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:
70492
Service:
DTV
Call Sign:
KUBE-TV
Channel:
31 (UHF)
File Number:
0000028493
FRN:
0018608224
Date Submitted:
10/04/2018

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NRJ TV HOUSTON LICENSE CO., LLC

Robert Andrews

722 S. DENTON TAP ROAD

SUITE 130

COPPELL, TX 75019

United States

+1 (972) 947-3391 bob@nrjventures.com Limited Liability Company

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

Peter Douglas

VP Engineering

NRJ TV VI LLC

Peter Douglas

3310 Keller Springs Rd Ste 110

Carrollton, TX 75006

United States

+1 (303) 881-9185 pdouglas@nrjtv.net

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 Replacement in kind on existing tower at existing location. Will purchase new transmitter to replace non re-tunable IOT system currently in place. Interim antenna will be installed to protect from extensive outages required by tower top work on stations

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 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 Sigma IOT CD3220P2
Year 2006
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 47.2 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 72
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 42 kW
Justification for New Transmitter Current transmitter, no longer supported, not re-tunable. Comparable IOT unit not available from this vendor. See attachment.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 4 inches
Length 200.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

MFR Site Survey

Required to verify installation conditions for 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 Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model ATW30H4-ESCH-41H
Year 2007

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack 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: 820.0 kW
Manufacturer
Model ATW25HS4-ESCH-31H
Year 2017
Justification for New Antenna Existing antenna is single channel only, not compatible with new repack channel (31)

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 Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type 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: 250.0 kW
Manufacturer
Model TBD
Year 2017
Justification for New Antenna Due to the extensive work required at the candelabra level, substantial outages are predicted. Interim antenna at lower level will maintain stations signal during these periods.

Interim Antenna

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Other Antenna Costs

Section Question Response
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 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

Interim 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 Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2100 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 8 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2100 feet per run
Justification for New Transmission Line Repack channel (31) is prohibited on the 19.5 foot sections that are currently installed.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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 6 1/8 inches
Segment Length 19 ¾ '
Other Segment Length
Number of parallel runs 1
Length 1700 feet per run
Justification for New Transmission Line Required to feed interim antenna due to extensive work requiring extended downtime on candelabra top mount antennas

Interim 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 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? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1064696
Coordinates (NAD83) Latitude (NAD83) 29° 34' 16.0" N-
Longitude (NAD83) 095° 30' 38.0" W-
Overall Structure Height 1973.07 feet
Support Structure Height 1842.17 feet
Ground Elevation Above Mean Sea Level (AMSL) 76.77 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC
Date Constructed 11/19/2001

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
24436 KLTJ DTV
66790 KUGB-CD DTV
64984 KTMD DTV
60537 KFTH-DT DTV
58835 KPXB-TV DTV
12895 KETH-TV DTV
70492 KUBE-TV DTV

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: Serious 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

Expenses for On-Site Crew

Travel, Lodging, Per Diem for on-site crew

Interim Tower Lease Cost

Expected additional tower lease charges for temporary installation of interim antenna and interim transmission line

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 160
Explanation Extensive co-ordination and on-site supervision required due to the complex nature of the tower project. Estimated at $100/hr
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 1
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 1
NEPA Section 106 environmental review Yes
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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 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

Proj Manager Expenses

Travel, per diem etc expenses for on-site proj mgt

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? 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? Yes

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 $1,598,970.00 $1,465,345.00 N/A $924,689.24 N/A
Total for all systems $4,874,520.00 $3,802,386.00 N/A $1,606,721.06 N/A
Primary Transmitter ULXTE 72 $1,598,970.00 $1,465,345.00 $924,689.24
MFR Site Survey $16,370.00 $16,370.00 Required for proper installation and site planning. N/A N/A
4" Rigid Conduit and Wiring (Cost per foot) $20,200.00 $11,500.00 N/A $2,627.70 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $32,000.00 N/A $7,311.86 N/A
Switchgear - industrial 800 amp $38,200.00 $18,600.00 N/A $4,250.02 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $12,000.00 N/A $2,741.94 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,374,875.00 N/A $907,757.72 N/A

Components

Actual Information Description File Name
MFR Site Survey Information not provided.
4" Rigid Conduit and Wiring (Cost per foot)

Component Description:
25% downpayment
Amount:
$2,627.70
Transformer 3 phase/480v - 300 KVA

Component Description:
25% downpayment
Amount:
$7,311.86
Switchgear - industrial 800 amp

Component Description:
25% downpayment
Amount:
$4,250.02
Service entrance 3 phase/800 amp/208 volt

Component Description:
25% downpayment
Amount:
$2,741.94
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
ULXTE-72 Transmitter
Amount:
$453,878.86

Component Description:
ULXTE-72 Transmitter
Amount:
$453,878.86

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 $492,460.00 $430,400.00 N/A $169,954.61 N/A
Total for all systems $4,874,520.00 $3,802,386.00 N/A $1,606,721.06 N/A
Interim Antenna TBD $196,230.00 $186,400.00 $99,573.97
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $1,725.97 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $180,000.00 N/A $97,848.00 N/A
Primary Antenna ATW25HS4-ESCH-31H $296,230.00 $244,000.00 $70,380.64
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $1,726.37 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $237,600.00 N/A $68,654.27 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
30% deposit. Sweep Test - Interim Antenna/Trans Line
Amount:
$1,725.97
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
Antenna - UHF
Amount:
$48,924.00

Component Description:
Antenna - UHF
Amount:
$48,924.00
Sweep test of existing antenna

Component Description:
Sweep Test of antenna. First invoice representing 30% of total
Amount:
$1,726.37
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
New Primary Antenna. First invoice, representing 30% of cost
Amount:
$68,654.27

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 $1,072,100.00 $862,953.00 N/A $244,562.81 N/A
Total for all systems $4,874,520.00 $3,802,386.00 N/A $1,606,721.06 N/A
Interim Transmission Line $343,400.00 $293,000.00 $78,605.09
Rigid Transmission Line - copper, 6 1/8" $343,400.00 $293,000.00 N/A $78,605.09 N/A
Primary Transmission Line $728,700.00 $569,953.00 $165,957.72
Rigid Transmission Line - copper, 8 3/16" $728,700.00 $569,953.00 N/A $165,957.72 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
30% deposit
Amount:
$78,605.09
Rigid Transmission Line - copper, 8 3/16"

Component Description:
Primary transmission line. First Invoice for 30% of cost
Amount:
$165,957.72

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 $1,566,000.00 $914,728.00 N/A $246,445.71 N/A
Total for all systems $4,874,520.00 $3,802,386.00 N/A $1,606,721.06 N/A
Primary Tower GTOWER $1,566,000.00 $914,728.00 $246,445.71
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $22,175.00 N/A $22,175.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $450,853.00 Actual ERI contracts for rigging both 1) primary antenna and trans line ($243,755) and 2) interim antenna and trans line ($207,097), together exceed predetermined costs $130,520.71 N/A
Interim Tower Lease Cost $38,400.00 $38,400.00 Need to lease space on tower for interim antenna and interim transmission line. Updated 9/24/2018 per final agreement with American Tower N/A N/A
Serious tower reinforcement/modifications $1,052,000.00 $375,000.00 N/A $93,750.00 N/A
Expenses for On-Site Crew $28,300.00 $28,300.00 Expense for on-site crew for tower, antenna and line work. See attachment. N/A N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower mapping
Amount:
$12,400.00

Component Description:
Tower Structural Engineering Analysis
Amount:
$9,775.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Interim Antenna and Trans Line Rigging Costs, 30% Deposit
Amount:
$57,394.17

Component Description:
Installation of antenna and transmission line. First invoice for 30% of costs.
Amount:
$73,126.54
Interim Tower Lease Cost Information not provided.
Serious tower reinforcement/modifications

Component Description:
Serious Tower Reinforcement/Modification
Amount:
$93,750.00
Expenses for On-Site Crew 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 $98,650.00 $85,160.00 N/A $20,878.69 N/A
Total for all systems $4,874,520.00 $3,802,386.00 N/A $1,606,721.06 N/A
Outside Professional Services $98,650.00 $85,160.00 $20,878.69
Proj Manager Expenses $6,880.00 $6,880.00 N/A $1,466.99 N/A
RF Exposure Measurements $21,050.00 $15,000.00 N/A $3,750.00 N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $1,400.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $500.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $5,400.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A $1,587.00 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
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
Prepare request for Special Temporary Authorization $2,050.00 $1,750.00 actual invoice from RF Engineering consultant $1,750.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $650.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,000.00 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
Project management of the transition $25,280.00 $22,980.00 135 Hrs @ $100 per hour $9,674.70 N/A

Components

Actual Information Description File Name
Proj Manager Expenses

Component Description:
Project management - site survey and meetings
Amount:
$595.51

Component Description:
Project Manager's Expense
Amount:
$871.48
RF Exposure Measurements

Component Description:
RF Exposure Measurements
Amount:
$3,750.00
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Attorney fees- Prepare Special Temporary Authorization
Amount:
$759.00

Component Description:
Interim Facility STA
Amount:
$828.00
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Prepare engineering portion of STA application for interim facility operation
Amount:
$1,750.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Interference study of repack channel 31
Amount:
$650.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Revise and edit Form 2100 Construction Permit Application
Amount:
$250.00

Component Description:
Prepare Construction Permit Application (Main)
Amount:
$1,750.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Project management of the transition

Component Description:
Professional services
Amount:
$250.00

Component Description:
Project Management
Amount:
$2,500.00

Component Description:
Project management
Amount:
$250.00

Component Description:
Project management
Amount:
$625.00

Component Description:
Project Management
Amount:
$4,654.70

Component Description:
Project management
Amount:
$1,395.00

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 $46,340.00 $43,800.00 N/A $190.00 N/A
Total for all systems $4,874,520.00 $3,802,386.00 N/A $1,606,721.06 N/A
Other Expenses $46,340.00 $43,800.00 $190.00
MVPD Notification of Channel Change $5,000.00 $5,000.00 Legal Fees for research, and delivery of notices. N/A N/A
Develop and air announcement of upcoming channel change $400.00 $400.00 Cost for outside contractor to create spot. 2 hrs. N/A N/A
Equipment Delivery and Handling Charges $12,000.00 $12,000.00 Shipping charge est for antenna, and lines. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $15,000.00 $15,000.00 Proper disposal of old transmitter, lines and fittings. 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 $9,065.00 N/A N/A N/A
Non-zoning permits $750.00 $750.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A $190.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.
Non-zoning permits Information not provided.
FCC Filing Fees - Special Temporary Authorization request

Component Description:
Filing Fees
Amount:
$190.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,874,520.00 $3,802,386.00 $1,606,721.06

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.

Jeff Hazelrigg , Hazelrigg .

CFO


10/04/2018

Attachments

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