| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
NBC TELEMUNDO LICENSE LLC |
Margaret L. Tobey 300 NEW JERSEY AVE, N.W. WASHINGTON, DC 20001 United States |
+1 (202) 524-6401 | MARGARET.TOBEY@NBCUNI.COM | Limited Liability Company |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
The Preparer is same as the reimbursement contact. |
|
|
|
| Question | Response |
|---|---|
| Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | Yes |
| Briefly describe transition plan | Install broadband interim antenna using existing transmitter to stay on air during transition and for repack channel if difficulty in completing new main antenna installation. Remove existing KSTS antenna. Install new transmitter & antenna for new channel |
| 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 | NV8610V | |
| Year | 2010 | |
| Type | Solid State | |
| Solid State Cooling | Liquid Cooled | |
| Solid State Power Capacity | 8 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | THU9-8 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Liquid Cooled | |
| Solid State Power capacity | 11.9 kW | |
| Justification for New Transmitter | New Transmitter will be used so that the current transmitter can be used to keep KSTS on-air during the transition. |
| Section | Question | Response |
|---|---|---|
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Power | N/A | |
| Rigid Conduit and Wiring | No | |
| Size | N/A | |
| Length | N/A | |
| Other Electrical Service | Yes | |
| Description | Electrical connection to new equipment (proposal attached) | |
| 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 |
| 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 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: | 257.0 kW | |
| Manufacturer | ||
| Model | ATW26H5-ETC1L-48H | |
| Year | 1999 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Ownership | Owned | |
| Owner | N/A | |
| Is antenna shared? | No | |
| Is antenna directional? | Yes | |
| Will antenna be located on or in close proximity to an antenna farm? | Yes | |
| New Antenna Manufacturer and Types | Class | Full Power |
| Mounting | Top Mount | |
| Antenna position in stack | Top | |
| Polarization | Elliptical | |
| Type | Slotted Coaxial | |
| Number of Stations Supported | N/A | |
| Number of Panels/Bays | N/A | |
| Lower Limit | N/A | |
| Upper Limit | N/A | |
| Design power capacity in use | N/A | |
| Other Antenna Type | N/A | |
| ERP: | 139.0 kW | |
| Manufacturer | ||
| Model | ATW20H3-ETCX-19H | |
| Year | 2020 | |
| Justification for New Antenna | Current antenna will not work on new channel (ch 19) |
| 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? | 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 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Interim |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Owner | N/A | |
| Is antenna shared? | No | |
| Is antenna directional? | Yes | |
| Will antenna be located on or in close proximity to an antenna farm? | Yes | |
| New Antenna Manufacturer and Type | Class | Full Power |
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Broadband Slot | |
| Number of Stations Supported | 2 | |
| Number of Panels/Bays | 16 | |
| Lower Limit | 470.00 MHz | |
| Upper Limit | 698.00 MHz | |
| Design power capacity in use | 100.0 % | |
| Other Antenna Type | N/A | |
| ERP: | 200.0 kW | |
| Manufacturer | ||
| Model | SBB-16C170 | |
| Year | 2020 | |
| Justification for New Antenna | Interim antenna required to remain on air during transition. |
| Section | Question | Response |
|---|---|---|
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
| Broadband or Single Channel? | B | |
| Feed Line Size | 4 1/16 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 |
| 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 | 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 | 478 feet per run |
| 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 | 6 1/8 inches | |
| Other Diameter | N/A | |
| Segment Length | 19 3/4 inches | |
| Other Segment Length | N/A | |
| Number of parallel runs | 1 | |
| Length | 478 feet per run | |
| Justification for New Transmission Line | New transmission line required as existing wave guide cannot be re-used |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Interim |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Type | Rigid | |
| Diameter | 4 1/16 inches | |
| Segment Length | Broadband | |
| Other Segment Length | ||
| Number of parallel runs | 1 | |
| Length | 478 feet per run | |
| Justification for New Transmission Line | New transmission line required to support interim antenna |
| 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 | 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 | No | |
| Is tower documented for structural analysis? | Unknown | |
| Is tower compliant with Rev G? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1044718 | |
| Coordinates (NAD83) | Latitude (NAD83) | 37° 29' 57.0" N- |
| Longitude (NAD83) | 121° 52' 20.0" W- | |
| Overall Structure Height | 442.91 feet | |
| Support Structure Height | 392.06 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 2605.94 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | Univision Television Group, Inc. | |
| Date Constructed | 02/25/1998 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 33778 | KDTV-DT | DTV |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | Study needed for undocumented/poorly documented tower |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | Serious Reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | Candelabra |
| Helicopter Services Required | Are helicopter services required? | No |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 1040 | |
| Explanation | Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters | |
| Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | No |
| Prepare engineering section of Form FCC Construction Permit Application | No | |
| For Auxiliary Facility | N/A | |
| For Main Facility | N/A | |
| Prepare engineering section of Form FCC License to Cover Application | No | |
| For Auxiliary Facility | N/A | |
| For Main Facility | N/A | |
| Prepare request for Special Temporary Authority | No | |
| Quantity | N/A | |
| Do you have Distributed Transmission System engineering services? | N/A | |
| Critical Facility | N/A | |
| Terrain-Shielded Facility | N/A | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| Quantity | N/A | |
| NEPA Section 106 environmental review | No | |
| Environmental Assessment | No | |
| ASR Modification | No | |
| FAA Consultation (including preparation of FAA Form 7460) | No | |
| Negotiation of Lease and other Matter for Shared Locations | No | |
| Prepare or Review FCC Form 399 for Reimbursement | Yes | |
| Address transition timing and coordination issues w/ other stations and wireless providers | No | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
| RF exposure measurements | Yes | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 20 | |
| Justification | Ground Level RF Engineering |
| Section | Question | Response |
|---|---|---|
| AM Pattern Disturbance | Is an Impact Study needed? | No |
| Is Remediation needed? | No | |
| Facility Expenses | Name | N/A |
| Other Distributed Transmission System Expenses Not listed | N/A | |
| Name | N/A | |
| Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
| Permit and Filing Costs | Local Zoning | Yes |
| Non-zoning permits | Yes | |
| BLM or NFS Coordination | No | |
| FCC Construction Permit Minor Change | No | |
| FCC License to Cover Application | Yes | |
| FCC Special Temporary Authority Application | Yes | |
| Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | Yes |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
| Does this relocation require Equipment Storage? | Yes | |
| Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | Yes | |
| Does this relocation require MVPD Notification of a Channel Change? | Yes |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $507,828.00 | $332,086.00 | N/A | $0.00 | N/A |
| Total for all systems | $3,008,503.00 | $2,108,537.00 | N/A | $7,112.61 | N/A |
| Primary Transmitter THU9-8 | $507,828.00 | $332,086.00 | $0.00 | ||
| Other Electrical Service: Electrical connection to new equipment (proposal attached) | $13,328.00 | $13,328.00 | Electrical proposal attached | N/A | N/A |
| UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW | $494,500.00 | $318,758.00 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $438,790.00 | $360,115.00 | N/A | $0.00 | N/A |
| Total for all systems | $3,008,503.00 | $2,108,537.00 | N/A | $7,112.61 | N/A |
| Interim Antenna SBB-16C170 | $149,290.00 | $144,665.00 | $0.00 | ||
| 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 |
| Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $22,000.00 | N/A | N/A | N/A |
| Elbow complex, broadband, at antenna input, per 4 1/16. feedline (if needed) | $10,950.00 | $8,065.00 | 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, 16 bay,, 200 kW input, directional,, horizontally polarized | $103,200.00 | $103,200.00 | Side mount antenna to stay on air during transition and for use on new channel if main antenna installation is delayed. | N/A | N/A |
| Primary Antenna ATW20H3-ETCX-19H | $289,500.00 | $215,450.00 | $0.00 | ||
| UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized | $289,500.00 | $215,450.00 | Cost includes antenna, adapters, design, and sweep test from attached antenna proposal | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $174,470.00 | $170,571.00 | N/A | $0.00 | N/A |
| Total for all systems | $3,008,503.00 | $2,108,537.00 | N/A | $7,112.61 | N/A |
| Interim Transmission Line | $77,914.00 | $77,310.00 | $0.00 | ||
| Rigid Transmission Line - copper, 4 1/16" broadband | $77,914.00 | $77,310.00 | Price for SpectraLine as quoted by RFS | N/A | N/A |
| Primary Transmission Line | $96,556.00 | $93,261.00 | $0.00 | ||
| Rigid Transmission Line - copper, 6 1/8" | $96,556.00 | $93,261.00 | see attached antenna proposal | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $1,499,300.00 | $912,500.00 | N/A | $0.00 | N/A |
| Total for all systems | $3,008,503.00 | $2,108,537.00 | N/A | $7,112.61 | N/A |
| Primary Tower TOWER | $1,499,300.00 | $912,500.00 | $0.00 | ||
| Complex Tower (includes, for example, those with candelabras and/or stacked antennas) | $421,000.00 | $400,000.00 | N/A | N/A | N/A |
| Serious tower reinforcement/modifications | $1,052,000.00 | $500,000.00 | KSTS share of tower reinforcements | N/A | N/A |
| Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | $26,300.00 | $12,500.00 | KSTS share of tower mapping | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $304,035.00 | $249,750.00 | N/A | $6,744.01 | N/A |
| Total for all systems | $3,008,503.00 | $2,108,537.00 | N/A | $7,112.61 | N/A |
| Outside Professional Services | $304,035.00 | $249,750.00 | $6,744.01 | ||
| Additional Field Engineering Service, 20 Days | $20,000.00 | $20,000.00 | N/A | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $84,200.00 | $40,000.00 | 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 |
| 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 | $310.86 | N/A |
| Project management of the transition | $164,320.00 | $156,000.00 | N/A | $5,903.95 | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | $529.20 | N/A |
| Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application | $4,210.00 | $4,000.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Additional Field Engineering Service, 20 Days | Information not provided. |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| RF Exposure Measurements | Information not provided. |
| Prepare and or review reimbursement form | |
| Project management of the transition | |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
| Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $84,080.00 | $83,515.00 | N/A | $368.60 | N/A |
| Total for all systems | $3,008,503.00 | $2,108,537.00 | N/A | $7,112.61 | N/A |
| Other Expenses | $84,080.00 | $83,515.00 | $368.60 | ||
| DTV Medical Facility Notification | $11,550.00 | $11,000.00 | 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 |
| FCC Filing Fees - Special Temporary Authorization request | $195.00 | $190.00 | N/A | N/A | N/A |
| Local Zoning | $2,500.00 | $2,500.00 | N/A | N/A | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $20,000.00 | $20,000.00 | N/A | N/A | N/A |
| Equipment Delivery and Handling Charges | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
| Equipment Storage | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
| Develop and air announcement of upcoming channel change | $25,000.00 | $25,000.00 | N/A | N/A | N/A |
| MVPD Notification of Channel Change | $12,000.00 | $12,000.00 | N/A | N/A | N/A |
| Non-zoning permits | $2,500.00 | $2,500.00 | N/A | $368.60 | N/A |
| Actual Information Description | File Name |
|---|---|
| DTV Medical Facility Notification | Information not provided. |
| FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
| FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
| Local Zoning | Information not provided. |
| Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
| Equipment Delivery and Handling Charges | Information not provided. |
| Equipment Storage | Information not provided. |
| Develop and air announcement of upcoming channel change | Information not provided. |
| MVPD Notification of Channel Change | Information not provided. |
| Non-zoning permits |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $3,008,503.00 | $2,108,537.00 | $7,112.61 |
| 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 |
| 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. | Margaret L Tobey Assistant Secretary 03/21/2018 |
| 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. | Margaret L Tobey Assistant Secretary 03/21/2018 |
