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:
0000027688
FRN:
0008529935
Facility ID:
10202
Repack Channel:
21 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
03/22/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CHANNEL 38 CHRISTIAN TELEVISION

Doing Business As: CHANNEL 38 CHRISTIAN TELEVISION

GRACE G. RENDALL

2201 EAST WYOMING AVENUE

EL PASO, TX 79903

United States

+1 (915) 532-8588 GRACER143@AOL.COM Not-for-Profit

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Joseph C. Chautin III

Attorney

Hardy, Carey, Chautin & Balkin, LLP

1080 West Causeway Approach

Mandeville, LA 70471

United States

+1 (985) 629-0777 jchautin@hardycarey.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 Replace existing Ch38/39 antenna with a wideband antenna. Replace transmission line, with 4" Heliax. This keeps the center of radiation and location on tower the same, allowing either channel to be able to operate. Replace the 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 NV7340V
Year 2016
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Liquid
Solid State Power Capacity 5 kw
Other Transmitter Type  

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Description of Use  
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model TMU9-5
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 3.0 kw
Other Transmitter Type  
Justification for New Transmitter Existing Main transmitter is no longer supported by manufacturer. AXCERA Innovator HX original transmitter replaced with current R&S NV7340 in December, 2016, due to severe system failure. See Narrative.

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 No
Description  
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.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side-mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 150.00 kW
Manufacturer
Model PSIUSMD24AP-38/39
Year 2006

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
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 2
Number of Panels/Bays 24
Lower Limit 500.00 MHz
Upper Limit 626.00 MHz
Design power capacity in use 19.0 %
Other Antenna Type N/A
ERP: 75.00 kW
Manufacturer
Model RD-24C170-500626-SL
Year 2017
Justification for New Antenna Broadband antenna to replace existing Ch 39 antenna to accommodate both existing Ch 39 and repack Ch 21. No tower modifications required. Heliax 4" line to replace existing 6-1/8" rigid coax.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? 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

Enter a list of RF channel numbers.

RF Channel Number
39
21

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 362 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 Flexible Air
Diameter 4 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 362 feet per run
Justification for New Transmission Line Existing line is 20 ft. and will not accommodate Ch 21 repack assignment. The 4" Heliax will accommodate both Ch 39 and Ch 21. See Narrative

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change 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 1202400
Coordinates (NAD83) Latitude (NAD83) 31° 48' 18.9" N-
Longitude (NAD83) 106° 29' 00.7" W-
Overall Structure Height 388.12 feet
Support Structure Height 340.88 feet
Ground Elevation Above Mean Sea Level (AMSL) 5604.92 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Pinnacle Towers LLC
Date Constructed 01/05/2000

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
68753 KTFN DTV
49832 KVIA-TV DTV
67760 KTSM-TV DTV

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: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Rigging

Tower rigging required to exchange antennas, install new 4" Heliax and remove existing 6-1/8" rigid coax

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 695
Explanation Interface with landlord, reimbursement filing, expense tracking, progress reporting, budget creation, coordinate tower crew, manufacturers and other contractors, deliveries, installation and other work on site by the construction deadline for phase 8.
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 Yes
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 No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Attorney Fees

Attorney Fees and Other Matters outside of Construction Permit Application and Licence to Cover

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 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? No
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

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $195,000.00 $195,000.00 N/A $130,531.50 N/A
Total for all systems $1,072,487.00 $854,920.00 N/A $571,467.90 N/A
Primary Transmitter TMU9-5 $195,000.00 $195,000.00 $130,531.50
UHF - Air Cooled Solid State Transmitter 3.0 kW $195,000.00 $195,000.00 N/A $130,531.50 N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 3.0 kW

Component Description:
R&S TMU9-5 transmitter w/installation and parts
Amount:
$58,014.00

Component Description:
Primary Transmitter
Amount:
$72,517.50

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 $156,835.00 $82,385.00 N/A $73,708.92 N/A
Total for all systems $1,072,487.00 $854,920.00 N/A $571,467.90 N/A
Primary Antenna RD-24C170-500626-SL $156,835.00 $82,385.00 $73,708.92
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 75 kW input, directional,, horizontally polarized $42,615.00 $42,615.00 Side mount antenna includes shipping. $37,915.92 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,120.00 $5,000.00 Study required to determine best distance from tower to be able to make proper brackets. $4,500.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $22,550.00 $10,000.00 N/A $9,000.00 N/A
New combiner, cost per channel (without antenna) $80,000.00 $18,370.00 2 channel 3.5 kW combiner with shipping $16,533.00 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 Sweep test of new line and antenna with report. $5,760.00 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 75 kW input, directional,, horizontally polarized

Component Description:
Primary Antenna
Amount:
$16,851.52

Component Description:
Primary Antenna
Amount:
$21,064.40
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
Primary Antenna Pattern Scatter Analysis
Amount:
$2,000.00

Component Description:
Primary Antenna - Pattern Scatter Analysis
Amount:
$2,500.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Primary Antenna - Side Mount Brackets
Amount:
$4,000.00

Component Description:
Primary Antenna - Side Mount Brackets for Antenna
Amount:
$5,000.00
New combiner, cost per channel (without antenna)

Component Description:
Primary Antenna Combiner System
Amount:
$7,348.00

Component Description:
Primary Antenna - Combiner System
Amount:
$9,185.00
Sweep test of existing antenna

Component Description:
Primary Antenna - Sweep Test
Amount:
$2,560.00

Component Description:
Primary Antenna - Sweep Test
Amount:
$3,200.00

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 $26,064.00 $22,000.00 N/A $15,789.70 N/A
Total for all systems $1,072,487.00 $854,920.00 N/A $571,467.90 N/A
Primary Transmission Line $26,064.00 $22,000.00 $15,789.70
Flexible Air Transmission Line - dielectric, 4" $26,064.00 $22,000.00 Transmission line, mounting hardware and shipping $15,789.70 N/A

Components

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

Component Description:
Primary Transmission Line
Amount:
$7,017.64

Component Description:
Primary Transmission Line
Amount:
$8,772.06

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 $509,540.00 $339,340.00 N/A $261,222.00 N/A
Total for all systems $1,072,487.00 $854,920.00 N/A $571,467.90 N/A
Primary Tower TOWER $509,540.00 $339,340.00 $261,222.00
Tower Rigging $261,840.00 $261,840.00 Please see uploaded cancellation and new Marsand quote 1802. Includes installation of 4" Heliax and wideband antenna and removal of 6-1/8" rigid coax and Ch 39 antenna. $209,472.00 N/A
Minor tower reinforcement/modifications $153,500.00 $50,000.00 N/A $45,000.00 N/A
Structural engineering tower load study for well documented tower $12,300.00 $7,500.00 N/A $6,750.00 N/A
Short Tower (less than 500') $81,900.00 $20,000.00 Crown Castle Lessor costs N/A N/A

Components

Actual Information Description File Name
Tower Rigging

Component Description:
Existing Primary Tower - Tower Rigging/Crew
Amount:
$190,672.00

Component Description:
Existing Tower - Tower Rigging/Crew
Amount:
$18,800.00
Minor tower reinforcement/modifications

Component Description:
Existing Primary Tower - Minor Tower Reinforcement/Modification
Amount:
$20,000.00

Component Description:
Existing Tower - Minor Tower Reinforcement/Modification
Amount:
$25,000.00
Structural engineering tower load study for well documented tower

Component Description:
Existing Primary Tower - Structural Engineering Load Study
Amount:
$3,000.00

Component Description:
Existing Tower - Structural Load Study
Amount:
$3,750.00
Short Tower (less than 500') Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $146,590.00 $179,995.00 N/A $71,393.58 N/A
Total for all systems $1,072,487.00 $854,920.00 N/A $571,467.90 N/A
Outside Professional Services $146,590.00 $179,995.00 $71,393.58
Address transition timing and coordination issues w/ other stations and wireless $2,560.00 $2,500.00 N/A $2,250.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,535.00 $1,500.00 N/A $1,500.00 N/A
Project management of the transition $107,030.00 $144,675.00 See Narrative and Widelity quote. Prolonged management due to late phase, coordination and planning at congested site. $51,018.58 N/A
Other Attorney Fees $5,000.00 $5,000.00 N/A $1,677.00 N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,240.00 $5,500.00 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 $0.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A $1,796.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A $3,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $7,000.00 N/A
Prepare and or review reimbursement form $2,560.00 $3,570.00 Quote 1802 $3,152.00 N/A

Components

Actual Information Description File Name
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Transition Timing and Coordination
Amount:
$1,000.00

Component Description:
Transition Timing and Coordination
Amount:
$1,250.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
RF Engineer -Prepare Engineering Section License to Cover Application
Amount:
$1,500.00
Project management of the transition

Component Description:
Project management
Amount:
$29,100.00

Component Description:
Final Review and File of Form 387
Amount:
$78.00

Component Description:
Project Management
Amount:
$1,672.65

Component Description:
Project Management
Amount:
$4,047.50

Component Description:
Project Management
Amount:
$1,851.35

Component Description:
Project Management
Amount:
$2,251.65

Component Description:
Project management
Amount:
$5,069.58

Component Description:
Project Management
Amount:
$2,221.30

Component Description:
Project Management
Amount:
$4,726.55
Other Attorney Fees

Component Description:
Legal services
Amount:
$156.00

Component Description:
Legal services
Amount:
$1,053.00

Component Description:
Attorney Fees - Other Matters
Amount:
$78.00

Component Description:
Load and partially complete 3Q 2018 transition progress report
Amount:
$156.00

Component Description:
Review email from Mark Bishop re KSCE Crown Castle lease
Amount:
$234.00
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Portion of Invoice attributable to Form 2100 Atty Fees
Amount:
$1,718.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Review FCC Incentive Auction Closing Notice, Review channel reassignment notice; Load and prepare initial draft for Form 2100.
Amount:
$1,796.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
RF Engineer - Prepare Engineering Section of Construction Permit Application
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
RF Engineer - Engineering Study for New Channel Assignment
Amount:
$7,000.00
Prepare and or review reimbursement form

Component Description:
Review Form 399 filing
Amount:
$156.00

Component Description:
Review Reimbursement Form
Amount:
$2,500.00

Component Description:
Prepare and Review Reimbursement Form
Amount:
$418.00

Component Description:
Portion of Invoice attributable to initial submission of Form 399
Amount:
$496.00

Component Description:
Review, certify and file Form 399 for KSCE
Amount:
$78.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $38,458.00 $36,200.00 N/A $18,822.20 N/A
Total for all systems $1,072,487.00 $854,920.00 N/A $571,467.90 N/A
Other Expenses $38,458.00 $36,200.00 $18,822.20
MVPD Notification of Channel Change $5,805.00 $5,805.00 Marsand, Inc. Quote #1802 and Invoice #6983 $805.00 N/A
Equipment Storage $5,000.00 $5,000.00 N/A $5,000.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 N/A $10,000.00 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 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 $9,000.00 N/A $3,017.20 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
MVPD Notification
Amount:
$5,000.00

Component Description:
MVPD Notification
Amount:
$805.00
Equipment Storage

Component Description:
Equipment Storage Cost
Amount:
$5,000.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal Cost
Amount:
$10,000.00
Develop and air announcement of upcoming channel change 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

Component Description:
DTV Medical Notifications
Amount:
$130.00

Component Description:
DTV notification service, notification of medical facilities
Amount:
$2,887.20

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,072,487.00 $854,920.00 $571,467.90

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.

Grace Rendall

Vice-President & General Manager


03/22/2019

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.

Grace Rendall

Vice-President & General Manager


03/22/2019

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