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:
72064
Service:
DTV
Call Sign:
WFMY-TV
Channel:
35 (UHF)
File Number:
0000028081
FRN:
0024376683
Date Submitted:
08/28/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WFMY TELEVISION, LLC

Law Department

TEGNA Inc.

7950 Jones Branch Drive

McLean, VA 22107

United States

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

Jeffrey Johnson , Johnson .

Vice President Projects

TEGNA

Jeffrey Johnson

7950 Jones Branch Drive

McLean, VA 22102

United States

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

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan WFMY will be replacing tit's current UHF Antenna that is stacked on top of their old analog antenna at their current tower. An interim facility will be required.

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 Sigma CD3300P3
Year 2002
Type Inductive Output Tube
IOT Power Type Three
Power Capacity 63 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 90
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 56.4 kW
Justification for New Transmitter Reimbursable TPO is 50.81 kW based on initial 90-day filing CP. This requires a ULXTE-90 since next step down is a ULXTE-80 with max power rating of only 50.1 kW which cannot achieve assigned post-transition ERP. Therefore, the ULXTE-90 is reimbursable.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 3 inches
Length 100.0 feet
Other Electrical Service Yes
Description Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 25 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 100.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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: 1000.0 kW
Manufacturer
Model TFU30GTH-R 04
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
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: 743.0 kW
Manufacturer
Model TFU-26GTH-R 04
Year 2018
Justification for New Antenna Old antenna will not work on new channel assignment. Have antenna quoted with VPol option. VPol would be a upgrade if purchased.

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?
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 7 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
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

Reducer

Reducer

TLSCRs

TLSCRs

Shipping

$6,800

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 Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 24
Lower Limit 692.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-24WB-R C160
Year 2018
Justification for New Antenna An interim antenna is necessary to keep station on air during primary antenna replacement & for duration of assigned phase. TFU-24WB cost is equivalent to a single-channel slot interim antenna. A TFU-24WB is required to replicate existing coverage.

Interim Antenna

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Other Antenna Costs

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

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

$5,400

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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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2000 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

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

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 6 1/8 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1925 feet per run
Justification for New Transmission Line Interim transmission line is necessary to keep station on air during primary antenna replacement & for duration of assigned phase. 6-1/8" rigid line is required to provide required power rating for replication ERP.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

Sweep required to verify TX line measures well

Misc Parts

Misc Parts

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex?
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1001558
Coordinates (NAD83) Latitude (NAD83) 35° 52' 13.5" N-
Longitude (NAD83) 079° 50' 24.0" W-
Overall Structure Height 1889.41 feet
Support Structure Height 1769.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 734.90 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WFMY Television, LLC
Date Constructed 02/01/2002


Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Top Plate

Existing top-plate and/or bolt pattern may not work for new top-mount stack antenna

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 840
Explanation Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x840hrs($126000), a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations 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 Yes
Additional Field Engineering Service Yes
Number of Days 20
Justification It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Legal Services

Other Legal Services related to the DTV Repack

Pre filing site review

Outside engineering site review

Other Engineering Services

Other Engineering Services related to the DTV Repack

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? 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 Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

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 $1,934,700.00 $1,779,878.36 N/A $810,963.16 N/A
Total for all systems $4,468,109.25 $3,938,857.67 N/A $1,514,144.84 N/A
Primary Transmitter ULXTE 90 $1,934,700.00 $1,779,878.36 $810,963.16
Other -- Building Addition Size: 100.0 $25,000.00 $25,000.00 New pad required for heat exchangers, transformers, pumps, etc. Equipment must also be shielded. N/A N/A
25 Ton system $91,500.00 $87,000.00 Estimate is in alignment with reimbursable cost. N/A N/A
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. $25,000.00 $25,000.00 Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,637,978.36 N/A $810,963.16 N/A

Components

Actual Information Description File Name
Other -- Building Addition Size: 100.0 Information not provided.
25 Ton system Information not provided.
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Gates inv #JW30004553-1 Primary Transmitter 50 pct pmt 1 UL20181206jgv1
Amount:
$810,963.16

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 $682,888.00 $487,063.55 N/A $152,810.00 N/A
Total for all systems $4,468,109.25 $3,938,857.67 N/A $1,514,144.84 N/A
Interim Antenna TFU-24WB-R C160 $404,220.00 $270,402.55 $58,372.55
Shipping $5,400.00 $5,400.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 Per Widelity report N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $21,750.00 per Dielectric N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $13,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 Per Dielectric quote N/A N/A
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 1000 kW input, directional,, horizontally polarized $160,480.00 $160,480.00 An interim antenna is necessary to keep station on air during primary antenna replacement & for duration of assigned phase. TFU-24WB cost is equivalent to a single-channel slot interim antenna. A TFU-24WB is required to replicate existing coverage. N/A N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $58,372.55 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $58,372.55 N/A
Primary Antenna TFU-26GTH-R 04 $278,668.00 $216,661.00 $94,437.45
Shipping $6,800.00 $6,800.00 N/A N/A N/A
TLSCRs $2,138.00 $2,138.00 See attached Dielectric Quote DMS029-2 and Invoice MAN00947 $962.10 N/A
Reducer $2,100.00 $2,100.00 See attached Dielectric Quote DMS029-2 and Invoice MAN00947 $945.00 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $10,298.00 See attached Dielectric Quote DMS029-2 and Invoice MAN00947 $4,634.10 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $188,925.00 See attached Dielectric Quote DMS029-2 and Invoice MAN00947 $85,016.25 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 per Dielectric quote $2,880.00 N/A

Components

Actual Information Description File Name
Shipping Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 1000 kW input, directional,, horizontally polarized Information not provided.
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
Inv 71005 WFMY Aux antenna UL20180517jg v2
Amount:
$58,372.55
Shipping Information not provided.
TLSCRs

Component Description:
Die MAN00947 v190718pmv1
Amount:
$962.10
Reducer

Component Description:
Die MAN00947 v190718pmv1
Amount:
$945.00
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Die MAN00947 v190718pmv1
Amount:
$4,634.10
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Die MAN00947 v190718pmv1
Amount:
$85,016.25
Sweep test of existing antenna

Component Description:
Die MAN00947 v190718pmv1
Amount:
$2,880.00

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 $465,661.25 $333,080.76 N/A $320,280.76 N/A
Total for all systems $4,468,109.25 $3,938,857.67 N/A $1,514,144.84 N/A
Interim Transmission Line $459,261.25 $326,680.76 $320,280.76
Rigid Transmission Line - copper, 6 1/8" broadband $446,600.00 $314,019.51 The cost of the transmission line is higher than previously quoted (20180427jg v1) $314,019.51 The cost of the transmission line is higher than previously quoted (20180427jg v1)
Misc Parts $6,261.25 $6,261.25 N/A $6,261.25 N/A
TX Line Sweep $6,400.00 $6,400.00 N/A N/A N/A
Primary Transmission Line $6,400.00 $6,400.00 $0.00
TX Line Sweep $6,400.00 $6,400.00 N/A N/A N/A

Components

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

Component Description:
Inv 87001 WFMY Transmission line UL20180427jg v1
Amount:
$305,641.30

Component Description:
Inv 106024 WFMY Transmission line accessories UL20180427jg v1
Amount:
$8,378.21
Misc Parts

Component Description:
Die 98003 v190729pmv1
Amount:
$5,040.00

Component Description:
Die 106004 v190729pmv1
Amount:
$1,221.25
TX Line Sweep Information not provided.
TX Line Sweep Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $893,300.00 $850,000.00 N/A $177,040.00 N/A
Total for all systems $4,468,109.25 $3,938,857.67 N/A $1,514,144.84 N/A
Primary Tower TOWER $893,300.00 $850,000.00 $177,040.00
Major tower reinforcement/modifications $421,000.00 $400,000.00 Per Widelity estimate $171,540.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $5,500.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A N/A N/A
Top Plate $25,000.00 $25,000.00 Existing top-plate and/or bolt pattern may not work for new top-mount antenna N/A N/A

Components

Actual Information Description File Name
Major tower reinforcement/modifications

Component Description:
FDH 150079 v190531jgv1
Amount:
$64,315.50

Component Description:
FDH E-152706 v190805jgv1
Amount:
$64,315.50

Component Description:
FDH E-152707 v190805jgv1
Amount:
$42,909.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
FDH 127308 v190530jgv1
Amount:
$2,750.00

Component Description:
FDH 136754 v190530jgv1
Amount:
$2,750.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Top Plate Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $372,870.00 $370,750.00 N/A $43,425.71 N/A
Total for all systems $4,468,109.25 $3,938,857.67 N/A $1,514,144.84 N/A
Outside Professional Services $372,870.00 $370,750.00 $43,425.71
Other Engineering Services $11,250.00 $11,250.00 Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x840hrs($126000), a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased $3,200.02 N/A
Other Legal Services $10,000.00 $10,000.00 Other Legal Services related to the DTV Repack $424.09 N/A
Additional Field Engineering Service, 20 Days $50,000.00 $50,000.00 $2,500 per site visit including expenses x 20 days. It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services. N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 Per Widelity estimate N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 Per Widelity report N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Per Widelity estimate N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Per Widelity estimate N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Per Widelity Estimate N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 Per Widelity Estimate N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Per Widelity estimate N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 per Widelity estimate N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 Per Widelity estimate N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $15,250.00 Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x840hrs($126000), a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased $4,675.00 N/A
Project management of the transition $132,720.00 $126,000.00 Fewer PM tasks are needed & OES & 399 work are needed, so the PM total has been reduced to $150x840hrs($126000), a new OES component has been created & funded with part of the $ removed from PM,& "Prepare & or review reimbursement form" has been increased $35,126.60 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Pre filing site review $23,000.00 $23,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Other Engineering Services

Component Description:
C Britt 2798 v190828pmv1
Amount:
$3,200.02
Other Legal Services

Component Description:
Covington 60801029 v190513pmv1
Amount:
$164.44

Component Description:
Covington 60801032 v190715jgv2
Amount:
$70.43

Component Description:
Covington inv #60796723 Various Legal UL20181024jgv1
Amount:
$174.42

Component Description:
Covington 60805585 v190513pmv1
Amount:
$34.53

Component Description:
Covington 60801032 v190530jgv2
Amount:
$70.43

Component Description:
Covington 60801029 v190712jgv2
Amount:
$144.71
Additional Field Engineering Service, 20 Days Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Osborn 33667 v190618pmv1
Amount:
$867.50

Component Description:
Osborn inv #28995 Amend 399 Form UL20190325jgv1
Amount:
$3,200.00

Component Description:
Osborn 34582 v190729jgv1
Amount:
$607.50
Project management of the transition

Component Description:
Osborn 33667 v190618pmv1
Amount:
$1,875.00

Component Description:
Osborn 34582 v190729jgv1
Amount:
$6,390.77

Component Description:
Osborn inv #28586 Proj mgt thru 180330 UL20190325jgv1
Amount:
$450.00

Component Description:
Osborn inv #28995 Proj mgt 180331-180427 UL20190325jgv1
Amount:
$1,950.00

Component Description:
Osborn 32969 v190617pmv1
Amount:
$300.50

Component Description:
Osborn inv #26019 Prof srvcs 170606 - 170728 UL20181107jg v1
Amount:
$18,772.83

Component Description:
WFMY Osborn inv #29770 Proj Mgt 180526-180629 UL20181018jg v1
Amount:
$3,512.50

Component Description:
Inv 29211 WFMY Proj Mgt 180428-180525 UL20180706jg v1
Amount:
$1,200.00

Component Description:
Osborn 32829 v190613pmv1
Amount:
$675.00
ASR modification (prepare FCC Form 854) Information not provided.
Pre filing site review 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 $118,690.00 $118,085.00 N/A $9,625.21 N/A
Total for all systems $4,468,109.25 $3,938,857.67 N/A $1,514,144.84 N/A
Other Expenses $118,690.00 $118,085.00 $9,625.21
MVPD Notification of Channel Change $6,000.00 $6,000.00 Communicate upcoming changes and testing dates to MVPD's. N/A N/A
Develop and air announcement of upcoming channel change $6,000.00 $6,000.00 $150 for 40 hours for shoot, post and production. $3,270.00 N/A
Equipment Delivery and Handling Charges $17,300.00 $17,300.00 Gates Air estimate $6,355.21 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $1,200.00 $1,200.00 estimate of .03 cents on value of equipment N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 Per Widelity estimate N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 Per Widelity estimate N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 Per Estimate N/A N/A
Equipment Storage $25,000.00 $25,000.00 N/A N/A N/A

Components

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

Component Description:
2C Media inv #203806 Creation of channel change announcement UL20181016jgv1
Amount:
$3,270.00
Equipment Delivery and Handling Charges

Component Description:
Die 106004 v190729pmv1
Amount:
$575.98

Component Description:
Die 98001 v190729pmv1
Amount:
$833.34

Component Description:
Die 98003 v190729pmv1
Amount:
$1,917.30

Component Description:
Die 108012 v190729pmv1
Amount:
$3,028.59
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.
Equipment Storage Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,468,109.25 $3,938,857.67 $1,514,144.84

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Jeffrey C Gehman

Engineering Associate


08/28/2019

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.

Jeffrey C Gehman

Engineering Associate


08/28/2019

Attachments

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