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:
72123
Service:
DTV
Call Sign:
WWJ-TV
Channel:
21 (UHF)
File Number:
0000026787
FRN:
0003482189
Date Submitted:
05/04/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CBS BROADCASTING INC.

Doing Business As: CBS BROADCASTING INC.

Daniel G. Ryson

1725 DeSales St. NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4074 dryson@cbs.com Corporation

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

Daniel G. Ryson

Associate Director of Spectrum Management

CBS

Daniel G. Ryson

1725 DeSales Street NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4075 dryson@cbs.com

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 New channel 21 TFU-18 antenna and 6-1/8" line to be installed on the south arm of candelabra. Tower owner providing interim broad band antenna system to be leased.

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 SigmaCD-2200P2
Year 1999
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 46 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 ULXTED-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 38.4 kW
Justification for New Transmitter GatesAir Won't Re-tune (See Exhibit 1). IOT replacement is more expensive (See Exhibit 2A). Proposed replacement is less expensive (Exhibit 3A). See also May 2018 Statement.

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 Various Main Site Electrical Work (See Exhibit 4).
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

GatesAir Site Survey

Advanced Site Survey Services. Includes as-built and future layout drawings. See Exhibit 3A Item F.

State Sales Tax

Michigan Sales Tax of 6% on all products and services shown on Exhibit 3A.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 425.0 kW
Manufacturer
Model TFU-18GTH
Year 1998

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 264.0 kW
Manufacturer
Model TFU-18GTH
Year 2018
Justification for New Antenna Existing antenna cannot be retuned.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Rent Temporary
Ownership Leased
Owner American Tower Corporation
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 3
Number of Panels/Bays 8
Lower Limit 407.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 0.0 %
Other Antenna Type N/A
ERP: 264.0 kW
Manufacturer
Model TFU-24 WB/VP-C160
Year 2018
Justification for New Antenna Required for continued operation while main WWJ-TV antenna is replaced.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 3
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? B
Feed Line Size 7 3/16 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an 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
44
21
43

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Combiner HVAC

Installation, equipment and material cost of 10-ton HVAC unit for new repack combiner room. The proper BTU were calculated to control the temperature in this space due to the sensitive equipment.

Ice Shield

Ice protection for new outdoor HVAC equipment outside the combiner room. The total estimated area is 64 sq. ft.

Install Combiner

Cost is for installing and proofing combiner.

Concrete Pad

8X8 foot concrete pad for HVAC compressor unit and fencing for security.

Conduit

This cost includes 200 L/F of 2" conduit and conductor to adequately supply the HVAC unit.

Building Permits

The cost of preparation and submission of the needed forms for permits for jurisdictional permits required for electrical, building, and other required tasks associated with the install of the interim antenna combiner equipment.

New Electrical Panel

New HVAC electrical sub-panel for new AC unit required for the repack combiner area fed off of existing 480/208 main panel. This equipment is required to provide the existing power to the HVAC unit.

Switchgear

New switchgear required accommodating additional repack equipment. This switch is used to supply power for the new HVAC system for the combiner room.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change 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 Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1150 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 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1150 feet per run
Justification for New Transmission Line Existing line segment length cannot be used on new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

RF Accessories

Coaxial Switch, Switch Controller, Dummy Load, etc. See Exhibit 9, Item C.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 7 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 995 feet per run
Justification for New Transmission Line Material costs for 995 foot 7-3/16" Broadband transmission line, three (3) elbows and a nitrogen generator for pressurization control on the line.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Interim Coax Switch

Coaxial switch between interim transmitter and interim antenna combiner. Permits transmitter testing. (See Exhibit 3A, Items H and J.)

TX Line to Interim Combiner

Horizontal run of transmission line between transmitter and interim combiner. (See Exhibit 3A, Items I and K.)

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? 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 1003429
Coordinates (NAD83) Latitude (NAD83) 42° 26' 52.5" N-
Longitude (NAD83) 083° 10' 23.1" W-
Overall Structure Height 1086.93 feet
Support Structure Height 1012.13 feet
Ground Elevation Above Mean Sea Level (AMSL) 662.07 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 06/11/1999

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
59952 WDTW-FM FM
6594 WNIC FM
6056 WRCJ-FM FM
6592 WKQI FM
16817 WTVS DTV
74211 WMYD DTV
59592 WJLB FM

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 undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural Engineering

Rigorous Structural analysis to access the structural capacity and modifications needed to accommodate the repacked equipment (see Exhibit 6).

Site Security

The value of the materials required for the repack will require security to prevent theft during off hours (see Exhibit 6).

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 250
Explanation Company lacks internal resources.
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 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 No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare and file 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
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
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 No
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

Site Coordination Meeting

Meeting to coordinate efforts among broadcasters, tower owner, and tower contractor.

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 Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
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? 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? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Deinstall Old Transmitter

Deinstallation of present primary transmitter. (See Exhibit 3A Item G.)

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 $1,625,834.31 $1,524,783.17 N/A $424,059.72 N/A
Total for all systems $3,789,672.83 $2,976,556.39 N/A $424,059.72 N/A
Primary Transmitter ULXTED-60 $1,625,834.31 $1,524,783.17 $424,059.72
Other Electrical Service: Various Main Site Electrical Work (See Exhibit 4). $53,719.00 $53,719.00 Various primary transmitter site electrical work. (See Exhibit 4) N/A N/A
GatesAir Site Survey $9,685.80 $9,685.80 GatesAir Advanced Site Survey. Provides as-built and proposed facility layout drawings. (See Exhibit 3A, Item F.) N/A N/A
State Sales Tax $89,429.51 $89,429.51 6% Michigan State Sales Tax on products and services shown on Exhibit 3A. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,371,948.86 Please see May 2018 Statement and Exhibit 3A, Items A, B, C, and E. $424,059.72 N/A

Components

Actual Information Description File Name
Other Electrical Service: Various Main Site Electrical Work (See Exhibit 4). Information not provided.
GatesAir Site Survey Information not provided.
State Sales Tax Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
1/3 Down payment for ULXTE-60 Main Transmitter.
Amount:
$424,059.72

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 $617,144.00 $419,296.00 N/A $0.00 N/A
Total for all systems $3,789,672.83 $2,976,556.39 N/A $424,059.72 N/A
Interim Antenna TFU-24 WB/VP-C160 $320,914.00 $251,900.00 $0.00
Switchgear $6,050.00 $6,050.00 New switchgear required accommodating additional repack equipment. This switch is used to supply power for the new HVAC system for the combiner room. N/A N/A
New Electrical Panel $1,667.00 $1,667.00 New HVAC electrical sub-panel for new AC unit required for the repack combiner area fed off of existing 480/208 main panel. This equipment is required to provide the existing power to the HVAC unit (see Exhibit 7). N/A N/A
Building Permits $750.00 $750.00 Required for installation of interim antenna combiner, HVAC, and electrical panels for combiner room (see Exhibit 7). N/A N/A
Conduit $1,667.00 $1,667.00 This cost includes 200 L/F of 2" conduit and conductor to adequately supply the HVAC unit (see Exhibit 7). N/A N/A
Ice Shield $1,333.00 $1,333.00 Ice protection for new outdoor HVAC equipment outside the combiner room. The total estimated area is 64 sq. ft (see Exhibit 6). N/A N/A
Combiner HVAC $19,167.00 $19,167.00 Installation, equipment and material cost of one 10-ton HVAC unit to maintain operational temperatures in the new repack combiner room. The proper BTU were calculated to control the temperature in this space due to the sensitive equipment (see Exhibit 7). N/A N/A
Sweep test of existing antenna $6,730.00 $3,333.00 N/A N/A N/A
Concrete Pad $2,000.00 $2,000.00 8X8 foot concrete pad for HVAC compressor unit and fencing for security (see Exhibit 7). N/A N/A
Install Combiner $5,000.00 $5,000.00 Cost is for installing and proofing combiner. N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $30,000.00 Pro-rata share (see Exhibit 7). N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 8 bay,, 264 kW input, directional,, elliptically or circularly polarized $60,000.00 $60,000.00 Pro-rata share (see Exhibit 7). N/A N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $3,333.00 Pro-rata share (see Exhibit 7). N/A N/A
Interim antenna rental and installation - Cost will depend on antenna size and height and/or complexity of tower. $115,500.00 $117,600.00 Includes tower space rental and pro-rata share of antenna. Sharing with two other stations requires a broadband antenna (see Exhibit 7). N/A N/A
Primary Antenna TFU-18GTH $296,230.00 $167,396.00 $0.00
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $160,996.00 Exhibit 5 Items 1 and 2, minus $16,950 cost of V-Pol. 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 $758,066.12 $409,373.82 N/A $0.00 N/A
Total for all systems $3,789,672.83 $2,976,556.39 N/A $424,059.72 N/A
Interim Transmission Line $417,133.70 $156,775.70 $0.00
Interim Coax Switch $51,022.54 $51,022.54 Coaxial switch between interim transmitter and combiner. Permits off-air testing of interim transmitter. Includes Installation. (See Exhibit 3A, Items H and J.) N/A N/A
TX Line to Interim Combiner $34,776.16 $34,776.16 Horizontal run of transmission line between transmitter and interim combiner. Includes Installation. (See Exhibit 3A Items I and K.) N/A N/A
Rigid Transmission Line - copper, 7 3/16" broadband $331,335.00 $70,977.00 Pro-rata Material costs for 995 foot 7-3/16" Broadband transmission line, three (3) elbows and a nitrogen generator for pressurization control on the line (see Exhibit 7). N/A N/A
Primary Transmission Line $340,932.42 $252,598.12 $0.00
RF Accessories $74,132.42 $74,132.42 Coaxial Switch, Switch Controller, Dummy Load, etc. See Exhibit 9, Item C. N/A N/A
Rigid Transmission Line - copper, 6 1/8" broadband $266,800.00 $178,465.70 Required for new antenna (see Exhibit 5). N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $618,800.00 $475,900.00 N/A $0.00 N/A
Total for all systems $3,789,672.83 $2,976,556.39 N/A $424,059.72 N/A
Primary Tower GTOWER $618,800.00 $475,900.00 $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
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $12,400.00 N/A N/A N/A
Site Security $3,750.00 $3,750.00 The value of the materials required for the repack will require security to prevent theft during off hours. N/A N/A
Structural Engineering $9,750.00 $9,750.00 Rigorous Structural analysis to access the structural capacity and modifications needed to accommodate the repacked equipment. N/A N/A
Minor tower reinforcement/modifications $158,000.00 $50,000.00 It is expected that additional loads on the tower require for repack will cause the tower to fail. The structural failure is expected to be in the minor category requiring replacement of structural members (see Exhibit 6). N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $87,775.00 $71,750.00 N/A $0.00 N/A
Total for all systems $3,789,672.83 $2,976,556.39 N/A $424,059.72 N/A
Outside Professional Services $87,775.00 $71,750.00 $0.00
Site Coordination Meeting $2,500.00 $2,500.00 Meeting to coordinate efforts between broadcasters, tower owner, and tower contractors. N/A N/A
RF Exposure Measurements $21,050.00 $10,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $250.00 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Project management of the transition $39,500.00 $37,500.00 Company lacks internal resources. N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A

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 $82,053.40 $75,453.40 N/A $0.00 N/A
Total for all systems $3,789,672.83 $2,976,556.39 N/A $424,059.72 N/A
Other Expenses $82,053.40 $75,453.40 $0.00
Deinstall Old Transmitter $23,058.40 $23,058.40 Complete disconnection of Harris Sigma CD transmitter and move to staging area on site. (See Exhibit 3A, Item G.) N/A N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $15,000.00 $15,000.00 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
Non-zoning permits $5,000.00 $5,000.00 Local permits and drawings. See ATC quotes. N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $5,000.00 N/A N/A N/A
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,789,672.83 $2,976,556.39 $424,059.72

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.

Andrew J Siegel

Assistant Secretary


05/04/2018

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