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:
35841
Service:
DTV
Call Sign:
KUVN-DT
Channel:
33 (UHF)
File Number:
0000028530
FRN:
0007997810
Date Submitted:
03/06/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KUVN LICENSE PARTNERSHIP, L.P.

Doing Business As: KUVN LICENSE PARTNERSHIP, L.P.

Christopher G. Wood

5999 CENTER DRIVE

LOS ANGELES, CA 90045

United States

+1 (310) 348-3600 CWOOD@UNIVISION.NET Limited Partnership

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

Karl D Lahm , P.E. .

Director RF Systems Engineering

Univision Management Company

Karl D. Lahm

358 Pines Blvd.

Lake Villa, IL 60046

United States

+1 (847) 245-8699 klahm@univision.net

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Temporary operation from ATC's Cedar Hill South (CHS) site while ATC Milton site structure/antennas are revised. Replace backup transmitter and transmission line. Provide auxiliary capability at CHS site. See attached Implementation Plan for details.

Transmitters

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

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Retune Existing
Use Auxiliary (Backup)
Ownership Owned
Owner 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 Harris
Model DHD60P2
Year 2003
Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 14 kW

Auxiliary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed N/A
New Mask Filter
Power 30 kW
Other Power N/A
New Exciter Is a new exciter needed? No

Auxiliary 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) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 THU9-30
Year 2014
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 32 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model THU9-24evo
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 34 kW
Justification for New Transmitter Existing transmitter incapable of amplifier power output required for assigned ERP on new channel.

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) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description 480:400V step-down transformer installation, secondary distribution panel, conduit/wiring to transmitter cabinets and ancillary equipment. See attached electrical cost document.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

HVAC Ice Sheild

Ice Protection over the mechanical slab and the equipment for new HVAC units and heat exchangers. Covering one (1) area at 1000 sq. ft. and (1) area at 1500 sq. ft., with a total estimated area requiring ice protection of 2500 sq. ft.

Antennas

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

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use During failure or maintenance of main antenna
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
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 Not in Stack
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: 220.0 kW
Manufacturer
Model ATW25H6-ETOL-23H
Year 2002

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use During failure, maintenance, or RF exposure control of main facility
Change Type Purchase New
Is this a request for upgraded equipment? No
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? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Bottom
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: 450.0 kW
Manufacturer
Model TFU-24DSC/VP-R S200 DC
Year 2018
Justification for New Antenna Existing antenna is single-channel model incapable of operation on new channel. It is proposed to configure antenna of sister station KSTR to add dual-channel and elliptical polarization capability, with their incremental costs borne by KUVN.

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
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? No

Enter a list of RF channel numbers.

RF Channel Number
34
33

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
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: 1000.0 kW
Manufacturer
Model ATW30H4-ETCX-23H
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? Yes
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: 1000.0 kW
Manufacturer
Model ATW30H4-ETC2-33H
Year 2018
Justification for New Antenna Existing antenna is single-channel, incapable of operation on new channel. KSTR-DT will use this antenna temporarily, for initial operation after the cutover date.

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? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

Enter a list of RF channel numbers.

RF Channel Number
34
33

Primary 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

Auxiliary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use During failure and maintenance of main antenna
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 Andrew
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1700 feet per run

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Existing Line Reconfiguration

Reconfiguration of existing Cedar Hill South site transmission lines to accommodate KUVN temporary operation there

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 1700 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1700 feet per run
Justification for New Transmission Line Existing waveguide to be removed to reduce tower loading; existing auxiliary transmission line 20' segment length is prohibited for the assigned new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission Line Bridge

New Ice Bridge required to support new transmission lines from all four repack tenants space to tower, estimated to be 200 linear ft. This cost includes the materials, foundations and installation.

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

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Emergency, maintenance, & temporary operation
Ownership Leased
Is this tower consider Complex? Candelabra
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 1059733
Coordinates (NAD83) Latitude (NAD83) 32° 32' 36.0" N-
Longitude (NAD83) 096° 57' 33.0" W-
Overall Structure Height 1635.15 feet
Support Structure Height 1523.60 feet
Ground Elevation Above Mean Sea Level (AMSL) 813.97 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC
Date Constructed 06/18/2000

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
60534 KSTR-DT DTV
42359 KTXD-TV DTV
49323 KERA FM
55768 KKXT FM
67910 KDTX-TV DTV
17037 KDFI DTV
49326 KDTN DTV
1087 KRLD-FM FM
51517 KTXA DTV
49324 KERA-TV DTV
23440 KMVK FM
67195 KLUV FM
68834 KPXD-TV DTV
63779 KJKK FM
22201 KDAF DTV
23422 KTVT DTV
9627 KBFB FM
28624 KVIL FM
41380 KLNO FM

Auxiliary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: No study needed
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Auxiliary Tower

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Tower Rigging Costs

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

Auxiliary Tower

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Other Tower Expenses Not Listed

Information not provided.

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? Candelabra
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 Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1055009
Coordinates (NAD83) Latitude (NAD83) 32° 35' 22.0" N-
Longitude (NAD83) 096° 58' 12.9" W-
Overall Structure Height 1550.83 feet
Support Structure Height 1453.07 feet
Ground Elevation Above Mean Sea Level (AMSL) 829.71 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 11/04/2008

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
41380 KLNO FM
14524 KCBI FM
11451 WRR FM
2809 KLTY FM
59702 KKDA-FM FM
26950 KATA-CD DTV
6378 KZPS FM

Other Types of Users

Users
KODF-LD
KNAV-LP
KJJM-LD
KHPK-LD
K31GL-D
KVFW-LD

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 tower with candelabra
Tower Reinforcements Please select whether tower reinforcements are needed: Serious Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Candelabra
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Permit Drawing Package

The generation of a construction drawing package for one (1) broadcasters/customers.

Ground and Building Permit Drawing Package

The generation of a construction drawing package for one (1) broadcasters/customers.

Tower construction PM

(60) hours on Modification project management and RF installation project management.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 540
Explanation Univision stations are only staffed for daily station operations and minor equipment changes, major projects are contracted out externally. The large volume of work associated with repack schedule requires using external project management resources.
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 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 Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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 No
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

Name Description

Migratory Bird Assesment

See attached primary site American Tower site# 75253 cost estimate

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
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? No
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? No

Other Expenses

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Other Expenses Not Listed

Name Description

Site Lessor Administrative Fee

American Tower administrative fee, per attached schedule

Tree trimming and clearing

This cost is for the removal of trees and vegetation to ensure the proper clearance of taglines and laydown areas, required for construction.

American Tower Construction Fee

2% construction cost, excluding the material and equipment for electrical and building permits.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,187,212.00 $1,114,412.00 N/A $0.00 N/A
Total for all systems $4,859,953.00 $3,174,163.00 N/A $45,507.16 N/A
Primary Transmitter THU9-24evo $1,049,412.00 $1,049,412.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 34 kW $975,412.00 $975,412.00 Price per attached quote, plus 8.25% sales/use tax N/A N/A
Other Electrical Service: 480:400V step-down transformer installation, secondary distribution panel, conduit/wiring to transmitter cabinets and ancillary equipment. See attached electrical cost document. $34,000.00 $34,000.00 Quote for comparable installation attached. N/A N/A
HVAC Ice Sheild $40,000.00 $40,000.00 See attached American Tower site #75253 cost estimate line 44. N/A N/A
Auxiliary Transmitter DHD60P2 $137,800.00 $65,000.00 $0.00
UHF and VHF - minor banding issues $105,200.00 $35,000.00 N/A N/A N/A
30 kW mask filter $32,600.00 $30,000.00 N/A 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 $705,330.00 $489,550.00 N/A $0.00 N/A
Total for all systems $4,859,953.00 $3,174,163.00 N/A $45,507.16 N/A
Primary Antenna ATW30H4-ETC2-33H $394,130.00 $370,750.00 $0.00
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 N/A N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $80,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,250.00 N/A N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $271,500.00 N/A N/A N/A
Auxiliary Antenna TFU-24DSC/VP-R S200 DC $311,200.00 $118,800.00 $0.00
New combiner, cost per channel (without antenna) $84,200.00 $80,000.00 N/A N/A N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $38,800.00 Upcharges for elliptical polarization and dual-channel capability 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 $677,976.00 $600,076.00 N/A $5,430.20 N/A
Total for all systems $4,859,953.00 $3,174,163.00 N/A $45,507.16 N/A
Primary Transmission Line $612,400.00 $534,500.00 $0.00
Transmission Line Bridge $22,500.00 $22,500.00 See attached American Tower site# 75253 cost estimate line 136. $0.00 N/A
Rigid Transmission Line - copper, 8 3/16" $589,900.00 $512,000.00 N/A N/A N/A
Auxiliary Transmission Line $65,576.00 $65,576.00 $5,430.20
Existing Line Reconfiguration $65,576.00 $65,576.00 Dialectric line reconfiguration quote, attached. $5,430.20 N/A

Components

Actual Information Description File Name
Transmission Line Bridge Information not provided.
Rigid Transmission Line - copper, 8 3/16" Information not provided.
Existing Line Reconfiguration

Component Description:
Transmission WR1150 X 6 50 CH48 Single Channel
Amount:
$5,001.06

Component Description:
Flange Assy 6 1/8 UHF Silver Solder "QS
Amount:
$429.14

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 $2,055,900.00 $775,770.00 N/A $26,250.63 N/A
Total for all systems $4,859,953.00 $3,174,163.00 N/A $45,507.16 N/A
Primary Tower GTOWER $1,634,900.00 $700,770.00 $0.00
Serious tower reinforcement/modifications $1,052,000.00 $150,000.00 N/A $0.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A N/A N/A
Ground and Building Permit Drawing Package $4,700.00 $4,700.00 See attached American Tower site# 75253 cost estimate line 168. N/A N/A
Tower construction PM $7,500.00 $7,500.00 See attached American Tower site# 75253 cost estimate line 170. N/A N/A
Tower Permit Drawing Package $4,700.00 $4,700.00 See attached American Tower site# 75253 cost estimate line 167. N/A N/A
Tower Helicopter Lift $125,000.00 $125,000.00 See attached American Tower site# 75253 cost estimate line 165. N/A N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $8,870.00 N/A N/A N/A
Auxiliary Tower GTOWER $421,000.00 $75,000.00 $26,250.63
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $75,000.00 N/A $26,250.63 N/A

Components

Actual Information Description File Name
Serious tower reinforcement/modifications Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Ground and Building Permit Drawing Package Information not provided.
Tower construction PM Information not provided.
Tower Permit Drawing Package Information not provided.
Tower Helicopter Lift Information not provided.
Structural engineering tower load study for a documented tower with candelabra Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
50% of total- PO# 50138 details attached
Amount:
$26,250.63

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 $152,695.00 $115,080.00 N/A $0.00 N/A
Total for all systems $4,859,953.00 $3,174,163.00 N/A $45,507.16 N/A
Outside Professional Services $152,695.00 $115,080.00 $0.00
Migratory Bird Assesment $350.00 $350.00 See attached American Tower site# 75253 cost estimate line 198. N/A N/A
RF Exposure Measurements $21,050.00 $3,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $1,400.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $500.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $1,080.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $2,500.00 N/A 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 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $2,500.00 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
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 American Tower tenant coordination fee, see attached ATC site# 75253 cost estimate line 175. N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $85,320.00 $81,000.00 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 $80,840.00 $79,275.00 N/A $13,826.33 N/A
Total for all systems $4,859,953.00 $3,174,163.00 N/A $45,507.16 N/A
Other Expenses $80,840.00 $79,275.00 $13,826.33
American Tower Construction Fee $10,000.00 $10,000.00 See attached American Tower site# 75253 cost estimate line 219. N/A N/A
Tree trimming and clearing $1,600.00 $1,600.00 See attached American Tower site# 75253 cost estimate line 223. N/A N/A
Local Zoning $4,700.00 $4,700.00 See attached American Tower site# 75253 cost estimate line 207. N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $10,000.00 N/A N/A N/A
Site Lessor Administrative Fee $18,960.00 $18,960.00 Two sites, $9,480 per site, per American Tower price list, attached. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $33,500.00 $33,500.00 AERC proposal attached. $13,826.33 N/A

Components

Actual Information Description File Name
American Tower Construction Fee Information not provided.
Tree trimming and clearing 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 Information not provided.
Site Lessor Administrative Fee Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Payment 50% of total 27,652.66- disposal costs- view PO attached
Amount:
$13,826.33

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,859,953.00 $3,174,163.00 $45,507.16

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.

Teresa Celia Vallejos

Senior Financial Analyst


03/06/2018

Attachments

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