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:
40619
Service:
DTV
Call Sign:
WGPT
Channel:
26 (UHF)
File Number:
0000027914
FRN:
0003857380
Date Submitted:
03/07/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MARYLAND PUBLIC BROADCASTING COMMISSION

Doing Business As: MARYLAND PUBLIC BROADCASTING COMMISSION

Larry D. Unger, President & CEO

11767 OWINGS MILLS BOULEVARD

OWINGS MILLS, MD 21117

United States

+1 (410) 356-5600 lunger@mpt.org Government Entity

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Joseph L. Snelson , Jr .

Technical Consultant

Meintel, Sgrignoli & Wallace

1282 Smallwood Drive, Suite 372

Waldorf, MD 20603

United States

+1 (303) 344-8037 joe.snelson@mswdtv.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. No
Briefly describe transition plan Current transmission system consists of main/aux transmitters feeding a transmission line which connects to the antenna on the tower. Work includes tower study/rehabilitation to support new antenna and line and connecting to repack transmitter.

Transmitters

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

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Used in case of failure of the main
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 TDU2-5K00LV
Year 2005
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 4.0 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model MPTV-PRLX-U3
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 5.0 kW
Justification for New Transmitter Current transmitter is not supported for a channel change. See attached Transmitter Replace justification letter from manufacturer. Note: Comark does not make a 4 kW liquid cooled transmitter.

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor.
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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Bag Filter

Bag type water filtration for heat exchanger system. Current pre-repack cooling system has this filtering.

Coolant

The coolant used for the transmitter heat exchanger is not included in the transmitter price

Rigid Coax Line

Rigid interconnection coax lines from transmitter to filter to antenna switch.

Remote Control Interface

License required to interface transmitter into current remote control system

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 TDU2-5K00LV
Year 2005
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 4.0 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? No
Manufacturer
Model MPTV-PRLX-U3
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 5.0 kW
Justification for New Transmitter Current transmitter is not supported for a channel change. See attached Transmitter Replace justification letter from manufacturer. Comark does not make a 4.0 kW liquid cooled transmitter.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor.
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

Motorized Switch

Electric actuated switch to switch main/auxiliary transmitters into antenna. Current transmitter has this capability but switch cannot be moved as it is in pre-repack service.

Site Design and Survey

Incorporates all aspects of the transmitter room design, including power distribution requirements, equipment placement, RF system layout, plumbing, and remote control.

Coolant

The coolant used for the transmitter heat exchanger is not included in the transmitter price

Remote Control Interface

License required to interface transmitter into current remote control system

Bag Filter

Bag type water filtration for heat exchanger system. Current pre-repack cooling system has this filtering.

Rigid Coax Line

Rigid interconnection coax lines from transmitter to filter to antenna switch.

CIF Mask Filter

Constant Impedance mask Filter. Current mask filter is a CIF.

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? No
Existing 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 N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 100.0 kW
Manufacturer
Model TLP-16M C
Year 2008

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side 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: 80.8 kW
Manufacturer
Model TLP-16M/VP
Year 2018
Justification for New Antenna The current antenna is tuned for channel 36 and cannot be retuned to the repack channel of 26. Applicant is proposing to replace with a similar same make and model with V-Pol and tuned to the repack channel.

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? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
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.

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 Air
Diameter 4 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 500 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 3 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 500 feet per run
Justification for New Transmission Line New line is needed since current line is in full time use for pre-repack channel. Without replacement it would not be possible to transition to repack channel without significant off-air time. Additionally, no testing could be accomplished.

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 Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 40 feet per run
Justification for New Transmission Line Add 40 feet to current flex line to move current antenna down to allow for new antenna.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep Test

Electrical sweep of line after addition of line extension to move antenna down

Elbows

Two elbows to extend current flex line downward to connect to relocated antenna.

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? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) No
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 1224298
Coordinates (NAD83) Latitude (NAD83) 39° 24' 14.3" N-
Longitude (NAD83) 079° 17' 36.1" W-
Overall Structure Height 479.00 feet
Support Structure Height 416.66 feet
Ground Elevation Above Mean Sea Level (AMSL) 3039.66 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Maryland Public Broadcasting Commission
Date Constructed 05/01/2005


Other Types of Users

Users
LPFM

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
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 200
Explanation Applicant has limited internal resources to oversee installing and commissioning this repack project. It will rely on outside services to manage all work required.
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 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 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 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

Progress Reporting

Prepare and file 8 required progress reports on FCC Form 2100, Schedule 387 on a quarterly basis with the 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? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
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 $689,992.00 $592,992.00 N/A $282,189.90 N/A
Total for all systems $1,299,672.00 $1,021,955.00 N/A $299,423.90 N/A
Primary Transmitter MPTV-PRLX-U3 $389,512.00 $341,012.00 $159,957.40
CIF Mask Filter $60,207.00 $60,207.00 Constant Impedance mask Filter. Current mask filter is a CIF. $30,103.50 N/A
Motorized Switch $13,525.00 $13,525.00 Electric actuated switch to switch main/auxiliary transmitters into antenna. Current transmitter has this capability but switch cannot be moved as it is in pre-repack service. $6,762.50 N/A
Rigid Coax Line $2,600.00 $2,600.00 Rigid RF Line Step Reducer to connect filter output to antenna switch $1,300.00 N/A
Bag Filter $6,975.00 $6,975.00 Bag type water filtration for heat exchanger system. Current pre-repack cooling system has this filtering. $3,487.50 N/A
Coolant $1,000.00 $1,000.00 The coolant used for the transmitter heat exchanger is not included in the transmitter price N/A N/A
Site Design and Survey $15,300.00 $15,300.00 Incorporates all aspects of the transmitter room design, including power distribution requirements, equipment placement, RF system layout, plumbing, and remote control. $1,888.90 N/A
Remote Control Interface $2,205.00 $2,205.00 License required to interface transmitter into current remote control system N/A N/A
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. $14,200.00 $14,200.00 Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. See attached electrical quote. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $225,000.00 N/A $116,415.00 N/A
Auxiliary Transmitter MPTV-PRLX-U3 $300,480.00 $251,980.00 $122,232.50
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $225,000.00 N/A $117,445.00 N/A
Bag Filter $6,975.00 $6,975.00 Bag type water filtration for heat exchanger system. Current pre-repack cooling system has this filtering. $3,487.50 N/A
Rigid Coax Line $2,600.00 $2,600.00 Rigid interconnection coax lines from transmitter to filter to antenna switch. $1,300.00 N/A
Remote Control Interface $2,205.00 $2,205.00 License required to interface transmitter into current remote control system N/A N/A
Coolant $1,000.00 $1,000.00 The coolant used for the transmitter heat exchanger is not included in the transmitter price N/A N/A
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. $14,200.00 $14,200.00 Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. See attached electrical quote. N/A N/A

Components

Actual Information Description File Name
CIF Mask Filter

Component Description:
Part of Item 5 on the invoice
Amount:
$30,103.50
Motorized Switch

Component Description:
Part of Item 5 on the invoice
Amount:
$6,762.50
Rigid Coax Line

Component Description:
Part of Item 5 on the invoice
Amount:
$1,300.00
Bag Filter

Component Description:
Part of Item 5 on the invoice
Amount:
$3,487.50
Coolant Information not provided.
Site Design and Survey

Component Description:
Site Survey for all 6 locations. this part is for WGPT for Oakland 27914
Amount:
$1,888.90
Remote Control Interface Information not provided.
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. Information not provided.
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
Lie 7 of the invoice was included in the cost estimate of the transmitter
Amount:
$6,550.00

Component Description:
Line 6 of the invoice was included in the cost estimate of the transmitter
Amount:
$10,037.50

Component Description:
Part of line 5 on the invoice less the upgrade
Amount:
$99,827.50
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
Line 3 was included in the transmitter original cost estimate
Amount:
$6,550.00

Component Description:
Line 2 of the invoice was included in the original transmitter estimate
Amount:
$9,317.50

Component Description:
This was included in line 1 of the invoice less the cost of the upgrade
Amount:
$101,577.50
Bag Filter

Component Description:
This was included in Line 1 of the invoice
Amount:
$3,487.50
Rigid Coax Line

Component Description:
This is included with Line 1 of the invoice
Amount:
$1,300.00
Remote Control Interface Information not provided.
Coolant Information not provided.
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. 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 $138,240.00 $36,762.00 N/A $0.00 N/A
Total for all systems $1,299,672.00 $1,021,955.00 N/A $299,423.90 N/A
Primary Antenna TLP-16M/VP $138,240.00 $36,762.00 $0.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $3,404.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized $103,100.00 $21,958.00 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 $63,760.00 $70,071.00 N/A $0.00 N/A
Total for all systems $1,299,672.00 $1,021,955.00 N/A $299,423.90 N/A
Interim Transmission Line $11,760.00 $11,640.00 $0.00
Elbows $3,000.00 $3,000.00 Two elbows to extend current flex line downward to connect to relocated antenna. N/A N/A
Sweep Test $6,400.00 $6,400.00 Electrical sweep of line after addition of line extension to move antenna down N/A N/A
Flexible Air Transmission Line - dielectric, 3" $2,360.00 $2,240.00 N/A N/A N/A
Primary Transmission Line $52,000.00 $58,431.00 $0.00
Rigid Transmission Line - copper, 3 1/8" $52,000.00 $58,431.00 See attached quote for cost. 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 $268,500.00 $190,200.00 N/A $3,200.00 N/A
Total for all systems $1,299,672.00 $1,021,955.00 N/A $299,423.90 N/A
Primary Tower TOWER $268,500.00 $190,200.00 $3,200.00
Short Tower (less than 500') $84,200.00 $80,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $158,000.00 $100,000.00 N/A N/A N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $10,200.00 N/A $3,200.00 N/A

Components

Actual Information Description File Name
Short Tower (less than 500') Information not provided.
Minor tower reinforcement/modifications Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower mapping with photos and reports.
Amount:
$3,200.00

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 $81,950.00 $79,250.00 N/A $1,124.00 N/A
Total for all systems $1,299,672.00 $1,021,955.00 N/A $299,423.90 N/A
Outside Professional Services $81,950.00 $79,250.00 $1,124.00
Progress Reporting $28,000.00 $28,000.00 Prepare and file 8 required progress reports on FCC Form 2100, Schedule 387 on a quarterly basis with the FCC. $479.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $453.00 N/A
Project management of the transition $31,600.00 $30,000.00 N/A N/A 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 engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $192.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Progress Reporting

Component Description:
Legal fees associated with Progress Reporting for the repacking project
Amount:
$104.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$79.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$104.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$159.00

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$31.50
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Legal fees associated with the Repacking Project
Amount:
$168.00

Component Description:
Legal fees for oakland
Amount:
$285.00
Project management of the transition Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare and or review reimbursement form

Component Description:
see spreadsheet for breakdown of locations. Some items are not FCC repacking related.
Amount:
$135.75

Component Description:
Legal fees for FCC repacking
Amount:
$56.25
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $57,230.00 $52,680.00 N/A $12,910.00 N/A
Total for all systems $1,299,672.00 $1,021,955.00 N/A $299,423.90 N/A
Other Expenses $57,230.00 $52,680.00 $12,910.00
Equipment Storage $1,360.00 $1,360.00 Station may receive antenna and transmission line prior to tower crew availability. No on-site storage is available. Obtained estimate from manufacturer for 60 days of storage. N/A N/A
DTV Medical Facility Notification $11,550.00 $7,000.00 N/A $3,750.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $20,000.00 $20,000.00 Applicant will be required to dispose of the current transmission line and transmitter and heavy oil filled high voltage power supplies. These cannot be disposed of in a typical landfill. N/A N/A
Equipment Delivery and Handling Charges $23,320.00 $23,320.00 See transmitter quotes for shipping and unloading. An estimate of $5,000 was added for antenna and line shipping. $9,160.00 N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 Notification will need to be made to MVPD's as required. Applicant to explore using an outside firm to determine which facilities will need to be notified and send the appropriate notification letters. N/A N/A

Components

Actual Information Description File Name
Equipment Storage Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Facility Notification Mailing for Repacking Project
Amount:
$3,750.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Lines 4 & 8 of the invoice for delivery and handling charges for the transmitters
Amount:
$9,160.00
MVPD Notification of Channel Change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,299,672.00 $1,021,955.00 $299,423.90

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.

Tammy Conrad , Conrad .

Fiscal Accounts Clerk


03/07/2019

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.

Tammy Conrad , Conrad .

Fiscal Accounts Clerk


03/07/2019

Attachments

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