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:
35881
Service:
DTV
Call Sign:
KWEX-DT
Channel:
14 (UHF)
File Number:
0000028211
FRN:
0007997562
Date Submitted:
10/07/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KWEX LICENSE PARTNERSHIP, L.P.

Doing Business As: KWEX LICENSE PARTNERSHIP, L.P.

Christopher G. Wood

5999 CENTER DRIVE

LOS ANGELES, CA 90045

United States

+1 (310) 348-3600 CWOOD@UNIVISION.NET Limited Partnership

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

Theodore Stoner

VP Distribution Technology Strategy

Univision Communications Inc

Theodore Stoner

9405 NW 41st Street

Miami, FL 33178

United States

+1 (513) 608-0308 tstoner@univision.net

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 KWEX-DT will construct new channel 24 facilities at the tower/site of commonly owned FM radio stations, activating that site and deactivating its current location on the cutover date, dismantling the latter thereafter. See attached Implementation Plan.

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 DHD60P2
Year 2004
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 14 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 THU9 -24evo
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 37 kW
Justification for New Transmitter Current transmitter has Band C driver and PA modules which are not capable of operation below channel 42. The transmitter is obsolete and parts for re-banding are not available.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Installation of 480:400V transformer, 400V distribution panel, primary AC feeds to transmitter cabinet, and conduit/wiring to transmitter ancillary equipment
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
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: 580.0 kW
Manufacturer
Model ATW30H4-ESC3-41H
Year 1996

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? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 800.0 kW
Manufacturer
Model ATW24H3-ESS180-24H
Year 2018
Justification for New Antenna Existing antenna is not capable of operation on post auction channel assignment. New antenna aperture limited by structural capacity of tower.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

K27LF-D Antenna

Replacement of K27LF-D antenna necessitated by KWEX channel change, to match patterns & avoid interference to K27LF-D

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Waveguide
Diameter N/A
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 1560 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1400 feet per run
Justification for New Transmission Line Channel 24 is below cutoff frequency of waveguide at existing site.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

K27LF-D Line Extension

650' extension of K27LF-D 2.25" air flex coax to feed new K27LF-D antenna needed to avoid adjacent channel interference

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 Leased
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 Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1054166
Coordinates (NAD83) Latitude (NAD83) 29° 17' 39.0" N-
Longitude (NAD83) 098° 15' 32.0" W-
Overall Structure Height 1517.37 feet
Support Structure Height 1513.43 feet
Ground Elevation Above Mean Sea Level (AMSL) 525.91 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner TELEMUNDO OF SAN ANTONIO LICENSE CORP
Date Constructed 09/01/1989

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
64969 KVDA DTV
17830 KGMM-CD DTV

Other Types of Users

Users
KXTM-LP
KQVE-LP

Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

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 595
Explanation Univision stations are only staffed for daily station operations and minor equipment changes, major projects are contracted out externally. The large volume of work associated with repack schedule requires using external project management resources.
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 No
Quantity N/A
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 No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? No

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 $1,497,000.00 $674,000.00 N/A $413,609.67 N/A
Total for all systems $2,665,665.33 $1,712,227.20 N/A $1,341,657.92 N/A
Primary Transmitter THU9 -24evo $1,497,000.00 $674,000.00 $413,609.67
Other Electrical Service: Installation of 480:400V transformer, 400V distribution panel, primary AC feeds to transmitter cabinet, and conduit/wiring to transmitter ancillary equipment $24,000.00 $24,000.00 See attached Electrical Distribution Cost document. $17,433.98 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $650,000.00 See attached Transmitter Selection Info document for "equivalence" definition. Estimate includes $538K base cost, 8¼% sales/use tax, $10K freight, and 10% contingency. $396,175.69 N/A

Components

Actual Information Description File Name
Other Electrical Service: Installation of 480:400V transformer, 400V distribution panel, primary AC feeds to transmitter cabinet, and conduit/wiring to transmitter ancillary equipment

Component Description:
Primary Transmitter - Other Electrical Service
Amount:
$1,745.53

Component Description:
1st Primary Transmitter - Other Electrical Service
Amount:
$2,036.45

Component Description:
Install power distribution modifications & additions
Amount:
$13,652.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
KWEX 30% and 35% Milestone Invoice
Amount:
$13,081.25

Component Description:
1st Primary Transmitter
Amount:
$201,811.55

Component Description:
1st Primary Transmitter
Amount:
$172,981.33

Component Description:
KWEX Final 35% Milestone Invoice
Amount:
$8,301.56

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 $249,110.33 $231,895.63 N/A $195,645.63 N/A
Total for all systems $2,665,665.33 $1,712,227.20 N/A $1,341,657.92 N/A
Primary Antenna ATW24H3-ESS180-24H $249,110.33 $231,895.63 $195,645.63
K27LF-D Antenna $27,850.00 $27,850.00 RFS RD-08S180 antenna & brackets per attached quote, plus 8¼% sales/use tax and $5,250 estimated freight 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 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $15,575.30 Estimated Cost Justification KWEX-DT Primary Antenna, Trans Line and Tower v0 $15,575.30 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $3,400.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,250.00 N/A $6,250.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 800 kW input, directional,, elliptically or circularly polarized $73,380.33 $73,380.33 Estimated Cost Justification KWEX-DT Primary Antenna, Trans Line and Tower v0 $73,380.33 N/A
UHF - High Power, Side Mount, basic slot antenna, 800 kW input, directional,, elliptically or circularly polarized $100,440.00 $100,440.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Please see the attached invoice. $100,440.00 N/A

Components

Actual Information Description File Name
K27LF-D Antenna 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)

Component Description:
KWEX-DT-210-Primary Antenna - Side Mount Brackets for High Power Antenna
Amount:
$2,075.30

Component Description:
Side mount brackets
Amount:
$1,500.00

Component Description:
Side mount brackets
Amount:
$4,500.00

Component Description:
Side mount brackets
Amount:
$3,000.00

Component Description:
WEX-DT-210-Primary Antenna - Side Mount Brackets for High Power Antenna
Amount:
$4,500.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna

Component Description:
KWEX-DT-210-Primary Antenna - Sweep Test
Amount:
$625.00

Component Description:
Sweep test
Amount:
$1,250.00

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

Component Description:
Sweep test
Amount:
$1,875.00

Component Description:
Sweep test
Amount:
$625.00
UHF - High Power, Side Mount, basic slot antenna, 800 kW input, directional,, elliptically or circularly polarized

Component Description:
Antenna ATW24H3-ESS180-24H Custom Mounts
Amount:
$23,160.33

Component Description:
Antenna and Installation
Amount:
$50,220.00
UHF - High Power, Side Mount, basic slot antenna, 800 kW input, directional,, elliptically or circularly polarized

Component Description:
Primary Antenna
Amount:
$33,480.00

Component Description:
Primary Antenna
Amount:
$50,220.00

Component Description:
Primary Antenna
Amount:
$16,740.00

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 $406,000.00 $346,747.57 N/A $346,747.57 N/A
Total for all systems $2,665,665.33 $1,712,227.20 N/A $1,341,657.92 N/A
Primary Transmission Line $406,000.00 $346,747.57 $346,747.57
Rigid Transmission Line - copper, 7 3/16" $406,000.00 $346,747.57 Estimated Cost Justification KWEX-DT Primary Antenna, Trans Line and Tower v0 $346,747.57 N/A
K27LF-D Line Extension $0.00 $0.00 Line cost per attached RFS quote N/A N/A

Components

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

Component Description:
KWEX-DT-310-Primary Transmission Line - 7 3/16" Rigid Transmission Line
Amount:
$52,380.16

Component Description:
TX line
Amount:
$98,122.47

Component Description:
KWEX-DT-310-Primary Transmission Line - 7 3/16" Rigid Transmission Line
Amount:
$98,122.47

Component Description:
TX line
Amount:
$65,414.98

Component Description:
TX line
Amount:
$32,707.49
K27LF-D Line Extension 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 $381,100.00 $333,334.00 N/A $314,334.00 N/A
Total for all systems $2,665,665.33 $1,712,227.20 N/A $1,341,657.92 N/A
Primary Tower TOWER $381,100.00 $333,334.00 $314,334.00
Tall Tower (greater than 500') $210,500.00 $250,634.00 see Estimated Cost Justification KWEX-DT-410-Existing Primary Tower - Tall Tower, Tower Rigging and Equipment v1 $240,234.00 N/A
Structural engineering tower load study for well documented tower $12,600.00 $15,400.00 Per ERI invoices 52282, KWEX-DT-001B, KWEX-DT-001C, Proposals 20181126-953, 20180404-621 & 20180109-714 $6,800.00 N/A
Minor tower reinforcement/modifications $158,000.00 $67,300.00 Estimated Cost Justification KWEX-DT Primary Antenna, Trans Line and Tower v0 $67,300.00 N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500')

Component Description:
KWEX-DT-410-Existing Primary Tower - Tall Tower, Tower Rigging and Equipment
Amount:
$21,098.40

Component Description:
WEATHER DAY
Amount:
$10,400.00

Component Description:
WEATHER DAY - RAIN (3/1/19) 5 MEN/ 4 HOURS/ $650.00 PER MAN $3,250.00
Amount:
$16,250.00

Component Description:
INSTALL - ANTENNA WEATHER DAY (3/11/19)
Amount:
$6,500.00

Component Description:
INSTALL - ANTENNA
Amount:
$6,500.00

Component Description:
Existing Primary Tower - Tall Tower, Tower Rigging and Equipment
Amount:
$63,295.20

Component Description:
KWEX-DT-410-Existing Primary Tower - Tall Tower, Tower Rigging and Equipment
Amount:
$63,295.20

Component Description:
Existing Primary Tower - Tall Tower, Tower Rigging and Equipment
Amount:
$42,196.80

Component Description:
Existing Primary Tower - Tall Tower, Tower Rigging and Equipment
Amount:
$21,098.40
Structural engineering tower load study for well documented tower

Component Description:
Structural re-analysis and report
Amount:
$2,500.00

Component Description:
Structural analysis and report
Amount:
$4,300.00
Minor tower reinforcement/modifications

Component Description:
KWEX-DT-410-Existing Primary Tower - Minor Tower Reinforcement/Modifications
Amount:
$6,730.00

Component Description:
KWEX-DT-410-Existing Primary Tower - Minor Tower Reinforcement/Modifications
Amount:
$20,190.00

Component Description:
Existing Primary Tower - Minor Tower Reinforcement Modifications
Amount:
$13,460.00

Component Description:
Existing Primary Tower - Minor Tower Reinforcement Modifications
Amount:
$20,190.00

Component Description:
Existing Primary Tower - Minor Tower Reinforcement/Modifications
Amount:
$6,730.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $120,570.00 $120,425.00 N/A $67,571.05 N/A
Total for all systems $2,665,665.33 $1,712,227.20 N/A $1,341,657.92 N/A
Outside Professional Services $120,570.00 $120,425.00 $67,571.05
Project management of the transition $94,010.00 $99,675.00 Increased per Justifying Quote - KWEX-DT Strategic Support Quote Widelity $63,114.80 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $2,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $2,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,456.25 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project management Services
Amount:
$373.75

Component Description:
Project management services
Amount:
$754.65

Component Description:
Project Management
Amount:
$4,900.00

Component Description:
Cost Reconciliation
Amount:
$4,813.95

Component Description:
Project management Services
Amount:
$334.75

Component Description:
Project management Services
Amount:
$368.75

Component Description:
Project Management
Amount:
$8,788.05

Component Description:
Project management Services
Amount:
$841.25

Component Description:
Project management Services
Amount:
$647.50

Component Description:
Project management services
Amount:
$48.00

Component Description:
Project management services
Amount:
$58.50

Component Description:
Project Management
Amount:
$46.50

Component Description:
Project Management
Amount:
$4,359.20

Component Description:
Project management Services
Amount:
$548.60

Component Description:
Project Management
Amount:
$4,384.20

Component Description:
Project management services
Amount:
$52.50

Component Description:
Project Management
Amount:
$3,526.85

Component Description:
Project management services
Amount:
$34.50

Component Description:
Project management Services
Amount:
$417.50

Component Description:
K. Lahm - K27LF antenna delivery inquiry
Amount:
$37.50

Component Description:
Project management services
Amount:
$138.00

Component Description:
Project Management
Amount:
$4,567.10

Component Description:
Project Management
Amount:
$1,829.40

Component Description:
Project Management
Amount:
$4,650.00

Component Description:
Project Management
Amount:
$2,452.55

Component Description:
Project management services
Amount:
$75.00

Component Description:
Project Management
Amount:
$1,237.30

Component Description:
Project Management
Amount:
$3,279.05

Component Description:
Project Management
Amount:
$1,715.20

Component Description:
Project Management
Amount:
$4,354.65

Component Description:
Project management Services
Amount:
$181.35

Component Description:
Project management services
Amount:
$199.50

Component Description:
Project Management
Amount:
$2,505.75

Component Description:
Project management Services
Amount:
$593.45
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare 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:
(DTV REPACK STUDIES AND APPLICATIONS)
Amount:
$4,331.25

Component Description:
K. Lahm - ERP-TPO update - 5/14/2019
Amount:
$125.00
Prepare and or review reimbursement form 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 $11,885.00 $5,825.00 N/A $3,750.00 N/A
Total for all systems $2,665,665.33 $1,712,227.20 N/A $1,341,657.92 N/A
Other Expenses $11,885.00 $5,825.00 $3,750.00
DTV Medical Facility Notification $11,550.00 $5,500.00 N/A $3,750.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A

Components

Actual Information Description File Name
DTV Medical Facility Notification

Component Description:
Medical Notification Mailing
Amount:
$3,750.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,665,665.33 $1,712,227.20 $1,341,657.92

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.

JOSE E FRANCHI , FRANCHI .

VP FINANCE


10/07/2019

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.

JOSE E FRANCHI , FRANCHI .

VP FINANCE


10/07/2019

Attachments

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