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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:
0000024798
FRN:
0027955939
Facility ID:
51806
Repack Channel:
32 (UHF)
Entity:
Broadcaster
Filing Status:
Submitted
Date Submitted:
03/25/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RAYCOM MEDIA LICENSEE, LLC

Doing Business As: RAYCOM MEDIA LICENSEE, LLC

Robert Folliard

4370 PEACHTREE ROAD, NE

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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Install new Channel 32 antenna in place of existing Channel 39 antenna. Install new air dielectric line for pressurized antenna. New transmitter required as the existing will not make required TPO.

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 UAX
Year 2012
Type Solid state
IOT Power Type  
Description  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity .62 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 UAXTE-2
Transmitter Type Solid state
IOT Power Type  
Other  
Power capacity  
Solid State Cooling Air
Solid State Power Capacity 1.1 kw
Other Transmitter Type  
Justification for New Transmitter Existing transmitter will not make required TPO Headroom analysis attached

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) Yes
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? No
Existing Antenna Manufacturer and Type Class Class A
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: 8.80 kW
Manufacturer
Model TLP16-M
Year 2005

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? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Class A
Mounting Side-mount
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: 7.20 kW
Manufacturer
Model TLP-12M/VP
Year 2019
Justification for New Antenna Existing antenna can not be retuned E-Pol premium is not reimbursable

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? 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? No
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

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 Flexible Foam
Diameter Other inches 2 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 537 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 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 537 feet per run
Justification for New Transmission Line Existing transmission line is foam, need air dielectric in order to pressurize the new channel 32 antenna. 2' no longer sold (3" on quote)

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 Owned
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? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 30° 26' 37.0" N-
Longitude (NAD83) 091° 10' 54.0" W-
Overall Structure Height 499.01 feet
Support Structure Height 456.03 feet
Ground Elevation Above Mean Sea Level (AMSL) 36.09 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WAFB LLC
Date Constructed 05/22/1965

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
18185 WBRH FM

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 Mapping

Tower Mapping for WBXH existing tower

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 300
Explanation Pattern analysis Antenna Spec Transmitter Spec Building drawings Installation Supervision Accounting Internal Legal
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 No
Address transition timing and coordination issues w/ other stations and wireless providers No
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

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 No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? 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

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 $160,150.00 $114,208.96 N/A $56,918.97 N/A
Total for all systems $650,479.00 $642,610.83 N/A $138,323.04 N/A
Primary Transmitter UAXTE-2 $160,150.00 $114,208.96 $56,918.97
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $123,000.00 $89,208.96 Quote attached (GA-00021472) $56,918.97 N/A
Switchgear - industrial 800 amp $37,150.00 $25,000.00 N/A $0.00 N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Transmitter, Mask Filter Saystem, Electrical, Installation and Proof
Amount:
$37,945.98

Component Description:
Transmitter, Mask Filter Saystem, Electrical, Installation & Proof
Amount:
$11,383.79

Component Description:
UAXTE-2-E
Amount:
$7,589.20
Switchgear - industrial 800 amp Information not provided.

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 $32,150.00 $25,948.74 N/A $15,569.24 N/A
Total for all systems $650,479.00 $642,610.83 N/A $138,323.04 N/A
Primary Antenna TLP-12M/VP $32,150.00 $25,948.74 $15,569.24
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $25,600.00 $19,548.74 Quote attached $11,729.24 N/A
Sweep test of existing antenna $6,550.00 $6,400.00 N/A $3,840.00 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
Antenna, Transmission Line, On-Site Engineer, VPOL Components
Amount:
$9,774.37

Component Description:
UHF lower power side mount antenna
Amount:
$1,954.87
Sweep test of existing antenna

Component Description:
Repack Sweep - WBXH-210-Primary Antenna - Sweep Test
Amount:
$3,200.00

Component Description:
Sweep Test Primary Antenna
Amount:
$640.00

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 $30,609.00 $21,958.13 N/A $13,174.87 N/A
Total for all systems $650,479.00 $642,610.83 N/A $138,323.04 N/A
Primary Transmission Line $30,609.00 $21,958.13 $13,174.87
Flexible Air Transmission Line - dielectric, 3" $30,609.00 $21,958.13 Dielectric quote for 3" replaces 2" which is no longer manufactured. Air dielectric is required to pressurize new antenna Quote attached.(see main antenna quote) Estimated tax and shipping added to cost. $13,174.87 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
Flexible Transmission Line - WBXH-310-Primary Transmission Line - Flexible, 3", Air Dielectric
Amount:
$10,979.06

Component Description:
Primary Transmission Line
Amount:
$2,195.81

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 $253,200.00 $218,300.00 N/A $35,609.31 N/A
Total for all systems $650,479.00 $642,610.83 N/A $138,323.04 N/A
Primary Tower TOWER $253,200.00 $218,300.00 $35,609.31
Tower Mapping $5,500.00 $5,500.00 Please see invoice 3178 from Tower King II, Inc. $5,500.00 N/A
Structural engineering tower load study for well documented tower $12,300.00 $7,800.00 N/A $0.00 N/A
Minor tower reinforcement/modifications $153,500.00 $125,000.00 N/A N/A N/A
Short Tower (less than 500') $81,900.00 $80,000.00 N/A $30,109.31 N/A

Components

Actual Information Description File Name
Tower Mapping

Component Description:
Tower Service - Mapping of WBXH for Repack - Facility ID # 51806
Amount:
$5,500.00
Structural engineering tower load study for well documented tower Information not provided.
Minor tower reinforcement/modifications Information not provided.
Short Tower (less than 500')

Component Description:
Tower Service - Antenna and Transmission Line Installation
Amount:
$30,000.00

Component Description:
SS Angle Adapter, 10/pack; Cushion Hanger kit or (1) 7/8"
Amount:
$109.31

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 $147,300.00 $243,425.00 N/A $14,100.65 N/A
Total for all systems $650,479.00 $642,610.83 N/A $138,323.04 N/A
Outside Professional Services $147,300.00 $243,425.00 $14,100.65
Comprehensive coverage verification via field study, if needed $81,900.00 $80,000.00 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
Project management of the transition $46,200.00 $144,675.00 Widelity Strategic Support Quote $10,850.65 N/A
Perform engineering study for new channel assignment and antenna development $7,170.00 $7,000.00 N/A $1,250.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,070.00 $3,000.00 N/A $2,000.00 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
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,120.00 $5,000.00 N/A N/A N/A

Components

Actual Information Description File Name
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.
Project management of the transition

Component Description:
Project Management
Amount:
$3,194.95

Component Description:
Project Management
Amount:
$2,137.85

Component Description:
Project Management
Amount:
$4,255.10

Component Description:
Project Management
Amount:
$2,084.95

Component Description:
Project management
Amount:
$2,372.75
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering study work for new channel assignment and antenna development.
Amount:
$125.00

Component Description:
Engineering study work for new channel assignment and antenna development.
Amount:
$1,125.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
FCC Form 2100 Construction Permit Application
Amount:
$2,000.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application 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 $27,070.00 $18,770.00 N/A $2,950.00 N/A
Total for all systems $650,479.00 $642,610.83 N/A $138,323.04 N/A
Other Expenses $27,070.00 $18,770.00 $2,950.00
Equipment Storage $10,000.00 $10,000.00 Estimate for Dielectric on site antenna storage Dielectric letter attached N/A N/A
DTV Medical Facility Notification $11,250.00 $2,950.00 Group quote attached $2,950.00 N/A
Equipment Delivery and Handling Charges $2,970.00 $2,970.00 On site forklift rental estimate Representative quote attached N/A N/A
Develop and air announcement of upcoming channel change $2,850.00 $2,850.00 estimate for on air rescan announcement production. Quote attached N/A N/A
MVPD Notification of Channel Change $0.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Storage Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification
Amount:
$2,950.00
Equipment Delivery and Handling Charges Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $650,479.00 $642,610.83 $138,323.04

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 J. Folliard , III .

Assistant Secretary


03/25/2019

Attachments

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