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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:
6359
Service:
DTV
Call Sign:
KSL-TV
Channel:
23 (UHF)
File Number:
0000028696
FRN:
0006165955
Date Submitted:
08/29/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BONNEVILLE INTERNATIONAL CORPORATION

Doing Business As: BONNEVILLE INTERNATIONAL CORPORATION

Michael L. Dowdle

55 NORTH 300 WEST

2ND FLOOR

SALT LAKE CITY, UT 84101

United States

 +1 (801) 575-5874 mdowdle@bonneville.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

Scott Cameron Jones , JONES .

Director Engineering and Technology

Bonneville International

SCOTT CAMERON JONES

PO Box 1160

Suite 200

Salt Lake City, UT 84180

United States

 +1 (801) 575-7433 sjones@ksl.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 See Exhibit A (attached)

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 Paragon DCXP-2
Year 2007
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40 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-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 40 kW
Justification for New Transmitter Manufacturer does not recommend retuning current IOT transmitter. Cost of retuning is close to cost to replacement. KSL-TV is purchasing a GatesAir ULXTE-60. See Exhibit B. For equivalent replacement of existing transmitter, see Exhibit T for a ULXTE-40

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 Yes
Description Add breaker panels, breakers and infrastructure.
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

Name Description

Frequency Reference

Synchronize transmitter frequencies to avoid interference issues. See Exhibit C

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 Top
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: 546.0 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
69396 KUED
69582 KUEN
36607 KJZZ-TV
1136 KUCW
35823 KUTV
6359 KSL-TV
6823 KBYU-TV
68889 KTVX

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? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization 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: 398.0 kW
Manufacturer
Model 759 25063
Year 2017
Justification for New Antenna Existing antenna cannot be retuned to service new channel assignments. See Exhibit D

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 48 new broadband panels with harness. 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
77512 KPNZ DTV
35823 KUTV DTV
6359 KSL-TV DTV
6823 KBYU-TV DTV
36607 KJZZ-TV DTV
1136 KUCW DTV
68889 KTVX DTV
69396 KUED DTV
69582 KUEN DTV

Other Types of Users

Users
Go Go 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 No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
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 No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
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 Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Adjacent channel mask filter

Adjacent channel mask filter for KSTU channel 28 to protect KUED on channel 27. See Exhibit N

Refuse disposal

Remove garbage from mountain top site

Road Maintenance

Plowing, grading, repairs and material to existing road to mountain top site. See Exhibit R

Temp sanitation

For workers on site

Transportation Services

Use snow-cat and helicopter to transport crews and equipment to the mountain site during winter conditions. 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 $2,584,040.00 $1,110,315.10 N/A $920,047.85 N/A
Total for all systems $6,253,852.69 $2,855,989.63 N/A $934,713.85 N/A
Interim Transmitter ULXTE-20 $1,005,240.00 $130,792.00 $0.00
Frequency Reference $1,440.00 $1,440.00 1/8th shared cost N/A N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $68,995.00 1/8th shared cost. See Exhibit C N/A N/A
Switchgear - industrial 800 amp $38,200.00 $4,357.00 1/8th 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
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $2,500.00 1/8th shared cost N/A N/A
50 Ton system $266,000.00 $31,625.00 1/8th shared cost N/A N/A
UHF inside RF system including switching $147,500.00 $17,500.00 1/8th shared cost N/A N/A
Primary Transmitter ULXTE-40 $1,578,800.00 $979,523.10 $920,047.85
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $878,223.10 New transmitter. KSL-TV will purchase a ULXTE-60 transmitter (exhibit B). For equivalent quote for our current transmitter, see exhibit T. Revised estimate based on actual costs. $878,223.30 The original 399 submission was an estimate based on the catalog amount. Current estimate is $878,223.10. See the cover letter for explanation.
Other Electrical Service: Add breaker panels, breakers and infrastructure. $10,000.00 $10,000.00 Install new breaker panel and breakers $6,824.55 Legacy Electric quote did not break down the costs between "Other Electrical Service" and "Transformer 3".
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $20,000.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A $35,000.00 Legacy Electric quote did not break down the costs between "Other Electrical Service" and "Transformer 3".
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A

Components

Actual Information Description File Name
Frequency Reference Information not provided.
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.
50 Ton system Information not provided.
UHF inside RF system including switching Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
REPLACES PREVIOUSLY SUBMITTED INVOICE. REQUESTING $73,191.73 REIMBURSEMENT. AMOUNT IS LOWER BECAUSE KSL TV HAS PURCHASED UPGRADED EQUIPMENT. REMAINING $316,426 IS THE RESPONSIBILITY OF KSL TV.
Amount:
$73,191.73

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THE FREIGHT FOR KSL TV'S PRIMARY TRANSMITTER. MODIFYING THE ORIGINAL SUBMISSION IS NOT ALLOWED.
Amount:
$7,105.00

Component Description:
THIS REPLACES A PREVIOUSLY SUBMITTED INVOICE FOR DOWN PAYMENT ON KSL TV PRIMARY TRANSMITTER. THIS ATTACHMENT HAS MORE INFORMATION.
Amount:
$375,481.37

Component Description:
THIS INVOICE HAS BEEN REPLACED WITH INVOICE # GO10004642-2
Amount:
N/A

Component Description:
THIS INVOICE HAS BEEN REPLACED WITH A PDF THAT HAS MORE INFORMATION.
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH A PDF THAT CONTAINS MORE COMPLETE INFORMATION.
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH A PDF THAT CONTAINS MORE COMPLETE INFORMATION.
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH A PDF THAT CONTAINS MORE COMPLETE INFORMATION.
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH ANOTHER PDF THAT HAS MORE INFORMATION
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH A PDF THAT CONTAINS MORE COMPLETE INFORMATION.
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH A PDF THAT CONTAINS MORE COMPLETE INFORMATION.
Amount:
N/A

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THE DESIGN SERVICES FOR KSL TV'S PRIMARY TRANSMITTER. MODIFYING THE ORIGINAL SUBMISSION IS NOT ALLOWED.
Amount:
$24,054.07

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THE FINAL PMT FOR KSL TV'S PRIMARY TRANSMITTER. MODIFYING THE ORIGINAL SUBMISSION IS NOT ALLOWED.
Amount:
$308,739.71

Component Description:
Site survey
Amount:
$25,796.10

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THE INSTALLATION OF KSL TV'S PRIMARY TRANSMITTER. MODIFYING THE ORIGINAL SUBMISSION IS NOT ALLOWED.
Amount:
$63,855.32
Other Electrical Service: Add breaker panels, breakers and infrastructure.

Component Description:
THIS INVOICE WAS REPLACED WITH ANOTHER PDF THAT HAS MORE INFORMATION
Amount:
N/A

Component Description:
ELECTRICAL WORK ON KSLTV TRANSMITTER. REPLACES PREVIOUS SUBMISSION.
Amount:
$6,824.55
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA

Component Description:
ADDITIONAL ELECTRICAL WORK NEEDED TO RELOCATE EXHAUST FANS. REPLACES PREVIOUS SUBMISSION.
Amount:
$1,150.69

Component Description:
REPLACED WITH DOCUMENT THAT HAS COMPLETE INFORMATION.
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH ANOTHER PDF THAT HAS MORE INFORMATION
Amount:
N/A

Component Description:
THIS INVOICE WAS REPLACED WITH ANOTHER PDF THAT HAS MORE INFORMATION
Amount:
N/A

Component Description:
ELECTRICAL INSTALLATION FOR KSLTV PRIMARY TRANSMITTER - INITIAL PAYMENT.
Amount:
$9,417.00

Component Description:
NEW ELECTRICAL INSTALLATION KSL TV PRIMARY TRANSMITTER - FINAL PMT, REMAINDER OF INVOICE ON OTHER ELEC SVC LINE. REPLACES PREVIOUS SUBMISSION.
Amount:
$5,952.31

Component Description:
progress payment on electrical work on primary transmitter
Amount:
$18,480.00
Switchgear - industrial 800 amp 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 $425,804.23 $380,671.07 N/A $0.00 N/A
Total for all systems $6,253,852.69 $2,855,989.63 N/A $934,713.85 N/A
Primary Antenna 759 25063 $425,804.23 $380,671.07 $0.00
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $1,625.00 1/8th shared cost N/A N/A
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
New combiner, cost per channel (without antenna) $84,200.00 $181,746.84 1/8th shared cost for replacement waveguide combiner N/A N/A
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized $157,497.23 $157,497.23 1/8th shared costs for new antenna panels and harness kits. See Exhibit D N/A N/A
Sweep test of existing antenna $6,730.00 $2,125.00 1/8th shared cost N/A N/A
Antenna Installation $37,677.00 $37,677.00 1/8th shared cost. See Exhibit D N/A N/A

Components

Information not provided.

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 $0.00 N/A
Total for all systems $6,253,852.69 $2,855,989.63 N/A $934,713.85 N/A
Primary Tower TOWER $854,600.00 $101,500.00 $0.00
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
Major tower reinforcement/modifications $421,000.00 $50,000.00 1/8th shared cost N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $1,500.00 1/8th shared costs 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 $272,300.00 $78,250.00 N/A $3,948.00 N/A
Total for all systems $6,253,852.69 $2,855,989.63 N/A $934,713.85 N/A
Outside Professional Services $272,300.00 $78,250.00 $3,948.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 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
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A $1,176.00 Additional legal fees due to the complexity of the DTV Utah/ KSL TV relationship
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A $1,218.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $10,000.00 1/8th shared cost N/A N/A
RF Exposure Measurements $21,050.00 $2,500.00 1/8th shared costs N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $1,554.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $126,400.00 $28,000.00 1/8th shared costs N/A N/A

Components

Actual Information Description File Name
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Legal Fees associated with KSL TV shared facilities
Amount:
N/A

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THIS INVOICE.
Amount:
$1,176.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Special Temporary Authorization
Amount:
N/A

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THIS INVOICE.
Amount:
$1,218.00
Comprehensive coverage verification via field study, if needed Information not provided.
RF Exposure Measurements Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THIS INVOICE.
Amount:
$504.00

Component Description:
REPLACED WITH ANOTHER COPY OF INVOICE
Amount:
N/A

Component Description:
Amount related to preparation of construction permit
Amount:
N/A

Component Description:
Amount related to construction permit
Amount:
N/A

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THIS INVOICE.
Amount:
$336.00

Component Description:
THIS ATTACHMENT REPLACES THE PREVIOUSLY SUBMITTED DOCUMENTATION FOR THIS INVOICE.
Amount:
$504.00

Component Description:
Amount related to construction permit
Amount:
$210.00
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition 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 $111,558.46 $110,953.46 N/A $10,718.00 N/A
Total for all systems $6,253,852.69 $2,855,989.63 N/A $934,713.85 N/A
Other Expenses $111,558.46 $110,953.46 $10,718.00
Transportation Services $2,500.00 $2,500.00 1/8th shared cost. Snow-cat to mountain top. See Exhibit R N/A N/A
Temp sanitation $3,000.00 $3,000.00 Septic system maintenance and portable restroom facilities on site. 1/8th shared costs. See Exhibit S N/A N/A
Road Maintenance $7,500.00 $7,500.00 Plowing and maintenance to existing 12 mile dirt road to top of mountain. 1/8th shared costs. See Exhibit R N/A N/A
Adjacent channel mask filter $12,275.46 $12,275.46 Mask filter to avoid interference from adjacent channel KSTU N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 Certified letter notices to all MVPD's N/A N/A
Develop and air announcement of upcoming channel change $25,000.00 $25,000.00 Production air schedule, radio, internet and other advertising notifications. N/A N/A
Equipment Storage $4,000.00 $4,000.00 Temp storage 1/8th shared costs. Warehouse storage for 16 months, on-site storage pods. See Exhibit Q N/A N/A
Equipment Delivery and Handling Charges $10,718.00 $10,718.00 OVERAGE IS DUE TO THE REMOTE LOCATION. Forklift, operator, trucking service from warehouse to mountain top site. See Exhibit P $10,718.00 Overage is due to the remote location of the transmitter site
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 Remove and safe disposal of old transmitter, RF system and electrical. $10k of the total is 1/8th shared cost N/A N/A
Non-zoning permits $1,875.00 $1,875.00 Tooele County building, electrical and mechanical permits. County will not furnish estimates 1/8th shared costs N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 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
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
Refuse disposal $1,500.00 $1,500.00 1/8th shared cost N/A N/A

Components

Actual Information Description File Name
Transportation Services Information not provided.
Temp sanitation Information not provided.
Road Maintenance Information not provided.
Adjacent channel mask filter Information not provided.
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
THIS REPLACES PREVIOUSLY SUBMITTED INVOICE 31775.01. THE ORIGINAL SUBMISSION WAS NOT OPENED TO MODIFY -- PLEASE REJECT PREVIOUS INVOICE. DELIVERY CHARGES FOR KSL TV PRIMARY TRANSMITTER.
Amount:
$2,325.00

Component Description:
INVOICE HAS BEEN REPLACED WITH NEW PDF.
Amount:
N/A

Component Description:
Labor and delivery for primary transmitter. CHANGED INVOICE DATE.
Amount:
$2,325.00

Component Description:
LABOR & DELIVERY FOR DUCT INSTALLATION. REPLACES INVOICE FROM ORIGINAL SUBMISSION NEEDING MORE INFORMATION.
Amount:
$4,343.00

Component Description:
copper pipe delivery
Amount:
$600.00

Component Description:
Labor and delivery for primary transmitter
Amount:
$3,450.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application 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.
Refuse disposal Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $6,253,852.69 $2,855,989.63 $934,713.85

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.

Michael Lee Dowdle

SVP Business Affairs and General Counsel


08/29/2018

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.

Michael Lee Dowdle

SVP Business Affairs and General Counsel


08/29/2018

Attachments

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