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:
69396
Service:
DTV
Call Sign:
KUED
Channel:
27 (UHF)
File Number:
0000028860
FRN:
0001597590
Date Submitted:
06/13/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

UNIVERSITY OF UTAH

Doing Business As: UNIVERSITY OF UTAH

Philip Titus

101 WASATCH DRIVE

BLDG. 179

SALT LAKE CITY, UT 84112

United States

+1 (801) 585-3601 ptitus@kued.org Government Entity

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

Philip Titus

Director of Engineering

KUED / University of Utah

Phil Titus

101 South Wasatch Drive

Salt Lake City, UT 84112

United States

+1 (801) 585-3601 ptitus@kued.org

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 See Exhibit A

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 Diamond
Year 2000
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 10 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 ULXTE-12
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 10.8 kW
Justification for New Transmitter Unable to tune old transmitter See Exhibit B. CP for move to channel 27 application in process. Unable to construct on 15 due to new antenna design. See Exhibit B1 for channel power calculations and Exhibit B2 for Gates Air quote.

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) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 800.0 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

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 ULXTE-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 12.9 kW
Justification for New Transmitter See Exhibit C

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) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 800.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 50 tons
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? Yes
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels 48
Design power capacity in use 81.0 %
Lower Limit 590.00 MHz
Upper Limit 680.00 MHz
Other Antenna Type N/A
ERP: 239.0 kW
Manufacturer
Model 773 928
Year 1999

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
6823 KBYU-TV
68889 KTVX
69582 KUEN
1136 KUCW
35823 KUTV
36607 KJZZ-TV
6359 KSL-TV

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 Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels/Bays 48
Lower Limit 482.00 MHz
Upper Limit 608.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 133.0 kW
Manufacturer
Model 759 25063
Year 2017
Justification for New Antenna The current panel antenna is finely tuned to a specific band, but cannot be retuned to the new band. See Exhibit D. Justification for the Combiner can be found in Exhibit E.

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 8
Frequencies of channels supported Upper and lower frequency
Frequency 488.0 MHz - 608.0 MHz
Do you need a combiner output splitter/switcher for dual feed lines? Yes
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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Antenna Installation

Install new panels See Exhibit D

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

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 Owned
Is this tower consider Complex? Terrain Constrained
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? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1062408
Coordinates (NAD83) Latitude (NAD83) 40° 39' 33.0" N-
Longitude (NAD83) 112° 12' 10.0" W-
Overall Structure Height 308.40 feet
Support Structure Height 308.40 feet
Ground Elevation Above Mean Sea Level (AMSL) 9035.32 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner DTV UTAH, LC
Date Constructed 10/28/1999

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
35823 KUTV DTV
36607 KJZZ-TV DTV
6359 KSL-TV DTV
77512 KPNZ DTV
69582 KUEN DTV
68889 KTVX DTV
1136 KUCW DTV
6823 KBYU-TV DTV

Other Types of Users

Users
GOGO Air

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: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
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? Yes
Number of Hours 800
Explanation The myriad of tasks, the amount of common equipment, the logistics and the implementation is extremely complex and requires coordination between members of DTV Utah, LLC. See Exhibit K.
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 2
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 2
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 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 Yes
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)? 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

DTV Utah Operating Agreement Equity Equalization

Per 1998 Operating Agreement. See Exhibit M

Garbage Disposal

Remove General Garbage from Mountain site (Not Equipment Disposal)

KSTU Mask Filter

Adjacent Channel Mask Filter for KSTU channel 28 to protect KUED on channel 27. See Exhibit N.

Road Maintenance

Snowplowing Grating and repairs to existing road to remote mountain top. See Exhibit R.

Temporary Sanatation

For Workers See Exhibit S.

Temporary Storage

For tools and equipment on site and staging area off site. See Exhibit Q.

Transportation Services

Snowcat and Helicopter to move equipment and personnel to remote mountain site. See Exhibit R.

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 $1,594,100.00 $692,191.00 N/A $116,212.54 N/A
Total for all systems $3,494,377.25 $1,602,493.25 N/A $447,456.83 N/A
Interim Transmitter ULXTE-20 $1,003,800.00 $130,891.00 $116,212.54
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $70,534.00 1/8th Shared Cost $83,460.30 Please see attached- FCC Incentive Auction Repack Reimbursement Request and Explanation.
50 Ton system $266,000.00 $31,625.00 1/8th Shared Cost $27,734.28 N/A
UHF inside RF system including switching $147,500.00 $17,500.00 1/8th Shared Cost $1,372.17 N/A
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $2,500.00 1/8th Shared Cost N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $4,375.00 1/8th shared cost N/A N/A
Switchgear - industrial 800 amp $38,200.00 $4,357.00 1/8th Shared Cost $3,645.79 N/A
Primary Transmitter ULXTE-12 $590,300.00 $561,300.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $470,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $0.00 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $20,000.00 N/A $0.00 N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Transmitter Install Information Added
Amount:
$5,412.88

Component Description:
Transmitter - ProgPay 3 -Information added
Amount:
$21,682.94

Component Description:
Transmitter - ProgPay 1 -information added
Amount:
$27,365.14

Component Description:
Transmitter - ProgPay 2 -information added
Amount:
$27,365.14

Component Description:
HD/SD/SDI equipment -Information Added
Amount:
$514.00

Component Description:
HD/SD/SDI equipment -Information Added
Amount:
$459.77

Component Description:
HD/SD/SDI equipment information added
Amount:
$660.43
50 Ton system

Component Description:
Cooling System Evaluation - Information Added
Amount:
$153.79

Component Description:
HVAC Work - Information added.
Amount:
$16,416.66

Component Description:
HVAC Work - Information Added
Amount:
$11,163.83
UHF inside RF system including switching

Component Description:
Additional Flex Line for DTV Xmit
Amount:
$328.09

Component Description:
Dell Computer for Control System
Amount:
$190.05

Component Description:
Transmission Line 25% Down Payment- Information Added
Amount:
$201.09

Component Description:
Final Transmission Line
Amount:
$652.94
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA Information not provided.
Switchgear - industrial 800 amp

Component Description:
Electrical Panel - Information Added
Amount:
$496.60

Component Description:
Transmiter Power Transformer Panel- Information Added
Amount:
$3,149.19
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW Information not provided.
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 300 KVA Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) 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 $436,593.00 $394,713.00 N/A $294,059.67 N/A
Total for all systems $3,494,377.25 $1,602,493.25 N/A $447,456.83 N/A
Primary Antenna 759 25063 $436,593.00 $394,713.00 $294,059.67
New combiner, cost per channel (without antenna) $84,200.00 $185,000.00 1/8th Shared Cost See exhibit E $207,651.42 See in attachment- FCC Incentive Auction Repack Reimbursement Request and Explanation.
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized $168,286.00 $168,286.00 1/8th Shared Cost $65,175.78 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $1,625.00 1/8th Shared Cost $2,369.99 FCC application was originally applied for with a 1/8 amount but reimbursements are being requested at 1/6
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $0.00 Included in Combiner Cost see Exhibit E N/A N/A
Sweep test of existing antenna $6,730.00 $2,125.00 1/8th Shared Cost $3,179.79 Please see attached- FCC Incentive Auction Repack Reimbursement Request and Explanation.
Antenna Installation $37,677.00 $37,677.00 1/8th Shared Cost See Exhibit D $15,682.69 N/A

Components

Actual Information Description File Name
New combiner, cost per channel (without antenna)

Component Description:
Combiner - Prog Pay 1 Down payment request by email. Wire transferred -Information added
Amount:
$22,679.37

Component Description:
Travel Reimbursement -Information added.
Amount:
$216.88

Component Description:
80KW Cooling System - Information Added
Amount:
$3,320.18

Component Description:
Combiner - Prog Pay 3 - Information added.
Amount:
$90,717.49

Component Description:
Combiner - Prog Pay 2 - Information added.
Amount:
$90,717.50
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized

Component Description:
Antenna Factory Test - Information added
Amount:
$5,142.50

Component Description:
Antenna 25% Down Payment -Information Added
Amount:
$7,710.92

Component Description:
Nitrogen Generation (plus Tax) Information added.
Amount:
$4,445.39

Component Description:
Material 25% Down Payment - Information Added
Amount:
$47,876.97
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Reroute KPNZ transmitter line (minus Install) Information Added
Amount:
$1,060.49

Component Description:
KPNZ Line Reroute labor/install
Amount:
$1,309.50
Combiner output splitting/switching for dual feed lines, if applicable Information not provided.
Sweep test of existing antenna

Component Description:
Existing Antenna Test- Information Added
Amount:
$2,828.08

Component Description:
Impedance Transformer Rent -Information added.
Amount:
$351.71
Antenna Installation

Component Description:
Site Survey 25% Down Payment -Information Added
Amount:
$1,310.83

Component Description:
Transmission Line Final Payment - Information Added
Amount:
$869.72

Component Description:
Bullet Installation 25% Down Payment- Information Added
Amount:
$1,748.05

Component Description:
Installation 25% Down Payment - Information added.
Amount:
$11,754.09

Cost Information

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Transmission Line

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 $854,600.00 $101,500.00 N/A $226.66 N/A
Total for all systems $3,494,377.25 $1,602,493.25 N/A $447,456.83 N/A
Primary Tower TOWER $854,600.00 $101,500.00 $226.66
Structural engineering tower load study for well documented tower $12,600.00 $1,500.00 1/8th Shared Cost $226.66 N/A
Major tower reinforcement/modifications $421,000.00 $50,000.00 1/8th Shared Cost N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $50,000.00 1/8th Shared Cost N/A N/A

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Structural Assessment -Information Added
Amount:
$226.66
Major tower reinforcement/modifications Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) 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 $280,195.00 $85,750.00 N/A $19,591.39 N/A
Total for all systems $3,494,377.25 $1,602,493.25 N/A $447,456.83 N/A
Outside Professional Services $280,195.00 $85,750.00 $19,591.39
RF Exposure Measurements $21,050.00 $2,500.00 1/8th Shared Cost N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A $1,536.20 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A $2,627.81 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $231.86 N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A N/A N/A
Project management of the transition $126,400.00 $28,000.00 1/8th Shared Cost $12,180.94 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 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 N/A 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
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
Comprehensive coverage verification via field study, if needed $84,200.00 $10,000.00 1/8th Shared Cost N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $3,000.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A $14.58 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
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

Components

Actual Information Description File Name
RF Exposure Measurements Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal Fees - WBK - Information Added
Amount:
$876.75

Component Description:
KUED paid legal fees to Covington Burling - Information added
Amount:
$659.45
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Legal Consulting- Information added
Amount:
$501.40

Component Description:
Legal Consulting - Information Added
Amount:
$165.91

Component Description:
Legal Consulting - Information added
Amount:
$1,960.50
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Legal Fees Information added
Amount:
$29.16

Component Description:
Legal Fees - CB - Information Added
Amount:
$202.70
Prepare request for Special Temporary Authorization Information not provided.
Project management of the transition

Component Description:
Consulting/Project Mgmt- Information added
Amount:
$916.62

Component Description:
Consulting/Project Mgmt - Information added
Amount:
$891.87

Component Description:
Consulting/Project Mgmt - Information Added
Amount:
$445.45

Component Description:
Consulting/Project Mgmt - information added
Amount:
$521.19

Component Description:
Consulting/Project Mgmt - Information Added
Amount:
$1,102.36

Component Description:
Consulting/Project Mgmt - Information added
Amount:
$703.95

Component Description:
Consulting/Project Mgmt - Information added
Amount:
$699.66

Component Description:
Consulting/Project Mgmt - Information Added
Amount:
$696.62

Component Description:
Consulting/Project Mgmt - Information added
Amount:
$742.45

Component Description:
Consulting/Project Mgmt - Information added
Amount:
$358.38

Component Description:
Consulting/Project Mgmt- Information added
Amount:
$359.68

Component Description:
Consulting/Project Mgmt- Information added
Amount:
$545.14

Component Description:
Consulting/Project Mgmt - Information Added
Amount:
$908.37

Component Description:
Carnovale Consulting - Information Added
Amount:
$2,763.54

Component Description:
Consulting/Project Mgmt - information added
Amount:
$525.66
Prepare and or review reimbursement form Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Repack Consulting - Information added
Amount:
$3,000.00
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Legal Fees- Adjacent Channel Notice - Information Added
Amount:
$14.58
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application 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 $328,889.25 $328,339.25 N/A $17,366.57 N/A
Total for all systems $3,494,377.25 $1,602,493.25 N/A $447,456.83 N/A
Other Expenses $328,889.25 $328,339.25 $17,366.57
Transportation Services $5,000.00 $5,000.00 1/8th Shared Cost for inclement weather $1,979.98 N/A
Temporary Storage $4,000.00 $4,000.00 Warehouse and pods $1,960.83 N/A
Temporary Sanatation $3,000.00 $3,000.00 1/8th Shared Cost N/A N/A
Road Maintenance $10,000.00 $10,000.00 1/8th Shared Cost N/A N/A
KSTU Mask Filter $6,756.25 $6,756.25 See Exhibit N. Price is 1/8th Share $5,013.05 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 1/8th Shared Cost based on general experience acquired by staff plus individual station costs for transmitter. N/A N/A
Equipment Delivery and Handling Charges $8,125.00 $8,125.00 1/8th Shared Cost $3,458.87 N/A
Equipment Storage $4,000.00 $4,000.00 1125 per month for 16 months plus pod storage on mountains. 1/8th Shared Cost. See Exhibit Q $2,256.34 N/A
Develop and air announcement of upcoming channel change $20,000.00 $20,000.00 N/A N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A N/A N/A
DTV Utah Operating Agreement Equity Equalization $223,083.00 $223,083.00 See Exhibit M N/A N/A
Garbage Disposal $1,500.00 $1,500.00 1/8th Shared Cost $312.50 N/A
Non-zoning permits $1,875.00 $1,875.00 1/8th Shared Cost estimated from past experience. County will not furnish estimates. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $2,385.00 N/A

Components

Actual Information Description File Name
Transportation Services

Component Description:
Snowcat to Site (Group Portion Only) - Information Added
Amount:
$108.33

Component Description:
Snowcat to Site - Information added
Amount:
$216.66

Component Description:
Transportation - Antenna Inspections- Information added
Amount:
$507.50

Component Description:
Transportation - Antenna Inspections- Information added
Amount:
$676.66

Component Description:
Snowcat to Site
Amount:
$108.33

Component Description:
Transportation- Structural Survey - Information added
Amount:
$362.50
Temporary Storage

Component Description:
Storage Pods- Information Added
Amount:
$1,927.50

Component Description:
Container Positioning Labor Information Added
Amount:
$33.33
Temporary Sanatation Information not provided.
Road Maintenance Information not provided.
KSTU Mask Filter

Component Description:
KSTU Mask Filter (minus install)- Information Added
Amount:
$5,013.05
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Forklift Transportation - Information added
Amount:
$40.83

Component Description:
Equipment Handling Apr - Information added
Amount:
$28.33

Component Description:
Equipment Handling - Information added
Amount:
$77.91

Component Description:
Howe Rental Forklift Payments - Information added.
Amount:
$955.98

Component Description:
Equipment Handling - Information added
Amount:
$42.50

Component Description:
Equipment Handling - Information added
Amount:
$70.83

Component Description:
Equipment Handling - Information added
Amount:
$14.16

Component Description:
Forklift Rental - Information Added
Amount:
$503.82

Component Description:
Equipment Handling - Information Added
Amount:
$56.66

Component Description:
Equipment Handling Feb - Information Added
Amount:
$14.16

Component Description:
Equipment Handling - Information added
Amount:
$100.00

Component Description:
Forklift Rental 5/14-8/06/2018 - Information added
Amount:
$1,553.69
Equipment Storage

Component Description:
Warehouse Lease - Information added
Amount:
$187.50

Component Description:
Pallet Jack - Information added
Amount:
$139.68

Component Description:
Warehouse Lease - Information added
Amount:
$187.50

Component Description:
Warehouse Lease - Information Added
Amount:
$187.50

Component Description:
Warehouse Lease - Information Added
Amount:
$187.50

Component Description:
Warehouse Lease- Information added
Amount:
$187.50

Component Description:
Warehouse Lease- Information Added
Amount:
$187.50

Component Description:
Warehouse Lease - June - Information added
Amount:
$308.33

Component Description:
Warehouse Lease Rate Increase for May - Information added
Amount:
$120.83

Component Description:
Warehouse Lease Rate Increase for May - Information added
Amount:
$187.50

Component Description:
Warehouse Lease - Information added
Amount:
$187.50

Component Description:
Warehouse Lease - Information added
Amount:
$187.50
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.
DTV Utah Operating Agreement Equity Equalization Information not provided.
Garbage Disposal

Component Description:
Dumpster Service - Information Added
Amount:
$312.50
Non-zoning permits Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Facility Notice
Amount:
$2,385.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,494,377.25 $1,602,493.25 $447,456.83

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.

Rebecca Davis , Davis .

Chief Financial Officer


06/13/2018

Certification

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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).

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

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

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

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

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. 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.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

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

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

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

Rebecca Davis , Davis .

Chief Financial Officer


06/13/2018

Attachments

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