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:
0000028724
FRN:
0018223693
Facility ID:
72971
Repack Channel:
31 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
02/27/2019

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: WBXX-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. No
Briefly describe transition plan WBXX will be transitioning from channel 20 to channel 31 and will need to replace the existing main antenna, transmission line, and transmitter. The station will be installing an interim antenna, transmission line, and transmitter.

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 Plus HD-150CP3
Year 1997
Type Inductive Output Tube
IOT Power Type Three
Description  
Power capacity 60 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? No
Type
Size
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

Information not provided.

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use  
Change Type Purchase
Manufacturer
Model ULXTE-30
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 19.2 kw
Other Transmitter Type  
Justification for New Transmitter Interim required to continue broadcasting through transition.

Interim 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 20 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  
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top-mount single
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: 652.00 kW
Manufacturer
Model TFU-29JTH-R-04
Year 1997

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
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 Elliptical
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.00 kW
Manufacturer
Model TFU 31JTH/VP-R 04
Year 2018
Justification for New Antenna Antenna is a single channel antenna and cannot be retuned, must be replaced.

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 6 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

Name Description

Adapter Plate

Tower top adapter plate

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 1
Lower Limit 506.00 MHz
Upper Limit 578.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 468.00 kW
Manufacturer
Model SBB-24C170
Year 2018
Justification for New Antenna Interim Antenna needed to continue broadcasting through transition

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? 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? Broadband
Feed Line Size 6 1/8 inches
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? Yes

Interim 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 8 3/16 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 760 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 6 1/8 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 760 feet per run
Justification for New Transmission Line Prohibited channel per catalog, must be replaced.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 4 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 750 feet per run
Justification for New Transmission Line Interim line needed to continue broadcasting during transition period

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership 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 1044870
Coordinates (NAD83) Latitude (NAD83) 36° 06' 33.0" N-
Longitude (NAD83) 084° 20' 17.0" W-
Overall Structure Height 784.44 feet
Support Structure Height 719.81 feet
Ground Elevation Above Mean Sea Level (AMSL) 3240.77 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Gray Television Group, Inc.
Date Constructed 08/25/1997


Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 595
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 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 Yes
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

Information not provided.

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Name Description

Security

Site security while equipment is being stored.

Additional Rigging

Additional Rigging cost

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 $2,543,236.01 $2,113,608.30 N/A $1,555,528.45 N/A
Total for all systems $4,800,562.01 $3,822,070.38 N/A $2,055,350.64 N/A
Interim Transmitter ULXTE-30 $780,500.00 $636,578.00 $546,272.55
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. $2,000.00 $2,000.00 N/A N/A N/A
20 Ton system $112,500.00 $20,617.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $666,000.00 $613,961.00 N/A $546,272.55 N/A
Primary Transmitter ULXTE90 $1,762,736.01 $1,477,030.30 $1,009,255.90
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. $21,736.01 $21,736.01 See attached Funderburk Electrical Services, LLC quote for $12,240 for electrician labor. See attached Graybar quote for new electrical panels and wire for $9,496.01. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,741,000.00 $1,455,294.29 Please see the attached invoice from Gatesair JW30004474-1. $1,009,255.90 N/A

Components

Actual Information Description File Name
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. Information not provided.
20 Ton system Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
ULXTE-30 Transmitter
Amount:
$165,339.74

Component Description:
ULXTE-30 Transmitter per Q-74492
Amount:
$380,932.81
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. Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
WBXX-110-New 1st Primary Transmitter
Amount:
$1,009,255.90

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 $546,470.00 $346,597.63 N/A $221,471.83 N/A
Total for all systems $4,800,562.01 $3,822,070.38 N/A $2,055,350.64 N/A
Interim Antenna SBB-24C170 $226,900.00 $96,913.63 $84,145.63
Sweep test of existing antenna $6,550.00 $3,200.00 Please see the attached quote Quote JEHQ1448-02 $3,200.00 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,300.00 $12,768.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $5,310.00 Please see the attached quote Quote JEHQ1448-02 $5,310.00 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $184,500.00 $75,635.63 See vendor quote $75,635.63 N/A
Primary Antenna TFU 31JTH/VP-R 04 $319,570.00 $249,684.00 $137,326.20
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $281,500.00 $209,400.00 Please see the attached invoice DTVPros #214-1 $115,170.00 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $3,520.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,000.00 $14,364.00 Quote JEHQ1245-02 and Proposal C-70422-2 $7,900.20 N/A
Adapter Plate $19,520.00 $19,520.00 Quote JEHQ1245-03 and Proposal C-70422-2 $10,736.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
Sweep Test New Interim Antenna
Amount:
$3,200.00
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
New Primary Antenna Side Mount Bracket
Amount:
$5,310.00
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
UHF Broadband Panel, Side Mount Aux/ Interim
Amount:
$75,635.63
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
UHF HIGH POWER TOP MOUNT (200-1000KW)
Amount:
$62,820.00

Component Description:
UHF- HIGH POWER TOP MOUNT (200-1000KW)
Amount:
$52,350.00
Sweep test of existing antenna

Component Description:
Sweep Test Primary Antenna
Amount:
$1,920.00

Component Description:
Sweep Test Primary Antenna
Amount:
$1,600.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex Primary Antenna
Amount:
$3,591.00

Component Description:
Elbow Complex Primary Antenna
Amount:
$4,309.20
Adapter Plate

Component Description:
Top Plate Adapter Primary Antenna
Amount:
$5,856.00

Component Description:
Top Plate Adapter Primary Antenna
Amount:
$4,880.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $203,720.00 $153,650.00 N/A $90,696.18 N/A
Total for all systems $4,800,562.01 $3,822,070.38 N/A $2,055,350.64 N/A
Interim Transmission Line $54,000.00 $19,905.00 $17,136.44
Flexible Air Transmission Line - dielectric, 4" $54,000.00 $19,905.00 Please see the DTVPros, Invoice #214-1 $17,136.44 Please see the attached DTVPros, Invoice #214-1
Primary Transmission Line $149,720.00 $133,745.00 $73,559.74
Rigid Transmission Line - copper, 6 1/8" $149,720.00 $133,745.00 DTV pros quote JEHQ1245-02 $73,559.74 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 4"

Component Description:
New Primary Transmission Line
Amount:
$17,136.44
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Primary Transmission Line
Amount:
$40,123.50

Component Description:
Primary Transmission Line
Amount:
$33,436.24

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,241,300.00 $942,706.45 N/A $129,070.00 N/A
Total for all systems $4,800,562.01 $3,822,070.38 N/A $2,055,350.64 N/A
Primary Tower TOWER $1,241,300.00 $942,706.45 $129,070.00
Tall Tower (greater than 500') $205,000.00 $398,740.00 See attached TCI quote TCI-17-141, price per quote $398,740. $129,070.00 N/A
Serious tower reinforcement/modifications $1,024,000.00 $536,746.45 See attached TCI quote TCI-17-141 WBXX TCI Quote for Tower Modification Services, price per quote $492,470. See attached Tower King II proposal for removal of old antenna and line before tower modifications can begin, cost $44,276.45. N/A N/A
Structural engineering tower load study for well documented tower $12,300.00 $7,220.00 N/A N/A N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500')

Component Description:
Tower Service
Amount:
$63,160.00

Component Description:
Rigging
Amount:
$2,750.00

Component Description:
Tower Service
Amount:
$63,160.00
Serious tower reinforcement/modifications Information not provided.
Structural engineering tower load study for well documented tower 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 $120,050.00 $127,425.00 N/A $50,686.90 N/A
Total for all systems $4,800,562.01 $3,822,070.38 N/A $2,055,350.64 N/A
Outside Professional Services $120,050.00 $127,425.00 $50,686.90
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 N/A N/A
ASR modification (prepare FCC Form 854) $2,050.00 $2,000.00 N/A N/A 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 $196.50 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 engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A $1,312.50 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $2,437.50 N/A
Project management of the transition $91,630.00 $99,675.00 Per Widelity quote WBXX-TV Strategic Support 12/16/18 (uploaded) $46,740.40 N/A
Prepare and or review reimbursement form $2,560.00 $2,500.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) 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 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 Engineering
Amount:
$1,187.50
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering Study for New Channel Assignment
Amount:
$550.00

Component Description:
Review specs from RFS proposal re: main antenna
Amount:
$212.50

Component Description:
Perform engineering study for new channel assignment
Amount:
$1,050.00

Component Description:
Perform engineering study for new channel assignment
Amount:
$625.00
Project management of the transition

Component Description:
Project Management
Amount:
$3,391.95

Component Description:
Project Management
Amount:
$3,628.55

Component Description:
Project management
Amount:
$3,560.65

Component Description:
Project Mgt
Amount:
$951.45

Component Description:
Project Management
Amount:
$1,760.40

Component Description:
Project management
Amount:
$2,580.65

Component Description:
Project management
Amount:
$1,328.55

Component Description:
Project management
Amount:
$1,895.10

Component Description:
Project Mgt
Amount:
$2,718.80

Component Description:
Project Mgt
Amount:
$920.80

Component Description:
Project Management
Amount:
$1,623.10

Component Description:
Project Management
Amount:
$1,579.00

Component Description:
Project Management
Amount:
$2,352.40

Component Description:
Project Management
Amount:
$1,706.25

Component Description:
Project Mgt
Amount:
$802.25

Component Description:
Project Management
Amount:
$1,957.35

Component Description:
Project Mgt
Amount:
$28.20

Component Description:
Project Management
Amount:
$2,689.95

Component Description:
Project Management
Amount:
$1,904.45

Component Description:
Project Mgt
Amount:
$2,498.55

Component Description:
Transition Related Project Management Costs
Amount:
$2,250.00

Component Description:
Project Management
Amount:
$2,139.35

Component Description:
Project management
Amount:
$2,472.65
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $145,786.00 $138,083.00 N/A $7,897.28 N/A
Total for all systems $4,800,562.01 $3,822,070.38 N/A $2,055,350.64 N/A
Other Expenses $145,786.00 $138,083.00 $7,897.28
Additional Rigging $63,160.00 $63,160.00 Please see the invoice from Tower Hill II, Inc - TKII EIN #: 04-3659403 N/A N/A
Security $12,000.00 $12,000.00 N/A N/A N/A
MVPD Notification of Channel Change $1,500.00 $1,500.00 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 $7,897.28 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $6,140.00 $6,140.00 See attached quote from Funderburk Electrical Services, LLC for disposal of transformers. N/A N/A
Non-zoning permits $10,000.00 $10,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 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 - Form 2100 minor change CP application $1,070.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,250.00 $3,560.00 N/A N/A N/A

Components

Actual Information Description File Name
Additional Rigging Information not provided.
Security 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

Component Description:
Equipment Rental
Amount:
$7,897.28
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,800,562.01 $3,822,070.38 $2,055,350.64

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.

Robert Folliard

Assistant Secretary


02/27/2019

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.

Robert Folliard

Assistant Secretary


02/27/2019

Attachments

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