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:
35648
Service:
DTV
Call Sign:
KTAL-TV
Channel:
26 (UHF)
File Number:
0000028270
FRN:
0009961889
Date Submitted:
06/13/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NEXSTAR BROADCASTING, INC.

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv 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

Elizabeth Ryder

General Counsel

Nexstar Broadcasting, Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800 eryder@nexstar.tv

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Replace transmitter, antenna and line. Use existing antenna and line through assigned phase as "interim" while the top-mount is built-out. Map and analyze tower; design and implement modifications if required. See attached

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 QXD2
Year 2007
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 THU9EVO-48
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 106 kW
Justification for New Transmitter The manufacturer of the existing IOT transmitter advises that the transmitter cannot be re-tuned to the assigned channel. A new solid state transmitter is proposed because a new MSDC IOT does not have enough capacity. See attachment;

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 500 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 300.0 feet
Other Electrical Service Yes
Description See attached building addition quote with electrical costs from Hope Contractors of Shreveport, Inc.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 20 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 900.0 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

Additional Line

Additional transmission line required from new building addition to base of tower

Additional Interior RF System

Interior RF System Existing Transmitter to Interim Transmission line

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? No
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: 1000.0 kW
Manufacturer
Model TFU-32DSB-R O3
Year 2007

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? No
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: 927.0 kW
Manufacturer
Model TFU-29JTH/VP-R O6
Year 2018
Justification for New Antenna The existing primary antenna is a single channel slotted coaxial which cannot accommodate the assigned channel. Moving from side to top mount. Use existing as Interim which justifies side-to-top upgrade.

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

Bury Mounting Adapter

BURY MOUNTING ADAPTER 12FT BELOW TOWER TOP. 15.8 FT ABOVE TOWER TOP. ALLOWS TOP MOUNT ANTENNA TO UTILIZE TOWER TOP BURY CONFIGURATION.

Feed Through Complex

FEED THROUGH COMPLEX, INCLUDES REQUIRED ELBOWS AND CUT SECTIONS TO ROUTE ANTENNA INPUT ALONG SUPPORT POLE INTO TOWER.

Wedding Cake Mounting Adapter

WEDDING CAKE MOUNTING ADAPTER 3FT

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 1500 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? Yes
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1570 feet per run
Justification for New Transmission Line Moving from side to top mount. Will use existing antenna and line as Interim which justifies the upgrade costs since a new interim antenna and interim transmission line will not be required.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Additional Line

Additional transmission line required from new building addition to base of tower.

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? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1025912
Coordinates (NAD83) Latitude (NAD83) 32° 54' 11.0" N-
Longitude (NAD83) 094° 00' 21.0" W-
Overall Structure Height 1558.05 feet
Support Structure Height 1479.97 feet
Ground Elevation Above Mean Sea Level (AMSL) 295.93 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Nexstar Broadcasting, Inc.
Date Constructed 05/19/1961

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
33728 KTAL-FM FM

Primary Tower

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Tower Modification Costs

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

Lower Existing Side-Mount Antenna

Existing antenna must be moved to protect tower workers from RFR exposure while installing the new top-mount post-auction antenna

Weather and Downtime Delays

Weather and Downtime Delays

Ice Bridge

A new building addition is required which necessitates an ice bridge from the new building addition to the base of the tower

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 750
Explanation 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. Internal accounting and Project management.
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 17
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

Information not provided.

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 No
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

Sales Taxes

Sales and use tax on goods and services

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 $3,173,080.00 $1,932,370.00 N/A $1,813,620.00 N/A
Total for all systems $5,920,760.00 $4,125,785.00 N/A $3,301,471.41 N/A
Primary Transmitter THU9EVO-48 $3,173,080.00 $1,932,370.00 $1,813,620.00
Additional Interior RF System $140,000.00 $140,000.00 N/A $140,000.00 N/A
Additional Line $25,000.00 $25,000.00 Additional transmission line required from new building addition to base of tower. N/A N/A
Other -- Building Addition Size: 900.0 $206,480.00 $206,480.00 Insufficient space in existing building for new RF system. New building addition is required. Total costs for new building addition is $170400 which includes electrical. See attached Building Addition Quote and change orders(Hope Contractors of Shreve) $206,480.00 N/A
Other -- HVAC Service Type: C Size:20 (Other) $55,000.00 $55,000.00 Insufficient space in existing building for new RF system. HVAC required for new building addition. See attached Building Addition HVAC Quote (Central Air Heating and Aire Conditioning, Inc.). $45,200.00 N/A
Other Electrical Service: See attached building addition quote with electrical costs from Hope Contractors of Shreveport, Inc. $0.00 $0.00 Electrical costs associated with the new building addition are included in the building addition quote. See attached Building Addition Quote (Hope Contractors of Shreveport, Inc.). N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $15,600.00 $15,000.00 N/A N/A N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $47,100.00 N/A $28,500.00 N/A
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW $2,630,000.00 $1,393,440.00 See Rohde & Schwarz quote 119242.1. Note upgrade to THU9EVO-48 system cost is not included in estimated cost and KTAL will not seek reimbursement for the upgrade cost. $1,393,440.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $14,050.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A

Components

Actual Information Description File Name
Additional Interior RF System

Component Description:
Electrical service and transmitter installation
Amount:
$140,000.00
Additional Line Information not provided.
Other -- Building Addition Size: 900.0

Component Description:
Transmitter site building for KTAL
Amount:
$76,500.00

Component Description:
Transmitter site building for KTAL
Amount:
$25,400.00

Component Description:
Balance due on transmitter building
Amount:
$104,580.00
Other -- HVAC Service Type: C Size:20 (Other)

Component Description:
HVAC and installation
Amount:
$45,200.00
Other Electrical Service: See attached building addition quote with electrical costs from Hope Contractors of Shreveport, Inc. Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 500 KVA

Component Description:
Electrical service and transmitter installation
Amount:
$28,500.00
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW

Component Description:
Installment #3, less upgrade cost (see cover letter)
Amount:
$348,360.00

Component Description:
Installment #2, less upgrade cost (see cover letter)
Amount:
$696,720.00

Component Description:
Transmitter system, installment #1, less upgrade cost
Amount:
$348,360.00
Service entrance 3 phase/800 amp/208 volt Information not provided.
Switchgear - industrial 800 amp Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $426,730.00 $340,180.00 N/A $306,802.00 N/A
Total for all systems $5,920,760.00 $4,125,785.00 N/A $3,301,471.41 N/A
Primary Antenna TFU-29JTH/VP-R O6 $426,730.00 $340,180.00 $306,802.00
Wedding Cake Mounting Adapter $18,330.00 $18,330.00 See Dielectric quote DMS119-5 attached. $16,497.00 N/A
Feed Through Complex $13,650.00 $13,650.00 See Dielectric quote DMS119-5 attached. $12,285.00 N/A
Bury Mounting Adapter $86,220.00 $86,220.00 See Dielectric quote DMS119-5 attached. $77,598.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $9,150.00 Reduced down from 11,700. See Dielectric quote DMS119-5 attached. $8,235.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $206,430.00 See Dielectric quote DMS119-5 attached, 236,655 cost less VPOL upgrade (30,225) $185,787.00 N/A

Components

Actual Information Description File Name
Wedding Cake Mounting Adapter

Component Description:
Wedding cake mounting, installment #2, line 3 of invoice
Amount:
$8,248.50

Component Description:
Wedding cake mounting adapter, line 3 of invoice, installment #1
Amount:
$8,248.50
Feed Through Complex

Component Description:
Feed complex, line 5 of invoice, installment #1
Amount:
$6,142.50

Component Description:
Feed through complex, installment #2, line 5 of invoice
Amount:
$6,142.50
Bury Mounting Adapter

Component Description:
Bury mounting adapter, line 4 of invoice, installment #1
Amount:
$38,799.00

Component Description:
Bury Mounting Adapter, installment #2, line 4 of invoice
Amount:
$38,799.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow complex, line 6 of invoice, installment #1
Amount:
$4,117.50

Component Description:
Elbow complex, installment #2, line 6 of invoice
Amount:
$4,117.50
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Main antenna, installment #2, line 1 of invoice
Amount:
$92,893.50

Component Description:
Antenna component, line 1 of invoice, installment #1
Amount:
$92,893.50

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 $480,300.00 $300,427.00 N/A $247,884.30 N/A
Total for all systems $5,920,760.00 $4,125,785.00 N/A $3,301,471.41 N/A
Primary Transmission Line $480,300.00 $300,427.00 $247,884.30
Rigid Transmission Line - copper, 7 3/16" $455,300.00 $275,427.00 See Dielectric quote DMS119-5 attached. $247,884.30 N/A
Additional Line $25,000.00 $25,000.00 Additional transmission line required from new building addition to base of tower. N/A N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Transmission line, installment #2, line 7 of invoice
Amount:
$123,942.15

Component Description:
Transmission line, line 7 of invoice, installment #1
Amount:
$123,942.15
Additional Line 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 $1,132,000.00 $846,000.00 N/A $741,300.00 N/A
Total for all systems $5,920,760.00 $4,125,785.00 N/A $3,301,471.41 N/A
Primary Tower TOWER $1,132,000.00 $846,000.00 $741,300.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $347,500.00 Rigging, relocate FM antenna from tower rigging face, remove existing top-mount antenna, install new top-mount antenna & associated components, relocate FM antenna back to licensed height & face, remove side-mount antenna, de-rig, plumb & tension tower. $290,250.00 N/A
Ice Bridge $40,500.00 $40,500.00 See PCI Proposal 19304-6 and addendum $40,500.00 N/A
Weather and Downtime Delays $46,000.00 $46,000.00 Based on Precision Communications quote; weather delays $700 per man per day; downtime delays $1200 per man per day $0.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,600.00 N/A $24,150.00 N/A
Lower Existing Side-Mount Antenna $177,200.00 $177,200.00 Existing side-mount antenna must be lowered in order to protect tower workers from RFR exposure while installing the new top-mount post-auction antenna. $177,200.00 N/A
Major tower reinforcement/modifications $421,000.00 $209,200.00 $193,450 (PCI) + $15,750 (MorrisonHershfield) $209,200.00 N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Interim antenna installation
Amount:
$25,000.00

Component Description:
Antenna installation, installment #2
Amount:
$129,000.00

Component Description:
50% installment
Amount:
$161,250.00
Ice Bridge

Component Description:
Ice bridge, installments #2 and #3; see also sales tax
Amount:
$26,335.00

Component Description:
Additional materials required; see also freight and sales tax
Amount:
$1,000.00

Component Description:
Ice bridge, installment #1; see also sales tax
Amount:
$13,165.00
Weather and Downtime Delays

Component Description:
March and April weather delays, March down time.
Amount:
$46,000.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Structural analysis
Amount:
$3,650.00

Component Description:
Tower Mapping and Structural Analysis
Amount:
$20,500.00
Lower Existing Side-Mount Antenna

Component Description:
Rigging, lower side-mount antenna, remove and replace transmission line.
Amount:
$59,068.00

Component Description:
Rigging, lower side-mount antenna, remove and replace transmission line.
Amount:
$59,066.00

Component Description:
Rigging, lower side-mount antenna, remove and replace transmission line.
Amount:
$59,066.00
Major tower reinforcement/modifications

Component Description:
Tower Modifications for Main Antenna installation, installment #1; see also sales tax
Amount:
$128,960.00

Component Description:
Balance due on completion; see also freight
Amount:
$64,490.00

Component Description:
Tower Modification
Amount:
$15,750.00

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 $187,420.00 $186,680.00 N/A $35,758.80 N/A
Total for all systems $5,920,760.00 $4,125,785.00 N/A $3,301,471.41 N/A
Outside Professional Services $187,420.00 $186,680.00 $35,758.80
Project management of the transition $118,500.00 $115,500.00 N/A $30,583.80 N/A
Additional Field Engineering Service, 17 Days $34,000.00 $34,000.00 N/A 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 $2,050.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,050.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,585.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,305.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,120.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $5,175.00 STAs required to operate at a lower height and on second interim antenna (due to burn up) $5,175.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,535.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,070.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,560.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,560.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,170.00 N/A N/A N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Prepare Form 387, item 4 from invoice summary
Amount:
$150.00

Component Description:
Project management services April 2019
Amount:
$50.00

Component Description:
Project management services March 2019
Amount:
$175.00

Component Description:
Project management services 3.30.19 to 4.26.19
Amount:
$1,850.00

Component Description:
Project management services May 2019
Amount:
$60.00

Component Description:
Project management services 02.2019
Amount:
$20.00

Component Description:
Project management services 10.2018
Amount:
$50.00

Component Description:
Project management services 11.2018
Amount:
$125.00

Component Description:
Prepare Form 387, item 2 from invoice summary
Amount:
$150.00

Component Description:
Project management services, item 1 from invoice summary
Amount:
$1,500.00

Component Description:
Project management services 2.1.19 through 3.1.19
Amount:
$150.00

Component Description:
Project management services 3.2.19 through 3.29.19
Amount:
$1,350.00

Component Description:
Project management services 5/26/18 through 6/29/18
Amount:
$525.00

Component Description:
FCC Transition study and design
Amount:
$2,175.01

Component Description:
FCC Transition study and design
Amount:
$150.80

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$1,275.00

Component Description:
Project management services 10.27.18 through 11.30.18
Amount:
$2,825.00

Component Description:
Project Management and consultant with their invoice attached. Services 5/27/17 to 6/30/17.
Amount:
$13,500.00

Component Description:
FCC Transition study and design
Amount:
$75.00

Component Description:
Project management services
Amount:
$4,303.00

Component Description:
FCC Transition study and design
Amount:
$497.40

Component Description:
Project management services 6/30/18 through 7/27/18
Amount:
$1,875.00

Component Description:
Professional management services 12.1.18 through 12.31.18
Amount:
$925.00

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$1,350.00
Additional Field Engineering Service, 17 Days 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 -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:
STA to operate at lower height, item 5 from invoice summary
Amount:
$1,500.00

Component Description:
STA Amendment
Amount:
$675.00

Component Description:
STA amendment required to use second interim antenna
Amount:
$1,500.00

Component Description:
STA required to operate post transition channel while main antenna is being installed
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.
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development 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 $521,230.00 $520,128.00 N/A $156,106.31 N/A
Total for all systems $5,920,760.00 $4,125,785.00 N/A $3,301,471.41 N/A
Other Expenses $521,230.00 $520,128.00 $156,106.31
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $12,076.33 N/A
Sales Taxes $373,600.00 $373,600.00 Sales and use tax for goods and services based on LA state rates. $125,089.18 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 N/A N/A N/A
Equipment Storage $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 $16,000.00 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $195.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $333.00 N/A 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 $11,250.00 N/A $2,940.80 N/A
AM Pattern Disturbance -- Remedy $21,050.00 $20,500.00 N/A N/A N/A
AM Pattern Disturbance -- Impact study $7,890.00 $7,680.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Interim antenna relocation
Amount:
$10,876.33

Component Description:
Freight on ice bridge materials
Amount:
$1,200.00
Sales Taxes

Component Description:
Tax on transmitter, less tax related to upgrade cost
Amount:
$118,649.15

Component Description:
Sales tax on ice bridge materials
Amount:
$1,099.28

Component Description:
Sales tax on ice bridge materials
Amount:
$98.00

Component Description:
Sales tax on ice bridge materials
Amount:
$319.87

Component Description:
Freight related to tower modifications.
Amount:
$1,225.00

Component Description:
Sales tax on tower modification materials
Amount:
$3,697.88
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Removal of Larson transmitter
Amount:
$16,000.00

Component Description:
Transmitter removal
Amount:
$16,000.00
Non-zoning permits 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

Component Description:
Notification of Medical Facilities
Amount:
$2,940.80
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 $5,920,760.00 $4,125,785.00 $3,301,471.41

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.

Elizabeth Ryder

General Counsel


06/13/2019

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.

Elizabeth Ryder

General Counsel


06/13/2019

Attachments

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