A12 VP-R C150SP (S). Revised Amount: N/A Component Description: CA Sales Tax Invoice 606002 REVISED Amount: N/A Component Description: Elbow complex CH13 KNTV, single channel, at antenna input, per 3-1/8" feedline. REVISED Amount: $3,081.60 Component Description: OTHER Elbow complex, single channel, at antenna input, per 3-1/8" feedline (if needed) Standard Elbow complex to include 4 elbows and 1 line length to be determined, (assuming 10 foot or less). RESERVED Amount: $3,081.60 Component Description: Elbow complex CH13 KNTV, single channel, at antenna input, per 3-1/8" feedline (if needed) Standard Elbow complex to include 4 elbows and 1 line length to be determined, (assuming 10 foot or less) REVISED Amount: $649.82 Component Description: Line 3, 10% of the outstanding balance is requested here for reimbursement. Please see Vendor Analysis. Our calculation is base on the outstanding balance. REVISED Amount: $648.82 Component Description: Line 3. This portion of this invoice is requested here. Antenna section - 399 form New Dielectric primary antenna added. Antenna section - 399 form New Dielectric primary antenna added, THV-6A12 VP-R C150SP (S) REVISED Amount: N/A
High-VHF, One station antenna -- top mount, elliptically or circularly polarized	Component Description: CA State Sale Tax associated with KNTV Dielectric Invoices Amount: N/A Component Description: High-VHF Antenna Amount: N/A Component Description: Dielectric KNTV Antenna invoice - Line 2 non-reimbursable Amount: $135,228.15 Component Description: HIGH-VHF One station antenna - top mount, REVISED Amount: $27,612.63 Component Description: New Antenna Primary (Main) THV-11A13/VP- -High-VHF, one station antenna -- top mount, elliptically or circularly polarized. REVISED Amount: $130,945.50 Component Description: CA SALES TAX. REVISED Amount: $26,916.57 Component Description: High-VHF Antenna Amount: N/A Component Description: KNTV - Dielectric Invoice. Line 2 non-reimbursable Amount: $135,228.15 Component Description: High-VHF Antenna Amount: N/A Component Description: This portion of the invoice HIGH-VHF One station antenna - top mount requested here. REVISED Amount: $130,945.50 Component Description: Line 1, of the outstanding balance is requested here for reimbursement. Please see Vendor Analysis worksheet attached. Calculation is base on the outstanding balance. REVISED Amount: $27,612.63 Component Description: CA Sales Tax - Invoice 606002 Amount: $31,520.39
Input Complex Feed System	Information not provided.
DAC MONITORING SYSTEM F	Component Description: DAC MONITORING SYSTEM FOR KNTV Amount: $19,305.00 Component Description: KNTV - Dielectric invoice for DAC monitoring system at KNTV Amount: $19,305.00
Antenna Installation	Component Description: Requesting VPOL Component in this section for reimbursement. New Antenna Primary (Main) added to the back end of 399 form THV-6A12 VPR C150SP (S) Amount: N/A Component Description: Line 3 and Line 6, TRANS TEST 3-50, and, VPOL COMPONENTS are requested here. REVISED Amount: N/A Component Description: Requesting Line 3 Other VPOL Components under Antenna Installation. New PRIMARY ANTENNA ADDED: THV-6A12 VP-R C150SP (S) REVISED Amount: N/A Component Description: Line 1, TRANS TEST 3-50, and Line 5, VPOL COMPONENTS are requested here. REVISED Amount: $19,315.35 Component Description: Progress payment for revised install Amount: $26,372.00 Component Description: Line 5, antenna system installation and testing are requested here. REVISED Amount: $1,000.00 Component Description: Line 2 and Line 4 are requested here. Amount: $3,971.43 Component Description: Antenna System Installation Amount: $4,584.59 Component Description: TRANS TEST 3-50. REVISED Amount: $330.75 Component Description: VPOL COMPONENTS portion of Sales tax. REVISED Amount: N/A Component Description: Progress payment for install of antenna Amount: $65,490.00 Component Description: Wrong category Amount: N/A Component Description: Requesting VPOL Component in this section for reimbursement. Revised Amount: $4,003.30 Component Description: progress payment for install of antenna Amount: $163,725.00 Component Description: Line 5 antenna system installation and testing are requesting here. REVISED Amount: $6,000.00 Component Description: progress payment for additional antenna install costs Amount: $57,620.00 Component Description: Trans Test 3-50. REVISED Amount: $330.75 Component Description: progress payment for install of antenna Amount: $98,235.00
High-VHF, One station antenna -- top mount, elliptically or circularly polarized	Component Description: CA Sales Tax 9.25% High VHF Antenna Amount: $26,916.58 Component Description: High-VHF Antenna Amount: $29,099.00 Component Description: High-VHF Antenna Amount: $130,945.50 Component Description: High-VHF Antenna Amount: $130,945.50
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed)	Component Description: Other Elbow Complex Amount: $684.80 Component Description: Other Elbow Complex Amount: $3,081.60 Component Description: Other Elbow Complex Amount: $3,081.60 Component Description: CA State Sales Tax associated with KNTV Dielectric invoices Amount: $633.44
VPOL Components	Component Description: VPOL Components (existing antenna had VPOL so expense is reimbursable) Amount: $4,218.80 Component Description: VPOL Components (existing station antenna had VPOL so expense is reimbursable) Amount: $18,984.60 Component Description: VPOL Components (existing antenna had VPOL so expense is reimbursable) Amount: $18,984.60 Component Description: CA State Sales Tax associated with KNTV Dielectric invoices Amount: $3,902.39
Sweep test of existing antenna	Component Description: Trans Test 3-50 Amount: N/A Component Description: Trans Test 3-50 Amount: N/A Component Description: CA State Sale Tax associated with KNTV Dielectric invoices Amount: $67.98 Component Description: Trans Test 3-50 cost is requested here under Antenna Installation. Revised Amount: $330.75

Cost Information

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	$48,802.98	$200,802.98	N/A	$171,435.18	N/A
Total for all systems	$4,443,592.82	$3,783,670.84	N/A	$2,185,796.92	N/A
Primary Transmission Line	$48,802.98	$200,802.98		$171,435.18
Trans Test	$802.98	$802.98	N/A	$802.98	N/A
Rigid Transmission Line - copper, 3 1/8" broadband	$48,000.00	$200,000.00	Increase in estimate	$170,632.20	N/A

Components

Actual Information Description	File Name
Trans Test	Component Description: Trans Test 3-50 Amount: $73.50 Component Description: Trans Test 3-50 Amount: $330.75 Component Description: Trans Test 3-50 Amount: $330.75 Component Description: CA Sales Tax 9.25% - Trans Test 3-50 Amount: $67.98
Rigid Transmission Line - copper, 3 1/8" broadband	Component Description: TRANS TEST 3-50 Amount: N/A Component Description: Line 5. This portion Rigid transmission line is requested here. REVISED Amount: $870.30 Component Description: Provider labor, heavy equipment and materials as needed to prepare transmitter room and yard facilities as described during walk thru on 11/21/19 to accomodate the new transmitter and heat exchangers. Amount: $58,000.00 Component Description: RIGID TRANSMISSION LINE. RESOLVED Amount: $870.30 Component Description: Line 4, 10% of the outstanding balance is requested here for reimbursement. Please see Vendor Analysis. Our calculation is base on the outstanding balance. REVISED Amount: $69.75 Component Description: RIGID TRANSMISSION LINE REQUESTED HERE. REVISED Amount: N/A Component Description: Line 5. This portion Rigid transmission line is requested here. Revised Amount: $870.30 Component Description: 3-1/8"ALUM UNFLANGED VARIABLE 60" TO120" Amount: $4,632.20 Component Description: RIGID TRANSMISSION LINE REQUESTED HERE. REVISED NOT USED WILL NOT BE INVOICED. Amount: $870.30 Component Description: TRANSMITTER SITE SERVICES Amount: $47,000.00 Component Description: Trans Test 3-50 Amount: $69.75 Component Description: CA Sales Tax - Invoice 606002 Amount: N/A Component Description: work related to spare transmission lines are non-reimbursable Revised Amount: N/A Component Description: TRANSMITTER SYSTEM - PHASE ONE -REMOVE MATERIALS AND PREPARE SPACE Amount: $61,000.00

Actual Information Description

File Name

Trans Test

Component Description:: Trans Test 3-50
Amount:: $73.50

Component Description:: Trans Test 3-50
Amount:: $330.75

Component Description:: Trans Test 3-50
Amount:: $330.75

Component Description:: CA Sales Tax 9.25% - Trans Test 3-50
Amount:: $67.98

Rigid Transmission Line - copper, 3 1/8" broadband

Component Description:: TRANS TEST 3-50
Amount:: N/A

Component Description:: Line 5. This portion Rigid transmission line is requested here. REVISED
Amount:: $870.30

Component Description:: Provider labor, heavy equipment and materials as needed to prepare transmitter room and yard facilities as described during walk thru on 11/21/19 to accomodate the new transmitter and heat exchangers.
Amount:: $58,000.00

Component Description:: RIGID TRANSMISSION LINE. RESOLVED
Amount:: $870.30

Component Description:: Line 4, 10% of the outstanding balance is requested here for reimbursement. Please see Vendor Analysis. Our calculation is base on the outstanding balance. REVISED
Amount:: $69.75

Component Description:: RIGID TRANSMISSION LINE REQUESTED HERE. REVISED
Amount:: N/A

Component Description:: Line 5. This portion Rigid transmission line is requested here. Revised
Amount:: $870.30

Component Description:: 3-1/8"ALUM UNFLANGED VARIABLE 60" TO120"
Amount:: $4,632.20

Component Description:: RIGID TRANSMISSION LINE REQUESTED HERE. REVISED NOT USED WILL NOT BE INVOICED.
Amount:: $870.30

Component Description:: TRANSMITTER SITE SERVICES
Amount:: $47,000.00

Component Description:: Trans Test 3-50
Amount:: $69.75

Component Description:: CA Sales Tax - Invoice 606002
Amount:: N/A

Component Description:: work related to spare transmission lines are non-reimbursable Revised
Amount:: N/A

Component Description:: TRANSMITTER SYSTEM - PHASE ONE -REMOVE MATERIALS AND PREPARE SPACE
Amount:: $61,000.00

Cost Information

Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$1,499,300.00	$735,000.00	N/A	$40,444.99	N/A
Total for all systems	$4,443,592.82	$3,783,670.84	N/A	$2,185,796.92	N/A
Primary Tower LTOWER	$1,499,300.00	$735,000.00		$40,444.99
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$35,000.00	Estimated cost is greater than predetermined cost estimate	$12,484.99	N/A
Serious tower reinforcement/modifications	$1,052,000.00	$500,000.00	N/A	$27,960.00	N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$200,000.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: Re-run analysis for FCC repack with revised antenna loading to include a different antenna model than what was originally analyzed. 2. Revises analysis, drawings, and calculations for updated antenna model Amount: $2,350.00 Component Description: Site Visit Mapping, drawing/specifications and Project management cost Amount: $8,110.00 Component Description: Preliminary Site Visit or mapping. REVISED Amount: $7,780.00 Component Description: Line 1 and Line 2, vendor set up process through BROWZ LLC, and Performed preliminary site visit on 8/1/18. Revised Amount: $8,110.00 Component Description: Revised quote missing Amount: N/A Component Description: Tower Modifications and analysis work for the station. REVISED Amount: $1,268.73 Component Description: Requesting Drawings and Specs in this section. REVISED Amount: $330.00 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate an antenna. Revised Amount: $1,097.49 Component Description: Ran additional analysis and revised the modification drawings to account for additional overstressed members Amount: $3,277.50 Component Description: March 12_May 31, 2018, Vendor set up process through BROWZ LLC completed. REVISED Amount: $1,097.49 Component Description: Re-run analysis for FCC repack with revised antenna loading to include a different antenna model than what was originally analyzed. SUPERVISE BY: Kolby Burke REVISED Amount: $3,338.09
Serious tower reinforcement/modifications	Component Description: ESDC: Reviewing shop drawings and submittals for KNTV Amount: $280.00 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna change. REVISED Amount: $1,500.00 Component Description: Line 2 and 3, Performed structural analysis of tower for modification design, and modification design drawings and calc package. REVISED Amount: $11,735.00 Component Description: April 01_June 01 2019 Services performed: Responded to questions from contractor about tower structure and antennas. Responded to American tower about structural drawing questions and discrepancies. REVISED Amount: $205.00 Component Description: ESDC and field report expenses for KNTV. Revised Amount: $6,372.72 Component Description: Site drawing and field specifications for KNTV. REVISED Amount: $4,925.00 Component Description: ESDC cost is requested in this section. Please see attachment for resource name, project description and rate. REVISED Amount: $205.00 Component Description: Line 1 and 2: ESDC and Post-Mod Site Visit (Field Report) Expenses Amount: N/A Component Description: WRONG CATEGORY Amount: N/A Component Description: Finalized modification design drawings and calc package. Completed SA report for modified structure. Please see Quote for resource name and description of project. REVISED Amount: $4,925.00 Component Description: Drawings and field specifications for KNTV Amount: $1,500.00 Component Description: Finalized modification design drawings and calc package. Completed SA report for modified structure. Services provided: November 01_December 15, 2018 REVISED Amount: $4,925.00 Component Description: Analysis, Design, Specifications, and Drawings along with PM cost for KNTV. REVISED Amount: $11,735.00 Component Description: ESDC and project management for KNTV_revised Amount: $1,500.00 Component Description: ESDC and project site visit for KNTV REVISED Amount: $1,442.28 Component Description: Line 1 and 2, ESDC and POST MOD SITE VISIT - FIELD REPORTS. REVISED Amount: $6,372.72 Component Description: Analysis, Design, Specifications, and Drawings along with PM cost for KNTV. REVISED Amount: $11,735.00 Component Description: September 01_October 31, 2019 Services performed: Responded to various questions from contractor and American tower about antennas. REVISED Amount: $1,500.00 Component Description: ESDC and POST MOD SITE VISIT - FIELD REPORTS. REVISED Amount: $6,372.72
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Information not provided.

Cost Information

Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$293,505.00	$331,950.00	N/A	$275,515.71	N/A
Total for all systems	$4,443,592.82	$3,783,670.84	N/A	$2,185,796.92	N/A
Outside Professional Services	$293,505.00	$331,950.00		$275,515.71
Project management of the transition	$164,320.00	$220,000.00	actual cost exceed predetermined cost	$207,316.20	N/A
Additional Field Engineering Service, 10 Days	$10,000.00	$10,000.00	N/A	$0.00	N/A
RF Exposure Measurements	$21,050.00	$12,000.00	N/A	$8,950.00	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$54,200.00	N/A	$54,200.00	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$3,500.00	N/A	$0.00	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 - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$340.20	N/A
Prepare and or review reimbursement form	$2,630.00	$25,000.00	N/A	$4,709.31	N/A

Components

Actual Information Description	File Name
Project management of the transition	Component Description: Project management expenses Amount: $21.25 Component Description: Project Management Services for April 1 - June 30 2017 REVISED Amount: $375.00 Component Description: Project Management Services - Site visit and planning meeting with TEC and project team Amount: $600.00 Component Description: Project Management services for KNTV Amount: $790.00 Component Description: Point B - September 2019 invoice for Project Management work at KNTV Amount: $3,160.00 Component Description: Project management service from November 01, 2019 to August 31, 2020. REVISED Amount: $21.25 Component Description: KNTV - Point B invoice April 2020 Amount: $13,790.00 Component Description: KNTV - Point B invoice June 2020 Amount: $4,108.00 Component Description: KNTV-SJ/SF-Repack Finance Resource-Project Management Services- 35280 Amount: $3,634.00 Component Description: Coordination repack consulting services and structural assessment coordination, permitting research and conference calls with structural engineer. Amount: $249.85 Component Description: Project management cost split 50/50 between KNTV and KSTS Amount: $346.75 Component Description: Project Management Services Amount: $1,365.00 Component Description: Project management services Revised Amount: $186.25 Component Description: Project Management Services Amount: $1,650.00 Component Description: Project Management Service Revised Amount: $186.25 Component Description: Project Management service Amount: $21.25 Component Description: Structural assessment project management, permitting research and conference calls with Structural Engineer of San Mateo County regarding which TIA standard is used. Amount: $380.00 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna. REVISED Amount: $21.25 Component Description: Project Management service. Revised Amount: $21.25 Component Description: November 01, 2018_April 30, 2019. Services performed: Revises analysis, drawings and calculations for updated antenna model. SUPERVISE BY: Kolby Burke REVISED Revised Amount: $300.00 Component Description: Project Management Services Amount: $975.00 Component Description: August 2018 Project Management. Uploaded updated invoice changing meals external to meals internal. Amount: $7,497.33 Component Description: KNTV-Anthony Flores provided repack and structural assessment project management services for April 1 - June 30 2017. REVISED Amount: $374.30 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna change out for the FCC Repack. REVISED Amount: $246.25 Component Description: Project Management service. Revised Amount: $1,472.51 Component Description: Repack Finance Resource- project Management services Amount: $4,108.00 Component Description: Point B - November 2018 invoice for Project Management work at KNTV Amount: $2,900.00 Component Description: Project Management Invoice Amount: $150.00 Component Description: Changed amount. Repack and structural assessment project management services. Updated Invoice to meet FCC requirements. Amount: $375.00 Component Description: Engagement Leader-Project Management Services Amount: $2,900.00 Component Description: Project management of the transition. REVISED Amount: $450.00 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna change out for the FCC Repack. REVISED Amount: $186.25 Component Description: June 2018 Project Management Amount: $1,500.00 Component Description: Tower modification plan review Amount: $450.00 Component Description: Project Management Amount: $600.00 Component Description: Point B - December 2019 invoice for Project Management work at KNTV Amount: $6,636.00 Component Description: Project Management cost. Please attached for hourly rate, Quote for job description and resource name. Revised Amount: $171.24 Component Description: Repack Finance and Project management services Amount: $4,108.00 Component Description: KNTV - Point B invoice July 2020 Amount: $3,527.00 Component Description: Project team calls, engineering follow-up with tower engineers. Updated invoice with all additional needed details for project management. Amount: $150.00 Component Description: AFF Consulting - December 2019 invoice for Project Management work at KNTV Amount: $300.00 Component Description: Project Management services cost only requested for the payment Amount: $171.24 Component Description: Project Scope Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna. Our records support that this evaluation was repack related. REVISED Amount: $186.25 Component Description: Schedule Coordination Amount: $300.00 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna REVISED change out for the FCC Repack Amount: $21.25 Component Description: Point B project management for February 2019. See line item. Amount: $1,500.00 Component Description: Structural assessment coordination, conference calls with TEC, TEC proposal review, participated in calls to review repack progress Amount: $332.50 Component Description: Project Management Services - Tower Rigging Plan Coordination Amount: $450.00 Component Description: Project management cost split 50/50 between KNTV and KSTS Amount: $162.45 Component Description: Project Management Services Amount: $300.00 Component Description: Repack project management consulting and structural assessment coordination Amount: $247.00 Component Description: Repack Finance Resource- project Management services Amount: $4,266.00 Component Description: Project Management Services Amount: $2,145.00 Component Description: Point B - January 2020 invoice for Project Management work at KNTV Amount: $14,896.00 Component Description: Project Management Service. REVISED Amount: $323.75 Component Description: Finalized modification design drawings and calc package. Completed SA report for modified structure. Please see quote for resource name and descriptions. REVISED Amount: $1,472.51 Component Description: Project Management Service A preliminary site visit will be made to map the tower's current appurtenance inventory and gather necessary information that pertains to the tower structure to ensure the analysis and design effort is accurate. REVISED Amount: $323.75 Component Description: Project Management Amount: $3,025.80 Component Description: Repack Finance Resource-Project Management Services Amount: $2,291.00 Component Description: August 2018 Project Management Amount: $1,800.00 Component Description: Repack Finance Resource- project Management services Amount: $2,607.00 Component Description: PROJECT MGMT - ATC SITE: 8251 Amount: $9,480.00 Component Description: Repack Finance Resource- project Management services Amount: $3,792.00 Component Description: Duplicate upload Amount: N/A Component Description: KNTV - Point B invoice May 2020 Amount: $9,129.00 Component Description: Project Management Service. REVISED Amount: $907.50 Component Description: Project Management Amount: $2,175.00 Component Description: Re-run analysis for FCC repack with revised antenna loading to include a different antenna model than what was originally analyzed. Revise modification drawings, calculation package, and SA report as necessary to reflect the revised antenna loading. Amount: N/A Component Description: Repack Finance Resource- project Management services Amount: $3,713.00 Component Description: July 2018 Project Management Amount: $3,851.22 Component Description: Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna change out for the FCC Repack. REVISED Amount: $1,472.51 Component Description: KNTV - Point B invoice March 2020 Amount: $17,851.50 Component Description: Service for schedule and delivery coordination Amount: $300.00 Component Description: Project Management Services for April 1 - June 30 2017. KNVT-Replace and structural assessment project management REVISED Amount: $375.00 Component Description: AFF Consulting - October 2019 invoice for Project Management work at KNTV Amount: $900.00 Component Description: Project Management Service. Revised Amount: $450.00 Component Description: Project Management Services Amount: $975.00 Component Description: Structural assessment project management, permitting research and conference calls with Structural Engineer of San Mateo County regarding which TIA standard is used. Amount: $261.25 Component Description: Project Management Services Amount: $348.95 Component Description: Point B - August 2019 invoice for Project Management work at KNTV Amount: $1,232.00 Component Description: Engagement Leader and Repack Finance Resource-Project Management Services Amount: $5,042.00 Component Description: KNTV - Point B invoice February 2020 Amount: $16,534.00 Component Description: KNTV-SJ/SF-Repack Finance Resource- Project Management Services- 35280 Amount: $5,056.00 Component Description: KNTV - Point B invoice August 2020 Amount: $2,212.00 Component Description: Project Management Service Revised Amount: N/A Component Description: Project Management Services - Schedule coordination and delivery coordination. March 1-31 2020 Anthony Flores KNTV Amount: $750.00 Component Description: KNTV-SJ/SF-Repack Finance Resource-Project Management Services- 35280 Amount: $8,690.00 Component Description: AFF Consulting - October 2018 invoice for Project Management work at KNTV Amount: $900.00 Component Description: AFF Consulting - November 2019 invoice for Project Management work at KNTV Amount: $600.00 Component Description: Point B - November 2019 invoice for Project Management work at KNTV Amount: $8,663.00 Component Description: Only project management costs are requested in this section. Please see attachment for hourly rate, and description of project and resource name. REVISED Amount: $246.25 Component Description: Project Engagement and Finance resource for Repack Amount: $3,067.00 Component Description: Project Management Service - Provide engineering services for the modification of the KNTV-TV tower to accommodate antenna change out for the FCC Repack. REVISED Amount: $450.00 Component Description: Provide Project Management services for the modification of the KNTV-TV tower to accommodate antenna change out for the FCC Repack. REVISED Amount: $323.75 Component Description: Point B - October 2019 invoice for Project Management work at KNTV Amount: $5,846.00
Additional Field Engineering Service, 10 Days	Information not provided.
RF Exposure Measurements	Component Description: RF exposure measurements at San Bruno Mountain antenna farm, including new KNTV, Channel 13 main and auxiliary antennas: Amount: $8,950.00
Comprehensive coverage verification via field study, if needed	Component Description: Field test and measurements cost requesting for the payment. Amount: $54,200.00
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Preparation of minor change application Amount: $226.80 Component Description: Line 1 of invoice, less 10% vendor discount. Amount: $113.40
Prepare and or review reimbursement form	Component Description: Legal charges for stations KNTV Amount: $43.65 Component Description: Legal charges for stations KNTV Amount: $45.00 Component Description: Review of Form 399 Amount: $43.65 Component Description: Legal charges for stations KNTV Amount: $780.30 Component Description: Legal charges for stations KNTV Amount: $367.20 Component Description: Legal charges for stations KNTV Amount: $183.60 Component Description: Legal charges for stations KNTV Amount: $90.00 Component Description: See lines 2-4 on invoice, less 10% vendor discount. Amount: $310.86 Component Description: Legal charges for stations KNTV Amount: $214.20 Component Description: Legal charges for stations KNTV deducted non-reimbursable items Amount: $2,407.20 Component Description: Review of Form 399 Amount: $43.65 Component Description: Legal charges for stations KNTV Amount: $90.00 Component Description: Legal charges for stations KNTV Amount: $90.00

Cost Information

Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$326,580.00	$319,265.00	N/A	$122,245.38	N/A
Total for all systems	$4,443,592.82	$3,783,670.84	N/A	$2,185,796.92	N/A
Other Expenses	$326,580.00	$319,265.00		$122,245.38
Call support	$75,000.00	$75,000.00	N/A	$32,324.84	ok
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	$25,000.00	$25,000.00	N/A	$0.00	N/A
Equipment Storage	$50,000.00	$50,000.00	N/A	$38,147.08	N/A
Equipment Delivery and Handling Charges	$90,000.00	$90,000.00	N/A	$42,225.80	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$57,500.00	$57,500.00	N/A	$5,297.66	N/A
Non-zoning permits	$2,500.00	$2,500.00	N/A	$0.00	N/A
Local Zoning	$2,500.00	$2,500.00	N/A	$0.00	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	$0.00	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	$0.00	N/A
DTV Medical Facility Notification	$11,550.00	$4,250.00	N/A	$4,250.00	N/A

Components

Actual Information Description	File Name
Call support	Component Description: Live Answering Usage $1.40 per minutes, 8183852504 5/1-5/31 Please see attached cover letter for additional information. REVISED Amount: $5,273.80 Component Description: Live Answering Enterprise Plan. REVISED Amount: $1,348.95 Component Description: Live Answering Usage $1.40 per minute FROM 4/1-4/30. REVISED Amount: $5,780.60 Component Description: Live Answering Enterprise Plan. REVISED Amount: $1,348.95 Component Description: Toll Free Inbound Minutes 6/1-6/30. Please see attached for cover letter. REVISED Amount: $103.88 Component Description: Toll Free Inbound Minutes 5/1-5/31. Please see attached cover letter. REVISED Amount: $1,665.23 Component Description: Live Answering Enterprise Plan 01 JUN 2020 - 30 JUN 2020 818-385-2504, and Custom voice mail options Amount: $1,348.95 Component Description: Toll Free Inbound Minutes. please see attached cover letter for additional information. REVISED Amount: $1,054.48 Component Description: Live Answering Usage $1.40 per minute. Please see attached cover letter for additional information. REVISED Amount: $5,780.60 Component Description: Toll Free Inbound Minutes 6/1-6/30 Amount: $103.88 Component Description: Dedicated Live Answering Agents (10 days). REVISED Amount: $14,400.00
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: Please see line item 2 form the attached invoice. Amount: $9,750.00 Component Description: Storage tax is requested in this sections. REVISED Amount: $662.87 Component Description: Only storage expense is requested Amount: $9,750.00 Component Description: Consolidation and 2 Months Storage of KNTV Spinner Equipment. REVISED Amount: $430.00 Component Description: Repack Storage Fee Amount: $327.75 Component Description: Two and a half months of storage expenses. REVISED Amount: $8,551.00 Component Description: First month of storage of transmitter, and 1.5 additional months storage costs plus sales tax are requested under this section. Revised Amount: $8,551.00 Component Description: Consolidation, 2.5 Months Storage and Last Mile Delivery of KNTV Transmitters and Third-Party Equipment. REVISED Amount: $27,406.46 Component Description: Storage charge is requested under "Equipment Storage" 25 weeks flatbed storage REVISED Amount: $9,750.00 Component Description: Monthly storage charge. REVISED Amount: $300.00
Equipment Delivery and Handling Charges	Component Description: Equipment & Delivery charges for stations KNTV Amount: $1,560.00 Component Description: please see line item 1, only shipping cost requested here. Amount: $27,041.68 Component Description: Requesting only shipping charge Amount: $27,041.68 Component Description: Shipping and Freight taxes. REVISED Amount: $1,838.49 Component Description: Wrong category Amount: N/A Component Description: Equipment & Delivery charges for stations KNTV. REVISED Amount: $11,785.63 Component Description: Freight and shipping costs Amount: $130.00 Component Description: Delivery of 2 Cabinet at one time to transmitter site. Costs plus Sales tax are requested under this section. REVISED Amount: $18,855.46
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Glycol Fluid for decommissioning old transmitter Amount: $985.96 Component Description: Decommissioning old transmitter with Glycol Fluid Amount: $1,548.96 Component Description: Decommissioning old transmitter with Glycol Fluid Amount: $2,124.64 Component Description: Decommissioning old transmitter with Glycol Fluid Amount: $638.10
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: Medical Notification Mailing Amount: $4,250.00

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$4,443,592.82	$3,783,670.84	$2,185,796.92

Reimbursement Status

Question	Response
The facility has ceased operating on its pre-auction channel.	Yes
Construction of final facilities or all necessary modifications are complete.	Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator.	Yes

Certification

Section	Question	Response
Submission of Estimated Expenses Statements	WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.
The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD). The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Angela Ball Assistant Secretary 03/01/2023

Section

Question

Response

Submission of Estimated Expenses Statements

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

The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

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

Angela Ball

Assistant Secretary

03/01/2023

Certification

Section	Question	Response
Submission of Actual Cost Documentation Statements	WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) . The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Angela Ball Assistant Secretary 03/01/2023

Section

Question

Response

Submission of Actual Cost Documentation Statements

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

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

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

Angela Ball

Assistant Secretary

03/01/2023

Certification

Section	Question	Response
Submission of Final Allocation or Accounting Information Statements	WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Angela Ball Assistant Secretary 03/01/2023

Section

Question

Response

Submission of Final Allocation or Accounting Information Statements

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

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

Angela Ball

Assistant Secretary

03/01/2023

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Auxiliary Transmitter

Add Transmitter Information

Auxiliary Transmitter

New Transmitter Costs

Auxiliary Transmitter

Other Transmitter Costs

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Primary Antenna

Add Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components