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:
68549
Service:
DCA
Call Sign:
WOHL-CD
Channel:
15 (UHF)
File Number:
0000028557
FRN:
0018282269
Date Submitted:
09/03/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WEST CENTRAL OHIO BROADCASTING, INC.

Fred Vobbe

1424 RICE AVENUE

LIMA, OH 45805

United States

+1 (419) 228-8835 fvobbe@wlio.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

Frederick R Vobbe

VP and Chief Operator

West Central Ohio Broadcasting, Inc.

Frederick R Vobbe

1424 Rice Avenue

Lima, OH 45805

United States

+1 (419) 228-8835 fvobbe@wlio.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. No
Briefly describe transition plan WOHL-CD will require a new transmitter site as the present tower failed structual analysis. The FCC has before them WOHL's Request for Waiver of Initial Construction Permit Filing Deadline, granted 7/12/17.

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 LU500BTD
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .5 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-16
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 6.58 kW
Justification for New Transmitter WOHL's present transmitter can not make the TPO needed for 100% replication of service contour.

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 100.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
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 1600.0 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

Installation and Proof

Installation of Transmitter system

Shipping Expense

Shipping expense for transmitter

Remote ControlSystem

Remote Control System

Electrical

Parallel Surge Supressor and a 75 Kva Transformer three phase 480vDelta Primary

New Transmitter Site

WOHL-CD will need to move from the present transmitter site to a new site. A building to house the transmitter will be required.

Generator

Generator plus Installation and supporting construction within new transmitter site.

State and local sales tax

State and Local sales tax

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 Class A
Mounting Top Mount
Antenna position in stack Top
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: 9.0 kW
Manufacturer
Model TFU-30JA
Year 1986

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 Class A
Mounting Top Mount
Antenna position in stack Top
Polarization Circular
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: 11.5 kW
Manufacturer
Model ATW6H3-CTO-15H
Year 2017
Justification for New Antenna WOHL-CD will move to a new tower site due to structural issues on the present tower. New antenna is circular polarized, difference of $15,500 from the cost of a horizontally polarized antenna.

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 3 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

RF Switch

RF switch to change transmitter from antenna to dummy load for testing.

Shipping cost

Shipping cost

Custom Antenna Mounts

Custom top mounts

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 560 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 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 650 feet per run
Justification for New Transmission Line WOHL-CD will move to a new transmitter site because of structural problems with present tower.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Gas Barrier

Transmission line will need to be pressurized from antenna to bldg.

Ice Bridge

Transmission line will need to be supported between tower and building and protected from ice fall.

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 Construct New
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) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1014519
Coordinates (NAD83) Latitude (NAD83) 40° 44' 51.2" N-
Longitude (NAD83) 084° 07' 54.3" W-
Overall Structure Height 548.88 feet
Support Structure Height 499.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 870.07 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner LIMA COMMUNICATIONS CORPORATION
Date Constructed 12/01/2004

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
37503 WLIO DTV

Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? Yes
Height 538.50 feet
Justification for New Tower WOHL-CD is moving to a new tower, and site. The present tower did not pass analysis. There is no land at present location to build new tower, which is in urban/residential area.

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

Ground System

Upgraded ground system, 100' x 100' to prevent lightning damage.

Shipping cost

Shipping cost

STL Antenna-Installation cost

WOHL-CD will require an STL to feed programming to and to control the transmitter. A TSL is needed to return News ENG program streams along with metering and status data from transmitter, and security monitoring.

Tower Structure Analysis

Structure analysis of existing tower

Studio Tower Modifications

Studio Tower modifications necessary as part of WOHL repack and new tower construction.

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 1000
Explanation WOHL will move to a new location, and build a new tower. To obtain replication of coverage, the station will have to undergo comprehensive engineering and legal analysis, and testing during the construction.
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 2
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
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 Yes
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

Name Description

Attorney Fees and Other Matters

Legal Counsel

Construction Site Project MGMT

The Lathrop Company project management

Microwave License Study

The STL will require a path study for coordination of license.

Public Utility Analysis

Transmitter site must have proper power and telco services at new site.

RF Consultant D. Everist

RF Consultant that files engineering studies on behalf of WOHL-CD

Site Survey

Location site survey

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 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

Field Strength Tests

WOHL will conduct field signal tests on present channel, and repacked channel to make sure signal meets service contour.

Generator

WOHL's transmitter presently shares a generator with the studios and offices of WOHL. The move would leave WOHL without backup power in an emergency.

IP Switch for STL-TSL system

Switch control for the transmitter

Microwave Receive Site ENG

WOHL will need to construct q new ENG Microwave Receive system and place it in service before the old site can be decommissioned due to public and network commitments to news.

STL-TSL system

6/7 Ghz microwave receive transmitter, receiver, antennas and transmission lines to link the studio the new transmitter site

Translator

Fill in for coverage lost on move.

ENG Microwave System

Cables and TX Lines for microwave system

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 $2,608,933.45 $2,574,129.14 N/A $1,306,298.93 N/A
Total for all systems $6,087,715.42 $5,888,693.43 N/A $3,441,849.60 N/A
Primary Transmitter ULXTE-16 $2,608,933.45 $2,574,129.14 $1,306,298.93
State and local sales tax $31,743.86 $31,743.86 N/A $0.00 N/A
Generator $216,712.83 $216,712.83 Please see attached RA Flynn Quote & Graybar Invoices $216,149.84 invoices
New Transmitter Site $1,022,821.10 $1,022,821.10 Purchase price of land for new transmitter site. See Settlement Statement. $0.00 N/A
Electrical $4,226.38 $4,226.38 N/A $2,894.15 N/A
Remote ControlSystem $9,190.50 $9,190.50 N/A $7,670.68 N/A
Shipping Expense $5,400.00 $5,400.00 N/A $0.00 N/A
Installation and Proof $35,688.33 $35,688.33 GatesAir Invoice TE10004511-2 $35,688.33 a
Other -- Building Addition Size: 1600.0 $734,965.87 $734,965.87 Please see attached RA Flynn Quote and RA Flynn Change orders 84503, 84504, 84845, 84846 and 85328 for BLDG addition costs (less HVAC and Generator Costs); KEI Estimate #18-8020; Frank V Razinger PE, LLC 1478, Elwer Fence 2190416, 2190417, 219041 $711,812.58 N/A
20 Ton system $115,500.00 $118,628.00 Please see attached RA Flynn Quote $109,661.56 N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,750.00 N/A $0.00 N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $14,017.69 Please see American Electric Power Contract No DWMS00000451497 and Purchase Order 8952 $14,017.69 N/A
UHF - Liquid Cooled Solid State Transmitter 6.58 kW $326,484.58 $326,484.58 N/A $208,404.10 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,500.00 N/A $0.00 N/A
Switchgear - industrial 800 amp $38,200.00 $36,000.00 N/A $0.00 N/A

Components

Actual Information Description File Name
State and local sales tax Information not provided.
Generator

Component Description:
502 ABB INSTALLATION PRODUCTS INC
Amount:
$111.10

Component Description:
THHN-8-STR-GRN-CUT REEL GENERIC VENDOR WIRE-WYRPA
Amount:
$26.13

Component Description:
LD5El6-A PANDUIT CORP
Amount:
$13.70

Component Description:
LD5IG6-A PANDUIT CORP
Amount:
$161.70

Component Description:
WOHL Transmitter Site Electrical Work
Amount:
$54,296.83

Component Description:
KA4C BURNDY LLC
Amount:
$401.28

Component Description:
WOHL-110-1st Primary Transmitter - Generator
Amount:
$151,615.75

Component Description:
CF54/100EZ CABLOFIL INC
Amount:
$736.53

Component Description:
LD10El6-A PANDUIT CORP
Amount:
$25.55

Component Description:
WOHL-110-1st Primary Transmitter - Other Electrical Costs Not Listed - Generator
Amount:
$9,324.25
New Transmitter Site

Component Description:
Settlement Statement for New Transmitter site
Amount:
$855,154.75
Electrical

Component Description:
PS 200 EH 20 PGAL Allied Tube & Conduit Hole Chnl
Amount:
$499.72

Component Description:
HBL5266CA HUBBELL WIRING DEVICES
Amount:
$90.43

Component Description:
Copper Strap. 4in. x .032in. x 100ft.
Amount:
$2,304.00
Remote ControlSystem

Component Description:
ARC PLUS TOUCH V5
Amount:
$4,338.57

Component Description:
Burk Line Voltage Sensor
Amount:
$3,332.11
Shipping Expense Information not provided.
Installation and Proof

Component Description:
WOHL-110-1st Primary Transmitter - Installation and Proof of Performance
Amount:
$8,832.86

Component Description:
WOHL-110-1st Primary Transmitter - Installation and Proof of Performance
Amount:
$17,933.39

Component Description:
WOHL-110-1st Primary Transmitter - Installation and Proof of Performance
Amount:
$8,922.08
Other -- Building Addition Size: 1600.0

Component Description:
Please deny this invoice.
Amount:
N/A

Component Description:
4TH DRAW FOR MATERIAL AND LABOR FOR
Amount:
$111,278.90

Component Description:
5TH DRAW FOR LABOR AND MATERIAL
Amount:
$49,400.00

Component Description:
CHANGE ORDER #3 - 14' X 23' X 8' SLAB ON GRADE WITH 4" REBAR
Amount:
$4,353.00

Component Description:
Special Cleaning
Amount:
$266.88

Component Description:
HVAC, Plumbing
Amount:
$53,299.75

Component Description:
444PC Mech
Amount:
$720.55

Component Description:
Install chain link fence around the tower anchors
Amount:
$14,891.63

Component Description:
"CHANGE ORDER #4 - MATERIAL AND LABOR TO EXTEND ALL WALLS TO BOTTOM OR ROOF DECK AND ADD 16"" OF ADDITIONAL BUILDING HEIGHT"
Amount:
$7,698.00

Component Description:
6th draw for material and labor
Amount:
$7,818.50

Component Description:
Replace posts damaged by the excavation crew
Amount:
$179.49

Component Description:
Install chain link fence under the canopy in the area of the generator
Amount:
$736.58

Component Description:
3rd draw for materials and labor for new transmitter building
Amount:
$131,234.90

Component Description:
CO-2 Fire Ext New Aluminum
Amount:
$2,140.55

Component Description:
Drafting & Associate Services, Engineering Services, Credit Payment
Amount:
$21,708.00

Component Description:
1st draw for new transmitter building
Amount:
$138,909.00

Component Description:
Material and Labor
Amount:
$162,890.47

Component Description:
Change order #1 - Add two course of block to top of building for more interior clearance under bar joint.
Amount:
$3,188.50

Component Description:
change order #2 develop stone roadways from new building to three guy wire foundation locations.
Amount:
$13,423.61

Component Description:
Install chain link fence around the perimeter of the building
Amount:
$10,839.40
20 Ton system

Component Description:
WOHL-110-1st Primary Transmitter - 20 Ton System
Amount:
$44,684.77

Component Description:
WOHL-110-1st Primary Transmitter - 20 Ton System
Amount:
$5,700.00

Component Description:
WOHL Heat exchanger pipe guard and filter rack
Amount:
$2,276.79

Component Description:
WOHL-110-1st Primary Transmitter - 20 Ton System
Amount:
$19,000.00

Component Description:
WOHL-110-1st Primary Transmitter - 20 Ton System
Amount:
$38,000.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 500 KVA

Component Description:
Install #2 AL 3 Phase UG primary and 500 KVA 120/208V padmount transformer
Amount:
$14,017.69
UHF - Liquid Cooled Solid State Transmitter 6.58 kW

Component Description:
1/3 down payment
Amount:
$55,995.63

Component Description:
CF54/100EZ CABLOFIL INC 2IN X 4IN CABLE TRAY ZINC
Amount:
$91.18

Component Description:
33% ULXTE-6 Transmitter
Amount:
$64,426.74

Component Description:
FASPCH150PG CABLOFIL INC 6 IN FAS CENTER HANGER PRE-GALVANIZED
Amount:
$92.65

Component Description:
ULXTE-6 Transmitter
Amount:
$87,797.90
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 $214,243.90 $213,985.77 N/A $190,664.69 N/A
Total for all systems $6,087,715.42 $5,888,693.43 N/A $3,441,849.60 N/A
Primary Antenna ATW6H3-CTO-15H $214,243.90 $213,985.77 $190,664.69
UHF - Lower Power, Top Mount, Class A, basic slot antenna, 12 kW input, elliptically or circularly polarized $184,143.75 $184,143.75 Upgraded Antenna. Baseline quote of $175,500.00 plus 6.75% tax ($11,643.75). $175,462.67 N/A
Sweep test of existing antenna $6,730.00 $6,671.87 ERI Invoice WOHL-004B $6,046.87 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $7,400.00 N/A $0.00 N/A
RF Switch $6,615.00 $6,615.00 N/A $0.00 N/A
Shipping cost $2,963.65 $2,963.65 N/A $2,963.65 N/A
Custom Antenna Mounts $6,191.50 $6,191.50 N/A $6,191.50 N/A

Components

Actual Information Description File Name
UHF - Lower Power, Top Mount, Class A, basic slot antenna, 12 kW input, elliptically or circularly polarized

Component Description:
30% payment Trasar & Transmission Line System
Amount:
$66,772.67

Component Description:
30% payment Trasar & Transmission Line System
Amount:
$54,345.00

Component Description:
30% payment Trasar & Transmission Line System
Amount:
$54,345.00
Sweep test of existing antenna

Component Description:
WOHL-210-Primary Antenna - Sweep Test
Amount:
$1,875.00

Component Description:
WOHL-210-Primary Antenna - Sweep Test
Amount:
$1,875.00

Component Description:
WOHL-210-Primary Antenna - Sweep Test
Amount:
$2,296.87
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
RF Switch Information not provided.
Shipping cost

Component Description:
WOHL-210-Primary Antenna - Shipping Cost
Amount:
$2,963.65
Custom Antenna Mounts

Component Description:
Custom Eng Antenna Mounts
Amount:
$3,095.75

Component Description:
Custom Eng Antenna Mounts
Amount:
$3,095.75

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 $213,167.59 $213,656.04 N/A $156,682.19 N/A
Total for all systems $6,087,715.42 $5,888,693.43 N/A $3,441,849.60 N/A
Primary Transmission Line $213,167.59 $213,656.04 $156,682.19
Gas Barrier $1,207.00 $1,207.00 N/A $0.00 N/A
Ice Bridge $144,360.59 $144,360.59 see Estimated Cost Justification WOHL-310-Primary Transmission Line - Ice Bridge v0 $85,633.46 N/A
Rigid Transmission Line - copper, 3 1/8" $67,600.00 $68,088.45 See Estimated Cost Justification WOHL-310-Primary Transmission Line - 3 1-8 Rigid Copper v0 $71,048.73 .

Components

Actual Information Description File Name
Gas Barrier Information not provided.
Ice Bridge

Component Description:
Extension to ice bridge for Dish/DirecTV
Amount:
$1,387.75

Component Description:
Final draw for PO 8889, fabrication and installation complete
Amount:
$36,028.12

Component Description:
Fabricate and install aluminum entry frame
Amount:
$7,972.84

Component Description:
2nd draw fabrication completed p.o.# 8889
Amount:
$36,028.12

Component Description:
LABOR TO MOBILIZE TO SITE, INSTALLED TOWER BASE
Amount:
$4,216.63
Rigid Transmission Line - copper, 3 1/8"

Component Description:
Digital Watchman Power Monitor/Alarm
Amount:
$2,960.28

Component Description:
Feed Line
Amount:
$1,189.57

Component Description:
Wall Entry Boots & Hardware
Amount:
$284.33

Component Description:
Elbows
Amount:
$663.00

Component Description:
LABOR CHARGES TO DRILL HOLES FOR BRACKETS
Amount:
$6,832.00

Component Description:
WOHL-310-Primary Transmission Line - 3 1/8" Rigid Copper
Amount:
$21,666.11

Component Description:
MODIFY PORT PANEL PER INSTRUCTION
Amount:
$533.75

Component Description:
FABRICATE AND INSTALL STAND FOR DEHYDRATOR SYSTEM
Amount:
$907.38

Component Description:
WOHL-310-Primary Transmission Line - 3 1/8" Rigid Copper
Amount:
$17,400.29

Component Description:
Elbows
Amount:
$767.32

Component Description:
Feed thru assembly- wall/roof 3-1/8" RL
Amount:
$444.41

Component Description:
WOHL-310-Primary Transmission Line - 3 1/8" Rigid Copper
Amount:
$17,400.29

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 $1,698,732.66 $1,532,797.66 N/A $1,204,108.94 N/A
Total for all systems $6,087,715.42 $5,888,693.43 N/A $3,441,849.60 N/A
Primary Tower TOWER $0.00 $0.00 $0.00
Primary Tower $1,698,732.66 $1,532,797.66 $1,204,108.94
Studio Tower Modifications $276,083.00 $276,083.00 Please see ERI Proposal 20181012-548 Rev B $276,083.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $255,065.00 N/A $7,932.84 N/A
Ground System $23,420.00 $23,420.00 Additional ground, 120 radials, buried 24", 100' due to history of electrical storms in region. $10,046.75 N/A
Tower Structure Analysis $20,300.00 $20,300.00 Please see Malouf invoices 1705093VO, 1705093V1, 1705093VOA, 1805093VO, and 1805093V1 $12,500.00 N/A
Shipping cost $5,387.30 $5,387.30 N/A $0.00 N/A
STL Antenna-Installation cost $11,000.00 $11,000.00 N/A $0.00 N/A
New tower $941,542.36 $941,542.36 Please see attached Purchase Order 8866 $897,546.35 N/A

Components

Actual Information Description File Name
Studio Tower Modifications

Component Description:
Tower Modifications
Amount:
$276,083.00

Component Description:
Studio Tower Modification
Amount:
$276,083.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Material and labor for wiring and installing temporary extension cords for the tower
Amount:
$1,303.01

Component Description:
Ground block modification for 4 point grounding at base of tower
Amount:
$416.33

Component Description:
Design structural modifications as required by structural analysis results and prepare modification working drawings and Technical Specification Notes
Amount:
$6,000.00

Component Description:
Antenna mount modification for DirecTV and Dish network
Amount:
$213.50

Component Description:
Material and labor for wiring and installing temporary extension cords
Amount:
$1,303.01
Ground System

Component Description:
Total Due Req. No. 1
Amount:
$6,591.81

Component Description:
615800 Erico International Corporation GR RODPTDCU
Amount:
$217.52

Component Description:
Material and labor to ground tower
Amount:
$1,289.23

Component Description:
Material and labor to ground tower and guide wire bases
Amount:
$1,289.23

Component Description:
Interior and exterior ground strap installation
Amount:
$8,540.00
Tower Structure Analysis

Component Description:
Perform a Structural Analysis (2 Scenarios) for referenced project. Prepare an Engineering Report.
Amount:
$8,000.00

Component Description:
Perform a Structural Analysis for referenced project. Prepare an Engineering Report.
Amount:
$2,500.00

Component Description:
Perform a Structural Analysis (3rd Scenario) for referenced project. Prepare an Engineering Report.
Amount:
$2,000.00
Shipping cost Information not provided.
STL Antenna-Installation cost Information not provided.
New tower

Component Description:
Tower 538.5' (600' TO H.O.B.)
Amount:
$441,062.30

Component Description:
Custom Lighting
Amount:
$4,100.00

Component Description:
Geotechnical Services
Amount:
$4,825.00

Component Description:
Professional Services
Amount:
$1,989.23

Component Description:
Professional Services
Amount:
$2,320.86

Component Description:
Install vinyl fence with farm gates per proposal #WLl5l8.
Amount:
$4,169.66

Component Description:
Weather Day
Amount:
$30,331.50

Component Description:
Tower with Install
Amount:
$415,458.00

Component Description:
Professional Services
Amount:
$3,319.87

Component Description:
Material and labor for wiring the tower lights over and above our contract
Amount:
$3,048.76

Component Description:
Material and labor for wiring the tower
Amount:
$3,048.76

Component Description:
Elwer Fence
Amount:
$4,697.00

Component Description:
Work completed to date on installation of vinyl fence per proposal #WLl518.
Amount:
$7,045.50

Component Description:
ALTA/NSPS Land Title Survey
Amount:
$5,086.00

Component Description:
Professional Services
Amount:
$424.17

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 $753,431.17 $755,483.17 N/A $334,622.56 N/A
Total for all systems $6,087,715.42 $5,888,693.43 N/A $3,441,849.60 N/A
Outside Professional Services $753,431.17 $755,483.17 $334,622.56
Project management of the transition $158,000.00 $150,000.00 N/A $145,716.18 N/A
Site Survey $7,536.00 $7,536.00 Please see the attached invoices from LEWANDOWSKI ENGINEERS, LLC # 16985 and 17313 $3,246.00 N/A
RF Consultant D. Everist $50,000.00 $50,000.00 N/A $0.00 N/A
Public Utility Analysis $12,500.00 $12,500.00 Estimate-American Electric Power, Dominion Gas Company and the City of Lima Water Dept. will not provide quotes until the building plans for the new transmitter building have been submitted for approval. $0.00 N/A
Microwave License Study $7,150.00 $7,150.00 STL Path, and required coordination notifications. Attached quote does not include Comsearch frequency coordination fee. $0.00 N/A
Construction Site Project MGMT $234,750.49 $234,750.49 N/A N/A N/A
Attorney Fees and Other Matters $143,864.68 $143,864.68 see Estimated Cost Justification WOHL-550-Attorney Fees - Other Matters v1 $143,864.68 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $0.00 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 $1,000.00 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A $0.00 N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 N/A $9,574.20 N/A
NEPA Section 106 environmental review, if needed $6,310.00 $23,432.00 Justifying Invoice - WOHL Terracon TA31840 $23,432.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A $1,355.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $0.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $4,447.00 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A $0.00 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 $0.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,800.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A $0.00 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $187.50 N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project Management
Amount:
$12,062.20

Component Description:
Contractor's Application for Payment
Amount:
$21,309.73

Component Description:
Project Management
Amount:
$23,428.95

Component Description:
Project Management
Amount:
$582.60

Component Description:
Project Management
Amount:
$1,856.00

Component Description:
Project Management
Amount:
$20,277.40

Component Description:
Project Management
Amount:
$1,548.50

Component Description:
Project Management
Amount:
$1,267.90

Component Description:
Project Management
Amount:
$1,809.30

Component Description:
Project Management
Amount:
$14,446.40

Component Description:
Project Management
Amount:
$2,605.05

Component Description:
Project Management
Amount:
$14,676.05

Component Description:
Fees
Amount:
$7,666.00

Component Description:
Project Management
Amount:
$2,607.90

Component Description:
Project Management
Amount:
$1,377.05

Component Description:
Project Management
Amount:
$13,490.05

Component Description:
Project Management
Amount:
$241.75

Component Description:
Project Management
Amount:
$1,717.75

Component Description:
Project Management
Amount:
$2,745.60
Site Survey

Component Description:
CAD Tech
Amount:
$608.00

Component Description:
Senior Design Engineer, CAD Tech. One-Man, OPS
Amount:
$1,842.00

Component Description:
WOHL-550-Attorney - Construction Permit Application (Main)
Amount:
$4,335.00

Component Description:
2017 Crop loss
Amount:
$796.00
RF Consultant D. Everist Information not provided.
Public Utility Analysis Information not provided.
Microwave License Study Information not provided.
Construction Site Project MGMT Information not provided.
Attorney Fees and Other Matters

Component Description:
Review issues re construction permit extension request
Amount:
$7,425.50

Component Description:
Email with F. Vobbe re project status and timing re possible phase waiver request
Amount:
$2,700.00

Component Description:
Review status of regulatory approvals
Amount:
$8,617.50

Component Description:
Conference call and email with local viewer.
Amount:
$4,393.00

Component Description:
Professional services
Amount:
$626.00

Component Description:
Email with FCC staff re status of tower build
Amount:
$20,685.00

Component Description:
Professional Services
Amount:
$5,484.08

Component Description:
Email with station engineers re FCC repack quarterly progress report
Amount:
$4,717.50

Component Description:
For Professional Services Rendered
Amount:
$1,751.30

Component Description:
Email with K. Wilkowki and station staff re FCC site visits
Amount:
$2,070.00

Component Description:
For Professional Services Rendered
Amount:
$8,103.50

Component Description:
Email with engineering staff re second tranche of repack funding
Amount:
$1,350.00

Component Description:
Professional services
Amount:
$2,852.50

Component Description:
Fees
Amount:
$3,609.50

Component Description:
Professional services
Amount:
$4,283.30

Component Description:
Professional services
Amount:
$4,009.50

Component Description:
Email with K. Wilkowski re repack reimbursement issues
Amount:
$630.00

Component Description:
For Professional Services Rendered
Amount:
$4,772.50

Component Description:
For Professional Services Rendered
Amount:
$390.00

Component Description:
For Professional Services Rendered
Amount:
$919.50

Component Description:
Email with station staff re FCC quarterly repack progress report
Amount:
$4,852.50

Component Description:
Review status of repack project and FAA approval; email with K. Wilkowski re same
Amount:
$42,136.50

Component Description:
Professional services
Amount:
$2,255.00

Component Description:
Fees
Amount:
$2,347.50

Component Description:
Email with F. Vobbe re repack reimbursement
Amount:
$2,883.00
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
Please accept this invoice for the feasibility study, report, FAA filing
Amount:
$1,000.00
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet

Component Description:
Terracon Consultants, Inc. - Miscellaneous
Amount:
$2,250.00

Component Description:
Professional Services
Amount:
$7,324.20
NEPA Section 106 environmental review, if needed

Component Description:
Tribal Fees
Amount:
$20,132.00

Component Description:
WOHL-590-NEPA Section 106 Environmental Review
Amount:
$3,300.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
WOHL-550-Attorney - Special Temporary Authorization
Amount:
$1,355.00
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

Component Description:
WOHL-550-Attorney - Construction Permit Application (Main)
Amount:
$4,335.00

Component Description:
WOHL-550-Attorney - Construction Permit Application (Main)
Amount:
$112.00
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform a Structural Reanalysis for the referenced site(s) for the new scenario. Prepare a Report of Findings.
Amount:
$1,800.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
WOHL-590-Prepare and/or Review Reimbursement Form
Amount:
$187.50

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $599,206.65 $598,641.65 N/A $249,472.29 N/A
Total for all systems $6,087,715.42 $5,888,693.43 N/A $3,441,849.60 N/A
Other Expenses $599,206.65 $598,641.65 $249,472.29
STL-TSL system $220,562.78 $220,562.78 See Estimated Cost Justification WOHL-610-STL-TSL System v1 $220,562.78 Sub-total matches estimated cost.
Generator $35,950.00 $35,950.00 Caterpillar 100kw/125kva @ 208/120V diesel generator, and transfer switch. $0.00 N/A
Field Strength Tests $25,000.00 $25,000.00 Signal measurements made at twelve or more communities comprising WOHL's DMA. $10,000.00 N/A
MVPD Notification of Channel Change $3,452.00 $3,452.00 Notification to 13 cable companies, and 14 MATV businesses. DTVNotification #INV-001772 $2,452.00 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A $0.00 N/A
Equipment Storage $6,000.00 $6,000.00 Power Company $0.00 N/A
Equipment Delivery and Handling Charges $23,582.95 $23,582.95 Shipping for transmitter, antenna, terminal equipment, and specialized equipment. $736.58 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,100.00 $2,100.00 Multiple 15yd dumpsters. $0.00 N/A
Non-zoning permits $7,500.00 $7,500.00 Electrical, plumbing, HVAC, land management, drainage. $82.95 N/A
Local Zoning $10,000.00 $10,000.00 Zoning via township and City of Lima (OH) $478.00 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A $0.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A $0.00 N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $2,996.00 N/A
ENG Microwave System $29,591.25 $29,591.25 see Estimated Cost Justification WOHL-610-ENGMicrowave System v.1 $10,242.15 N/A
Translator $110,541.40 $110,541.40 Translator, UHF channel, 15kw, to fill in area lost in coverage due to geographic move of transmitter site, and restriction of overlap of old contour. $0.00 N/A
Microwave Receive Site ENG $105,924.44 $105,924.44 N/A $0.00 N/A
IP Switch for STL-TSL system $1,921.83 $1,921.83 Per Hearland Video Systems $1,921.83 N/A

Components

Actual Information Description File Name
STL-TSL system

Component Description:
Hoisting Grip
Amount:
$54,261.16

Component Description:
50% per quoted terms of Original Quote: WISQ46021-11
Amount:
$36,742.92

Component Description:
Interference analysis
Amount:
$2,775.00

Component Description:
APC SMT1500RM2U 1440 VA 1000 W UPS
Amount:
$2,328.01

Component Description:
Framed load 10 inputs by 10 outputs 3G HD/SD video
Amount:
$2,132.98

Component Description:
50% per quoted terms of original quote: WISQ55968-02
Amount:
$45,316.00

Component Description:
SAF 13GHz G2 Series Indoor Duplex Very High Power Microwave Link.
Amount:
$35,010.30

Component Description:
Two SAF 1 0, 7GHz, Indoor, Duplex, High Power Microwave Links.
Amount:
$41,996.41
Generator Information not provided.
Field Strength Tests

Component Description:
For professional services rendered
Amount:
$10,000.00
MVPD Notification of Channel Change

Component Description:
Notification of Cable and Satellite MVPD Providers of new RF Channel and Transport Stream Parameters on Repack Channel
Amount:
$2,452.00
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Equipment Delivery and Handling
Amount:
$736.58

Component Description:
Replace post damaged & removed by the tower crew
Amount:
$736.58
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits

Component Description:
Commercial Building Application
Amount:
$82.95
Local Zoning

Component Description:
Zoning permit
Amount:
$478.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Service - Notification of Medical Facilities
Amount:
$2,996.00
ENG Microwave System

Component Description:
N female positive stop connector - loose
Amount:
$70.29

Component Description:
ANT, ULTRSCN11, 2/2.5GHZ, NON-CONT, ROTATION CNTRL
Amount:
$20,603.39

Component Description:
FABRICATION OF INTERIOR CABLE BRIDGE CLIPS
Amount:
$80.06

Component Description:
Installation of additional ground block as requested by E.R.I.
Amount:
$400.31

Component Description:
SNAP-IN Hanger EW63 WAVEGUIDE
Amount:
$8,587.53

Component Description:
FABRICATION OF CABLE BRIDGING TO EXTEND CABLE
Amount:
$1,174.25
Translator Information not provided.
Microwave Receive Site ENG Information not provided.
IP Switch for STL-TSL system

Component Description:
WOHL-610-IP Switch for STL-TSL System
Amount:
$422.90

Component Description:
WOHL-610-IP Switch for STL-TSL System
Amount:
$977.99

Component Description:
Prep & Powder Coat Side
Amount:
$520.94

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $6,087,715.42 $5,888,693.43 $3,441,849.60

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.

Keith Wilkowski

VP, Legal & Governmental Affairs


09/03/2019

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.

Keith Wilkowski

VP, Legal & Governmental Affairs


09/03/2019

Attachments

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