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:
61961
Service:
DTV
Call Sign:
KVLY-TV
Channel:
18 (UHF)
File Number:
0000028721
FRN:
0018223693
Date Submitted:
07/16/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAY TELEVISION LICENSEE, LLC

Doing Business As: GRAY TELEVISION LICENSEE, LLC

4370 PEACHTREE RD NE

ATLANTA, GA 30319

United States

+1 (701) 237-5211 robert.folliard@gray.tv Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Samuel Hariton

Widelity

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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 Replacing the existing transmitter, transmission line, and antenna. Also purchasing an interim transmitter, transmission line, and antenna.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model DTT10KSUG1
Year 2004
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 10 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? No
Manufacturer
Model THU9-8EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 13 kW
Justification for New Transmitter Current transmitter cannot make enough power to feed the Dielectric proposed channel 18 replacement antenna. Also, Larcan went bankrupt. The original company is out of business.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Pad for Heat Exchangers

Heat Exchanger Concrete Pad plus Ice shield

Building Upgrade

Concrete Cutting Work

Electrical

Electrical Code Verification for Transmitters

Electrical

Electrical Installation Costs

HVAC

HVAC Modification

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model THU9-EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 6.5 kW
Justification for New Transmitter Interim transmitter needed to continue broadcasting during installation of new transmitter.

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Please see the attached invoices from Rickard Electric Inc # 1835-1, 1835-2 and 1835-3
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Inside RF System

UHF Inside RF System including switching

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 356.0 kW
Manufacturer
Model TFU32DSB-J
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: 192.0 kW
Manufacturer
Model TFU 19ETT/VP-R 3C210
Year 2018
Justification for New Antenna Existing antenna is single channel antenna tuned to channel 44 and 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 4 1/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Top Plate Adapter

Top plate adapter to match tower top and antenna bolt pattern.

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: 103.0 kW
Manufacturer
Model TLP32J
Year 2018
Justification for New Antenna Interim antenna needed to allow the station to broadcast during the installation of the new main antenna.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an 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

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 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 1974 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 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1974 feet per run
Justification for New Transmission Line 6" line is original Prodelin line is 50 years old. We will sweep line but expect to replace. Also replacing side-mount antenna with a top-mount.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep Existing Transmission Line

Sweep existing transmission line to ascertain viability

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 Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 1580 feet per run
Justification for New Transmission Line Interim transmission line required so that the station can broadcast while the main line is being replaced.

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? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) No
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1046244
Coordinates (NAD83) Latitude (NAD83) 47° 20' 32.0" N-
Longitude (NAD83) 097° 17' 21.0" W-
Overall Structure Height 2062.97 feet
Support Structure Height 1951.09 feet
Ground Elevation Above Mean Sea Level (AMSL) 975.05 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Gray Television Group, Inc.
Date Constructed 08/13/1963


Other Types of Users

Users
K28MA-D, 185875

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Painting

Restripe tower paint to match lower height change.

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 900
Explanation Strategic Planning
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 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 No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application 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

Security

Security at the site for the storage of equipment

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 $1,003,580.73 $949,718.09 N/A $752,475.04 N/A
Total for all systems $3,041,161.43 $3,003,538.66 N/A $2,046,387.06 N/A
Interim Transmitter THU9-EVO $358,693.58 $404,181.98 $293,826.09
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $318,988.40 Increase to cover Rohde and Schwarz invoices 9500080421, 9500085140, 9500085141 and 9500075326, as well as electrical invoices moved to this category. Accompanying quotes are uploaded. $293,826.09 N/A
Other Electrical Service: Please see the attached invoices from Rickard Electric Inc # 1835-1, 1835-2 and 1835-3 $63,930.00 $63,930.00 Please see the attached invoices from Rickard Electric Inc # 1835-1, 1835-2 and 1835-3 N/A N/A
Inside RF System $21,263.58 $21,263.58 N/A N/A N/A
Primary Transmitter THU9-8EVO $644,887.15 $545,536.11 $458,648.95
HVAC $17,450.00 $17,450.00 These costs are associated with changing the HVAC system over from an air cooled transmitter with heat recovery for winter to accommodate the new liquid cooled transmitter. $4,250.00 N/A
Electrical $3,000.00 $3,000.00 Electrical invoices included in the interim transmitter budget category. $3,000.00 N/A
Building Upgrade $8,371.15 $8,371.15 Krueger Concrete and Steel invoices 18413 and 18415. $8,371.15 Krueger Concrete
Pad for Heat Exchangers $119,066.00 $119,066.00 Revised quote 4/30/2018 $117,094.00 N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $395,148.96 N/A $324,652.80 N/A
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors. $2,500.00 $2,500.00 N/A $1,281.00 N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
Down payment request on interim transmitter
Amount:
$63,060.00

Component Description:
Transmitter components
Amount:
$10,728.39

Component Description:
New Interim Transmitter
Amount:
$3,084.90

Component Description:
New 1st Primary Transmitter
Amount:
$16,826.55

Component Description:
KVLY-180-New Interim Transmitter
Amount:
$5,925.00

Component Description:
Milestone Payment #2
Amount:
$126,120.00

Component Description:
Milestone Payment #3
Amount:
$63,060.00

Component Description:
New Interim Transmitter
Amount:
$5,021.25
Other Electrical Service: Please see the attached invoices from Rickard Electric Inc # 1835-1, 1835-2 and 1835-3 Information not provided.
Inside RF System Information not provided.
HVAC

Component Description:
Blanchard Tower HVAC Modifications
Amount:
$4,250.00
Electrical

Component Description:
Third party engineering review of non-UL listed equipment
Amount:
$3,000.00
Building Upgrade

Component Description:
Demo Saw Cutting 15"w x 54"w x 4" hole in floor
Amount:
$2,885.00

Component Description:
Labor - Demo Masonry and Install Rebar
Amount:
$5,486.15
Pad for Heat Exchangers

Component Description:
Heat Exchangers New 1st Primary Transmitter
Amount:
$33,722.00

Component Description:
Labor to add 40 yards of fill, labor and grading estimate
Amount:
$2,500.00

Component Description:
Ice canopy fabrication and onsite assembly
Amount:
$33,700.00

Component Description:
Costs to fill 8' by 17' cistern; Blanchard Transmitter Pad and Ice Canopy
Amount:
$7,088.00

Component Description:
Material handling; skid steer rental
Amount:
$600.00

Component Description:
Ice canopy material
Amount:
$39,484.00
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
THU9EVO-8 Main Transmitter 25% downpayment
Amount:
$94,013.75

Component Description:
Change order #1 additional disconnects
Amount:
$3,614.25

Component Description:
Electrical work installing new KVLY Channel 36 main transmitter
Amount:
$7,853.75

Component Description:
Electric work for new transmitter
Amount:
$4,825.10

Component Description:
DP 50% down payment Milestone 2 at delivery
Amount:
$188,027.50

Component Description:
electrical work installing main and interim transmitters
Amount:
$26,318.45
Other Electrical Service: The new main transmitter will require reconfiguration of the electrical service on site. The electrical work cost has been estimated based on verbal guidance from local electrical contractors.

Component Description:
Equipment Rental Caterpillar
Amount:
$1,281.00

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $421,482.00 $339,068.92 N/A $266,441.74 N/A
Total for all systems $3,041,161.43 $3,003,538.66 N/A $2,046,387.06 N/A
Interim Antenna TLP32J $96,130.00 $62,064.62 $31,068.86
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $55,664.62 N/A $27,521.84 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,547.02 N/A
Primary Antenna TFU 19ETT/VP-R 3C210 $325,352.00 $277,004.30 $235,372.88
Top Plate Adapter $19,552.00 $19,552.00 N/A $19,552.00 N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $9,872.00 DTV pros quote JEHQ1275-04 $9,872.00 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 $241,180.30 N/A $199,548.88 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
UHF LOW POWER SIDE MOUNT
Amount:
$12,680.00

Component Description:
Interim Antenna System - UHF Low Power Side Mount
Amount:
$14,841.84
Sweep test of existing antenna

Component Description:
Sweep Test, Interim Antenna
Amount:
$1,627.02

Component Description:
Sweep Test
Amount:
$1,920.00
Top Plate Adapter

Component Description:
New Primary Antenna Top Plate Adapter
Amount:
$4,888.00

Component Description:
New Primary Antenna Top Plate Adapter
Amount:
$5,865.60

Component Description:
New Primary Antenna Top Plate
Amount:
$4,888.00

Component Description:
KVLY-210-Top Plate Adapter New Primary Antenna
Amount:
$3,910.40
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
New Primary Antenna Elbow Complex
Amount:
$2,468.00

Component Description:
KVLY-210-Elbow Complex New Primary Antenna
Amount:
$1,974.40

Component Description:
New Primary Antenna Elbow Complex
Amount:
$2,961.60

Component Description:
New Primary Antenna Elbow Complex
Amount:
$2,468.00
Sweep test of existing antenna

Component Description:
KVLY-210-Sweep Test New Primary Antenna
Amount:
$1,280.00

Component Description:
Sweep Test New Primary Antenna
Amount:
$1,920.00

Component Description:
Sweep Test New Primary Transmission Line
Amount:
$1,600.00

Component Description:
Sweep Test New Antenna
Amount:
$1,600.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Primary Antenna
Amount:
$49,884.37

Component Description:
New Primary Antenna - UHF High Power Top Mount
Amount:
$59,872.65

Component Description:
UHF - HIGH POWER TOP MOUNT
Amount:
$39,907.50

Component Description:
New Primary Antenna
Amount:
$49,884.36

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 $496,968.00 $417,763.45 N/A $347,977.74 N/A
Total for all systems $3,041,161.43 $3,003,538.66 N/A $2,046,387.06 N/A
Interim Transmission Line $93,220.00 $79,459.42 $34,018.93
Flexible Air Transmission Line - dielectric, 3" $93,220.00 $79,459.42 N/A $34,018.93 N/A
Primary Transmission Line $403,748.00 $338,304.03 $313,958.81
Sweep Existing Transmission Line $5,000.00 $5,000.00 See invoice $4,875.00 N/A
Rigid Transmission Line - copper, 6 1/8" $398,748.00 $333,304.03 N/A $309,083.81 N/A

Components

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

Component Description:
Interim Transmission Line
Amount:
$15,777.89

Component Description:
Interim Transmission Line
Amount:
$18,241.04
Sweep Existing Transmission Line

Component Description:
KVLY antenna/transmission line system sweep, report and expenses
Amount:
$4,875.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
New Primary Transmission Line
Amount:
$74,394.38

Component Description:
Dual Universal Switch Controller 3U
Amount:
$6,398.30

Component Description:
Dual Universal Switch Controller 3U
Amount:
$5,108.00

Component Description:
New Primary Transmission Line
Amount:
$74,394.33

Component Description:
New Primary Transmission Line
Amount:
$89,273.30

Component Description:
KVLY-310-New Primary Transmission Line
Amount:
$59,515.50

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 $864,512.20 $1,059,767.20 N/A $576,378.50 N/A
Total for all systems $3,041,161.43 $3,003,538.66 N/A $2,046,387.06 N/A
Primary Tower TOWER $864,512.20 $1,059,767.20 $576,378.50
Structural engineering tower load study for well documented tower $12,600.00 $6,210.00 N/A $0.00 N/A
Tall Tower (greater than 500') $210,500.00 $440,000.00 See Quote TCI-17-043 $131,512.50 N/A
Tower Painting $220,412.20 $220,412.20 Costs estimates for repainting the tower and re-positioning lighting has been updated since the original contractor is no longer available to do the job. $51,721.00 N/A
Major tower reinforcement/modifications $421,000.00 $393,145.00 Per TCI quote, change orders, Tower Consultants and KVLY purchase order $393,145.00 N/A

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Perform Tower Analysis
Amount:
$6,210.00
Tall Tower (greater than 500')

Component Description:
KVLY-410-Tower Rigging existing tower $93,131.5
Amount:
$41,410.50

Component Description:
install Dielectric Side Mount Antenna
Amount:
$90,102.00
Tower Painting

Component Description:
Down payment, Materials-New LED A-6 Tower Lighting System and labor
Amount:
$51,721.00
Major tower reinforcement/modifications

Component Description:
Mobilization - Section 1 and 2 Repack Modification Services
Amount:
$39,040.00

Component Description:
Repack Modification Services
Amount:
$126,310.00

Component Description:
Repack modification services - Section 1 & 2.
Amount:
$126,310.00

Component Description:
CO #2 - Insurance Addition
Amount:
$45,625.00

Component Description:
Antenna and TX LIne Services - Sections 3,4 & 6 - tower modifications
Amount:
$150,170.00

Component Description:
CO # 3 Remobilization ( Nov 6, 2018)
Amount:
$32,000.00

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 $181,330.00 $173,250.00 N/A $87,802.80 N/A
Total for all systems $3,041,161.43 $3,003,538.66 N/A $2,046,387.06 N/A
Outside Professional Services $181,330.00 $173,250.00 $87,802.80
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 $3,680.00 $3,500.00 N/A 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
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 N/A N/A
Project management of the transition $142,200.00 $135,000.00 N/A $79,302.80 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $8,500.00 Additional engineering work required to conduct channel study to identify alternate channel in lieu of repack Ch. 18. $8,500.00 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
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A

Components

Actual Information Description File Name
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.
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 Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$802.25

Component Description:
Project Management
Amount:
$755.80

Component Description:
Project Management
Amount:
$3,065.40

Component Description:
Project Management
Amount:
$2,480.15

Component Description:
Project Management
Amount:
$3,935.60

Component Description:
Project Management
Amount:
$2,301.45

Component Description:
Project Management
Amount:
$4,483.15

Component Description:
Cost Reconciliation
Amount:
$2,034.20

Component Description:
Project Management
Amount:
$2,933.65

Component Description:
Project Management
Amount:
$2,606.30

Component Description:
Project Mgt
Amount:
$28.20

Component Description:
Project Management
Amount:
$3,465.60

Component Description:
Project Management
Amount:
$3,079.40

Component Description:
Project Management
Amount:
$6,073.15

Component Description:
Project Management
Amount:
$2,673.10

Component Description:
Project Management
Amount:
$2,007.60

Component Description:
Project Management
Amount:
$2,268.75

Component Description:
Project Management
Amount:
$1,328.55

Component Description:
Project Management
Amount:
$3,705.15

Component Description:
Cost Reconciliation
Amount:
$7,045.20

Component Description:
Project Management
Amount:
$3,660.85

Component Description:
Project Management
Amount:
$2,567.30

Component Description:
Transition Related Project Management Costs
Amount:
$3,300.00

Component Description:
Project management
Amount:
$2,434.40

Component Description:
Project Management
Amount:
$4,089.80

Component Description:
Project Management
Amount:
$1,936.95

Component Description:
Project Management
Amount:
$1,796.50

Component Description:
Project management
Amount:
$2,444.35
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

Component Description:
Perform engineering study for new channel assignment
Amount:
$3,050.00

Component Description:
Perform engineering study for new channel assignment
Amount:
$625.00

Component Description:
Engineering Study for New Channel Assignment
Amount:
$675.00

Component Description:
Conduct channel study to identify alternate channels in lieu of repack Ch-18.
Amount:
$3,137.50

Component Description:
review tech specs of antenna for use as intereim
Amount:
$312.50

Component Description:
Perform engineering study for new channel assignment
Amount:
$700.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover 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 $73,288.50 $63,971.00 N/A $15,311.24 N/A
Total for all systems $3,041,161.43 $3,003,538.66 N/A $2,046,387.06 N/A
Other Expenses $73,288.50 $63,971.00 $15,311.24
Security $12,004.50 $12,004.50 Updated quote from a year ago includes winter rate. $5,237.40 N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $7,500.00 $7,500.00 N/A N/A N/A
Equipment Storage $12,000.00 $12,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $10,704.00 $10,704.00 N/A $10,073.84 N/A
DTV Medical Facility Notification $11,550.00 $2,247.50 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $18,000.00 $18,000.00 See attached Midwest Steeplejacks “KVLY Blanchard Disposal Quote” dated 8-17-17. Updated quote from a year ago includes winter rate. at $18,000 N/A N/A

Components

Actual Information Description File Name
Security

Component Description:
Security for KVLY Transmitter site
Amount:
$2,277.60

Component Description:
Security for KVLY Transmitter site
Amount:
$2,040.00

Component Description:
Security for KVLY Transmitter site
Amount:
$919.80
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Unloading of 3" transmission line reel and forklift
Amount:
$1,624.05

Component Description:
Site work
Amount:
$2,734.06

Component Description:
Equipment Delivery
Amount:
$4,815.73

Component Description:
Site Work on 8/28/2018
Amount:
$900.00
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,041,161.43 $3,003,538.66 $2,046,387.06

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.

Robert Folliard , III .

Assistant Secretary


07/16/2019

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.

Robert Folliard , III .

Assistant Secretary


07/16/2019

Attachments

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