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:
41212
Service:
DTV
Call Sign:
KASN
Channel:
34 (UHF)
File Number:
0000028337
FRN:
0004284899
Date Submitted:
08/16/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MISSION BROADCASTING, INC.

30400 DETROIT ROAD

SUITE 304

WESTLAKE, OH 44145

United States

+1 (440) 526-2227 missionbroadcasting@gmail.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

William T Godfrey , Jr. .

Consulting Engineers

Kessler and Gehman Associates, Inc.

William T. Godfrey, Jr.

Kessler and Gehman Associates, Inc.

507-D NW 60th Street

Gainesville, FL 32607

United States

+1 (352) 332-3157 bill@kesslerandgehman.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 See attached updated transition plan narrative, quotes and line analysis.

Question Response
Sharee Station Facility ID 2770
Call Sign KETS
Type Noncommercial Educational
Licensee Name ARKANSAS EDUCATIONAL TELEVISION COMMISSION
Status LICENSED
DTS No
Community of License LITTLE ROCK, AR
Pre-auction RF Channel 7
Post-auction RF Channel 7
Neilsen DMA LITTLE ROCK-PINE BLUFF
Network Affiliation

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 40QXD2
Year 2001
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 HPTV-PRLX-U20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 34.0 kW
Justification for New Transmitter Baseline ERP: 906 kW RMS Gain: 17.5 Azimuth Gain: 2.8 TX Line Loss: 0.663 H-pol Only TPO: 27.8 kW (Post-Filter) Comark HPTV-PRLX-U18 (30.0 kW) 1 Step Up: Comark HPTV-PRLX-U20 (34.0 kW) Upgrade: HPTV-PRLX-U32 See attached Comark quote

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 500.0 feet
Other Electrical Service Yes
Description Remove beam supplies and install transformers.
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? Yes
Size 400.0 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

Name Description

Voltage Regulator

Voltage Regulator

Standby Exciter and Switch

Standby Exciter with Automatic Change Over Switch

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 ATW22H5-HSP5L-38H
Year 2002

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: 1000.0 kW
Manufacturer
Model TFU-24ETT/VP-R CT150
Year 2018
Justification for New Antenna Existing main antenna is a single channel slot coaxial top-mount which cannot accommodate the assigned channel. It is considered an upgrade but is fully reimbursable since additional gain is required to offset the change from waveguide to 8-3/16" line.

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 8 3/16 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

Top Plate Mods

The existing top plate will need to be studied and possibly modified to support and interface with the new top-mount replacement antenna.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type 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: 906.0 kW
Manufacturer
Model TUA-P4-4/10U-1 SM
Year 2018
Justification for New Antenna An interim antenna is necessary to keep station on the air during primary antenna replacement and for the duration of the assigned phase.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? S
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 2016 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 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2016 feet per run
Justification for New Transmission Line Existing line is old style Andrew circular waveguide which has channel-specific mode filters that have not been made in close to 30 years and cannot be re-purposed for assigned post-auction channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 1
Length 1800 feet per run
Justification for New Transmission Line An interim transmission line is necessary for the interim antenna to keep station on the air during primary antenna replacement and for the duration of the assigned phase.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex?
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1036554
Coordinates (NAD83) Latitude (NAD83) 34° 26' 31.0" N-
Longitude (NAD83) 092° 13' 04.0" W-
Overall Structure Height 1898.93 feet
Support Structure Height 1850.37 feet
Ground Elevation Above Mean Sea Level (AMSL) 337.92 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Mission Broadcasting, Inc.
Date Constructed 08/22/2001

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
2770 KETS DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for 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

Name Description

Weather and Materials Delay

Weather and Materials Delay

Waveguide Removal

Removal and disposal of over 2,000 ft of waveguide that cannot be re-purposed.

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 750
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
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) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 20
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Prepare Engineering Portion of a License to Cover a Post-Transition Construction Permit Application

Prepare Engineering Portion of a License to Cover a Post-Transition Construction Permit Application

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 Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
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

Sales Tax

Sales and use tax for goods and services

Shipping Costs

Shipping costs are not typically included in quotes and must be added as an additional expense.

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 $1,317,838.75 $1,291,113.75 N/A $1,085,726.20 N/A
Total for all systems $4,595,988.75 $4,067,901.05 N/A $2,877,678.32 N/A
Primary Transmitter HPTV-PRLX-U20 $1,317,838.75 $1,291,113.75 $1,085,726.20
Voltage Regulator $52,637.75 $52,637.75 See Staco Energy Products quote QUO-8233-0CHRI0-1 $52,637.75 N/A
Other -- Building Addition Size: 400.0 $96,000.00 $96,000.00 Based on industry standard rate of $240 per sq ft. Additional building modifications may be required for heat exchanger pads, transformers and pumps space, interim line feed-through, etc. and shelter to protect such equipment from the environment. N/A N/A
Other Electrical Service: Remove beam supplies and install transformers. $41,050.00 $41,050.00 Electrical and installation costs per Land Communications quote; Total costs of $94,725 allocated between Other Electrical service, 3" Rigid Conduit, Switchgear and Service Entrance; installation was not provided by manufacturer $41,050.00 N/A
UHF - Liquid Cooled Solid State Transmitter 34.0 kW $987,751.00 $987,751.00 See attached Comark quote P#3511PRLXU20-011918-R4 $938,363.45 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $13,700.00 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $36,300.00 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $26,000.00 $3,675.00 N/A $3,675.00 N/A
Standby Exciter and Switch $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Voltage Regulator

Component Description:
Voltage regulator
Amount:
$52,637.75
Other -- Building Addition Size: 400.0 Information not provided.
Other Electrical Service: Remove beam supplies and install transformers.

Component Description:
Transmitter installation and electrical
Amount:
$41,050.00

Component Description:
Electrical service, balance due
Amount:
$20,525.00

Component Description:
Revised invoice provided
Amount:
($41,050.00)

Component Description:
Electrical service, installment #1
Amount:
$20,525.00
UHF - Liquid Cooled Solid State Transmitter 34.0 kW

Component Description:
Items 1 and 2 of invoice; see also sales tax
Amount:
$444,487.95

Component Description:
Items 1 and 2 of invoice; see also sales tax
Amount:
$493,875.50
Service entrance 3 phase/800 amp/208 volt

Component Description:
Electrical service, balance due
Amount:
$6,850.00

Component Description:
Transmitter installation and electrical
Amount:
$13,700.00

Component Description:
Revised invoice provided
Amount:
($13,700.00)

Component Description:
Electrical service, installment #1
Amount:
$6,850.00
Switchgear - industrial 800 amp

Component Description:
Electrical service, balance due
Amount:
$18,150.00

Component Description:
Electrical service, installment #1
Amount:
$18,150.00

Component Description:
Revised invoice provided
Amount:
($36,300.00)

Component Description:
Transmitter installation and electrical
Amount:
$36,300.00
Transformer 3 phase/480v - 300 KVA Information not provided.
3" Rigid Conduit and Wiring (Cost per foot)

Component Description:
Revised invoice provided
Amount:
($3,675.00)

Component Description:
Electrical service, balance due
Amount:
$1,837.50

Component Description:
Transmitter installation and electrical
Amount:
$3,675.00

Component Description:
Electrical service, installment #1
Amount:
$1,837.50
Standby Exciter and Switch 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 $491,215.00 $406,408.50 N/A $317,019.46 N/A
Total for all systems $4,595,988.75 $4,067,901.05 N/A $2,877,678.32 N/A
Interim Antenna TUA-P4-4/10U-1 SM $154,735.00 $143,018.00 $119,918.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $12,623.00 Cost revised down from 22,000 based on Dielectric quote 700440CMZ-1 attached. $12,623.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $11,700.00 N/A N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 906 kW input, directional,, horizontally polarized $107,295.00 $107,295.00 See Dielectric quote 700440CMZ-1 $107,295.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Primary Antenna TFU-24ETT/VP-R CT150 $336,480.00 $263,390.50 $197,101.46
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
Top Plate Mods $25,000.00 $25,000.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) $15,250.00 $13,583.00 See attached Dielectric quote $12,224.70 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $218,407.50 See attached Dielectric quote $178,476.76 N/A

Components

Actual Information Description File Name
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Mounting brackets, installment #3
Amount:
$1,262.30

Component Description:
Mounting bracket component, line 2 of invoice, installment #1
Amount:
$5,680.35

Component Description:
Mounting brackets, line 2 of invoice, installment #2
Amount:
$5,680.35
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 906 kW input, directional,, horizontally polarized

Component Description:
Aux antenna, installment #3
Amount:
$10,729.50

Component Description:
Aux antenna component, line 1 of invoice, installment #1
Amount:
$48,282.75

Component Description:
Aux Antenna component, line 1 of invoice, installment #2
Amount:
$48,282.75

Component Description:
Interim antenna installation, installment #1
Amount:
$130,630.00
Sweep test of existing antenna Information not provided.
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00
Top Plate Mods Information not provided.
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex, installment #2, line 2 of invoice
Amount:
$6,112.35

Component Description:
Elbow complex, installment #1, line 2 of invoice
Amount:
$6,112.35
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Primary antenna, installment #2, line 1 of invoice
Amount:
$89,238.38

Component Description:
Primary antenna, installment #1, line 1 of invoice
Amount:
$89,238.38

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 $1,063,152.00 $698,620.80 N/A $609,416.50 N/A
Total for all systems $4,595,988.75 $4,067,901.05 N/A $2,877,678.32 N/A
Interim Transmission Line $363,600.00 $254,998.80 $224,612.50
Rigid Transmission Line - copper, 6 1/8" $363,600.00 $254,998.80 Revised down from 345,600 based on Dielectric quote 700440CMZ-1 attached. $224,612.50 N/A
Primary Transmission Line $699,552.00 $443,622.00 $384,804.00
Rigid Transmission Line - copper, 8 3/16" $699,552.00 $443,622.00 See attached Dielectric quote $384,804.00 N/A

Components

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

Component Description:
Transmission line component per change order
Amount:
$1,582.70

Component Description:
Transmission line adjustment for change order
Amount:
($7,344.12)

Component Description:
Transmission line component per change order
Amount:
$875.00

Component Description:
Transmission line, line 3 of invoice, installment #2
Amount:
$114,749.46

Component Description:
Transmission line, line 3 of invoice, installment #1
Amount:
$114,749.46
Rigid Transmission Line - copper, 8 3/16"

Component Description:
Rigid transmission line, installment #2, line 3 of invoice
Amount:
$192,402.00

Component Description:
Rigid transmission line, installment #1, line 3 of invoice
Amount:
$192,402.00

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,093,550.00 $1,050,250.00 N/A $633,105.07 N/A
Total for all systems $4,595,988.75 $4,067,901.05 N/A $2,877,678.32 N/A
Primary Tower TOWER $1,093,550.00 $1,050,250.00 $633,105.07
Weather and Materials Delay $130,900.00 $130,900.00 Weather delays based on Precision Communications invoicing; per contract $700 per man per day $130,900.00 N/A
Waveguide Removal $94,350.00 $94,350.00 See Precision Communications Inc quote 18854-5 $94,350.00 N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A N/A 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 $10,000.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 1,850 ft tower $397,855.07 N/A

Components

Actual Information Description File Name
Weather and Materials Delay

Component Description:
April and May weather delays; see also sales tax
Amount:
$38,500.00

Component Description:
February weather delays; see also sales tax
Amount:
$33,600.00

Component Description:
March weather delays; see also sales tax
Amount:
$14,000.00

Component Description:
Weather delays
Amount:
$21,000.00

Component Description:
Weather delays; see also sales/use tax
Amount:
$14,000.00

Component Description:
Weather delays; see also sales/use tax
Amount:
$9,800.00
Waveguide Removal

Component Description:
Waveguide removal, balance due on completion; see also sales tax
Amount:
$31,450.00

Component Description:
Waveguide removal, installment #1; see also sales tax
Amount:
$62,900.00
Major tower reinforcement/modifications Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Structural analysis
Amount:
$2,750.00

Component Description:
Structural analysis, installment #1
Amount:
$2,750.00

Component Description:
Structural analysis, balance due
Amount:
$2,750.00

Component Description:
Structural analysis, installment #1
Amount:
$1,750.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Main antenna installation, balance due; see also sales tax
Amount:
$65,370.00

Component Description:
Main antenna installation, installment #2; see also sales tax
Amount:
$65,365.00

Component Description:
Addendum to Interim Antenna Installation
Amount:
$5,805.07

Component Description:
Balance due on completion of interim antenna installation
Amount:
$65,320.00

Component Description:
Interim antenna installation, installment #1; see also sales/use tax.
Amount:
$130,630.00

Component Description:
Main antenna installation, installment #1; see also Sales/Use tax
Amount:
$65,365.00

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 $204,045.00 $195,875.00 N/A $48,777.00 N/A
Total for all systems $4,595,988.75 $4,067,901.05 N/A $2,877,678.32 N/A
Outside Professional Services $204,045.00 $195,875.00 $48,777.00
Project management of the transition $118,500.00 $112,500.00 N/A $42,452.00 N/A
Prepare Engineering Portion of a License to Cover a Post-Transition Construction Permit Application $625.00 $625.00 N/A $625.00 N/A
Additional Field Engineering Service, 20 Days $50,000.00 $50,000.00 Based on $2,500 per site visit plus expenses times 20 days for construction administration services. 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 $550.00 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 $3,680.00 $3,500.00 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 N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A $1,500.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $0.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $2,275.00 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 $2,500.00 N/A $1,375.00 N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project management services 2.1.19 through 3.1.19
Amount:
$1,500.00

Component Description:
Invoice format and submit to 399 February 2019
Amount:
$130.00

Component Description:
Invoice format and submit to 399 January 2019
Amount:
$65.00

Component Description:
Invoice research and coding January 2019
Amount:
$100.00

Component Description:
Project management services 1.1.19 through 1.31.19
Amount:
$2,250.00

Component Description:
Invoice format and submit to 399 March 2019
Amount:
$156.00

Component Description:
Invoice coding and research August 2018
Amount:
$50.00

Component Description:
Invoice coding and research November 2018
Amount:
$200.00

Component Description:
Project management services 3.30.19 through 4.26.19
Amount:
$675.00

Component Description:
Project management services, items 1,2,3 and 6 from invoice summary
Amount:
$6,500.00

Component Description:
Invoice coding and research December 2018
Amount:
$250.00

Component Description:
Invoice research and coding September 2018
Amount:
$325.00

Component Description:
Invoice research and coding October 2018
Amount:
$140.00

Component Description:
Invoice coding and research July 2018
Amount:
$200.00

Component Description:
Invoice mapping research February 2019
Amount:
$40.00

Component Description:
Project management of the transition and progress report preparation. See cover letter lines 1-4, 6. Includes invoices from subcontractor Kessler and Gehman Associates for progress report preparation.
Amount:
$17,721.00

Component Description:
Project management services 6.30.18 through 7.27.18
Amount:
$1,425.00

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from January 1, 2018 through January 26, 2018.
Amount:
$2,550.00

Component Description:
Project management services 5.26.18 through 6.29.18, including KGA form 387 transition plan progress report.
Amount:
$450.00

Component Description:
Project management services 10.27.18 through 11.30.18
Amount:
$1,650.00

Component Description:
Project management services 12.1.18 through 12.31.18 including from consultant Kessler and Gehman Associates for progress reporting
Amount:
$975.00

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$1,575.00

Component Description:
Project management services 3.31.18 through 4.27.18
Amount:
$1,800.00

Component Description:
Project management services see cover letter lines 1 & 3 including subcontractor invoice from Kessler and Gehman Associates for progress report preparation.
Amount:
$1,725.00
Prepare Engineering Portion of a License to Cover a Post-Transition Construction Permit Application

Component Description:
License to Cover Application, item 5 from invoice summary
Amount:
$625.00
Additional Field Engineering Service, 20 Days Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
Prepare and submit FAA filing. See cover letter item #2. Subcontractor invoice Kessler and Gehman Associates prepare and submit FAA form 7460
Amount:
$550.00
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Special Temporary Authority, item 4 from invoice summary
Amount:
$1,500.00
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

Component Description:
Revise Storyboard if needed, Interference Study, create CP and recalculate ERP if COR changed, transition plan document, create 399, coverage maps, & upload draft documents to ASANA
Amount:
$525.00

Component Description:
Repack plan and revision, 399 form info
Amount:
$1,750.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
FCC Form 399 Amendment - see cover letter item 5, subcontractor invoice from Kessler and Gehman Associates
Amount:
$1,375.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $426,188.00 $425,633.00 N/A $183,634.09 N/A
Total for all systems $4,595,988.75 $4,067,901.05 N/A $2,877,678.32 N/A
Other Expenses $426,188.00 $425,633.00 $183,634.09
Sales Tax $296,000.00 $296,000.00 Sales and use tax for goods and services based on state and local tax rates. $133,916.33 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $24,000.00 $24,000.00 Disposal costs per Quotes from USA Commercial/Kevin Ballentine $24,000.00 N/A
Shipping Costs $25,000.00 $25,000.00 Most likely will exceed $25,000 when actual shipping costs are provided. 399 will be updated at that time. $22,754.56 N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A $2,963.20 N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Costs to produce spots and crawls for viewer notification. N/A N/A
Equipment Storage $10,000.00 $10,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $26,443.00 $26,443.00 See related costs per Dielectric invoicing $0.00 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $1,000.00 $1,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Sales Tax

Component Description:
Sales tax due on main antenna installation
Amount:
$5,066.18

Component Description:
Sales tax on antenna installation, installment #2
Amount:
$5,065.79

Component Description:
Sales tax on weather delays
Amount:
$2,604.00

Component Description:
Sales due on waveguide removal
Amount:
$2,437.38

Component Description:
Sales tax on March weather delays
Amount:
$1,085.00

Component Description:
Sales tax on weather delays
Amount:
$2,983.75

Component Description:
Tax on installation services and weather days
Amount:
$7,139.69

Component Description:
Sales tax related to waveguide removal
Amount:
$4,874.75

Component Description:
Tax on labor and materials
Amount:
$10,123.83

Component Description:
Tax on weather delays
Amount:
$759.50

Component Description:
Tax on weather delays
Amount:
$1,085.00

Component Description:
Tax on installation costs.
Amount:
$5,065.79

Component Description:
Sales tax on components, installment #1
Amount:
$45,066.14

Component Description:
Sales tax due on components, installment #2
Amount:
$40,559.53
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal costs
Amount:
$2,000.00

Component Description:
Disposal costs
Amount:
$22,000.00
Shipping Costs

Component Description:
Shipping costs related to Aux antenna
Amount:
$3,438.22

Component Description:
Shipping costs related to main antenna components
Amount:
$2,857.35

Component Description:
Shipping costs related to main antenna
Amount:
$6,467.75

Component Description:
Voltage regulator shipping
Amount:
$967.20

Component Description:
Shipping costs related to aux antenna
Amount:
$8,761.14

Component Description:
Shipping costs related to main antenna component
Amount:
$262.90
MVPD Notification of Channel Change

Component Description:
Medical notification
Amount:
$2,963.20
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Main antenna freight, shipping, handling and storage
Amount:
$26,443.00
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,595,988.75 $4,067,901.05 $2,877,678.32

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.

Dennis P. Thatcher

President


08/16/2019

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.

Dennis P. Thatcher

President


08/16/2019

Attachments

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