Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
65355
Service:
DTV
Call Sign:
KTTZ-TV
Channel:
25 (UHF)
File Number:
0000026949
FRN:
0030587018
Date Submitted:
02/24/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

TEXAS TECH UNIVERSITY

Applicant

Doing Business As: TEXAS TECH UNIVERSITY

Ron Trice, Director of Engineering

BOX 42161

LUBBOCK, TX 79409

United States

+1 (806) 742-2209 ron.trice@TTU.edu Other

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

Alisan Colleen Sweet

KTTZ Business Manager

KTTZ Texas Tech University Public Media

Alisan Sweet

3406 18th Street

Box 42161

Lubbock, TX 79409

United States

+1 (806) 834-2398 alisan.sweet@ttu.edu

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 Purchase transmitter, antenna and transmission line. Current transmitter cannot be retuned to new channel (see attached). Modification to the tower for placement of new antenna.

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 N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model CD3260P2-CF
Year 2002
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-30
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 19.2 kW
Justification for New Transmitter The Harris Sigma transmitter is not tunable to Channel 25 as per Harris (Gates Air) see attached. The existing mask filter is channel-specific and must be replaced for the new channel. Upgrade to 30kW Filter.

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 N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrician to connect new transmitter and power transformer to existing electrical panel. Run and connect RF filter fan and cooling fan and pumps to existing panels.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Simple Site Survey

Propose new equipment layout, provide 2D floor plan for proposed facility with electrical and building modifications

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 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: 890.0 kW
Manufacturer
Model TFU-22DSC-R C170
Year 2003

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 Types Class Full Power
Mounting Top 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: 290.0 kW
Manufacturer
Model TFU-18JTH/VP-R 4C170
Year 2018
Justification for New Antenna Existing antenna is a Channel 39 signal channel antenna and cannot be re-tuned. The antenna is side mounted. The new antenna needs to be top mounted due to no other space on the tower.

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 4 1/16 inches 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

Bury Mount Adapter

The adapter is needed to mount the new antenna to the tower. This a custom built adapter designed and built buy Dielectric.

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
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 522 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 4 1/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 700 feet per run
Justification for New Transmission Line The existing line is 20' sections which is Prohibited on Channel 25. We need to use 19 1/2' or 19 3/4' transmission line sections.

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?
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 Yes
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1047750
Coordinates (NAD83) Latitude (NAD83) 33° 34' 55.0" N-
Longitude (NAD83) 101° 53' 27.0" W-
Overall Structure Height 817.58 feet
Support Structure Height 644.02 feet
Ground Elevation Above Mean Sea Level (AMSL) 3225.03 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner TEXAS TECH UNIVERSITY
Date Constructed 05/07/1982

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
65352 KTXT-FM FM
65354 KTTZ-FM FM

Other Types of Users

Users
S. Plains EMS
TTU BMC

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 undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Other
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 300
Explanation The station has multiple transmitter sites (1 TV with 2 Radio and 1 Radio 180 miles away) and 2 Studio Buildings. They are operating with minimal staff. The station does not have personnel available for managing this project and doing their daily duties.
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 Yes
Quantity 1
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 Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
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 No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

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)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
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

Geotechnical Services

Engineering Analysis of soil at the base of the tower and anchor points. Analysis requested by Tower Engineering Company

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 $704,176.80 $522,322.53 N/A $492,308.68 N/A
Total for all systems $2,334,513.80 $2,159,281.41 N/A $1,847,556.66 N/A
Primary Transmitter ULXTE-30 $704,176.80 $522,322.53 $492,308.68
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $502,145.73 N/A $472,941.88 Additional parts were required with GatesAir transmitter installation.
Simple Site Survey $5,176.80 $5,176.80 N/A $5,176.80 N/A
Other Electrical Service: Electrician to connect new transmitter and power transformer to existing electrical panel. Run and connect RF filter fan and cooling fan and pumps to existing panels. $15,000.00 $15,000.00 N/A $14,190.00 N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
IP-based transmitter remote control, software license, enhanced speech interface, SNMP manager, transient suppressor
Amount:
$4,941.15

Component Description:
transmitter installation parts
Amount:
$339.66

Component Description:
Transmitter filter, Motorized Switch, Test Load & inside RF System
Amount:
$63,936.70

Component Description:
transmitter installation
Amount:
$29,952.00

Component Description:
transmitter freight cost
Amount:
$3,084.00

Component Description:
Transmitter (ULXTE-30) and its components
Amount:
$322,529.33

Component Description:
Transmitter installation hardware and equipment
Amount:
$78,450.70

Component Description:
transmitter installation parts
Amount:
$1,165.50

Component Description:
transmitter installation parts
Amount:
$1,611.10
Simple Site Survey

Component Description:
Basic site survey invoice from GatesAir, Inc. for KTTZ, Texas Tech University, Lubbock, TX
Amount:
$5,176.80
Other Electrical Service: Electrician to connect new transmitter and power transformer to existing electrical panel. Run and connect RF filter fan and cooling fan and pumps to existing panels.

Component Description:
Electrician to connect new transmitter/power transformer to existing electrical panel. Run/connect RF filter fan and cooling fan/pumps to existing panels.
Amount:
$14,190.00

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 $403,352.00 $305,288.00 N/A $274,759.20 N/A
Total for all systems $2,334,513.80 $2,159,281.41 N/A $1,847,556.66 N/A
Primary Antenna TFU-18JTH/VP-R 4C170 $403,352.00 $305,288.00 $274,759.20
Bury Mount Adapter $97,552.00 $97,552.00 N/A $87,796.80 N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $8,592.00 N/A $7,732.80 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,760.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $192,744.00 N/A $173,469.60 The new Dielectric antenna matches the directional pattern and horizontal polarization of the existing antenna. KTTZ TV has included the addition of vertical polarization to the new antenna at the station's expense. Please see attached variance document.

Components

Actual Information Description File Name
Bury Mount Adapter

Component Description:
bury mounting adapter - KTTZ bird cage, inv. 45% of total per contract
Amount:
$43,898.40

Component Description:
First installment of 45% of Bury Mount Adapter with bird cage is due.
Amount:
$43,898.40
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
First installment of 45% of Elbow Complex KTTZ Single channel (at antenna input for 4-1/13" 50 ohm) is due.
Amount:
$3,866.40

Component Description:
elbow complex KTTZ single channel at antenna input 4-1/13" 50 ohm; inv. 45% of total per contract.
Amount:
$3,866.40
Sweep test of existing antenna

Component Description:
First installment of 45% of Repack Sweep is due.
Amount:
$2,880.00

Component Description:
repack sweep test; inv. 45% of total per contract
Amount:
$2,880.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
ANT TFU-18ETT/VP-R 4C170 KTTZ D25 antenna invoice 45% of total, per contract.
Amount:
$86,734.80

Component Description:
First installment of 45% of High Power Side Mount Antenna (ANT TFU-18JTH/VP-R 4C170 KTTZ D-25) is due.
Amount:
$86,734.80

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 $99,400.00 $86,691.00 N/A $78,021.90 N/A
Total for all systems $2,334,513.80 $2,159,281.41 N/A $1,847,556.66 N/A
Primary Transmission Line $99,400.00 $86,691.00 $78,021.90
Rigid Transmission Line - copper, 4 1/16" $99,400.00 $86,691.00 N/A $78,021.90 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 4 1/16"

Component Description:
First installment of 45% of Rigid Transmission Line is due.
Amount:
$39,010.95

Component Description:
rigid transmission line and T/L 4-50 EIA for the line; inv. 45% of total per contract.
Amount:
$39,010.95

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 $868,300.00 $995,829.88 N/A $965,561.88 N/A
Total for all systems $2,334,513.80 $2,159,281.41 N/A $1,847,556.66 N/A
Primary Tower TOWER $868,300.00 $995,829.88 $965,561.88
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $391,932.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $570,829.88 Please see SG Communications document $570,829.88 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $2,800.00 N/A

Components

Actual Information Description File Name
Major tower reinforcement/modifications

Component Description:
Tower related cost. #1
Amount:
$391,932.00

Component Description:
Site visit, fdn mods, mod bury sxn, replace tower top, replace loose leg bolts, rework guy wires and P&T tower, engineering for tower reinforcement; install/remove temp leg reinforce
Amount:
$391,932.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Tower related cost. #1
Amount:
$559,145.00

Component Description:
mobilization, reg, set-up, de-rig; top mount CH5 antenna removal, new antenna and line install; tuning assist; remove and reinstall 2 FM antennas; move DTV antenna; lighting replace; tower painting; remove CH 39 antenna and line
Amount:
$559,145.00

Component Description:
security fencing around KTTZ tower during tower work.
Amount:
$7,373.12

Component Description:
security fencing around KTTZ tower during tower work.
Amount:
$11,684.88
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Feasibility analysis for tower modification due to age of tower.
Amount:
$2,800.00

Component Description:
tower analysis prior to modification; provide structural analysis and site evaluation calculated guy tension, confirmed antenna loading
Amount:
$15,683.50

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 $182,835.00 $173,250.00 N/A $8,609.00 N/A
Total for all systems $2,334,513.80 $2,159,281.41 N/A $1,847,556.66 N/A
Outside Professional Services $182,835.00 $173,250.00 $8,609.00
RF Exposure Measurements $21,050.00 $20,000.00 N/A $0.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A $71.25 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A $475.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $450.00 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,250.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,500.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $47,400.00 $45,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $862.75 Miscommunication between Director of Engineering and Wilkinson Barker and Knauer LLP resulted in additional steps in preparing the license to cover application

Components

Actual Information Description File Name
RF Exposure Measurements

Component Description:
This entry made on incorrect component -- made on RF Exposure Measurements; will be added to "perform engineering study for new channel assignment and antenna development.
Amount:
($4,500.00)

Component Description:
RF Consulting Engineering including engineering performance study for new channel assignment and antenna development
Amount:
$4,500.00
Comprehensive coverage verification via field study, if needed Information not provided.
ASR modification (prepare FCC Form 854)

Component Description:
line item 5 of this invoice contains outside counsel services related to ASR modification. Variance memo attached.
Amount:
$71.25

Component Description:
line items 4,5,6,7,8,9 of this invoice contain outside counsel services related to ASR modification. Variance memo attached.
Amount:
$825.25
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
prepare and file STA to operate KTTZ TV at reduced power until new channel change over.
Amount:
$475.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Review and completion of legal portion of KTTZ-TV repack modification application.
Amount:
$450.00
Prepare request for Special Temporary Authorization Information not provided.
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:
RF Consulting Engineering: Preparation of engineering section of FCC Form 2100, construction permit (CP) application.
Amount:
$2,250.00
Perform engineering study for new channel assignment and antenna development

Component Description:
engineering study for new channel assignment and antenna development: simple system/single channel antenna/line sys and CH25 Interference &coverage area w/ a directional C-170 top mount antenna for first CP; Define TPO of new transmitter
Amount:
$4,500.00
Prepare and or review reimbursement form Information not provided.
Project management of the transition Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
line items 5 and 6 of this invoice relate to KTTZ outside counsel services regarding license to cover application. Variance memo attached.
Amount:
$720.25

Component Description:
line items 1,2,3,4,5,13,14,15 of this invoice relate to KTTZ outside counsel services related to license to cover application. Variance memo attached.
Amount:
$1,445.75

Component Description:
outside counsel services related to license to cover application.
Amount:
$142.50

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $76,450.00 $75,900.00 N/A $28,296.00 N/A
Total for all systems $2,334,513.80 $2,159,281.41 N/A $1,847,556.66 N/A
Other Expenses $76,450.00 $75,900.00 $28,296.00
Equipment Delivery and Handling Charges $18,000.00 $18,000.00 Antenna, Bury Mount and line delivery. $16,200.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $27,000.00 $27,000.00 Removal of CH39 Transmitter and associated equipment after channel shut off N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $2,258.00 N/A
Geotechnical Services $8,700.00 $8,700.00 Tower Engineering Company in the process of preforming an Analysis on the Tower needed a Soil Analysis to determine if the Tower base and anchor points needed modification for the tower to meet the G code with the new antenna and transmission line. $8,700.00 N/A
MVPD Notification of Channel Change $1,200.00 $1,200.00 N/A $1,138.00 N/A
Develop and air announcement of upcoming channel change $10,000.00 $10,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
freight, shipping, and handling; inv. 45% of total per contract
Amount:
$8,100.00

Component Description:
First installment of 45% of Freight, Shipping and Handling is due.
Amount:
$8,100.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Service - notification of medical facilities - transmitter medical facility notification per proposal
Amount:
$2,258.00
Geotechnical Services

Component Description:
Geotechnical investigation, including field operations, laboratory investigation, engineering analysis, and report.
Amount:
$8,700.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification Services: notification of cable and satellite MVPD Providers of new RF channel and transport stream parameters on repack channel
Amount:
$1,138.00
Develop and air announcement of upcoming channel change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,334,513.80 $2,159,281.41 $1,847,556.66

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

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.

Alisan Colleen Sweet

KTTZ Business Manager


02/24/2020

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  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.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. 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 (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. 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.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite 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.

Alisan Colleen Sweet

KTTZ Business Manager


02/24/2020

Attachments

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