Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

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

Facility ID:
40758
Service:
DTV
Call Sign:
WSYT
Channel:
14 (UHF)
File Number:
0000028420
FRN:
0032111395
Date Submitted:
09/08/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BRISTLECONE BROADCASTING LLC

Brian Brady

2111 UNIVERSITY PARK DRIVE

SUITE 650

OKEMOS, MI 48864

United States

+1 (517) 347-4141 BRADY@NORTHWESTBROADCASTING.COM Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Purchase of the transmitter, antenna system and transmission line. Current transmitter manufacturer does not support the retune to the new channel. Installation of interim antenna and transmission line, while main antenna is underway.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model QXD2-DTV
Year 2002
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 55 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9-EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 55 kW
Justification for New Transmitter The current TX and the RF output mask filter cannot be re-channeled to meet the new channel assignment.See attached document: "Syracuse Repack WSYT-SS-TX-Upgrade-SEPT2017"

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 500 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 100.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 15 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 800.0 square feet
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 15

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model THU9-EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31 kW
Justification for New Transmitter The Interim TX will allow the station operation during the TX replacement period to meet the new channel assignment. See the attached sketch of the WSYT transition plan from CH19 to CH14 : Syracuse Repack WSYT-TransitionPlan-sketch-SEPT2017

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 150.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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: 621.0 kW
Manufacturer
Model TFU-16DSB-R S180SP
Year 2005

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? 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? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
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: 720.0 kW
Manufacturer
Model TFU-17JSC/VP-R S180SP
Year 2018
Justification for New Antenna The existing slotted antenna is channel specific and must be replaced to meet the channel assignment.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
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? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
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: 720.0 kW
Manufacturer
Model TFU-17JSC/VP-R
Year 2018
Justification for New Antenna The Interim antenna will allow operation on the new assigned channel until the new primary antenna is delivered and installed. See the attached WSYT sketch of the transition plan from CH19 to CH14 :Syracuse Repack WSYT-SS-TX-Upgrade-SEPT2017

Interim Antenna

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Other Antenna Costs

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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change 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 4 1/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1090 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Dehydrator

Pressurization Equipment

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1090 feet per run
Justification for New Transmission Line The new TL is required for the Interim Antenna System.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Dehydrator

Pressurization Equipment

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1006348
Coordinates (NAD83) Latitude (NAD83) 42° 52' 50.2" N-
Longitude (NAD83) 076° 11' 58.7" W-
Overall Structure Height 1019.02 feet
Support Structure Height 983.91 feet
Ground Elevation Above Mean Sea Level (AMSL) 1629.90 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Sinclair Properties, LLC
Date Constructed 03/20/1987

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
58725 WNYS-TV DTV

Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Number of Hours N/A
Explanation N/A
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review Yes
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Name Description

Internal Project Management of Transition

120 h for repack preparations, trips to manufacturers, RF systems engineering planning, schedule 2100, form 399 preparations, CP budgeting, etc.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $3,330,460.00 $2,626,875.00 N/A $0.00 N/A
Total for all systems $4,588,285.00 $3,732,080.00 N/A $0.00 N/A
Interim Transmitter THU9-EVO $1,135,200.00 $539,375.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $450,000.00 The Interim TX cost is split with WNYS. See attached quote for Interim TX: WSYT_WNYS CH19_CH44 Interim No RF System List Quotation 802-043820.0 N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $17,500.00 The Interim TX cost is split with WNYS N/A N/A
UHF inside RF system including switching $147,500.00 $70,000.00 The Interim TX cost is split with WNYS N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $3,900.00 $1,875.00 The Interim TX cost is split with WNYS N/A N/A
Primary Transmitter THU9-EVO $2,195,260.00 $2,087,500.00 $0.00
Additional field engineering time, 10-30 days $63,100.00 $60,000.00 N/A N/A N/A
Channel 14 Mask Filter $189,500.00 $180,000.00 N/A N/A N/A
RF Consulting Engineer $5,260.00 $5,000.00 N/A N/A N/A
Other -- Building Addition Size: 800.0 $10,000.00 $10,000.00 Estimate for possible costs of building modifications. N/A N/A
15 Ton system $88,400.00 $84,000.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,500.00 N/A N/A N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $46,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,700,000.00 See attached SS-TX TPO notification:Syracuse Repack WSYT-SS-TX-Upgrade-SEPT2017, along with:authorization-initial CP-720K-Aug3-2017, TPO-ERP CALC-WSYT-Ant-H-pol, C-70580-3 WSYT;THU9evo_bro_en_3607-5860-12_v0100;WSYT-SS- 30 Amps List Quotation 802-043819;WSYT-SS-36 Amps-Tx Quotation 802-040464.1 N/A N/A

Components

Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $386,150.00 $368,150.00 N/A $0.00 N/A
Total for all systems $4,588,285.00 $3,732,080.00 N/A $0.00 N/A
Interim Antenna TFU-17JSC/VP-R $145,440.00 $127,250.00 $0.00
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 720 kW input, directional,, elliptically or circularly polarized $98,000.00 $98,000.00 The Interim Antenna cost is split with WNYS.Dielectric quote attached: CLE 153 RevA WSYT-AUG2017. See the attached transition plan:Syracuse Repack WSYT-TransitionPlan-sketch-SEPT2017 N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $5,850.00 The Interim Antenna cost is split with WNYS.Dielectric quote attached: CLE 153 RevA WSYT-AUG2017. See the attached transition plan:Syracuse Repack WSYT-TransitionPlan-sketch-SEPT2017 N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $12,000.00 The Interim Antenna cost is split with WNYS.Dielectric quote attached: CLE 153 RevA WSYT-AUG2017. See the attached transition plan:Syracuse Repack WSYT-TransitionPlan-sketch-SEPT2017 N/A N/A
Primary Antenna TFU-17JSC/VP-R S180SP $240,710.00 $240,900.00 $0.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $24,400.00 Dielectric quote attached: CLE 153 RevA WSYT-AUG2017 N/A N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $9,100.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 720 kW input, directional,, elliptically or circularly polarized $196,000.00 $196,000.00 Dielectric quote attached: CLE 153 RevA WSYT-AUG2017 N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $228,280.00 $112,740.00 N/A $0.00 N/A
Total for all systems $4,588,285.00 $3,732,080.00 N/A $0.00 N/A
Interim Transmission Line $224,180.00 $108,640.00 $0.00
Rigid Transmission Line - copper, 6 1/8" $220,180.00 $104,640.00 The cost for the Interim TL is split with WNYS N/A N/A
Dehydrator $4,000.00 $4,000.00 See the attached quote for the dehydrator:08302017 Order_Quotation M14026 WSYT. The cost is split with WNYS. N/A N/A
Primary Transmission Line $4,100.00 $4,100.00 $0.00
Dehydrator $4,100.00 $4,100.00 See attached quote:08302017 Order_Quotation M14025 WSYT (002) N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $381,100.00 $362,000.00 N/A $0.00 N/A
Total for all systems $4,588,285.00 $3,732,080.00 N/A $0.00 N/A
Primary Tower TOWER $381,100.00 $362,000.00 $0.00
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A N/A N/A
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $154,375.00 $155,000.00 N/A $0.00 N/A
Total for all systems $4,588,285.00 $3,732,080.00 N/A $0.00 N/A
Outside Professional Services $154,375.00 $155,000.00 $0.00
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $7,000.00 Attorney Fee Estimates N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $5,500.00 Attorney Fee Estimates attached: Northwest Repack Cost Estimate Letter to R. Sweatte I (00113549xC33F1) N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $6,000.00 Attorney Fee Estimates attached: Northwest Repack Cost Estimate Letter to R. Sweatte I (00113549xC33F1) N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 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 N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $107,920.00 $107,315.00 N/A $0.00 N/A
Total for all systems $4,588,285.00 $3,732,080.00 N/A $0.00 N/A
Other Expenses $107,920.00 $107,315.00 $0.00
Internal Project Management of Transition $18,000.00 $18,000.00 120h @ $150/h estimate. N/A N/A
MVPD Notification of Channel Change $10,000.00 $10,000.00 See attached FCC Catalog of Potential Expenses and Estimated Costs N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $230.00 $230.00 See attached: Develop-On_Air_Announcement-cost-2017 N/A N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 See attached FCC Catalog of Potential Expenses and Estimated Costs N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,000.00 $2,000.00 See attached: WSYT EWASTE-quoute-Sept2017 N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
Equipment Storage $39,500.00 $39,500.00 See the attached storage fee calculation for 8 months (32 weeks): Syracuse Repack WSYT-Storage calculation-SEPT2017 along with the Dielectric Storage Fees: "Storage Instructions and Rates-Dielectric". N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,588,285.00 $3,732,080.00 $0.00

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
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

Certification

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Section Question Response
Submission of Estimated Expenses Statements

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

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

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

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

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

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

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

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

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

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

RON S SWEATTE

CHIEF TECHNOLOGY OFFICER


09/08/2017

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