| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
KAILUA TELEVISION, LLC Doing Business As: KAILUA TELEVISION, LLC |
CHRISTOPHER RACINE PO Box 8969 HONOLULU, HI 96810 United States |
+1 (808) 591-1683 | chris@tonga.com | Limited Liability Company |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
Christopher Racine President Kailua Television, LLC |
Christopher Racine PO Box 8969 Honolulu, HI 96830 United States |
+1 (808) 591-1683 | chris@tonga.com |
| 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 | KKAI installing new tower, transmitter, antenna, combiner at one DTS site, new transmitter, antenna, combiner at second DTS site. Both sites to be shared with at least one other station. A Memo of Understanding between the licensees is under preparation. |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Purchase New |
| Use | Auxiliary (Backup) | |
| Description of Use | Backup transmitter for main transmitter | |
| 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 | TXUP 2500 LD | |
| Year | 2003 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 1.2 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Auxiliary (Backup) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | SFT 102 U/XE | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1.2 kW | |
| Justification for New Transmitter | Existing auxiliary transmitter is 14 years old and cannot be retuned to comply with current standards. |
| 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 | UPDATE - 1/8/18: See Attachment re emergency generator | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 5 tons | |
| 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 |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Purchase New |
| Use | Auxiliary (Backup) | |
| Description of Use | Backup transmitter for DTS transmitter | |
| 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 | TXUP 2500 LD | |
| Year | 2003 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 1.2 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Auxiliary (Backup) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | SFT 102 U/XE | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1.2 kW | |
| Justification for New Transmitter | Existing auxiliary transmitter is 14 years old and cannot be retuned to comply with current standards. |
| 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 | UPDATE - 1/8/18: See Attachment re emergency generator | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 5 tons | |
| 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 |
| 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 | 1 | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | DUAL SCREEN SERVICE SCT 242 UB | |
| Year | 2001 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 2.5 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | SFT 252 U/XE/A | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 5 kW | |
| Justification for New Transmitter | Current transmitter is 16 years old, was already converted from analog to digital, and cannot be retuned to new channel, according to manufacturer. |
| 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 | Yes | |
| Size | 3 inches | |
| Length | 128.0 feet | |
| Other Electrical Service | Yes | |
| Description | New transmitter building will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). UPDATES - 1/8/18, 2/5/18: See Attachments re generators | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 5 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 | 640.0 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 |
| Name | Description |
|---|---|
Logo inserter |
To provide station identification |
Related electrical work |
Electrical work and related materials (cables, outlets, etc.) to bring power to building and transmitters from meter |
Electrical meter |
New site requires new meter from electric company |
Proof of performance |
Main transmitter proof of performance |
Building installation |
A new building will be obtained and installed, requiring concrete foundation, delivery and installation of building and related work |
| 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 | 2 | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | DUAL SCREEN SERVICE SCT 242 UB | |
| Year | 2001 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 2.5 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | SFT 252 U/XE/A | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 2.5 kW | |
| Justification for New Transmitter | Current transmitter is 16 years old, was already converted from analog to digital, and cannot be retuned to new channel, according to manufacturer. |
| 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 | Yes | |
| Size | 3 inches | |
| Length | 120.0 feet | |
| Other Electrical Service | Yes | |
| Description | WW2-era building being repurposed for transmitter. It will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). UPDATE: Attachments re generators | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 5 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 | 620.0 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 |
| Name | Description |
|---|---|
Transmitter building renovation |
A World War II-vintage building will be repurposed for the transmitter building (to include equipment for up to five stations). Work will include repainting, reflooring, lighting, rewiring, refurbishing. |
Proof of performance |
DTS transmitter proof of performance |
Emergency Generator |
Emergency generator for the site since existing standby generator cannot be taken to the new site. |
Electrical meter |
New site requires new meter from electric company |
Logo inserter |
To provide station identification |
Related electrical work |
Electrical work and related materials (cables, outlets, etc.) to bring power to building and transmitters from meter |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| 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 | 1 | |
| Is the existing antenna shared with another station or stations? | No | |
| Is the existing 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 | Side Mount | |
| Antenna position in stack | Top | |
| 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: | 3.0 kW | |
| Manufacturer | ||
| Model | 10 b | |
| Year | 1998 |
| 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? | 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 | Side Mount | |
| Antenna position in stack | Top | |
| Polarization | Horizontal | |
| Type | Broadband Panel | |
| Number of Stations Supported | 3 | |
| Number of Panels/Bays | 6 | |
| Lower Limit | 460.00 MHz | |
| Upper Limit | 620.00 MHz | |
| Design power capacity in use | 80.0 % | |
| Other Antenna Type | N/A | |
| ERP: | 3.0 kW | |
| Manufacturer | ||
| Model | JUHD 6/1(6) VERY NARROW CARDIOID PATTERN | |
| Year | 2017 | |
| Justification for New Antenna | Current antenna is nearly 20 years old, cannot accommodate new channel, and cannot be retuned. New antenna will be used by two-three Hawaii stations. |
| Section | Question | Response |
|---|---|---|
| Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | Yes |
| Type | New | |
| Number of channels supported | 3 | |
| Frequencies of channels supported | Upper and lower frequency | |
| Frequency | 460.0 MHz - 620.0 MHz | |
| 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? | 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 |
| 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 | 2 | |
| Is the existing antenna shared with another station or stations? | No | |
| Is the existing 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 | Side Mount | |
| Antenna position in stack | Top | |
| 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: | 15.0 kW | |
| Manufacturer | ||
| Model | 12-bay slot antenna | |
| Year | 1998 |
| 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? | 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 | Side Mount | |
| Antenna position in stack | Top | |
| Polarization | Horizontal | |
| Type | Broadband Panel | |
| Number of Stations Supported | 5 | |
| Number of Panels/Bays | 12 | |
| Lower Limit | 460.00 MHz | |
| Upper Limit | 620.00 MHz | |
| Design power capacity in use | 80.0 % | |
| Other Antenna Type | N/A | |
| ERP: | 25.0 kW | |
| Manufacturer | ||
| Model | JUHD 12/2(24) NARROW CARDIOID PATTERN 20 Kw INPUT | |
| Year | 2017 | |
| Justification for New Antenna | Current antenna is nearly 20 years old, cannot accommodate new channel, and cannot be retuned. New antenna will be used by two-three Hawaii stations. |
| Section | Question | Response |
|---|---|---|
| Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | Yes |
| Type | New | |
| Number of channels supported | 5 | |
| Frequencies of channels supported | Upper and lower frequency | |
| Frequency | 460.0 MHz - 620.0 MHz | |
| 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? | 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? | No |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | No |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| 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 | 1 | |
| 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 | 1 5/8 inches | |
| Other Diameter | N/A | |
| Segment Length | N/A | |
| Other Segment Length | N/A | |
| Number of parallel runs | 0 | |
| Length | 132 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Air | |
| Diameter | 3 inches | |
| Other Diameter | N/A | |
| Segment Length | N/A | |
| Other Segment Length | N/A | |
| Number of parallel runs | 1 | |
| Length | 132 feet per run | |
| Justification for New Transmission Line | Existing line is 12-14 years old, deteriorated from exposure to harsh weather, and unable to be moved to new pole and re-bent to new positions. New line will be used to accommodate two-three Hawaii "re-pack" stations. |
| 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 | 2 | |
| 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 | 1 5/8 inches | |
| Other Diameter | N/A | |
| Segment Length | N/A | |
| Other Segment Length | N/A | |
| Number of parallel runs | 0 | |
| Length | 238 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Air | |
| Diameter | 3 inches | |
| Other Diameter | N/A | |
| Segment Length | N/A | |
| Other Segment Length | N/A | |
| Number of parallel runs | 1 | |
| Length | 228 feet per run | |
| Justification for New Transmission Line | Existing line is 12-14 years old, deteriorated from exposure to harsh weather, and unable to be moved to new pole and re-bent to new positions. New line will be used to accommodate four-five Hawaii "re-pack" stations. |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| 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? | No | |
| Is tower compliant with Rev G? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1246610 | |
| Coordinates (NAD83) | Latitude (NAD83) | 21° 25' 19.6" N- |
| Longitude (NAD83) | 157° 45' 27.1" W- | |
| Overall Structure Height | 116.14 feet | |
| Support Structure Height | 116.14 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 464.89 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | General Telcourier, Inc. | |
| Date Constructed | 01/01/1990 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 89714 | KUPU | DTV |
| 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 |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | No |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Construct New |
| 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? | No | |
| Is tower compliant with Rev G? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | No |
| ASR Number | ||
| Coordinates (NAD83) | Latitude (NAD83) | 21° 24' 10.1" N- |
| Longitude (NAD83) | 158° 05' 52.2" W- | |
| Overall Structure Height | 100.00 feet | |
| Support Structure Height | 100.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 2765.00 feet | |
| Structure Type | POLE - Any type of Pole | |
| Tower Owner | Palehua Ranch, LLC | |
| Date Constructed | 07/09/2017 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 89714 | KUPU | DTV |
| Section | Question | Response |
|---|---|---|
| Construct New Tower | Use | Primary (Main) |
| Description of Use | N/A | |
| Is this a request for upgraded equipment? | No | |
| Height | 100.00 feet | |
| Justification for New Tower | Existing pole is termite-ridden and unable to support new mounts and hanging of new transmission line. Other factors support replacement of existing pole with a new pole. See attachment. |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | Yes |
| Name | Description |
|---|---|
Tower installation expenses |
Site preparation (clearing, concrete, hole drilling), rigging and related items |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 400 | |
| Explanation | Proposal involves construction, remodeling, installation at two sites, requiring management of multiple subcontractors. The work is beyond the scope of licensee's existing personnel. | |
| 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 | Yes | |
| 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? | No | |
| 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 | Yes | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | Yes | |
| Quantity | 1 | |
| 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 | Yes | |
| Additional Field Engineering Service | No | |
| Number of Days | N/A | |
| Justification | N/A |
| Name | Description |
|---|---|
Other legal work - local |
Local counsel to assist with leases, utility companies, cable companies, other stations |
Other engineering work - local |
Local engineering to assist with design and preparation of two separate sites and installation of equipment at both sites. |
| 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 | No | |
| 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 | 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? | Yes | |
| Does this relocation require MVPD Notification of a Channel Change? | Yes |
| Name | Description |
|---|---|
Fiber Optic drop |
Deliver all repack stations to cable operator (Hawaiian Telcom) by fiber |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $909,088.77 | $686,481.13 | N/A | $379,949.72 | N/A |
| Total for all systems | $2,388,265.35 | $2,088,090.66 | N/A | $832,725.81 | N/A |
| Primary Transmitter SFT 252 U/XE/A | $277,461.79 | $124,634.79 | $0.00 | ||
| Building installation | $2,025.00 | $2,025.00 | N/A | N/A | N/A |
| Proof of performance | $2,800.00 | $2,800.00 | N/A | N/A | N/A |
| Electrical meter | $5,030.79 | $5,030.79 | Per invoices received | N/A | N/A |
| Related electrical work | $0.00 | $0.00 | N/A | N/A | N/A |
| Logo inserter | $0.00 | $0.00 | N/A | N/A | N/A |
| Other -- Building Addition Size: 640.0 | $4,200.00 | $4,200.00 | N/A | N/A | N/A |
| 5 Ton system | $20,250.00 | $4,200.00 | N/A | N/A | N/A |
| Other Electrical Service: New transmitter building will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). UPDATES - 1/8/18, 2/5/18: See Attachments re generators | $0.00 | $0.00 | N/A | N/A | N/A |
| 3" Rigid Conduit and Wiring (Cost per foot) | $6,656.00 | $3,400.00 | N/A | N/A | N/A |
| UHF - Air Cooled Solid State Transmitter 4 - 6 kW | $236,500.00 | $102,979.00 | N/A | N/A | N/A |
| Primary Transmitter SFT 252 U/XE/A | $284,155.64 | $240,644.64 | $217,147.01 | ||
| Related electrical work | $9,100.00 | $9,100.00 | N/A | $9,100.00 | N/A |
| Logo inserter | $0.00 | $0.00 | N/A | N/A | N/A |
| Electrical meter | $4,550.00 | $4,550.00 | N/A | N/A | N/A |
| Emergency Generator | $54,971.34 | $54,971.34 | Station currently has access to a standby generator at the primary site. The station cannot take the standby generator to the new site. | $54,971.34 | N/A |
| Proof of performance | $2,800.00 | $2,800.00 | N/A | N/A | N/A |
| Transmitter building renovation | $16,800.00 | $16,800.00 | N/A | $0.00 | N/A |
| Other -- Building Addition Size: 620.0 | $0.00 | $0.00 | N/A | N/A | N/A |
| 5 Ton system | $20,250.00 | $4,200.00 | N/A | N/A | N/A |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $126,000.00 | $102,979.00 | N/A | $107,831.37 | As indicated in the attached explanation, in its initial estimate the licensee inadvertently failed to include the cost of the tax associated with this item, |
| 3" Rigid Conduit and Wiring (Cost per foot) | $6,240.00 | $1,800.00 | N/A | $1,800.00 | N/A |
| Other Electrical Service: WW2-era building being repurposed for transmitter. It will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). UPDATE: Attachments re generators | $0.00 | $0.00 | N/A | N/A | N/A |
| Other Electrical Service: World War II-vintage building being repurposed for DTS transmitter building. It will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). | $43,444.30 | $43,444.30 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $43,444.30 | See attached invoice. Work includes preparation of site for use by four additional broadcasters involved in channel repack. |
| Auxiliary Transmitter SFT 102 U/XE | $201,221.34 | $201,201.70 | $54,971.34 | ||
| 5 Ton system | $20,250.00 | $26,230.36 | Please see the attached invoice from 808 Air Conditioning, LLC # 20181004 | N/A | N/A |
| Other Electrical Service: UPDATE - 1/8/18: See Attachment re emergency generator | $54,971.34 | $54,971.34 | Emergency Generator Set for transmitter site. See Justification Cover Letter. | $54,971.34 | N/A |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $126,000.00 | $120,000.00 | N/A | N/A | N/A |
| Auxiliary Transmitter SFT 102 U/XE | $146,250.00 | $120,000.00 | $107,831.37 | ||
| 5 Ton system | $20,250.00 | $0.00 | N/A | N/A | N/A |
| Other Electrical Service: UPDATE - 1/8/18: See Attachment re emergency generator | $0.00 | $0.00 | N/A | $0.00 | N/A |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $126,000.00 | $120,000.00 | N/A | $107,831.37 | N/A |
| Actual Information Description | File Name |
|---|---|
| Building installation | Information not provided. |
| Proof of performance | Information not provided. |
| Electrical meter | |
| Related electrical work | Information not provided. |
| Logo inserter | Information not provided. |
| Other -- Building Addition Size: 640.0 | Information not provided. |
| 5 Ton system | Information not provided. |
| Other Electrical Service: New transmitter building will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). UPDATES - 1/8/18, 2/5/18: See Attachments re generators | Information not provided. |
| 3" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
| UHF - Air Cooled Solid State Transmitter 4 - 6 kW | Information not provided. |
| Related electrical work | |
| Logo inserter | Information not provided. |
| Electrical meter | Information not provided. |
| Emergency Generator | |
| Proof of performance | Information not provided. |
| Transmitter building renovation | |
| Other -- Building Addition Size: 620.0 | Information not provided. |
| 5 Ton system | Information not provided. |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | |
| 3" Rigid Conduit and Wiring (Cost per foot) | |
| Other Electrical Service: WW2-era building being repurposed for transmitter. It will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). UPDATE: Attachments re generators | Information not provided. |
| Other Electrical Service: World War II-vintage building being repurposed for DTS transmitter building. It will require installation of a new electrical meter and related costs (including running line from the meter to the transmitter building). | |
| 5 Ton system | Information not provided. |
| Other Electrical Service: UPDATE - 1/8/18: See Attachment re emergency generator | |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | Information not provided. |
| 5 Ton system | Information not provided. |
| Other Electrical Service: UPDATE - 1/8/18: See Attachment re emergency generator | |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $298,253.55 | $267,520.00 | N/A | $64,549.41 | N/A |
| Total for all systems | $2,388,265.35 | $2,088,090.66 | N/A | $832,725.81 | N/A |
| Primary Antenna JUHD 6/1(6) VERY NARROW CARDIOID PATTERN | $119,340.00 | $83,581.45 | $64,549.41 | ||
| 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 |
| UHF - High Power, Side Mount, broadband panel, 6 bay,, 3 kW input, horizontally polarized | $0.00 | $0.00 | N/A | N/A | N/A |
| Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | N/A | N/A |
| New combiner, cost per channel (without antenna) | $84,200.00 | $54,400.00 | N/A | $64,549.41 | The difference between the actual cost and the estimated cost is attributable to the licensee's inadvertent failure to include in its original estimate the costs of: (a) mounting hardware for the combiner and (b) taxes. |
| Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $17,781.45 | N/A | $0.00 | N/A |
| Primary Antenna JUHD 12/2(24) NARROW CARDIOID PATTERN 20 Kw INPUT | $178,913.55 | $183,938.55 | $0.00 | ||
| New combiner, cost per channel (without antenna) | $84,200.00 | $112,375.00 | Combiner is designed for use by up to five stations in the Hawaii repack. KKAI licensee is acquiring the combiner itself for joint use by participating stations. | N/A | N/A |
| UHF - High Power, Side Mount, broadband panel, 12 bay,, 25 kW input, horizontally polarized | $71,563.55 | $71,563.55 | Chaison Technologies Invoice N0812213 | $0.00 | N/A |
| Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $0.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | Information not provided. |
| UHF - High Power, Side Mount, broadband panel, 6 bay,, 3 kW input, horizontally polarized | Information not provided. |
| Sweep test of existing antenna | Information not provided. |
| New combiner, cost per channel (without antenna) | |
| Side mount brackets for high power antennas (if not included in antenna base cost) | |
| New combiner, cost per channel (without antenna) | Information not provided. |
| UHF - High Power, Side Mount, broadband panel, 12 bay,, 25 kW input, horizontally polarized | |
| Side mount brackets for high power antennas (if not included in antenna base cost) | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $21,240.00 | $37,360.00 | N/A | $0.00 | N/A |
| Total for all systems | $2,388,265.35 | $2,088,090.66 | N/A | $832,725.81 | N/A |
| Primary Transmission Line | $7,788.00 | $12,280.00 | $0.00 | ||
| Flexible Air Transmission Line - dielectric, 3" | $7,788.00 | $12,280.00 | Two separate lengths of transmission line is required: a length of 3" line from the transmitter to the combiner, and another length of 4" line from the combiner to the antenna. | $0.00 | N/A |
| Primary Transmission Line | $13,452.00 | $25,080.00 | $0.00 | ||
| Flexible Air Transmission Line - dielectric, 3" | $13,452.00 | $25,080.00 | Two separate lengths of transmission line is required: a length of 3" line from the transmitter to the combiner, and another length of 4" line from the combiner to the antenna. | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $525,950.00 | $229,050.00 | N/A | $64,795.58 | N/A |
| Total for all systems | $2,388,265.35 | $2,088,090.66 | N/A | $832,725.81 | N/A |
| Primary Tower POLE | $0.00 | $0.00 | $0.00 | ||
| Primary Tower TOWER | $268,500.00 | $55,800.00 | $35,256.08 | ||
| Minor tower reinforcement/modifications | $158,000.00 | $30,800.00 | See attachment | $32,659.02 | The actual cost of this work came in slightly higher than the original estimate. However, the related site mapping cost was considerably lower than the estimate, resulting in actual costs for the two line items well below the estimate. |
| 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 | $2,597.06 | N/A |
| Short Tower (less than 500') | $84,200.00 | $0.00 | N/A | N/A | N/A |
| Primary Tower | $257,450.00 | $173,250.00 | $29,539.50 | ||
| Tower Helicopter Lift | $21,000.00 | $21,000.00 | Helicopter necessary to deliver new pole to site. Estimated three-hour project at $7,000/hour. | N/A | N/A |
| Short Tower (less than 500') | $84,200.00 | $0.00 | N/A | N/A | N/A |
| New tower | $93,500.00 | $93,500.00 | See attachment | N/A | N/A |
| Tower installation expenses | $58,750.00 | $58,750.00 | See attachment. | $29,539.50 | N/A |
| Actual Information Description | File Name |
|---|---|
| Minor tower reinforcement/modifications | |
| Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | |
| Short Tower (less than 500') | Information not provided. |
| Tower Helicopter Lift | Information not provided. |
| Short Tower (less than 500') | Information not provided. |
| New tower | Information not provided. |
| Tower installation expenses |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $375,635.00 | $618,981.50 | N/A | $312,497.92 | N/A |
| Total for all systems | $2,388,265.35 | $2,088,090.66 | N/A | $832,725.81 | N/A |
| Outside Professional Services | $375,635.00 | $618,981.50 | $312,497.92 | ||
| Project management of the transition | $63,200.00 | $221,775.00 | Project includes two separate transmitter sites (main and DTS), with installation of new tower/pole at one site, new building at the other, and substantial refurbishment of existing building for transmitter housing. See attachment. | $158,391.17 | See attached exhibit, which includes a revised and updated invoice reflecing work not previously identified and providing further detail concerning the nature of the work involved. |
| Other engineering work - local | $68,900.00 | $68,900.00 | N/A | $0.00 | See Attachment: "Supplement to Response to 12/31/17 Inquiries" |
| Other legal work - local | $95,000.00 | $95,000.00 | See Quote from local attorney, Thomas R. Sylvester | $66,741.75 | Local land use and state permitting issues for Mauna Kapu tower site have been more difficult and time consuming than originally estimated. |
| RF Exposure Measurements | $21,050.00 | $20,000.00 | Station is a DTS facility, which entails two separate transmission systems. | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,584.00 | N/A | N/A | N/A |
| Attorney Fees - Negotiation of lease and other matters for shared locations | $4,210.00 | $45,000.00 | Two separate transmission systems are planned to be shared at two different sites with five other repack stations, entailing negotiations/drafting with five other parties. Also, major channel change proposal will be submitted for KKAI. See attachment. | $44,312.50 | See Attachment: Actual Cost Justification for Attorney's Fees |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $4,500.00 | Station is a DTS facility, which entails two separate transmission systems. | N/A | N/A |
| Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application | $4,210.00 | $4,100.00 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $10,000.00 | Station is a DTS facility, which entails two separate transmission systems. | $4,425.00 | See attachment: Actual Cost Justification: Attorney's Fees |
| Prepare request for Special Temporary Authorization | $4,100.00 | $1,535.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $3,000.00 | Station is a DTS facility, which entails two separate transmission systems. | N/A | N/A |
| RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application | $2,105.00 | $2,050.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $6,000.00 | Station is a DTS facility, which entails two separate transmission systems. | $0.00 | N/A |
| Perform engineering study for new channel assignment and antenna development | $7,360.00 | $14,000.00 | Station is a DTS facility, which entails two separate transmission systems. | $6,900.00 | N/A |
| Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,560.00 | N/A | N/A | N/A |
| Prepare and or review reimbursement form | $2,630.00 | $36,977.50 | See attached invoice for actual legal fees related to preparation and review of the reimbursement form. | $31,727.50 | N/A |
| Actual Information Description | File Name |
|---|---|
| Project management of the transition | |
| Other engineering work - local | |
| Other legal work - local | |
| RF Exposure Measurements | Information not provided. |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
| Attorney Fees - Negotiation of lease and other matters for shared locations | |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application | Information not provided. |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
| Prepare request for Special Temporary Authorization | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
| RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
| Perform engineering study for new channel assignment and antenna development | |
| Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
| Prepare and or review reimbursement form |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $258,098.03 | $248,698.03 | N/A | $5,902.39 | N/A |
| Total for all systems | $2,388,265.35 | $2,088,090.66 | N/A | $832,725.81 | N/A |
| Other Expenses | $258,098.03 | $248,698.03 | $5,902.39 | ||
| Fiber Optic drop | $177,603.03 | $177,603.03 | See attachment. | N/A | N/A |
| MVPD Notification of Channel Change | $2,000.00 | $2,000.00 | N/A | N/A | N/A |
| Develop and air announcement of upcoming channel change | $2,000.00 | $2,000.00 | Estimated cost of production/broadcast of channel change announcements | N/A | N/A |
| Equipment Storage | $2,500.00 | $2,500.00 | N/A | N/A | N/A |
| Equipment Delivery and Handling Charges | $14,000.00 | $14,000.00 | Estimated cost of delivery of transmitters, antennas to Hawaii | $750.80 | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $1,400.00 | $1,400.00 | Old transmitters, antennas cannot be used, must be scrapped. | $366.59 | N/A |
| Non-zoning permits | $18,000.00 | $18,000.00 | N/A | N/A | N/A |
| Local Zoning | $27,600.00 | $27,600.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
| DTV Medical Facility Notification | $11,550.00 | $2,200.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,070.00 | N/A | $4,785.00 | As explained in the attachment, because of anticipated interference problems, Kailua Television, LLC was required to propose a channel (channel 29) other than the channel (25) initially identified by the FCC for KKAI. |
| Actual Information Description | File Name |
|---|---|
| Fiber Optic drop | Information not provided. |
| MVPD Notification of Channel Change | Information not provided. |
| Develop and air announcement of upcoming channel change | Information not provided. |
| Equipment Storage | Information not provided. |
| Equipment Delivery and Handling Charges | |
| Disposal Costs (for equipment and other waste, net of any salvage value) | |
| Non-zoning permits | Information not provided. |
| Local Zoning | Information not provided. |
| FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
| DTV Medical Facility Notification | Information not provided. |
| FCC Filing Fees - Form 2100 minor change CP application |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $2,388,265.35 | $2,088,090.66 | $832,725.81 |
| 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 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Christopher John Racine President 02/21/2019 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Christopher John Racine President 02/21/2019 |
