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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:
0000028735
FRN:
0018223693
Facility ID:
35908
Repack Channel:
34 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
02/19/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAY TELEVISION LICENSEE, LLC

Doing Business As: WVLT-TV

Robert Folliard

4370 Peachtree Road

Atlanta, GA 30319

United States

+1 (202) 750-1585 Robert.Folliard@gray.tv Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Samuel Hariton

Widelity

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan The station will continue to use the existing broadband antenna and transmission line and replacing the existing transmitter with a new transmitter. Interim facilities are not needed.

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 Sigma DD, 3200P2CFUPG
Year 2002
Type Inductive Output Tube
IOT Power Type Two
Description  
Power capacity 50 kw
Solid State Cooling  
Solid State Power Capacity  
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 ULXTE90
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 56.4 kw
Other Transmitter Type  
Justification for New Transmitter Transmitter cannot be retuned and must be replaced.

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 The new transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 25 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

Installation and Proof

Installation of the new Transmitter

Mask Filter

Mask filter required for the new transmitter model

RF Accessories

Accessories required for new transmitter installation

Freight

Freight to the station location

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? No

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

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? No

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 900
Explanation Strategic Support
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers 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

Name Description

Sweep Test of Existing Antenna

WVLT's share of sweep test costs during transition as part of ATC Capital Contribution. See ATC document 460204845

Sweep Test of New Primary Antenna

WVLT's share of sweep test costs post-transition as part of ATC Capital Contribution. See ATC document 460204845

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 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

Combiner

Anticipated 1/3 expense on new combiner TBD by American Tower

Security

On site security during equipment storage period

Tower Analysis

Tower Analysis required by American Tower

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 $2,003,396.22 $1,486,931.29 N/A $1,018,705.97 N/A
Total for all systems $2,478,483.85 $1,957,159.80 N/A $1,146,227.82 N/A
Primary Transmitter ULXTE90 $2,003,396.22 $1,486,931.29 $1,018,705.97
Installation and Proof $92,314.35 $92,314.35 Please see attached Gatesair invoice JW30004400-1 $64,620.04 N/A
Mask Filter $74,854.98 $74,854.98 Please see attached Gatesair invoice JW30004400-1 $52,398.48 N/A
Freight $13,500.00 $13,500.00 Please see attached Gatesair invoice JW30004400-1 $9,450.00 z
RF Accessories $37,998.07 $37,998.07 Please see attached Gatesair invoice JW30004400-1 $26,591.64 N/A
Other -- HVAC Service Type: H Size:25 (Other) $31,627.00 $31,627.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,741,000.00 $1,224,535.07 Please see attached Gatesair invoice JW30004400-1 $857,174.54 N/A
Other Electrical Service: The new transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors. $12,101.82 $12,101.82 Please see attached Gatesair invoice JW30004400-1 $8,471.27 N/A

Components

Actual Information Description File Name
Installation and Proof

Component Description:
Installation & Proof
Amount:
$64,620.04
Mask Filter

Component Description:
Mask Filter
Amount:
$52,398.48
Freight

Component Description:
Freight
Amount:
$9,450.00
RF Accessories

Component Description:
RF Accessories
Amount:
$26,591.64
Other -- HVAC Service Type: H Size:25 (Other) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Transmitter
Amount:
$857,174.54
Other Electrical Service: The new transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.

Component Description:
Electrical Service
Amount:
$8,471.27

Cost Information

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Antennas

Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

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 $252,320.00 $255,846.38 N/A $56,321.85 N/A
Total for all systems $2,478,483.85 $1,957,159.80 N/A $1,146,227.82 N/A
Outside Professional Services $252,320.00 $255,846.38 $56,321.85
Sweep Test of New Primary Antenna $5,000.00 $5,000.00 See ATC document 460204845 - WVLT's share of sweep test costs post transition as part of ATC Capital Contribution. $5,000.00 N/A
Sweep Test of Existing Antenna $2,500.00 $2,500.00 See ATC document 460204845 - WVLT's share of sweep test costs during transition as part of ATC Capital Contribution. $2,500.00 N/A
Comprehensive coverage verification via field study, if needed $81,900.00 $87,400.00 Allen Dick antenna system has no documentation, will require coverage verification for new channel. N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,305.00 $2,458.13 State and local taxes included N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,462.50 State and local taxes included $196.50 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,638.75 State and local taxes included N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,277.50 State and local taxes included $1,687.50 N/A
Project management of the transition $138,600.00 $135,000.00 900 hours at $150 per hour $41,400.35 N/A
Prepare and or review reimbursement form $2,560.00 $2,731.25 State and Local Taxes included N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,731.25 State and local taxes included N/A N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,647.00 State and local taxes included $5,537.50 N/A

Components

Actual Information Description File Name
Sweep Test of New Primary Antenna

Component Description:
Sweep Test of New Primary Antenna
Amount:
$5,000.00
Sweep Test of Existing Antenna

Component Description:
Sweep Test of Existing Antenna
Amount:
$2,500.00
Comprehensive coverage verification via field study, if needed Information not provided.
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:
Work on and file WVLT initial repack CP
Amount:
$196.50
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
support response to review of reimbursement form 399
Amount:
$125.00

Component Description:
CP application
Amount:
$1,562.50
Project management of the transition

Component Description:
Project Mgt
Amount:
$755.80

Component Description:
Project Management
Amount:
$2,881.20

Component Description:
Project Mgt
Amount:
$802.25

Component Description:
Transition Related Project Management Costs
Amount:
$2,100.00

Component Description:
Project management
Amount:
$2,442.65

Component Description:
Project Management
Amount:
$2,071.40

Component Description:
Project Management
Amount:
$1,941.85

Component Description:
Project Management
Amount:
$2,273.85

Component Description:
Project Management
Amount:
$2,314.90

Component Description:
Project Management
Amount:
$1,927.35

Component Description:
Project Management
Amount:
$1,642.75

Component Description:
Project Mgt
Amount:
$2,656.30

Component Description:
Project Mgt
Amount:
$28.20

Component Description:
Project management
Amount:
$2,231.90

Component Description:
Project Mgt
Amount:
$951.45

Component Description:
Project Management
Amount:
$2,034.35

Component Description:
Project Management
Amount:
$1,656.85

Component Description:
Project Management
Amount:
$1,818.75

Component Description:
Project Mgt
Amount:
$2,927.30

Component Description:
Project Management
Amount:
$2,777.30

Component Description:
Project Management
Amount:
$1,835.40

Component Description:
Project management
Amount:
$1,328.55
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
RF Eng Study
Amount:
$5,000.00

Component Description:
Perform engineering study for new channel assignment
Amount:
$537.50

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 $222,767.63 $214,382.13 N/A $71,200.00 N/A
Total for all systems $2,478,483.85 $1,957,159.80 N/A $1,146,227.82 N/A
Other Expenses $222,767.63 $214,382.13 $71,200.00
Tower Analysis $7,500.00 $7,500.00 See vendor invoice N/A N/A
Security $12,000.00 $12,000.00 N/A N/A N/A
Combiner $109,814.63 $109,814.63 See American Tower attachment $71,200.00 N/A
MVPD Notification of Channel Change $1,200.00 $1,200.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $10,000.00 $10,000.00 N/A N/A N/A
Equipment Storage $12,000.00 $12,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $18,138.00 $18,138.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $40,337.00 $40,337.00 See attached Funderburk Electrical Services, Inc. quote for transformer removal and disposal, cost $4,912. See attached quote from Kevin Duplantis for transmitter removal and disposal, cost per quote, $35,425. N/A N/A
DTV Medical Facility Notification $11,250.00 $2,877.50 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $333.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A

Components

Actual Information Description File Name
Tower Analysis Information not provided.
Security Information not provided.
Combiner

Component Description:
Capital Contribution- Knoxville TN
Amount:
$71,200.00
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 Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification 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.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,478,483.85 $1,957,159.80 $1,146,227.82

Construction Status

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Question Response
Is construction complete? No

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.

Robert Folliard

Assistant Secretary


02/18/2019

Attachments

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