Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

File Number:
0000028536
FRN:
0003807450
Facility ID:
39241
Repack Channel:
29 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
07/17/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

A1A TV, INC.

Doing Business As: A1A TV, INC.

FREDERICK CAMPBELL

126 HERCULES ROAD

ST. AUGUSTINE, FL 32086

United States

+1 (904) 794-6774 gm@wqxt.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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Channel change from CH 28 to CH 29. Side mount required for antenna to match CP CH 29 broadcast footprint and ERP. New transmission line required. Transmitter will be replaced to satisfy the new repack facilities assignment.

Transmitters

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

Primary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use  
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model SBTXU1000RFD
Year 2015
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 1.0 kw
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model TMU9-2
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 1.2 kw
Other Transmitter Type  
Justification for New Transmitter The manufacturer cannot confirm the transmitter can be retuned. Amplifiers are over 10 years old and no longer being made or serviced.

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
Rigid Conduit and Wiring No
Size
Length
Other Electrical Service Yes
Description New AC power service and wiring
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Installation

Install, test and proof transmitter

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 Retune Existing
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Class A
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 1
Number of Panels 12
Design power capacity in use 9.3 %
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 15.00 kW
Manufacturer Dielectric
Model TUAM-6/12-C2SP
Year 2015

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

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

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

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 Flexible Foam
Diameter 1 5/8 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 0
Length 400 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 Flexible Foam
Diameter 1 5/8 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 0
Length 475 feet per run
Justification for New Transmission Line New side mount required for antenna to match CP CH 29 broadcast footprint and ERP, which will need a new transmission line

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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 Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
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 1034197
Coordinates (NAD83) Latitude (NAD83) 29° 54' 15.0" N-
Longitude (NAD83) 081° 22' 54.0" W-
Overall Structure Height 395.01 feet
Support Structure Height 395.01 feet
Ground Elevation Above Mean Sea Level (AMSL) 35.10 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner SBA Towers II LLC
Date Constructed 01/01/1987


Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural engineering study

Tower owner requires structural engineering study

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 25
Explanation No technical employee on the station staff. Plan and manage the submission of the form 399, obtain quotes for new equipment and manage tower crew, transmitter testing and proof of performance activities.
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 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 Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 5
Justification Two Days travel and 3 days on site. Install the new transmitter, test, calibrate and proof the transmitter. Sweep the new transmission line with the moved existing antenna.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Progress reports

Prepare and file 10 quarterly progress reports with FCC.

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? No
Permit and Filing Costs Local Zoning No
Non-zoning permits No
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? Yes
Does this relocation require MVPD Notification of a Channel Change? No

Other Expenses

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Other Expenses Not Listed

Information not provided.

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 $173,400.00 $134,500.00 N/A $53,088.50 N/A
Total for all systems $465,703.00 $439,450.00 N/A $61,516.00 N/A
Primary Transmitter TMU9-2 $173,400.00 $134,500.00 $53,088.50
Installation $7,500.00 $7,500.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $123,000.00 $85,000.00 N/A $53,088.50 N/A
Other Electrical Service: New AC power service and wiring $5,000.00 $5,000.00 N/A N/A N/A
10 Ton system $37,900.00 $37,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Installation Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
WQXT CH 29 1.2 kW Transmitter
Amount:
$46,000.00

Component Description:
Tax on order for transmitter
Amount:
$3,113.50

Component Description:
Filter Kit
Amount:
$3,975.00
Other Electrical Service: New AC power service and wiring Information not provided.
10 Ton system 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 $46,910.00 $45,800.00 N/A $0.00 N/A
Total for all systems $465,703.00 $439,450.00 N/A $61,516.00 N/A
Primary Antenna TUAM-6/12-C2SP $46,910.00 $45,800.00 $0.00
Sweep test of existing antenna $6,550.00 $6,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, Class A broadband panel (cost per panel) $14,760.00 $14,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $25,600.00 $25,000.00 N/A 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 $0.00 $14,725.00 N/A $0.00 N/A
Total for all systems $465,703.00 $439,450.00 N/A $61,516.00 N/A
Primary Transmission Line $0.00 $14,725.00 $0.00
Flexible Foam Transmission Line - dielectric, 1 5/8" $0.00 $14,725.00 New side mount required for antenna to match CP CH 29 broadcast footprint and ERP, which will need a new transmission line 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 $83,900.00 $82,000.00 N/A $0.00 N/A
Total for all systems $465,703.00 $439,450.00 N/A $61,516.00 N/A
Primary Tower TOWER $83,900.00 $82,000.00 $0.00
Short Tower (less than 500') $81,900.00 $80,000.00 N/A N/A N/A
Structural engineering study $2,000.00 $2,000.00 N/A 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 $38,490.00 $40,500.00 N/A $6,927.50 N/A
Total for all systems $465,703.00 $439,450.00 N/A $61,516.00 N/A
Outside Professional Services $38,490.00 $40,500.00 $6,927.50
Prepare and or review reimbursement form $2,560.00 $5,000.00 Additional expense was incurred due to unforeseen preparation issues, high attorney fees, and required responses to FCC inquiries. The estimated cost was clearly inaccurate for the amount legal representation necessary. $3,801.25 Additional expense was incurred due to unforeseen preparation issues, high attorney fees, and required responses to FCC inquiries. The estimated cost was clearly inaccurate for the amount legal representation necessary.
Progress reports $10,000.00 $10,000.00 N/A $737.50 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A $1,788.75 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $500.00 N/A
Additional Field Engineering Service, 5 Days $8,000.00 $8,000.00 Additional field work N/A N/A
Project management of the transition $3,850.00 $3,750.00 N/A $100.00 N/A

Components

Actual Information Description File Name
Prepare and or review reimbursement form

Component Description:
02/20/2018 Email correspondence with J Campbell re error in 399 causing deletion of antenna cost estimate.
Amount:
$125.00

Component Description:
07/11/17 Phone and email with Campbell re further revisions to form 399; research consumer education notification on digital subchannels; revise 399 and CP application; email revised drafts to Campbell for review
Amount:
$250.00

Component Description:
05/09/2017 Emails to J Campbell re Form 1876 instructions and creation of CORES user name, dummy 399 for reference in identifying the items that are eligible for reimbursement
Amount:
$375.00

Component Description:
07/05/17 Review draft Form 1876 and email with Campbell re same
Amount:
$125.00

Component Description:
07/12/17 Draft and file FCC Form 399 Reimbursement Form and CP modification application re WQXT-CD; confer with D. Sashkin re same
Amount:
$113.75

Component Description:
04/06/18 Email correspondence with J. Campbell re revised invoices per FCC request
Amount:
$62.50

Component Description:
07/12/17 Further correspondence with Campbell re final revisions and filing; confer with K. Adamchak re same
Amount:
$125.00

Component Description:
06/30/17 Email outreach to Campbell re FCC status inquiry and preparation of applications; voicemail to M. Schuppin at FCC re Form 1876 question; phone call with B. Perez re application prep
Amount:
$250.00

Component Description:
11/01/2017 Phone with F Campbell re process and timing of submitting invoices for repack expenses
Amount:
$125.00

Component Description:
07/10/17 Phone and emails with Campbells and B. Barrow re revisions to 399 and construction permit application; further revise application and 399; email revised 399 draft to Campbells for review and 399; email revised 399 draft to Campbells for review.
Amount:
$625.00

Component Description:
08/04/2017 Further revise and file update to Form 399, correspondence with Schuppin (FCC) and Campbell re financial module access, email correspondence with J Campbell re revised 399
Amount:
$250.00

Component Description:
07/07/17 review and revise 399; correspondence with B. Barrow and B. Perez re 399 data and concerns; email draft 399 and explanation to client for review
Amount:
$625.00

Component Description:
08/3/17 Email Campbell re review estimates, revise Form 399, email FCC re financial module, email draft 399 to Campbells
Amount:
$500.00

Component Description:
07/28/17 Email correspondence with Campbell re email from FCC requesting additional information on 399
Amount:
$125.00

Component Description:
10/17/2017 Email to Campbells re FCC initial allocation of funds for repacking reimbursement
Amount:
$125.00
Progress reports

Component Description:
04/06/18 Email correspondence with J. Campbell re reminder about quarterly transition progress report
Amount:
$62.50

Component Description:
04/20/2017 Email to Campbell re FCC coordinator for repack
Amount:
$50.00

Component Description:
06/29/2017 Phone call from K. Lewis at FCC re status of station repack and forms preparation for filing
Amount:
$125.00

Component Description:
10/03/17 Start preparing First Quarterly Transition Progress report; 10/04/17 Revise initial quarterly progress report draft, email drafts to Campbell; 10/10/17 Phone call with Campbell re permits, quarterly report, file and email reference copy
Amount:
$300.00

Component Description:
05/11/2017 Prepare auction/repack status report; 05/15/2017 Prepare auction/repack client checklist
Amount:
$150.00

Component Description:
12/29/2017 Email to Campbell re deadline for repack progress report
Amount:
$50.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
07/12/17 Draft and file FCC Form 399 Reimbursement Form and CP modification application re WQXT-CD; confer with D. Sashkin re same
Amount:
$113.75

Component Description:
07/12/17 Further correspondence with Campbell re final revisions and filing; confer with K. Adamchak re same
Amount:
$125.00

Component Description:
07/07/17 07/07/17 Complete and review draft repack initial CP application; correspondence with B. Perez re same; email to Campbell re issue with St. Clair exhibit in CP application
Amount:
$625.00

Component Description:
07/11/17 revise 399 and CP application; email revised drafts to Campbell for review
Amount:
$250.00

Component Description:
08/09/2017 Retrieve and email granted construction permit to J Campbell
Amount:
$50.00

Component Description:
07/10/17 Phone and emails with Campbells and B. Barrow re revisions to 399 and construction permit application; further revise application and 399
Amount:
$625.00
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.
Perform engineering study for new channel assignment and antenna development

Component Description:
BWS 2.5 hours @ $200/hour $500.00 Study of WQXT - Reviewed the effect of repacking on WQXT itself and several nearby channels which were also repacked. Prepared interference free coverage plots and population counts for WQXT-CA before and after repacking.
Amount:
$500.00
Additional Field Engineering Service, 5 Days Information not provided.
Project management of the transition

Component Description:
01/27/2017 Email to Campbell re FCC repacking public notices
Amount:
$100.00

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 $123,003.00 $121,925.00 N/A $1,500.00 N/A
Total for all systems $465,703.00 $439,450.00 N/A $61,516.00 N/A
Other Expenses $123,003.00 $121,925.00 $1,500.00
Develop and air announcement of upcoming channel change $116,600.00 $116,600.00 Cost to produce and air announcement PSAs and crawls across 9 multicast channels. See attached estimates. N/A N/A
Equipment Delivery and Handling Charges $2,500.00 $2,500.00 N/A $1,500.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,070.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $325.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,500.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Develop and air announcement of upcoming channel change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Cost for transport of transmitter
Amount:
$1,500.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $465,703.00 $439,450.00 $61,516.00

Construction Status

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Question Response
Is construction complete? 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.

Jill Campbell

Coordinator


07/17/2018

Attachments

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