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:
13938
Service:
DTV
Call Sign:
WUPL
Channel:
17 (UHF)
File Number:
0000028057
FRN:
0013697719
Date Submitted:
04/05/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BELO TV, INC.

Doing Business As: BELO TV, INC.

Law Department

TEGNA Inc.

7950 Jones Branch Drive

McLean, VA 22107

United States

+1 (703) 873-6600 lawdept@tegna.com Corporation

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

Jeffrey Johnson , Johnson .

Vice President Projects

TEGNA Media

Jeffrey Johnson

7950 Jones Branch Drive

McLean, VA 22102

United States

+1 (703) 873-6736 repackreimbursement@tegna.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan WUPL will be transitioning to a new primary facility per their new assignment. this will include a new primary antenna, transmission line and transmitter. During this transition WUPL will need to construct an interim facility.

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 CD3200P2
Year 2004
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 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-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 38.0 kW
Justification for New Transmitter Station has in excess of 10% TPO headroom and is eligible for a 1-Step-Up Allowance. Reimbursable TPO is 30.7 kW based on initial 90-day filing CP. This would require a ULXTE-50. A 1-Step-Up is the ULXTE-60 and is therefore reimbursable.

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 Yes
Size 3 inches
Length 100.0 feet
Other Electrical Service Yes
Description Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 100.0 square feet
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

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 Full Power
Mounting Top 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: 1000.0 kW
Manufacturer
Model TUD-C5SP-10/50U-2-B
Year 2004

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: 848.0 kW
Manufacturer
Model TFU-21JSC-R C180
Year 2019
Justification for New Antenna Old antenna cannot be re-tuned.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches 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

Shipping

$6,800

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 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1000 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1000 feet per run
Justification for New Transmission Line Old line will not work on new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

Sweep required to verify post-transition channel measures well on new line.

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? Candelabra
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 29° 55' 13.1" N-
Longitude (NAD83) 090° 01' 28.5" W-
Overall Structure Height 1033.78 feet
Support Structure Height 936.67 feet
Ground Elevation Above Mean Sea Level (AMSL) 1031.00 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner Spectra Site Communication
Date Constructed 04/01/1987


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 Candelabra
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Top Plate

Moving from existing tower to WWL tower. Will share tower expenses with WWL. This will result in significant savings to FCC. Top-plate and/or bolt pattern may not work for new top-mount antenna.

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 1096
Explanation Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x1096hrs($164400),a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased
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 2
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 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 25
Justification $2,500 per site visit including expenses x 25 days. It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Legal Services

Other Legal Services related to the DTV Repack

Other Engineering Services

Other Engineering Services related to the DTV Repack

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Name Description

Internal labor

Local and Corporate Labor Cost

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,548,450.00 $1,200,914.50 N/A $558,055.59 N/A
Total for all systems $3,774,682.00 $2,647,069.91 N/A $805,417.21 N/A
Primary Transmitter ULXTE-60 $1,548,450.00 $1,200,914.50 $558,055.59
Other -- Building Addition Size: 100.0 $25,000.00 $25,000.00 New pad required for heat exchangers, transformers, pumps, etc. Equipment must also be shielded. N/A N/A
5 Ton system $20,250.00 $19,250.00 Additional HVAC required for operation of new air-cooled solid-state transmitter while still operating with main transmitter during testing period. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,126,764.50 N/A $558,055.59 N/A
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. $25,000.00 $25,000.00 Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. N/A N/A

Components

Actual Information Description File Name
Other -- Building Addition Size: 100.0 Information not provided.
5 Ton system Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Gates inv #JW30004449-1A Transmitter pmt 2 UL20190405jgv4
Amount:
$186,018.53

Component Description:
Inv JW30004449-1 WUPL Transmitter UL20180713jg v1
Amount:
$372,037.06
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. 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 $562,330.00 $280,026.41 N/A $165,868.42 N/A
Total for all systems $3,774,682.00 $2,647,069.91 N/A $805,417.21 N/A
Primary Antenna TFU-21JSC-R C180 $562,330.00 $280,026.41 $165,868.42
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $11,700.00 N/A $4,634.10 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $175,949.25 Cost estimate is for Items 1, 3 and 4 on Dielectric's Quote 700394CMZ-3 in attached file "Die 462986979 MAN00847 181218 190125 Antenna and line pmt 1 158394-49 v1.pdf" $79,177.16 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 per Dielectric quotes $2,880.00 N/A
Shipping $6,800.00 $6,800.00 N/A N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $79,177.16 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $79,177.16 N/A

Components

Actual Information Description File Name
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Die inv #MAN00847 Elbow complex pmt 1 UL20190219jgv1
Amount:
$4,634.10
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Die inv #MAN00847 Antenna pmt 1 UL20190219jgv1
Amount:
$63,390.60

Component Description:
Die inv #MAN00847 Side mt brackets pmt 1 UL20190219jgv1
Amount:
$7,391.25

Component Description:
Die inv #MAN00847 Antenna feed thru pmt 1 UL20190219jgv1
Amount:
$8,395.31
Sweep test of existing antenna

Component Description:
Die inv #MAN00847 Sweep pmt 1 UL20190219jgv1
Amount:
$2,880.00
Shipping Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Die inv #MAN00847 Antenna feed thru pmt 1 UL20190219jgv1
Amount:
$8,395.31

Component Description:
Die inv #MAN00847 Antenna pmt 1 UL20190219jgv1
Amount:
$63,390.60

Component Description:
Die inv #MAN00847 Side mt brackets pmt 1 UL20190219jgv1
Amount:
$7,391.25

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 $208,400.00 $198,400.00 N/A $63,366.98 N/A
Total for all systems $3,774,682.00 $2,647,069.91 N/A $805,417.21 N/A
Primary Transmission Line $208,400.00 $198,400.00 $63,366.98
Rigid Transmission Line - copper, 6 1/8" $202,000.00 $192,000.00 N/A $63,366.98 N/A
TX Line Sweep $6,400.00 $6,400.00 N/A N/A N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Die inv #MAN00847 Fixed flange pmt 1 UL20190219jgv1
Amount:
$2,319.98

Component Description:
Die inv #MAN00847 TX line pmt 1 UL20190219jgv1
Amount:
$61,047.00
TX Line Sweep Information not provided.

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 $880,800.00 $425,000.00 N/A $0.00 N/A
Total for all systems $3,774,682.00 $2,647,069.91 N/A $805,417.21 N/A
Primary Tower GTOWER $880,800.00 $425,000.00 $0.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $12,500.00 Shared expense with WWL. N/A N/A
Major tower reinforcement/modifications $421,000.00 $200,000.00 Shared expense with WWL. N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $200,000.00 Shared expense with WWL. N/A N/A
Top Plate $12,500.00 $12,500.00 Existing top-plate and/or bolt pattern may not work for new top-mount antenna. Shared expense with WWL. N/A N/A

Components

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 $407,928.00 $391,750.00 N/A $14,856.22 N/A
Total for all systems $3,774,682.00 $2,647,069.91 N/A $805,417.21 N/A
Outside Professional Services $407,928.00 $391,750.00 $14,856.22
Other Legal Services $10,000.00 $10,000.00 Other Legal Services related to the DTV Repack $348.80 N/A
Additional Field Engineering Service, 25 Days $62,500.00 $62,500.00 $2,500 per site visit including expenses x 25 days. It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services. N/A N/A
RF Exposure Measurements $21,050.00 $10,000.00 Shared cost with WWL-TV. N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 Per Widelity estimate N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Per Widelity estimate N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 Per Widelity estimate N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Per Widelity estimate N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 Per Widelity estimate N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 Per Widelity estimate N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $13,450.00 Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x1096hrs($164400),a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased $3,200.00 N/A
Project management of the transition $173,168.00 $164,400.00 Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x1096hrs($164400),a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased $9,144.92 N/A
Other Engineering Services $12,150.00 $12,150.00 Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x1096hrs($164400),a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased $2,162.50 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Per Widelity estimate N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Per Widelity estimate N/A N/A

Components

Actual Information Description File Name
Other Legal Services

Component Description:
Covington inv #60796723 Various Legal UL20181024jgv1
Amount:
$348.80
Additional Field Engineering Service, 25 Days Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
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 Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Osborn inv #29001 Amend 399 Form UL20190326jgv1
Amount:
$3,200.00
Project management of the transition

Component Description:
Osborn inv #29840 Proj mgt 180526-180629 UL20190326jgv1
Amount:
$1,387.50

Component Description:
Osborn inv #26017 Prof srvcs 170607 - 170728 UL20181107jg v1
Amount:
$7,157.42

Component Description:
Osborn inv #28591 Proj mgt thru 180330 UL20190326jgv1
Amount:
$150.00

Component Description:
Inv 29218 WUPL Proj Mgt 180428-180525 UL20180706jg v1
Amount:
$300.00

Component Description:
Osborn inv #29001 Proj mgt 180331-180427 UL20190326jgv1
Amount:
$150.00
Other Engineering Services

Component Description:
Osborn inv #29840 Other Eng Srvcs UL20190326jgv1
Amount:
$2,162.50
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application 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 $166,774.00 $150,979.00 N/A $3,270.00 N/A
Total for all systems $3,774,682.00 $2,647,069.91 N/A $805,417.21 N/A
Other Expenses $166,774.00 $150,979.00 $3,270.00
Internal labor $21,744.00 $21,744.00 N/A N/A N/A
MVPD Notification of Channel Change $6,000.00 $6,000.00 Prepare notification for MVPD's on upcoming changes and testing windows. N/A N/A
Develop and air announcement of upcoming channel change $6,000.00 $6,000.00 150$ for 40 hours to shoot , produce and edit informational spot $3,270.00 N/A
Equipment Storage $15,000.00 $15,000.00 2 flat bed trailer for 6 month per Dielectric rate card. N/A N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $900.00 $900.00 Local construction permit a 3 cents per $100 of construction cost. N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 Per Widelity estimate N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 per Widelity estimate N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 Per Widelity estimate N/A N/A
AM Pattern Disturbance -- Remedy $21,050.00 $10,000.00 Station less than 5 km from KKNO-AM, WYLD-AM, WODT-AM, WWL-AM, & KGLA-AM sites. Costs shared with WWL. N/A N/A
AM Pattern Disturbance -- Impact study $7,890.00 $3,750.00 Station less than 5 km from KKNO-AM, WYLD-AM, WODT-AM, WWL-AM, & KGLA-AM sites. Costs shared with WWL. N/A N/A

Components

Actual Information Description File Name
Internal labor Information not provided.
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change

Component Description:
2C Media inv #203806 Creation of channel change announcement UL20181016jgv1
Amount:
$3,270.00
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.
AM Pattern Disturbance -- Remedy Information not provided.
AM Pattern Disturbance -- Impact study Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,774,682.00 $2,647,069.91 $805,417.21

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.

Jeffrey C Gehman

Engineering Associate


04/05/2019

Attachments

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