Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
CENTRAL MICHIGAN UNIVERSITY |
1999 East Campus Drive Mount Pleasant, MI 48859 United States |
+1 (989) 774-3105 | radem2je@cmich.edu | Government Entity |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Wayne Henderson Director of Technical Services Central Michigan University |
Wayne Henderson Public Broadcasting Center 1999 E. Campus Drive Mount Pleasant, MI 48859 United States |
+1 (989) 774-6864 | hende1ww@cmich.edu |
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 | Pre-install the replacement transmitter, Mask Filter, and test/proof system into a dummy load. During Replacement of the antenna and elbow complex the transmitter will be cut over to the new antenna. See uploaded attachment for thorough description. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
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 | NV7250V | |
Year | 2008 | |
Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power Capacity | 4.1 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | ULXTE-8 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 5.52 kW | |
Justification for New Transmitter | No longer supported, no field service available, and many parts required for retune are not available. See attached notice from Rohde & Schwarz. Liquid Cooled is what the current transmitter is. |
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 | Circuit Breakers, Disconnects, Conduits, and Electrical Wiring Needed for Solid State Transmitter and outdoor Exchangers. Additional Electrical to Hookup AC Heat Pumps Units also Part of Contract. | |
HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
Type | Heating and Cooling | |
Size | Other | |
Other Size | 5 tons | |
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 |
Name | Description |
---|---|
Concrete Pad |
Additional concrete pad has to be put in for the new transmitters outdoor heat exchanger. |
Gates Transmitter Services |
GatesAir ULXTE-8 Installation/Commissioning and Program Management at WCMW Site. |
Mask Filter System |
Packaged in a single frame with Mask Filter, 2 motorized switches, 1 Switch Controller |
Heat Exchanger Ice Shield |
Galvanized Ice Shield for Transmitter Heat Exchanger with supporting post and tall enough to navigate under. |
Building outside wall panels |
When the old AC Units are removed from the building two openings are left; this is replacement outside wall panels from the building manufacturer. |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
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? | No | |
Existing 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 | N/A | |
Design power capacity in use | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Other Antenna Type | N/A | |
ERP: | 70.0 kW | |
Manufacturer | ||
Model | TFU-18JSC-R-C170 | |
Year | 2009 |
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 | 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: | 68.3 kW | |
Manufacturer | ||
Model | TFU-18JSC-R C170 | |
Year | 2019 | |
Justification for New Antenna | Dielectric indicates by attempting to retune existing antenna from ch 21 down to ch 20 would leave us with a beam tilt spec that's unknown and unpredictable. Gain of the antenna would be a guess; see attached support document. |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | |
Type | ||
Number of channels supported | N/A | |
Frequencies of channels supported | N/A | |
Frequency | N/A | |
Do you need a combiner output splitter/switcher for dual feed lines? | N/A | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
Broadband or Single Channel? | N/A | |
Feed Line Size | N/A | |
Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | No |
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 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmission Line Description | Type of change | Utilize Existing |
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 | Dielectric |
Type | Rigid | |
Diameter | 3 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 19 1/2 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 435 feet per run |
Name | Description |
---|---|
WCMW in Building Coaxial Transmission Line-General |
Qty 3 20.5" Unflanged Transmission Lines, Qty 6 Elbows, Qty 8 Flange Adaptors, Qty 6 Coupling Assemblies, Qty 16 Anchor Connector Assemblies, 3 Flange Field, & Other Accessories |
WCMW in Building Construction Spare Transmission Components |
1 Elbow, 1 Flange Field Soft Solder, 1 Unflanged transmission Line, 1 Anchor Connector Assembly, O Rings, Misc. |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
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? | 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? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1052328 | |
Coordinates (NAD83) | Latitude (NAD83) | 44° 03' 57.0" N- |
Longitude (NAD83) | 086° 19' 58.3" W- | |
Overall Structure Height | 427.16 feet | |
Support Structure Height | 427.16 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 717.84 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | CMU Public Broadcasting | |
Date Constructed | 02/27/2009 |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | No |
Number of Hours | N/A | |
Explanation | N/A | |
Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | No |
Prepare engineering section of Form FCC Construction Permit Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | No | |
Quantity | N/A | |
Do you have Distributed Transmission System engineering services? | N/A | |
Critical Facility | N/A | |
Terrain-Shielded Facility | N/A | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | No | |
Quantity | N/A | |
NEPA Section 106 environmental review | No | |
Environmental Assessment | No | |
ASR Modification | No | |
FAA Consultation (including preparation of FAA Form 7460) | No | |
Negotiation of Lease and other Matter for Shared Locations | No | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
Other Legal Services |
Other Legal Services |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Facility Expenses | Name | N/A |
Other Distributed Transmission System Expenses Not listed | N/A | |
Name | N/A | |
Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
Permit and Filing Costs | Local Zoning | No |
Non-zoning permits | No | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | No | |
FCC License to Cover Application | No | |
FCC Special Temporary Authority Application | No | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | No |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
Does this relocation require Equipment Storage? | No | |
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 |
Name | Description |
---|---|
Internal Field Engineering Expense Estimate |
Field Engineering Staff Initial Investigative Site Visits. Print workup, Manage Deliveries, On Site for Installations, Signal and Remote Control Wiring, Ice Bridge and RF Transmission Line Installation. |
Internal Project Management Expense Estimate |
Director of Technical Services Project Management. CP, Form 399, Site Investigation, Bid Specs, Purchasing Activity, On Site during Construction, Prep License to Cover. See Detailed Doc Attached. |
Larsen's Landscaping LLC |
Grading & Resurfacing Driveway for Access. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $385,252.21 | $237,399.70 | N/A | $234,206.90 | N/A |
Total for all systems | $706,314.69 | $561,387.67 | N/A | $534,129.35 | N/A |
Primary Transmitter ULXTE-8 | $385,252.21 | $237,399.70 | $234,206.90 | ||
Building outside wall panels | $1,996.20 | $1,996.20 | When old Air Conditioning Wall Mount Units are removed from the building it will leave two openings; these are the outside wall panels from the building manufacturer as replacements. | $1,996.20 | N/A |
Mask Filter System | $37,669.50 | $37,669.50 | N/A | $37,669.50 | N/A |
Gates Transmitter Services | $33,541.40 | $33,541.40 | GatesAir ULXTE-8 Installation/Commissioning and Program Management at WCMW Site. | $33,541.40 | N/A |
Other -- HVAC Service Type: H Size:5 (Other) | $15,200.00 | $15,200.00 | Changed the size downward from 7 ton to 5 ton; planning for just the purchase of two Fujitsu AC/Heat Pump mini-split systems. | $15,200.00 | N/A |
Other Electrical Service: Circuit Breakers, Disconnects, Conduits, and Electrical Wiring Needed for Solid State Transmitter and outdoor Exchangers. Additional Electrical to Hookup AC Heat Pumps Units also Part of Contract. | $6,805.00 | $6,805.00 | N/A | $6,805.00 | N/A |
Heat Exchanger Ice Shield | $15,230.32 | $15,230.32 | Damage has been seen at site due to falling ice from the tower. New Heat Exchanger really needs to have an Ice Shield. | $13,160.32 | N/A |
Concrete Pad | $1,309.79 | $1,309.79 | Additional concrete pad is needed for the new transmitter's outdoor heat exchanger to sit on. Additionally one of the new AC/Heat Pump Units will have the outdoor unit also placed on the pad. | $1,309.79 | N/A |
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW | $273,500.00 | $125,647.49 | N/A | $124,524.69 | N/A |
Actual Information Description | File Name |
---|---|
Building outside wall panels | |
Mask Filter System | |
Gates Transmitter Services | |
Other -- HVAC Service Type: H Size:5 (Other) | |
Other Electrical Service: Circuit Breakers, Disconnects, Conduits, and Electrical Wiring Needed for Solid State Transmitter and outdoor Exchangers. Additional Electrical to Hookup AC Heat Pumps Units also Part of Contract. | |
Heat Exchanger Ice Shield | |
Concrete Pad | |
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $96,130.00 | $149,788.49 | N/A | $148,778.88 | N/A |
Total for all systems | $706,314.69 | $561,387.67 | N/A | $534,129.35 | N/A |
Primary Antenna TFU-18JSC-R C170 | $96,130.00 | $149,788.49 | $148,778.88 | ||
Sweep test of existing antenna | $6,730.00 | $7,529.41 | Attached quotation from GatesAir includes expense for Dielectric Field Engineer on-site; includes field engineer on-site for one day, travel, expenses and report | $7,529.41 | N/A |
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized | $89,400.00 | $142,259.08 | Gates Air Quote is attached pricing the same antenna on channel 20 that we currently are using for channel 21. Existing antenna can not be retuned as the beam tilt and power gain specifications can not be determined. See attached letter from Dielectric | $141,249.47 | N/A |
Actual Information Description | File Name |
---|---|
Sweep test of existing antenna | |
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $12,655.69 | $12,655.69 | N/A | $9,599.44 | N/A |
Total for all systems | $706,314.69 | $561,387.67 | N/A | $534,129.35 | N/A |
Primary Transmission Line | $12,655.69 | $12,655.69 | $9,599.44 | ||
WCMW in Building Construction Spare Transmission Components | $3,056.25 | $3,056.25 | Qty1 construction spares in the event of damage or oversight of need. 1 Unflanged line, 1 elbow, 1 flange field soft solder, 1 anchor connector assembly, o rings, caps, hangers. | $0.00 | N/A |
WCMW in Building Coaxial Transmission Line-General | $9,599.44 | $9,599.44 | WCMW In-Building Coaxial Transmission Line-General. Unflanged Line Sections, Elbows, Anchor Connectors Assemblies, Couplings, Flange Field Solder, Gassing Kit, Manifold, O Rings, Suspension Hangers, & Misc. | $9,599.44 | N/A |
Actual Information Description | File Name |
---|---|
WCMW in Building Construction Spare Transmission Components | |
WCMW in Building Coaxial Transmission Line-General |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $84,200.00 | $42,740.00 | N/A | $42,740.00 | N/A |
Total for all systems | $706,314.69 | $561,387.67 | N/A | $534,129.35 | N/A |
Primary Tower TOWER | $84,200.00 | $42,740.00 | $42,740.00 | ||
Short Tower (less than 500') | $84,200.00 | $42,740.00 | Antenna Replacement, Additional Day Charge due to Missing Dielectric Parts, and 1 Day Return Visit due to Incorrect Bolts Provided by Dielectric. | $42,740.00 | N/A |
Actual Information Description | File Name |
---|---|
Short Tower (less than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $55,177.00 | $55,389.00 | N/A | $46,012.50 | N/A |
Total for all systems | $706,314.69 | $561,387.67 | N/A | $534,129.35 | N/A |
Outside Professional Services | $55,177.00 | $55,389.00 | $46,012.50 | ||
Other Legal Services | $1,017.00 | $1,017.00 | Other Legal Services related to the station's transition to its post-Repack channel | $1,017.00 | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | $1,218.50 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $3,000.00 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,365.00 | Actual Attorney cost were more than estimated | $634.00 | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $3,467.00 | Attorney time and expense higher than originally estimated. Includes issues with linked station. | $3,467.00 | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | $136.00 | N/A |
Tower Consultants, Inc. | $36,540.00 | $36,540.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.***Tower Consultants, Inc. Quote for Installation Project Management, Structural Analysis, Inspection, plus 1 Day. TCI conducts all of our Tower Structural Analysis, Inspections after Installations, and this tower has not been Analyzed to the G Standard | $36,540.00 | N/A |
Actual Information Description | File Name |
---|---|
Other Legal Services | |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
Address transition timing and coordination issues w/ other stations and wireless | |
Prepare and or review reimbursement form | |
Tower Consultants, Inc. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $72,899.79 | $63,414.79 | N/A | $52,791.63 | N/A |
Total for all systems | $706,314.69 | $561,387.67 | N/A | $534,129.35 | N/A |
Other Expenses | $72,899.79 | $63,414.79 | $52,791.63 | ||
Larsen's Landscaping LLC | $8,344.69 | $8,344.69 | See Larsen's Landscaping Quote 1st Two Line items plus the change order for increased crushed concrete cost | $7,356.51 | N/A |
Internal Project Management Expense Estimate | $20,113.93 | $20,113.93 | Internal Expense Estimate for Director of Technical Services Project Management. CP, Form 399, Site Investigation, Bid Specs, Purchasing Activity, On Site during Construction, License to Cover. See Detailed Doc Attached. | $20,113.93 | N/A |
Internal Field Engineering Expense Estimate | $10,909.00 | $10,909.00 | Field Engineering Staff Initial Investigative Site Visits. Print workup, Manage Deliveries; On Site for Installations of Transmitter, Signal and Remote Control Wiring, HVAC Units, and RF Transmission Line. | $1,507.52 | N/A |
MVPD Notification of Channel Change | $1,785.00 | $1,785.00 | Initial Work Up of Addresses and Contact Info for MVPD and Satellite Companies; then Preparation and Certified Mailing of Notices, Phone Time Working with Reception and Specifics of Receiving Station. See spreadsheet for internal expense estimates. | $1,936.50 | GRAY MILLER PERSH ATTORNEY FEES WERE NOT INCLUDED IN ORIGINAL ESTIMATE |
DTV Medical Facility Notification | $11,550.00 | $2,065.00 | N/A | $2,065.00 | N/A |
Equipment Delivery and Handling Charges | $19,812.17 | $19,812.17 | Overall Shipping and Offloading; see the uploaded WCMW GatesAir Bid/Quote Q-81063. Includes transmitter, antenna, and all line. | $19,812.17 | N/A |
Develop and air announcement of upcoming channel change | $385.00 | $385.00 | Set Up Scope of Effort, Make Assignments, Write and record copy; shoot, edit, export, and ingest the spot. Traffic and Programming staff efforts of spot placement and ensure FCC compliance. | N/A | N/A |
Actual Information Description | File Name |
---|---|
Larsen's Landscaping LLC | |
Internal Project Management Expense Estimate | |
Internal Field Engineering Expense Estimate | |
MVPD Notification of Channel Change | |
DTV Medical Facility Notification | |
Equipment Delivery and Handling Charges | |
Develop and air announcement of upcoming channel change | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $706,314.69 | $561,387.67 | $534,129.35 |
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. | No |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jeffrey C Gehman Engineering Associate 03/15/2023 |
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). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jeffrey C Gehman Engineering Associate 03/15/2023 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jeffrey C Gehman Engineering Associate 03/15/2023 |