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

FCC Form 399: Incentive Auction Relocation Reimbursement Fund System

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

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

File Number:
0000027079
FRN:
0002476091
Facility ID:
53313
Repack Channel:
15 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
01/15/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

PRAIRIE PUBLIC BROADCASTING, INC.

Doing Business As: PRAIRIE PUBLIC BROADCASTING, INC.

Jack Anderson

PO Box 3240

FARGO, ND 58108

United States

+1 (701) 241-6900 janderson@prairiepublic.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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Total replacement of existing single channel RF system consisting of 942 ft guyed tower, side-mounted antenna and 3-1/8 rigid line with new equal height tower, line size and top-mounted antenna. See attached.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use  
Ownership Owned
Owner  
Site  
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model DHD20P1
Year 2003
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 5.5 kw
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model Maxiva UAXTE-8R37
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 4.8 kw
Other Transmitter Type  
Justification for New Transmitter The existing transmitter and mast filter is channel-specific and must be replaced to accommodate the channel change. Proposed KW size based on top-mounted antenna and 3-1/8 rigid transmission line. TX upgraded from 3.6KW to 4.8K for coverage maximization.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power
Rigid Conduit and Wiring No
Size
Length
Other Electrical Service Yes
Description Relocation of main building transformer.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
Other Size  
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size
Channel 14 Costs Is an RF Consulting Engineer needed?
Is a channel 14 Mask Filer needed?
Is additional field engineering time needed?
Number of Days  

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Electrician - TX

Funding for labor and materials to install new transmitter and associated surge suppressor.

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: 146.00 kW
Manufacturer
Model 881-24
Year 2003

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? No
New Antenna Manufacturer and Type Class Full Power
Mounting Top-mount single
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: 36.20 kW
Manufacturer
Model TFU-15JTH-R-C250
Year 2017
Justification for New Antenna The existing side mounted antenna is channel-specific and must be replaced to accommodate the channel change. Proposed top mounted antenna allows for minimal outage times during testing and transition periods.

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? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 3 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

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 3 1/8 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 0
Length 800 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
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1000 feet per run
Justification for New Transmission Line Proposed rigid transmission line allows for minimal outage times during testing and transition periods. Line and antenna will be installed concurrently with replacement tower.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Construct New
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1037968
Coordinates (NAD83) Latitude (NAD83) 48° 03' 02.0" N-
Longitude (NAD83) 101° 23' 27.0" W-
Overall Structure Height 1030.83 feet
Support Structure Height 943.89 feet
Ground Elevation Above Mean Sea Level (AMSL) 2118.08 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner PRAIRIE PUBLIC BROADCASTING INC
Date Constructed 11/08/1983


Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 944.00 feet
Justification for New Tower Results of structural analysis of the existing tower built in 1983 determined it was not feasible to perform upgrades necessary to comply with the EIA/TIA 222-G national standard. Best-case antenna loading was used, with removal of the top mounted antenna

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? No
Number of Hours N/A
Explanation N/A
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 No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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

Project Management

Consideration for Inside project management labor cost.

Tower Soil Analysis

Soil testing performed to determine type and design of replacement tower foundations.

Tower Structural Analysis

Tower analysis performed on existing tower to determine if upgrading structure was feasible.

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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
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 $442,125.12 $211,175.12 N/A $205,035.60 N/A
Total for all systems $3,777,985.12 $3,498,653.12 N/A $3,080,243.86 N/A
Primary Transmitter Maxiva UAXTE-8R37 $442,125.12 $211,175.12 $205,035.60
Other Electrical Service: Relocation of main building transformer. $15,000.00 $15,000.00 N/A $14,175.00 N/A
5 Ton system $19,700.00 $19,250.00 N/A $17,192.41 N/A
Electrician - TX $4,000.00 $4,000.00 N/A $743.07 N/A
UHF - Air Cooled Solid State Transmitter 4 - 6 kW $230,500.00 $0.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 3.6 kW $172,925.12 $172,925.12 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $172,925.12 N/A

Components

Actual Information Description File Name
Other Electrical Service: Relocation of main building transformer.

Component Description:
Main electrical transformer utility cost.
Amount:
$4,000.00

Component Description:
Building transformer relocation electrical labor/materials.
Amount:
$10,175.00
5 Ton system

Component Description:
KSRE HVAC Materials
Amount:
$467.82

Component Description:
KSRE HVAC Materials
Amount:
$5,970.00

Component Description:
KSRE HVAC Materials
Amount:
$1,728.45

Component Description:
KSRE HVAC Materials
Amount:
$109.66

Component Description:
KSRE HVAC Materials
Amount:
$67.66

Component Description:
KSRE HVAC Materials
Amount:
$83.32

Component Description:
KSRE HVAC Materials
Amount:
$217.49

Component Description:
KSRE HVAC Components
Amount:
$193.63

Component Description:
KSRE HVAC Materials
Amount:
$478.85

Component Description:
KSRE HVAC (No Tax, Added Material Cost Added)
Amount:
$1,748.75

Component Description:
KSRE HVAC Materials
Amount:
$1,441.44

Component Description:
KSRE HVAC Materials
Amount:
$111.74

Component Description:
KSRE HVAC Materials
Amount:
$50.17

Component Description:
KSRE HVAC Materials
Amount:
$126.84

Component Description:
KSRE HVAC Materials
Amount:
$164.00

Component Description:
HVAC Materials
Amount:
$2,586.29

Component Description:
KSRE HVAC Materials
Amount:
$1,567.10

Component Description:
KSRE HVAC Materials
Amount:
$79.20
Electrician - TX

Component Description:
KSRE Electrical Materials
Amount:
$200.73

Component Description:
KSRE Electrical Materials
Amount:
$375.48

Component Description:
KSRE Electrical Materials
Amount:
$166.86
UHF - Air Cooled Solid State Transmitter 4 - 6 kW Information not provided.
UHF - Air Cooled Solid State Transmitter 3.6 kW

Component Description:
Transmitter Initial Payment -Adjusted For Upgraded Equipment
Amount:
$57,244.83

Component Description:
Transmitter 2nd Payment -Adjusted For Upgraded Equipment
Amount:
$57,244.83

Component Description:
Transmitter 4th Payment, Updated 12/27/18
Amount:
$18,983.64

Component Description:
Initial down-payment for transmitter package.
Amount:
$58,402.32

Component Description:
Transmitter 3rd Payment -Adjusted For Upgraded Equipment
Amount:
$39,451.82

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 $254,630.00 $214,845.00 N/A $208,214.20 N/A
Total for all systems $3,777,985.12 $3,498,653.12 N/A $3,080,243.86 N/A
Primary Antenna TFU-15JTH-R-C250 $254,630.00 $214,845.00 $208,214.20
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $240,500.00 $201,069.00 The existing side mounted antenna is channel-specific and must be replaced to accommodate the channel change. Proposed top mounted antenna allows for minimal outage times during testing and transition periods. $194,841.61 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $6,208.05 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,580.00 $7,376.00 N/A $7,164.54 N/A

Components

Actual Information Description File Name
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Request partial payment that represents % of total antenna cost. Updated 12/27/18.
Amount:
$3,347.11

Component Description:
North Dakota Use Tax on antenna. Updated 1/15/19.
Amount:
$8,684.40

Component Description:
Request partial payment that represents 45% of total antenna and shipping cost.
Amount:
$86,360.85

Component Description:
Request partial payment that represents approx. 5.26% of total antenna and shipping cost.
Amount:
$10,088.40

Component Description:
Request partial payment that represents 45% of total antenna and shipping cost.
Amount:
$86,360.85
Sweep test of existing antenna

Component Description:
Request partial payment that represents % of total sweep test cost. Updated 12/27/18.
Amount:
$111.62

Component Description:
Request partial payment that represents 45% of total sweep test cost.
Amount:
$2,880.00

Component Description:
Request partial payment that represents 45% of total sweep test cost.
Amount:
$2,880.00

Component Description:
Request partial payment that represents approx. 5.26% of total sweep test cost.
Amount:
$336.43
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
Request partial payment that represents % of total elbow complex cost. Updated 12/27/18.
Amount:
$122.50

Component Description:
North Dakota Use Tax on elbow complex. Updated 1/15/19.
Amount:
$351.20

Component Description:
Request partial payment that represents 45% of total elbow complex cost.
Amount:
$3,160.80

Component Description:
Request partial payment that represents 45% of total elbow complex cost.
Amount:
$3,160.80

Component Description:
Request partial payment that represents approx. 5.26% of total elbow complex cost.
Amount:
$369.24

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 $101,000.00 $98,383.00 N/A $94,223.29 N/A
Total for all systems $3,777,985.12 $3,498,653.12 N/A $3,080,243.86 N/A
Primary Transmission Line $101,000.00 $98,383.00 $94,223.29
Rigid Transmission Line - copper, 3 1/8" $101,000.00 $98,383.00 Shipping and 5% Use Tax included in pricing. $94,223.29 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 3 1/8"

Component Description:
Request partial payment that represents % of total line pkg cost. Updated 12/27/18.
Amount:
$1,617.70

Component Description:
North Dakota Use Tax on line package. Updated 1/15/19.
Amount:
$4,250.76

Component Description:
Request partial payment that represents approx. 5.26% of total transmission line cost.
Amount:
$4,875.87

Component Description:
Request partial payment that represents 45% of total transmission line package cost.
Amount:
$41,739.48

Component Description:
Request partial payment that represents 45% of total transmission line package cost.
Amount:
$41,739.48

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 $2,885,000.00 $2,880,000.00 N/A $2,499,392.02 N/A
Total for all systems $3,777,985.12 $3,498,653.12 N/A $3,080,243.86 N/A
Primary Tower TOWER $0.00 $0.00 $0.00
Primary Tower $2,885,000.00 $2,880,000.00 $2,499,392.02
New tower $2,680,000.00 $2,680,000.00 N/A $2,499,392.02 N/A
Tall Tower (greater than 500') $205,000.00 $200,000.00 N/A N/A N/A

Components

Actual Information Description File Name
New tower

Component Description:
North Dakota Use Tax on tower. Updated 1/15/19.
Amount:
$30,676.29

Component Description:
Partial payment #3 to continue tower fabrication.
Amount:
$200,000.00

Component Description:
KSRE Tower Materials
Amount:
$299.92

Component Description:
KSRE Tower Materials
Amount:
$1,201.41

Component Description:
Tower Erection Payment Request #3
Amount:
$354,814.50

Component Description:
Partial payment to continue tower fabrication.
Amount:
$200,000.00

Component Description:
Tower foundation site marking supplies. Resubmitted invoice to include PO & Invoice.
Amount:
$28.18

Component Description:
Tower Partial Shipping#2(Final)
Amount:
$23,850.00

Component Description:
Tower erection down payment request #1.
Amount:
$35,000.00

Component Description:
On-site drone to provide independent video tower inspection and allow field verification of installation work performed during construction.
Amount:
$2,949.00

Component Description:
Tower materials.
Amount:
$1,532.00

Component Description:
Partial payment to begin tower fabrication. (Ehresmann Quotation & PO Uploaded as separate files)
Amount:
$75,000.00

Component Description:
Tower foundation guy anchor bolts and base pin. Resubmitted invoice to include PO/Quote/Invoice.
Amount:
$15,045.00

Component Description:
Tower guy wire inspection scale required to field verify guy tensions.
Amount:
$3,931.14

Component Description:
Tower partial payment request #4.
Amount:
$103,248.77

Component Description:
New tower foundation installation. (Steeplejacks Quotations & PO Uploaded as separate files)
Amount:
$693,500.00

Component Description:
Tower ice bridge foundation materials and design.
Amount:
$14,232.00

Component Description:
Tower erection payment request #4.
Amount:
$354,814.50

Component Description:
Partial Shipping Payment
Amount:
$27,834.95

Component Description:
Tower erection payment request #2.
Amount:
$354,814.50

Component Description:
Tower rest platforms.
Amount:
$6,000.00

Component Description:
Tower and foundation design cost. Resubmitted invoice to include PO/Quote/Invoice.
Amount:
$7,500.00
Tall Tower (greater than 500') 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 $79,980.00 $79,250.00 N/A $66,537.75 N/A
Total for all systems $3,777,985.12 $3,498,653.12 N/A $3,080,243.86 N/A
Outside Professional Services $79,980.00 $79,250.00 $66,537.75
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,585.00 $3,500.00 N/A $3,500.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $3,814.50 N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A $2,075.50 The budgeted KSRE legal review cost were estimated. The actual legal costs are more than was anticipated.
Tower Structural Analysis $3,000.00 $3,000.00 N/A $3,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $9,197.25 A percentage of these costs could be allocated for FAA engineering services as noted on invoice.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,050.00 $2,000.00 N/A $757.50 N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,050.00 $2,000.00 N/A $1,161.50 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $1,535.00 $1,500.00 N/A N/A N/A
Tower Soil Analysis $9,600.00 $9,600.00 N/A $9,557.50 N/A
Project Management $36,400.00 $36,400.00 Consideration for inside project management labor. $33,474.00 N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal/STA
Amount:
$3,500.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Legal Review
Amount:
$202.00

Component Description:
Legal costs associated with construction permit.
Amount:
$773.50

Component Description:
Legal Review
Amount:
$672.50

Component Description:
Legal costs associated with construction permit.
Amount:
$2,015.00

Component Description:
Legal costs associated with construction permit.
Amount:
$151.50
Prepare and or review reimbursement form

Component Description:
Legal Review
Amount:
$50.50

Component Description:
Project FCC legal review costs.
Amount:
$151.50

Component Description:
Legal Costs
Amount:
N/A

Component Description:
Legal costs.
Amount:
$50.50

Component Description:
Legal review costs.
Amount:
$151.00

Component Description:
Project FCC legal review costs.
Amount:
$303.00

Component Description:
Project FCC legal review costs.
Amount:
$50.50

Component Description:
Legal repack services.
Amount:
$909.00

Component Description:
Legal review costs.
Amount:
$409.50
Tower Structural Analysis

Component Description:
Tower structural analysis on existing tower. Resubmitted to include PO/Quote/Invoice.
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering consultant cost for construction permit.
Amount:
$9,197.25
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
ASR modification (prepare FCC Form 854)

Component Description:
Legal costs associated with ASR issues.
Amount:
$757.50
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
Legal costs associated with FAA issues.
Amount:
$1,161.50
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Tower Soil Analysis

Component Description:
Soils analysis for foundation design.
Amount:
$9,557.50
Project Management

Component Description:
Inside project management labor request #2, including time sheets, pay stubs and letter.
Amount:
$14,094.00

Component Description:
Inside project management labor.
Amount:
$19,380.00

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 $15,250.00 $15,000.00 N/A $6,841.00 N/A
Total for all systems $3,777,985.12 $3,498,653.12 N/A $3,080,243.86 N/A
Other Expenses $15,250.00 $15,000.00 $6,841.00
DTV Medical Facility Notification $11,250.00 $11,000.00 N/A $4,136.50 N/A
Develop and air announcement of upcoming channel change $2,000.00 $2,000.00 N/A $1,529.50 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A $1,175.00 N/A

Components

Actual Information Description File Name
DTV Medical Facility Notification

Component Description:
Medical facility notifications.
Amount:
$2,950.00

Component Description:
Legal review costs.
Amount:
$1,186.50
Develop and air announcement of upcoming channel change

Component Description:
Legal/Consumer Notices
Amount:
$585.50

Component Description:
Legal/Consumer Notices
Amount:
$944.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification
Amount:
$1,175.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,777,985.12 $3,498,653.12 $3,080,243.86

Construction Status

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Question Response
Is construction complete? No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Jack William Anderson

Director of Engineering


01/15/2019

Certification

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Section Question Response
Submission of Actual Cost Documentation 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. 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).

  4. 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.

  5. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  6. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  7. 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.

Jack William Anderson

Director of Engineering


01/15/2019

Attachments

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