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:
72098
Service:
DTV
Call Sign:
WGBX-TV
Channel:
43 (UHF)
File Number:
0000028580
FRN:
0003764560
Date Submitted:
02/20/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WGBH EDUCATIONAL FOUNDATION

Eric Brass

1 Guest Street

Boston, MA 02135

United States

+1 (617) 300-4405 ERIC_BRASS@WGBH.ORG Not-for-Profit

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

Emeric Feldmar

Director of Engineering

WGBH Educational Foundation

Emeric Feldmar

1 Guest Street

Boston, MA 02135

United States

+1 (617) 300-2371 emeric_feldmar@wgbh.org

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan WGBX will operate on Ch. 43 from an interim site for 10-12 mos. while extensive tower work is conducted and then resume operations on Ch. 32 at its original tower. After the transition, WGBX will retune its interim transmitter to replace its existing aux.

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 Retune Existing
Use Auxiliary (Backup)
Ownership Owned
Owner 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 Harris
Model Ranger CZ1000L
Year 2011
Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1 kW

Auxiliary Transmitter

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Retuning Transmitter Costs

Section Question Response
New IOT Tubes Number of Tubes (including accessories) needed N/A
New Mask Filter
Power 30 kW
Other Power N/A
New Exciter Is a new exciter needed? No

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 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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 Millennium CTT-U-DCX-1H
Year 2001
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 22.3 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 THU9-60 EVO 88.8kW
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 90 kW
Justification for New Transmitter See attachment "Transmitter Justification"

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) Yes
Power 300 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Conduit and wiring material and labor costs required for new transmitter.
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

RF Monitor

RF Monitor System

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model THU9-EVO 73.5 kW
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 75 kW
Justification for New Transmitter Transitional site required to maintain full power operations during the 10-12 months while a reinforcement and new combiner system are installed on the existing tower.

Interim 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 150.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 20 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 250.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

RF Monitoring

RF monitoring system

Microwave Link to Interim Site

Link from studio to interim transmitter site

Engineering and Design

Interim and Main: Site Survey and Lidar Scanning,Outdoor Cooling Equipment Study, Design Coordination and Construction/Permit Set, Construction Phase Services-Site Inspection Visits/Punchlist

Antennas

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

Primary Antenna

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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Lease New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Leased
Owner American Tower
Site N/A
Is this antenna currently shared with any other stations? Yes
Is this antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 5
Number of Panels 24
Design power capacity in use 87.1 %
Lower Limit 500.00 MHz
Upper Limit 660.00 MHz
Other Antenna Type N/A
ERP: 625.0 kW
Manufacturer
Model TAD24UDA-5-60MR
Year 2001

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
72099 WGBH-TV
73982 WSBK-TV
25456 WBZ-TV
65684 WCVB-TV

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 Lease New
Is this a request for upgraded equipment? Yes
Ownership Leased
Owner American Tower
Is antenna shared? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Circular
Type Broadband Panel
Number of Stations Supported 4
Number of Panels/Bays 14
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 85.0 %
Other Antenna Type N/A
ERP: 500.0 kW
Manufacturer
Model TUM-AP-04-14/56-2-T
Year 2018
Justification for New Antenna Existing antenna not usable at new channel assignments

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 4
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 7 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
20
21
32
33

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Combiner Installation

Installation and commission of combiner system. See ATC quotation.

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 Leased
Owner American Tower
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 4
Number of Panels/Bays 14
Lower Limit 470.00 MHz
Upper Limit 608.00 MHz
Design power capacity in use 85.0 %
Other Antenna Type N/A
ERP: 200.0 kW
Manufacturer
Model TUM-AP-04-14/56-2-B
Year 2018
Justification for New Antenna Interim antenna required for transitional site during the 10-12 months while a reinforcement and new combiner system are installed on the existing tower.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 4
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 8 3/16 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
33
20
21
32

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Tower rental

One-time tower rental during market repack period.

Combiner Installation

WGBX shared expense of installation, testing and commissioning of combiner

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 Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Leased
Owner American Tower
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 3
Length 1469 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
72099 WGBH-TV
25456 WBZ-TV
65684 WCVB-TV
73982 WSBK-TV

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission line refurbish

Refurbish existing transmission lines per ATC.

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 Lease New
Type Rigid
Diameter 8 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 2
Length 1250 feet per run
Justification for New Transmission Line Interim site requires transmission line to accommodate interim antenna.

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? No
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? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1003433
Coordinates (NAD83) Latitude (NAD83) 42° 18' 37.0" N-
Longitude (NAD83) 071° 14' 12.0" W-
Overall Structure Height 1296.24 feet
Support Structure Height 1192.24 feet
Ground Elevation Above Mean Sea Level (AMSL) 152.89 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 01/01/1957

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
72099 WGBH-TV DTV
25456 WBZ-TV DTV
65684 WCVB-TV DTV
73982 WSBK-TV DTV
10542 WKLB-FM FM
68241 WBUR-FM FM

Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Permit Package

Generation of a construction drawing package per ATC quote

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Interim Tower
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? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1004233
Coordinates (NAD83) Latitude (NAD83) 42° 18' 10.7" N-
Longitude (NAD83) 071° 13' 04.9" W-
Overall Structure Height 1200.77 feet
Support Structure Height 1101.04 feet
Ground Elevation Above Mean Sea Level (AMSL) 150.92 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers, LLC
Date Constructed 04/19/2005

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
73238 WLVI DTV
49385 WXRV FM
13806 WZLX FM
26897 WWBX FM
9639 WODS FM
1901 WBZ-FM FM
6463 WFXT DTV

Auxiliary 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 tower with candelabra
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Auxiliary 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

Auxiliary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Permits

Permits

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 95
Explanation American Tower (ATC) outside project management required to coordinate WGBX w multiple broadcasters including interim move to second tower with shared antenna and related infrastructure
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements 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

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

RF System Commission

Testing of the combiner system for optimal transmission patterns per ATC documentation

Site coordination meetings

Site coordination with broadcasters, contractors and vendors involved with the site deliveries and construction. Per attached ATC documentation

Pre planning survey and engineering

Site and transmitter building drawings.

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 $5,529,397.61 $4,472,048.77 N/A $1,020,328.02 N/A
Total for all systems $10,270,057.61 $5,834,316.79 N/A $1,617,349.02 N/A
Interim Transmitter THU9-EVO 73.5 kW $2,672,797.61 $2,233,498.93 $659,554.04
Transformer 3 phase/480v - 300 KVA $36,800.00 $108,651.00 ATC quote $19,200. C&W quote $89,451 The ATC Needham site did not have adequate available power to service the interim TRX. Add. utility power was required, as well as associated switch gear and transformers beyond initial estimate. $77,015.70 N/A
Microwave Link to Interim Site $150,094.77 $150,094.77 Per attached quote from Vislink. $119,289.40 Evertz quote CCCQ55261-04 50% cost share. $24,370.87 Evertz quote CCCQ47196-02 50% cost share $6,434.50 $80,802.17 N/A
Engineering and Design $192,061.02 $192,061.02 Main: $112,992.35 Interim: $79,068.67 Site Survey and Lidar Scanning Outdoor Cooling Equipment Study Design Coordination and Construction/Permit Set Construction Phase Services (Site Inspection Visits/Punchlist) N/A N/A
RF Monitoring $22,000.00 $22,000.00 N/A N/A N/A
UHF inside RF system including switching $147,500.00 $140,000.00 N/A $0.00 N/A
Other -- Building Addition Size: 250.0 $31,591.82 $31,591.82 Includes Ice shield and permitting per ATC quote $26,800.00. Bomara Assoc. $4,791.82 $7,491.82 N/A
Other -- HVAC Service Type: C Size:20 (Other) $26,000.00 $26,000.00 Includes Ice Shield for HVAC $4,000 $19,500.00 N/A
4" Rigid Conduit and Wiring (Cost per foot) $15,150.00 $2,920.00 200' of 2" conduit @$25/ft 100' of 4" conduit @$96/ft $2,190.25 N/A
Switchgear - industrial 800 amp $38,200.00 $7,260.00 N/A $5,445.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $2,740.00 N/A $2,055.00 N/A
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW $1,999,000.00 $1,550,180.32 N/A $465,054.10 N/A
Primary Transmitter THU9-60 EVO 88.8kW $2,718,800.00 $2,194,418.59 $360,773.98
Other Electrical Service: Conduit and wiring material and labor costs required for new transmitter. $30,000.00 $30,000.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW $2,630,000.00 $2,112,418.59 N/A $360,773.98 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $30,000.00 N/A $0.00 N/A
RF Monitor $22,000.00 $22,000.00 N/A N/A N/A
Auxiliary Transmitter Ranger CZ1000L $137,800.00 $44,131.25 $0.00
UHF and VHF - minor banding issues $105,200.00 $14,131.25 Existing backup transmitter cannot be retuned. Estimate is for retuning interim transmitter for post-transition channel, which is less expensive than replacing existing backup transmitter. N/A N/A
30 kW mask filter $32,600.00 $30,000.00 Existing backup transmitter cannot be retuned. Estimate is for retuning interim transmitter for post-transition channel, which is less expensive than replacing existing backup transmitter. N/A N/A

Components

Actual Information Description File Name
Transformer 3 phase/480v - 300 KVA

Component Description:
Transformer 3 phase/480v-500KVA $4,600. Other Transmitter Cost Not Listed: New electrical sub-panels $5,000.
Amount:
$9,600.00

Component Description:
30% Deposit for Interim electrical.
Amount:
$26,835.30

Component Description:
40% Progress payment for Interim electrical.
Amount:
$35,780.40

Component Description:
Transformer 3 phase/480v-500KVA $2,300. Other Transmitter Cost Not Listed: New electrical sub-panels $2,500.
Amount:
$4,800.00
Microwave Link to Interim Site

Component Description:
50% WGBX shared expense. Ethernet Transceiver.
Amount:
$24,370.87

Component Description:
50% WGBX shared expense. Ethernet Transceiver.
Amount:
$6,434.50

Component Description:
WGBX Cabot Street, Duplex NON-Standby STL/TSL STL - 7012.5 MHz and TSL 6912.5MHz. G3 - Antennas, Waveguide and accessories.
Amount:
$49,996.80
Engineering and Design Information not provided.
RF Monitoring Information not provided.
UHF inside RF system including switching Information not provided.
Other -- Building Addition Size: 250.0

Component Description:
Approx. 600 to 1500 square foot addition (costs vary with location, site access, and construction type) $900.00 Testing for Asbestos and Lead Paint $900.00
Amount:
$1,800.00

Component Description:
50% WGBX shared expense. UPS for transmitter electronics.
Amount:
$4,791.82

Component Description:
Approx. 600 to 1500 square foot addition (costs vary with location, site access, and construction type) $450.00 Testing for Asbestos and Lead Paint $450.00
Amount:
$900.00
Other -- HVAC Service Type: C Size:20 (Other)

Component Description:
20 Ton System $11,000.00 Ice Shield for HVAC equipment $2,000.00
Amount:
$13,000.00

Component Description:
20 Ton System $5,500.00 Ice Shield for HVAC equipment $1,000.00
Amount:
$6,500.00
4" Rigid Conduit and Wiring (Cost per foot)

Component Description:
2inch Rigid Conduit and Wiring (Cost per foot) $500.00 4inch Rigid Conduit and Wiring (Cost per foot) $960.17
Amount:
$1,460.17

Component Description:
2inch Rigid Conduit and Wiring (Cost per foot) $250.00 4inch Rigid Conduit and Wiring (Cost per foot) $480.08
Amount:
$730.08
Switchgear - industrial 800 amp

Component Description:
Switchgear - Industrial 800 amp
Amount:
$3,630.00

Component Description:
Switchgear - Industrial 800 amp
Amount:
$1,815.00
Service entrance 3 phase/800 amp/208 volt

Component Description:
Service entrance 3 phase/800 amp/208 volt
Amount:
$1,370.00

Component Description:
Service entrance 3 phase/800 amp/208 volt.
Amount:
$685.00
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW

Component Description:
30% Downpayment for WGBX CH43 THU9-EVO 73.5kW ATSC/67kW OFDM.
Amount:
$465,054.10
Other Electrical Service: Conduit and wiring material and labor costs required for new transmitter. Information not provided.
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW

Component Description:
30% Downpayment of Like-for-Like Total of $1,202,579.92.
Amount:
$360,773.98
Transformer 3 phase/480v - 300 KVA Information not provided.
RF Monitor Information not provided.
UHF and VHF - minor banding issues Information not provided.
30 kW mask filter 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 $2,473,510.00 $520,962.00 N/A $272,659.30 N/A
Total for all systems $10,270,057.61 $5,834,316.79 N/A $1,617,349.02 N/A
Interim Antenna TUM-AP-04-14/56-2-B $1,264,480.00 $280,962.00 $210,721.80
Combiner Installation $7,000.00 $7,000.00 N/A $5,250.00 N/A
Tower rental $57,600.00 $57,600.00 One-time tower rental during market repack period. $43,200.00 N/A
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $6,660.00 N/A $4,995.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $135,400.00 Actual cost from American Tower based on design and fabrication of the four station combining system. $101,550.00 N/A
Sweep test of existing antenna $6,730.00 $3,000.00 N/A $2,250.00 N/A
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized $1,090,000.00 $71,302.00 N/A $53,476.80 N/A
Primary Antenna TUM-AP-04-14/56-2-T $1,209,030.00 $240,000.00 $61,937.50
Combiner Installation $11,250.00 $11,250.00 N/A $2,812.50 N/A
Sweep test of existing antenna $6,730.00 $5,000.00 N/A $1,250.00 N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $10,000.00 N/A $2,500.00 N/A
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized $1,090,000.00 $130,000.00 $126,250 plus side mount bracket expense of $3,750. $32,500.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $83,750.00 Actual cost inclusive of $8750 installation charge. $22,875.00 N/A

Components

Actual Information Description File Name
Combiner Installation

Component Description:
Combiner installation
Amount:
$3,500.00

Component Description:
Combiner installation
Amount:
$1,750.00
Tower rental

Component Description:
ATC one-time tower rental during market repack period.
Amount:
$28,800.00

Component Description:
ATC one-time tower rental during market repack period.
Amount:
$14,400.00
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex, single channel, at antenna input, per 8-3/16" feedline (if needed).
Amount:
$3,330.00

Component Description:
Elbow complex, single channel, at antenna input, per 8 3/16" feedline (if needed).
Amount:
$1,665.00
New combiner, cost per channel (without antenna)

Component Description:
New combiner, cost per channel (without antenna)
Amount:
$67,700.00

Component Description:
New combiner, cost per channel (without antenna)
Amount:
$33,850.00
Sweep test of existing antenna

Component Description:
Sweep test of transmission line and antenna.
Amount:
$1,500.00

Component Description:
Sweep test of transmission line and antenna.
Amount:
$750.00
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized

Component Description:
Four station broadband panel antenna, elliptically or circularly polarized.
Amount:
$35,651.20

Component Description:
Four station broadband panel antenna, elliptically or circularly polarized
Amount:
$17,825.60
Combiner Installation

Component Description:
Combiner installation.
Amount:
$2,812.50
Sweep test of existing antenna

Component Description:
Sweep test of transmission line and antenna.
Amount:
$1,250.00
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow complex, broadband, at antenna input, per 8 3/16 feedline (if needed).
Amount:
$2,500.00
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized

Component Description:
$31,562.50 UHF - High Power Top Mount (200-1000 kW) Four station broadband panel antenna, elliptically or circularly polarized. $937.50 Side mount brackets for high power antennas.
Amount:
$32,500.00
New combiner, cost per channel (without antenna)

Component Description:
New combiner, cost per channel (without antenna).
Amount:
$22,875.00

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 $1,027,500.00 $117,900.00 N/A $78,862.50 N/A
Total for all systems $10,270,057.61 $5,834,316.79 N/A $1,617,349.02 N/A
Interim Transmission Line $997,500.00 $87,900.00 $65,925.00
Rigid Transmission Line - copper, 8 3/16" broadband $997,500.00 $87,900.00 Rigid Transmission Line - copper 8 3/16" $84,900.00 and Nitrogen Generator Upgrade $3,000.00. $65,925.00 N/A
Primary Transmission Line $30,000.00 $30,000.00 $12,937.50
Transmission line refurbish $30,000.00 $30,000.00 Cost to refurbish two (2) existing 8-3/16" transmission lines per ATC quote $12,937.50 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 8 3/16" broadband

Component Description:
Rigid Transmission Line - copper 8 3/16" $42,450.00 and Nitrogen Generator Upgrade $1,500.00.
Amount:
$43,950.00

Component Description:
Rigid Transmission Line - copper 8 3/16" $21,225.00 and Nitrogen Generator Upgrade $750.00.
Amount:
$21,975.00
Transmission line refurbish

Component Description:
$12,187.50 8 3/16" broadband $750.00 Nitrogen Generator Upgrade.
Amount:
$12,937.50

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 $1,012,600.00 $287,800.00 N/A $98,300.20 N/A
Total for all systems $10,270,057.61 $5,834,316.79 N/A $1,617,349.02 N/A
Primary Tower GTOWER $404,200.00 $119,900.00 $13,012.50
Tower Permit Package $9,400.00 $9,400.00 Tower permit drawing plus ground & building A&E permit drawing per attached ATC quote $4,700 + $4,700. $2,350.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $3,100.00 N/A
Minor tower reinforcement/modifications $158,000.00 $25,000.00 N/A $7,562.50 N/A
Tall Tower (greater than 500') $210,500.00 $60,500.00 N/A $0.00 N/A
Auxiliary Tower GTOWER $608,400.00 $167,900.00 $85,287.70
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $119,000.00 Rigging, testing for asbestos and lead paint, site security, public hearing, and tower rental per attached ATC quote $60,487.70 N/A
Tower Permits $9,400.00 $9,400.00 Tower permit drawing plus ground & building A&E permit drawing per attached ATC quote $7,050.00 N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $19,000.00 N/A $2,375.00 N/A
Minor tower reinforcement/modifications $158,000.00 $20,500.00 Major tower reinforcement/modification $17,500 Construction project management (Tower modifications reinforcements and facilities) $3,000 $15,375.00 N/A

Components

Actual Information Description File Name
Tower Permit Package

Component Description:
$1,175 Tower Permit Drawing Package. $1,175 Ground & Building A&E Permit Drawing Package.
Amount:
$2,350.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study.
Amount:
$1,240.00

Component Description:
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study
Amount:
$1,240.00

Component Description:
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study
Amount:
$620.00
Minor tower reinforcement/modifications

Component Description:
$6,250.00 Minor tower reinforcement/modifications (Labor and materials) $1,312.50 Construction project management (Tower Modification reinforcements and facilities)
Amount:
$7,562.50
Tall Tower (greater than 500') Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Complex Tower.
Amount:
$18,562.50

Component Description:
Complex Tower
Amount:
$27,950.13

Component Description:
Complex Tower
Amount:
$13,975.07
Tower Permits

Component Description:
Tower Permit Drawing Package $2,350.00 Ground & Building A&E Permit Drawing Package $2,350.00
Amount:
$4,700.00

Component Description:
Tower Permit Drawing Package $1,175.00 Ground & Building A&E Permit Drawing Package $1,175.00
Amount:
$2,350.00
Structural engineering tower load study for a documented tower with candelabra

Component Description:
Structural engineering tower load study for a documented tower with candelabra.
Amount:
$950.00

Component Description:
Structural engineering tower load study for a documented tower with candelabra
Amount:
$950.00

Component Description:
Structural engineering tower load study for a documented tower with candelabra
Amount:
$475.00
Minor tower reinforcement/modifications

Component Description:
Major tower reinforcement/modification $8,750.00 Construction project management (Tower modification reinforcements and facilities) $1,500.00
Amount:
$10,250.00

Component Description:
Major tower reinforcement/modification $4,375.00 Construction project management (Tower modification reinforcements and facilities) $750.00
Amount:
$5,125.00

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 $139,860.00 $350,606.02 N/A $135,964.00 N/A
Total for all systems $10,270,057.61 $5,834,316.79 N/A $1,617,349.02 N/A
Outside Professional Services $139,860.00 $350,606.02 $135,964.00
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 Field study $80,000 - vendor unknown N/A N/A
Project management of the transition $15,010.00 $227,521.02 Primary: 44 hrs constr. proj. mgt + 94.8 hrs of proj. mgt for transition + RF sys test Interim: 24 hrs constr. proj. mgt + 94.8 hrs proj. mgt for transition + RF sys test Per ATC quotes $35,460.00 EJC Int. Svcs $79,068.67 EJC Int. Svcs $112,992.35 $128,589.00 N/A
Prepare and or review reimbursement form $2,630.00 $5,000.00 Complex request with shared tower and need for interim facilities, also to be shared with multiple broadcasters; responding to FCC inquiries. N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $6,260.00 Address transition timing and site coordination meeting for primary and interim sites per attached ATC quotes. $2,375.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $6,075.00 $5,000 ATC $1,075.00 Orion Broadcast Solutions. $5,000.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Comprehensive coverage verification via field study, if needed Information not provided.
Project management of the transition

Component Description:
Project management of the transition, if needed.
Amount:
$2,370.00

Component Description:
Project management of the transition, if needed (Cost per hour per customer)
Amount:
$4,740.00

Component Description:
WGBX UHF Main: Design Coordination and Construction.
Amount:
$34,237.45

Component Description:
WGBX UHF Main: Site Survey, Outdoor Cooling Equip. Study, Demo Plan.
Amount:
$21,312.32

Component Description:
WGBX TRX Interim: Site Survey, Outdoor Cooling Equipment.
Amount:
$7,127.52

Component Description:
WGBX TRX Interim: Design Coordination and Construction
Amount:
$51,537.31

Component Description:
WGBX TRX Interim: Construction Phase Services.
Amount:
$4,894.40

Component Description:
Project management of the transition, if needed (Cost per hour per customer)
Amount:
$2,370.00
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Address transition timing and coordination issues with other stations and wireless.
Amount:
$500.00

Component Description:
Address transition timing and coordination issues with other stations and wireless (Cost per customer)
Amount:
$1,250.00

Component Description:
Address transition timing and coordination issues with other stations and wireless (Cost per customer)
Amount:
$625.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform engineering study for new channel assignment and antenna development.
Amount:
$1,250.00

Component Description:
Perform engineering study for new channel assignment and antenna development (Cost per customer)
Amount:
$2,500.00

Component Description:
Perform engineering study for new channel assignment and antenna development (Cost per customer)
Amount:
$1,250.00
Prepare engineering section of 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 request for Special Temporary Authorization Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization 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 $87,190.00 $85,000.00 N/A $11,235.00 N/A
Total for all systems $10,270,057.61 $5,834,316.79 N/A $1,617,349.02 N/A
Other Expenses $87,190.00 $85,000.00 $11,235.00
Pre planning survey and engineering $5,000.00 $5,000.00 N/A N/A N/A
Site coordination meetings $1,760.00 $1,760.00 N/A $500.00 N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $0.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $0.00 N/A N/A N/A
Local Zoning $1,240.00 $1,240.00 Public hearing for primary and interim sites per ATC quotes. ATC Public Hearing $400 $1,160.00 N/A
Non-zoning permits $1,500.00 $1,500.00 Includes primary and interim sites per ATC quotes. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $8,500.00 $8,500.00 Includes primary and interim sites per ATC quotes. $3,625.00 N/A
Equipment Storage $5,000.00 $5,000.00 N/A $2,700.00 N/A
Develop and air announcement of upcoming channel change $30,000.00 $30,000.00 N/A N/A N/A
RF System Commission $8,000.00 $8,000.00 Includes primary and interim sites per ATC quotes. $3,250.00 N/A
MVPD Notification of Channel Change $8,000.00 $8,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Pre planning survey and engineering Information not provided.
Site coordination meetings

Component Description:
Site Coordination Meeting.
Amount:
$500.00
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning

Component Description:
$187.50 Obtain building permits from local zoning authorities. $110.00 Public Hearing.
Amount:
$297.50

Component Description:
Obtain building permits from local zoning authorities. $375.00 Public Hearing. $200.00
Amount:
$575.00

Component Description:
Obtain building permits from local zoning authorities. $187.50 Public Hearing. $100
Amount:
$287.50
Non-zoning permits Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Equipment Delivery and Handling Charges.
Amount:
$1,375.00

Component Description:
Equipment Delivery and Handling Charges (Cost per customer)
Amount:
$1,500.00

Component Description:
Equipment Delivery and Handling Charges (Cost per customer)
Amount:
$750.00
Equipment Storage

Component Description:
Site Security Company during construction for theft prevention and vandalism.
Amount:
$1,800.00

Component Description:
Site Security Company during construction for theft prevention and vandalism.
Amount:
$900.00
Develop and air announcement of upcoming channel change Information not provided.
RF System Commission

Component Description:
RF System Test.
Amount:
$1,375.00

Component Description:
RF System Test
Amount:
$1,250.00

Component Description:
RF System Test
Amount:
$625.00
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 $10,270,057.61 $5,834,316.79 $1,617,349.02

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.

Emeric Feldmar

Director of Engineering


02/20/2019

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.

Emeric Feldmar

Director of Engineering


02/20/2019

Attachments

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