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:
53116
Service:
DTV
Call Sign:
WJXT
Channel:
18 (UHF)
File Number:
0000027951
FRN:
0002161107
Date Submitted:
09/20/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAHAM MEDIA GROUP, FLORIDA. INC.

Doing Business As: GRAHAM MEDIA GROUP, FLORIDA. INC.

James Lowery

4 BROADCAST PLACE

JACKSONVILLE, FL 32207

United States

+1 (904) 393-9871 jlowery@wjxt.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

William T Godfrey , Jr. .

Consulting Engineers

Kessler and Gehman Associates, Inc.

William T. Godfrey, Jr.

Kessler and Gehman Associates, Inc.

507-D NW 60th Street

Gainesville, FL 32607

United States

+1 (352) 332-3157 bill@kesslerandgehman.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Replace the transmitter, antenna and transmission line. Analyze and modify 222-F candelabra tower. WJXT tower at capacity. Operate interim facility at alternate-site. Share main antenna and transmission line with WCWJ.

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 CD3200P2
Year 2008
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 42 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9EVO-36
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 55 kW
Justification for New Transmitter ERP: 550 kW RMS Gain: 18.8 Azimuth Gain: 1.38 TX Line Loss: 0.814 Mask Filter Loss: 0.931 Combiner Loss: 0.933 H-pol Only TPO: 30.0 kW (THU9EVO-20) 1 Step Up: THU9EVO-24 Upgrade: THU9EVO-36

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 No
Description N/A
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? Yes
Size 900.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Electrical

Electrical for new WJXT Main Transmitter installation & operation

Ceiling Structure Mods

Structural Analysis, Structural Design & Structural Mods required to hang RF System

Additional Installation Costs

Work performed by TSG Dermac subbed TSG Rohde & Schwarz subbed Dermac & provided quote

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model THU9EVO-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 61 kW
Justification for New Transmitter No space on tower to support interim antenna. ERP: 976 kW. RMS Gain: 20.0 (multiplier) Azimuth Gain: 1.66 (multiplier) TX Line/Elbow Efficiency: 0.591 Mask Filter Efficiency: 0.931 H-pol only TPO: 53.4 kW Required: THU9EVO-36 Upgrade: THU9EVO-40

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 500 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Additional services required to install new transmitter at alternate site (see attached quotes for monthly lease expenses; transmitter building costs; and electrical services costs).
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 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 450.0 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
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Tax

Tax - WJXT Interim Additional Parts & services

Split Configuration

Transmitter split configuration kit to provide required space in in interim container. Cost is $3,950.00. See Rohde & Schwarz quote.

HEX Install

Required kit for an external heat exchanger to reduce heat in the container. See Rohde & Schwarz Quote and Invoice

Additional RF Components

Required to split cabinets in order to meet spacing requirements in transmitter building.

Back-up Generator

A temporary generator is required at the interim site while the main site is built-out.

RF System

Mask Filter, Switch, Frame, etc. See Rohde & Schwarz Quote and Invoice

Internal UPS for Exciters

See Rohde & Schwarz Quote and Invoice

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 Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 976.0 kW
Manufacturer
Model TFU-30GTH 06
Year 2008

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? Yes
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 Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 2
Number of Panels/Bays 24
Lower Limit 497.00 MHz
Upper Limit 509.00 MHz
Design power capacity in use 40.0 %
Other Antenna Type N/A
ERP: 670.0 kW
Manufacturer
Model TFU-24GTH/VP-R TC O6SP
Year 2018
Justification for New Antenna Existing main antenna is a top-mount (candelabra) slot which cannot accommodate the post-auction channel. The proposed antenna is a broadband slot that will be shared with the WCWJ "unable to construct" post-auction facility; therefore, no upgrade costs.

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? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 8 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
18
20

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

Shipping costs: $9,800

Antenna adapter

ANTENNA WEDDING CAKE MOUNTING ADAPTER.

Extension Pole

MOUNTING POLE FOR TOP MOUNTING ANTENNA IN ORDER TO MAINTAIN FAA HEIGHT.

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? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
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 2
Number of Panels/Bays 8
Lower Limit 195.00 MHz
Upper Limit 213.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 82.8 kW
Manufacturer
Model TLSV-8BB
Year 2018
Justification for New Antenna The WTLV and WJXX VHF stations share an antenna on the candelabra and require an interim antenna during the WJXT/WCWJ repack in order to remain on the air as required in the lease agreement. The ERP above combines ERPs for WTLV/WJXX since shared.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? 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

Enter a list of RF channel numbers.

RF Channel Number
10
13

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Additional Parts

Additional Installation Parts Inside Transmitter Building to Complete Antenna System

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? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 24
Lower Limit 638.00 MHz
Upper Limit 644.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 976.0 kW
Manufacturer
Model TFU-24WB 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. Interim facility will be located at an alternate site. The TFU-24WB cost is equivalent to a single-channel interim antenna.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 7 3/16 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? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1155 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 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1155 feet per run
Justification for New Transmission Line The power rating for 7-3/16" line is not capable of handling the power required for WJXT and WCWJ shared operation. The line is considered an upgrade; however, it will result in an overall system savings since WCWJ and WJXT stations will share the costs.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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 4 1/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 775 feet per run
Justification for New Transmission Line New broadband 4-1/16" rigid line is needed in order for the WJXX and WTLV full-service VHF facilities to operate as interim facilities during the repack build-out. This is a contractual obligation.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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 7 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1075 feet per run
Justification for New Transmission Line An interim transmission line is necessary to keep the pre-auction station on the air during the primary antenna replacement and for the duration of the assigned phase. The Interim facility must be at an alternate site since the WJXT tower is fully loaded.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Candelabra
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? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 30° 16' 25.0" N-
Longitude (NAD83) 081° 33' 12.0" W-
Overall Structure Height 303.70 feet
Support Structure Height 268.90 feet
Ground Elevation Above Mean Sea Level (AMSL) 15.20 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner First Coast Tower Group
Date Constructed 01/01/1985

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
65046 WTLV DTV
11893 WJXX DTV

Other Types of Users

Users
Two-way users

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 Candelabra
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Remove Tegna Interim Antenna and Line

Remove Tegna Interim Antenna and Transmission Line once no longer needed

Helicopter Site Staging Requirement

Erickson Incorporated requires a 200 x 200 ft staging area for the helicopter lift. See attached quote to clear the site.

Foundation Expansion

Geotechnical findings indicate existing foundation loading design is not adequate to support the post-transition loads.

Existing Tower

ASR is 1017604. The tower owner name was flagged by this application when it pre-filled so we had to manually enter. FAA & ASR required as a result of changing the top-mount antenna.

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Interim Tower (InSite)
Ownership Leased
Is this tower consider Complex? No
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 1016457
Coordinates (NAD83) Latitude (NAD83) 30° 16' 36.0" N-
Longitude (NAD83) 081° 33' 57.0" W-
Overall Structure Height 1001.63 feet
Support Structure Height 950.78 feet
Ground Elevation Above Mean Sea Level (AMSL) 25.92 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner IWG Towers Assets II, LLC
Date Constructed 07/01/1988


Auxiliary 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: Minor Reinforcements needed

Auxiliary 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

Auxiliary Tower

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Other Tower Expenses Not Listed

Name Description

Transmission Line Bridge

Required in order to interconnect the transmission line run from the new interim container to the existing transmission line bridge at the interim site

Remove Interim Equipment

Interim tower must be rigged a second time after assigned phase is complete to have the interim antenna, interim line, STL dish and waveguide removed from tower and disposed.

Lead Based Paint Services

Professional LBP Services are required before tower modifications are permitted.

Interim Tower Lease

Monthly lease expenses at alternate site (InSite Tower) to support the side-mount interim antenna, TX line and STL for up to 6 months (see attached quote).

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 850
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 45
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Intermod Study at Interim Site

Tower owner requires an intermod study (see attached quote from InSite Towers, LLC)

Osborn Engineering Main Transmitter Facility

Professional Services - main transmitter facility site assessment consisting of on-site laser scanning of both the interior and exterior of the WJXT main transmitter facility (shared costs with WCWJ).

Other Engineering Services

Fewer Project Management "PM" tasks are required & Other Engineering Services "OES" are required, therefore the PM total has been reduced to 850 hrs ($127,500 at $150/hr), & a new OES category has been created & funded with the money removed from PM.

Other Legal Services

Other Legal Services related to the DTV Repack

Topographic Survey

Required for new interim transmitter building container (shared cost with WCWJ).

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 No
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

STL System

Microwave dish required for interim studio to transmitter link (STL) to be operated up to 6 months. Receiver, waveguide, licensing, etc. required for interim STL. See attached STL quotes.

Sales Tax

Sales Tax

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 $6,484,976.82 $4,284,195.93 N/A $3,979,994.93 N/A
Total for all systems $11,059,285.26 $7,552,713.96 N/A $6,348,891.46 N/A
Interim Transmitter THU9EVO-40 $2,726,140.82 $2,091,970.53 $2,089,545.53
Internal UPS for Exciters $1,550.00 $1,550.00 N/A $1,550.00 N/A
RF System $71,850.00 $71,850.00 Required mask filter and components $71,850.00 N/A
Back-up Generator $59,530.00 $59,530.00 Back-up Gen is shared at interim site. Cost of back-up generator is $100,750 ($95,000 Gen + $5,750 Freight); however, shared cost is $50,375 (see Diesel Service & Supply Quote No. 21294). Plus $9,155 Elec (Quote #116131.0) which equates to $59,530. $59,530.00 N/A
Additional RF Components $14,239.56 $14,239.56 RF Components for 2+2 cabinets to meet space requirements in interim transmitter container (building). See Rohde & Schwarz quotes for WJXT interim transmitter. $14,239.56 N/A
HEX Install $5,200.00 $5,200.00 N/A $5,200.00 N/A
Split Configuration $71,515.29 $71,515.29 See Rohde & Schwarz Quote No. 802-053514.0 and Invoice No. 9500094107 $71,515.29 N/A
Tax $4,887.00 $4,887.00 N/A $4,887.00 N/A
Other -- Building Addition Size: 450.0 $458,879.97 $458,879.97 Interim Container required to be used as interim transmitter building. 53 ft x 10 ft container. $456,454.97 N/A
Other Electrical Service: Additional services required to install new transmitter at alternate site (see attached quotes for monthly lease expenses; transmitter building costs; and electrical services costs). $124,989.00 $124,989.00 Diamond Electric services was retained by Dermac Group in order to to provide required service to new interim building (container). Dermac Group is a sub for Rohde & Schwarz.. See attached Quote (Quote Number: 116131.0) $124,989.00 N/A
Switchgear - industrial 800 amp $38,200.00 $29,700.00 See Rohde & Schwarz Quote Number 116131.0 $29,700.00 N/A
10 Ton system $38,900.00 $0.00 See Other Electrical Service Component for HVAC and HVAC installation. $0.00 N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,244,070.21 N/A $1,244,070.21 N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $5,559.50 N/A $5,559.50 N/A
Primary Transmitter THU9EVO-36 $3,758,836.00 $2,192,225.40 $1,890,449.40
Additional Installation Costs $260,076.00 $260,076.00 WJXT portion of installation costs. See attached R&S Quote Number 189301.3. Work begins June 1, 2019 so no invoices yet. N/A N/A
Ceiling Structure Mods $31,590.00 $31,590.00 Structural Analysis: $1,570.00 (Quote 183289.0) Structural Design: $1,920.00 (Quote 192518.0) Structural Mods: $28,100.00 (Quote 194270.0) See attached "WJXT & WCWJ Ceiling Structural Analysis (WT Group)" structural analysis for justification. N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $993,139.40 Quote: 975,000 Upgrade: 40,000 Tax: $58,139.40 Total: $993,139.40 $993,139.40 N/A
Other -- Building Addition Size: 900.0 $25,000.00 $25,000.00 N/A $14,890.00 N/A
Electrical $181,170.00 $181,170.00 See attached Diamond Electric Quote & Invoice for required electric work $181,170.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $701,250.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***See attached Rohde & Schwarz quote (Quote Number 802-044377.3) and attached Invoice for Taxes (Invoice Number 9500092010). $935,000.00 for transmitter + $60,626.65 for Taxes = $995,626.65. $701,250.00 N/A

Components

Actual Information Description File Name
Internal UPS for Exciters

Component Description:
WJXT Interim Internal UPS for Exciters
Amount:
$1,550.00
RF System

Component Description:
WJXT Interim RF System and Components Payment (Quote & Invoices)
Amount:
$71,850.00
Back-up Generator

Component Description:
WJXT R&S inv #9500083892 Interim Electrical temporary generator UL20180807jgv1
Amount:
$9,155.00

Component Description:
Diesel Serv-Supp inv #110000051 Backup Generator UL20180905jgv1 50% to WJXT 50% to WCWJ
Amount:
$50,375.00
Additional RF Components

Component Description:
WJXT R&S inv #9500083874 Interim Elbow UL20180809jgv1
Amount:
$14,239.56
HEX Install

Component Description:
Heat Exchanger Installation
Amount:
$5,200.00
Split Configuration

Component Description:
WJXT Interim Transmitter Split Configuration and Components Payment (Quote & Invoices)
Amount:
$71,515.29
Tax

Component Description:
FLORIDA SALES TAX
Amount:
$4,887.00
Other -- Building Addition Size: 450.0

Component Description:
Osborn inv #29010 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$6,897.24

Component Description:
KGA 947-51 v190515jgv1
Amount:
$2,425.00

Component Description:
WJXT Portion of interim container to shelter interim transmitter and RF System.
Amount:
$32,173.50

Component Description:
Osborn inv #27953 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$6,558.50

Component Description:
Plywood for interim container required for mounting equipment and for wall feed-thrus.
Amount:
$5,075.00

Component Description:
WJXT Interim Container Modifications and Labor (Change Order)
Amount:
$2,680.00

Component Description:
WJXT Interim Site Build-out/Construction (see attached Rohde & Schwarz quote/invoice)
Amount:
$315,519.47

Component Description:
Osborn inv #30282 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$6,900.00

Component Description:
Osborn inv #29391 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$10,089.27

Component Description:
WJXT Interim Container Scherer Construction 90% Invoice (Shared)
Amount:
$46,512.00

Component Description:
Osborn inv #28314 Prof srvcs 180224 - 180330 UL20190211jgv2
Amount:
$9,247.49

Component Description:
WJXT INT Container Scherer Construction Final 10% plus Change Order Invoice (Shared)
Amount:
$12,377.50
Other Electrical Service: Additional services required to install new transmitter at alternate site (see attached quotes for monthly lease expenses; transmitter building costs; and electrical services costs).

Component Description:
HVAC Electrical work required for WJXT Interim Facility. See attached quote and invoice.
Amount:
$36,935.00

Component Description:
WJXT R&S inv #9500083846 Interim Main Panel UL20180807jgv1
Amount:
$9,484.00

Component Description:
WJXT R&S inv #9500083892 Interim Electrical installation UL20180807jgv1
Amount:
$78,570.00
Switchgear - industrial 800 amp

Component Description:
WJXT R&S inv #9500083892 Interim Electrical switchgear UL20180807jgv1
Amount:
$29,700.00
10 Ton system

Component Description:
WJXT Interim HVAC Electrical Installation (see attached quote and invoice from Rohde & Schwarz)
Amount:
$36,935.00
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Transmitter Parallel Remote-Control Interface
Amount:
$875.00

Component Description:
WJXT Interim Transmitter (NET 30 100% Payment)
Amount:
N/A

Component Description:
WJXT Interim Transmitter (50% Down Payment)
Amount:
$585,150.00

Component Description:
WJXT Interim Transmitter (Initial 25% Payment)
Amount:
$292,575.00

Component Description:
WJXT Interim Transmitter (Final 25% Payment)
Amount:
$365,470.21

Component Description:
It was discovered that a previously filed invoice submitted for reimbursement was incorrect and needed to be corrected by the vendor. Therefore, the previously requested amount has been zeroed out ($0.00).
Amount:
N/A
Transformer 3 phase/480v - 500 KVA

Component Description:
Coffman Elec inv #131850E Automatic Transfer Switch UL20180905jgv1 50% to WJXT 50% to WCWJ
Amount:
$5,559.50
Additional Installation Costs Information not provided.
Ceiling Structure Mods Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
WJXT Main Transmitter (Initial 25% Payment)
Amount:
$233,750.00

Component Description:
WJXT (Main) Transmitter Initial 25% Down Payment (Rohde & Schwarz Quote & Invoices)
Amount:
$233,750.00

Component Description:
WJXT (Main) Transmitter 50% Down Payment (Rohde & Schwarz Quote & Invoices)
Amount:
$467,500.00

Component Description:
WJXT Florida Sales Tax (Main Transmitter) Payment (Rohde & Schwarz Quote & Invoices)
Amount:
$58,139.40

Component Description:
WJXT (Main) Transmitter Final 25% Payment (Rohde & Schwarz Quote & Invoices)
Amount:
$233,750.00
Other -- Building Addition Size: 900.0

Component Description:
WJXT Portion of Electrical Work Required for Main TX Bldg Demo & Disposal (NET30 Payment)
Amount:
$14,890.00

Component Description:
WJXT Main TX Bldg Demo & Disposal (NET30 Payment)
Amount:
$14,890.00
Electrical

Component Description:
Electrical work for WJXT and WCWJ facilities (50/50 Shared)
Amount:
$181,170.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Florida Tax Reimbursement for WJXT Main Transmitter
Amount:
$60,626.65

Component Description:
25% Final Reimbursement Payment for WJXT Main Transmitter minus $40,000 upgrade cost.
Amount:
$233,750.00

Component Description:
R&S inv #9500076213 Main TX UL20181113jgv1
Amount:
$233,750.00

Component Description:
50% Reimbursement Payment for WJXT Main Transmitter minus $40,000 upgrade cost.
Amount:
$467,500.00

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $767,580.34 $616,438.35 N/A $603,404.88 N/A
Total for all systems $11,059,285.26 $7,552,713.96 N/A $6,348,891.46 N/A
Interim Antenna TLSV-8BB $201,520.85 $110,783.25 $110,783.25
Additional Parts $18,355.85 $18,355.85 See attached Rohde & Schwarz Quotes and Invoices for additional parts needed inside transmitter room in order to connect horizontal run of transmission line to existing RF System. $18,355.85 The Sub-total is equal to the Estimated Cost
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $2,700.00 See lease agreement for WTLV and WJXX with respect to reimbursement for interim VHF antenna. See attached Dielectric Quote. $2,700.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $5,760.00 See lease agreement for WTLV and WJXX with respect to reimbursement for interim VHF antenna. See attached Dielectric Quote. $5,760.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $13,742.40 R&S inv #9500085393 for $16,850.36 is a duplicate and should be deleted. $13,742.40 R&S inv #9500085393 is a duplicate and should be denied.
Sweep test of existing antenna $6,730.00 $6,400.00 See lease agreement for WTLV and WJXX with respect to reimbursement for interim VHF antenna. $6,400.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 8 bay,, 83 kW input, directional,, horizontally polarized $63,825.00 $63,825.00 See lease agreement for WTLV and WJXX with respect to reimbursement for interim VHF antenna. See attached Dielectric Quote 700521CMZ-2 and ERI Change Orders 36156 & 36156B. $63,825.00 N/A
Interim Antenna TFU-24WB C160 $207,210.00 $199,664.00 $199,664.00
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $17,520.00 See attached Dielectric Quote 700143CMZ-7. Scatter study removed from 399 as a standalone component since it is included in Line 3 of Quote 700143CMZ-7. $17,520.00 N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $15,264.00 See attached Dielectric Quote $15,264.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 976 kW input, directional,, elliptically or circularly polarized $160,480.00 $160,480.00 See attached Dielectric Quote Number 700143CMZ-7 and Invoices. Shipping was removed from 399 as a standalone component since it is included in Dielectric Invoice Number 209020. $160,480.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 See Dielectric Invoice 213001 and Quote 700143CMZ-7 $6,400.00 N/A
Primary Antenna TFU-24GTH/VP-R TC O6SP $358,849.49 $305,991.10 $292,957.63
Extension Pole $55,437.52 $55,437.52 Cost: $152,630 (Line 3 Quote 700142CMZ-1) decreased to $93,759.00 (Line 4 Confirmation Order) since pole was reduced from 37 ft to 12.5 ft. Therefore, shared cost is $46,897.50. $55,437.52 N/A
Antenna adapter $19,252.00 $19,252.00 $21,472 (Line 2 Quote 700142CMZ-1) and $17,032.00 (Line 29 Confirmation Order). Sum is $38,504 and 50/50 Shared amount is $19,252. $19,252.00 N/A
Shipping $13,033.47 $13,033.47 Freight Cost: $26,066.94 ; however, it is shared cost with WCWJ therefore, cost for WJXT is $13033.47. $0.00 N/A
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $8,880.00 Cost: $17,760; however, it is shared cost with WCWJ, therefore, cost for WJXT is $8,880. See attached Dielectric Quote. $8,880.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $44,941.61 Total Cost of Main Combiner: $84,600.00 Shared Cost of Main Combiner: $42,300.00 Shared Cost of Tax: 2,641.61 Shared expense between WJXT and WCWJ Main Facilities. See Rohde & Schwarz Quote Number 107818.2 $44,941.61 N/A
UHF - High Power Top Mount Two Station antenna elliptically or circularly polarized $161,246.50 $161,246.50 Cost: $350,093 (Quote 700142CMZ-1). Subtract $27,600 Vpol (non-reimbursable) which equates to $322,493.00. Shared 50/50 cost equates to $161,246.50. $161,246.50 N/A
Sweep test of existing antenna $6,730.00 $3,200.00 Shared expense with WCWJ $3,200.00 N/A

Components

Actual Information Description File Name
Additional Parts

Component Description:
WJXT Main (TEGNA) Clamps (NET30 Payment)
Amount:
$1,505.49

Component Description:
WJXT Main (TEGNA) Additional Parts (NET30 Payment)
Amount:
$16,850.36
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
Dielectric Interim Scatter Study - Final 10% (Contractual Obligation with TEGNA)
Amount:
$270.00

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV pattern scatter analysis 45 percent pmt 2 UL20180613jgv1
Amount:
$1,215.00

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV patter scatter analysis 45 percent pmt 1 UL20180613jgv1
Amount:
$1,215.00

Component Description:
TEGNA (Interim) Scatter Study Final 10% Payment (Quote & Invoices)
Amount:
$270.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Dielectric Interim Side-Mount Brackets - Final 10% (Contractual Obligation with TEGNA)
Amount:
$576.00

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV side brckts 45 percent pmt 2 UL20180613jgv1
Amount:
$2,592.00

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV side brckts 45 percent pmt 1 UL20180613jgv1
Amount:
$2,592.00

Component Description:
TEGNA (Interim) Side-Mount Brackets Final 10% Payment (Quote & Invoices)
Amount:
$576.00
New combiner, cost per channel (without antenna)

Component Description:
Dielectric Interim Switches - Final 10% (Contractual Obligation with TEGNA)
Amount:
$1,374.24

Component Description:
R&S inv #9500085393 VHF interim install UL20181113jgv1 ... Contractual Agreement between Graham (licensee) & Tegna
Amount:
$16,850.36

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV switch 45 percent pmt 1 UL20180613jgv1
Amount:
$6,184.08

Component Description:
TEGNA (Interim) RF Switch Final 10% Payment (Quote & Invoices)
Amount:
$1,374.24

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV switch 45 percent pmt 2 UL20180613jgv1
Amount:
$6,184.08
Sweep test of existing antenna

Component Description:
Dielectric Interim Sweep - Final 10% (Contractual Obligation with TEGNA)
Amount:
$640.00

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV sweep 45 percent pmt 1 UL20180613jgv1
Amount:
$2,880.00

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV sweep 45 percent pmt 2 UL20180613jgv1
Amount:
$2,880.00

Component Description:
TEGNA (Interim) Repack Sweep Final 10% Payment (Quote & Invoices)
Amount:
$640.00
UHF - High Power, Side Mount, basic slot antenna, 8 bay,, 83 kW input, directional,, horizontally polarized

Component Description:
Dielectric Interim Antenna Final 10% (Contractual Obligation with TEGNA)
Amount:
$5,797.50

Component Description:
TEGNA (Interim) Antenna Final 10% Payment (Quote & Invoices)
Amount:
$5,797.50

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV ant 45 percent pmt 2 UL20180613jgv1
Amount:
$26,088.75

Component Description:
ERI inv #WJXT-005 Antenna removal UL20181109jgv1
Amount:
$5,850.00

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV ant 45 percent pmt 1 UL20180613jgv1
Amount:
$26,088.75
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
WJXT Interim Antenna (Second 45% Payment)
Amount:
$7,884.00

Component Description:
WJXT Interim Antenna Side-Mount Brackets Final 10% Payments
Amount:
$1,752.00

Component Description:
Inv MAN00267 WJXT Interim TX antenna mount 45% down payment UL20180503jgv1
Amount:
$7,884.00
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
WJXT Interim Antenna (Second 45% Payment)
Amount:
$6,868.80

Component Description:
WJXT Interim Elbow Complex Final 10% Payments (209020)
Amount:
$1,526.40

Component Description:
Inv MAN00267 WJXT Interim elbow complex 45% down payment UL20180503jgv1
Amount:
$6,868.80
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 976 kW input, directional,, elliptically or circularly polarized

Component Description:
WJXT Interim Antenna Final 10% Payment
Amount:
$16,048.00

Component Description:
Inv MAN00267 WJXT Interim TX ant 45% down payment UL20180503jgv1
Amount:
$72,216.00

Component Description:
WJXT Interim Antenna (Second 45% Payment)
Amount:
$72,216.00
Sweep test of existing antenna

Component Description:
Inv MAN00267 WJXT Interim sweep 45% down payment UL20180503jgv1
Amount:
$2,880.00

Component Description:
WJXT INT Sweep Final 10% (213001)
Amount:
$640.00

Component Description:
WJXT Interim Antenna (Second 45% Payment)
Amount:
$2,880.00
Extension Pole

Component Description:
Inv MAN00214 WCWJ WJXT Prim ant ext pole UL20180718jgv2
Amount:
$34,341.75

Component Description:
Die inv #MAN00299 Prim ant ext pole UL20181106jgv1
Amount:
$21,095.77
Antenna adapter

Component Description:
Die inv #MAN00299 Primary ant adapter UL20181106jgv1
Amount:
$4,831.20

Component Description:
WJXT Primary Antenna Adapter - Wedding Cake #2 Final 10% Payment (Quote & Invoices)
Amount:
$4,683.80

Component Description:
Die inv #MAN00299 Primary ant adapter UL20181106jgv1
Amount:
$3,832.20

Component Description:
Inv MAN00214 WCWJ WJXT Primary ant adapter UL20180718jgv2
Amount:
$4,831.20

Component Description:
WJXT Primary Antenna Adapter - Wedding Cake #1 Final 10% Payment (Quote & Invoices)
Amount:
$1,073.60
Shipping Information not provided.
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Die inv #MAN00299 Elbow complex UL20181106jgv1
Amount:
$3,996.00

Component Description:
WJXT (Main) Elbow Complex (Shared) Final 10% Payment (Quote & Invoices)
Amount:
$888.00

Component Description:
Inv MAN00214 WCWJ WJXT Elbow complex UL20180718jgv2
Amount:
$3,996.00
New combiner, cost per channel (without antenna)

Component Description:
WJXT Main Combiner (Shared) Payment (Quote & Invoices)
Amount:
$44,941.61
UHF - High Power Top Mount Two Station antenna elliptically or circularly polarized

Component Description:
Die inv #MAN00299 Primary antenna UL20181106jgv1
Amount:
$72,560.92

Component Description:
WJXT Primary Antenna (Shared) Final 10% Payment (Quote & Invoices)
Amount:
$16,124.65

Component Description:
Inv MAN00214 WCWJ WJXT Primary antenna UL20180718jgv2
Amount:
$72,560.93
Sweep test of existing antenna

Component Description:
Die inv #MAN00299 Sweep UL20181106jgv1
Amount:
$1,440.00

Component Description:
Inv MAN00214 WCWJ WJXT Sweep UL20180718jgv2
Amount:
$1,440.00

Component Description:
WJXT (Main) Repack Sweep (Shared) Final 10% Payment (Quote & Invoices)
Amount:
$320.00

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 $945,145.00 $472,496.08 N/A $474,816.99 N/A
Total for all systems $11,059,285.26 $7,552,713.96 N/A $6,348,891.46 N/A
Interim Transmission Line $126,325.00 $101,487.02 $103,807.93
Rigid Transmission Line - copper, 4 1/16" broadband $126,325.00 $101,487.02 See Dielectric quote for WJXX and WTLV combined interim facilities. $103,807.93 Component was not unlocked so added a new request. Please deny previous request under review in the amount of $9,437.17 and use most recent request which is based on the specified Dielectric filing guidelines.
Interim Transmission Line $357,975.00 $221,544.06 $221,544.06
Rigid Transmission Line - copper, 7 3/16" broadband $357,975.00 $221,544.06 See Dielectric quote for WJXT interim facility $221,544.06 N/A
Primary Transmission Line $460,845.00 $149,465.00 $149,465.00
Rigid Transmission Line - copper, 8 3/16" broadband $460,845.00 $149,465.00 See attached Dielectric Quote and Invoices $149,465.00 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 4 1/16" broadband

Component Description:
Dielectric Interim Transmission Line - Final 10% (Contractual Obligation with TEGNA). Reduced by one cent in order to equal 100% on quote.
Amount:
$9,436.18

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV line 45 percent pmt 2 UL20180613jgv1
Amount:
$37,882.91

Component Description:
WJXT (TEGNA Interim Facility) Transmission Line Final 10% ($8,418.43 plus $1,018.75 rounded down one cent)
Amount:
$9,437.17

Component Description:
Die inv #180001 VHF rigid trans line UL20181120jgv1
Amount:
$6,112.50

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV line 45 percent pmt 1 UL20180613jgv1
Amount:
$37,882.91

Component Description:
Die inv #180001 VHF rigid trans line freight UL20181120jgv1
Amount:
$1,002.77

Component Description:
Inv MAN00319 WJXT Int WJXX WTLV TLSCR 45 percent pmt 2 UL20180613jgv1
Amount:
$4,584.38

Component Description:
Inv MAN00318 WJXT Int WJXX WTLV TLSCR 45 percent pmt 1 UL20180613jgv1
Amount:
$4,584.38
Rigid Transmission Line - copper, 7 3/16" broadband

Component Description:
Inv MAN00267 WJXT Interim transmisson line 45% down payment UL20180503jgv1
Amount:
$93,287.03

Component Description:
WJXT INT TX Line #2 Final 10% (213001) - Rounded down to nearest cent
Amount:
$4,429.49

Component Description:
Additional TX Line Parts for WJXT Interim Facility. Invoice includes tax (see attached quote & invoice)
Amount:
$14,239.56

Component Description:
WJXT Interim Antenna (Second 45% Payment). 89,763.53 plus 3,523.50 for transmission line system.
Amount:
$93,287.03

Component Description:
WJXT INT TX Line #1 Final 10% (209020)
Amount:
$16,300.95
Rigid Transmission Line - copper, 8 3/16" broadband

Component Description:
Die inv #MAN00299 TLSCRs UL20181106jgv1
Amount:
$1,792.80

Component Description:
Die inv #MAN00299 Transmission line UL20181106jgv1
Amount:
$61,296.17

Component Description:
WJXT (Main) Transmission Line CUT PIECES Final 10% Payment (Quote & Invoices)
Amount:
$398.40

Component Description:
WJXT (Main) Transmission Line Final 10% Payment (Quote & Invoices)
Amount:
$11,173.59

Component Description:
Die inv #MAN00299 Feed thru UL20181106jgv1
Amount:
$4,128.75

Component Description:
Inv MAN00214 WCWJ WJXT Feed thru UL20180718jgv2
Amount:
$5,138.55

Component Description:
Inv MAN00214 WCWJ WJXT Transmission line UL20180718jgv2
Amount:
$63,743.94

Component Description:
Inv MAN00214 WCWJ WJXT TLSCRs UL20180718jgv2
Amount:
$1,792.80

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 $1,759,439.91 $1,081,397.91 N/A $695,454.30 N/A
Total for all systems $11,059,285.26 $7,552,713.96 N/A $6,348,891.46 N/A
Auxiliary Tower TOWER $669,085.44 $417,078.65 $230,578.65
Minor tower reinforcement/modifications $158,000.00 $55,458.37 N/A $55,458.37 N/A
Interim Tower Lease $93,677.42 $93,677.42 See attached InSite Tower LLC quote. Costs are based on leasing space on the interim tower at $8,000 per month. $69,677.42 N/A
Transmission Line Bridge $8,595.52 $8,595.52 Required in order to interconnect the transmission line run from the new interim container to the existing transmission line bridge at the interim site. $8,595.52 N/A
Tall Tower (greater than 500') $210,500.00 $85,434.84 N/A $85,434.84 Error message indicates that Sub-total is greater than Estimated Cost; however, that is not correct. The Sub-total equals the Estimated Cost exactly.
Remove Interim Equipment $150,000.00 $150,000.00 Interim tower must be rigged a second time after WJXT tower mods and main antenna installs are complete in order to have the interim antenna, interim line, STL dish and waveguide removed from tower and disposed. N/A N/A
Lead Based Paint Services $9,412.50 $9,412.50 Professional Lead Based Paint Services are required before tower modification can be performed the repack $9,412.50 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $12,500.00 Shared expense with WCWJ N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $2,000.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $2,000.00 N/A
Primary Tower TOWER $1,090,354.47 $664,319.26 $464,875.65
Remove Tegna Interim Antenna and Line $92,912.47 $92,912.47 Part of contractual obligation scope of work N/A N/A
Helicopter Site Staging Requirement $37,500.00 $37,500.00 See attached clearing quote for $75,000. Erickson Inc. requires a 200 x 200 ft clearing for lifts and the only way to achieve this is to have the area clear-cut and also requires a Strong Plank Steel Mat. Shared expense with WCWJ is $37,500. $1,400.00 N/A
Foundation Expansion $91,642.00 $91,642.00 Quote is for $183,284. Shared expense with WCWJ; therefore WJXT cost is $91642. $41,592.11 N/A
Existing Tower $0.00 $0.00 This is just a note to state that the tower has an ASR (ASRN 1017604). The tower owner name was flagged when the 399 automatically pre-filled the ASR information. Therefore, we manually entered the data. N/A N/A
Tower Helicopter Lift $0.00 $0.00 See Helicopter Site Staging Requirement component for helicopter prep required work. $0.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $380,561.40 Main antenna and transmission line plus contractual agreement equipment and services per-approved by the FCC. $380,561.40 N/A
Major tower reinforcement/modifications $421,000.00 $36,103.39 N/A $36,103.39 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,600.00 N/A $5,218.75 N/A

Components

Actual Information Description File Name
Minor tower reinforcement/modifications

Component Description:
WJXT Portion of InSite Interim Tower Climbing Inspection (NET30 Payment)
Amount:
$1,531.25

Component Description:
WJXT Interim Tower Modifications (Shared) Final 50% Down Payment (Quote & Invoices)
Amount:
$29,172.75

Component Description:
WJXT Interim Tower Modifications (Shared) Initial 50% Down Payment (Quote & Invoices)
Amount:
$24,754.37
Interim Tower Lease

Component Description:
WJXT Interim Tower Lease Payment (MAR 2019)
Amount:
$8,000.00

Component Description:
WJXT Interim Tower Lease Payments (July 10, 2018 through December 01, 2018)
Amount:
$45,677.42

Component Description:
WJXT Interim Tower Lease Payments (January 2019 & February 2019)
Amount:
$16,000.00
Transmission Line Bridge

Component Description:
Transmission Line Bridge (WJXT Portion)
Amount:
$311.35

Component Description:
Transmission Line Bridge (WJXT Portion)
Amount:
$4,803.67

Component Description:
Transmission Line Bridge (WJXT Portion)
Amount:
$3,480.50
Tall Tower (greater than 500')

Component Description:
WJXT Interim Antenna & Transmission Line Installation Final 40% & 10% Payments (Quote & Invoices)
Amount:
$42,973.72

Component Description:
WJXT Interim Antenna & Transmission Line Installation (Shared) Initial 50% Down Payment (Quote & Invoices)
Amount:
$42,461.12
Remove Interim Equipment Information not provided.
Lead Based Paint Services

Component Description:
WJXT Interim Tower Lead Based Paint Services Final Payment (Quote & Invoices)
Amount:
$5,262.50

Component Description:
WJXT Interim Tower Lead Based Paint Services Initial Payment (Quote & Invoices)
Amount:
$4,150.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Inv FL952GRARADIO Structural Analysis UL20180521jgv2 50% to WCWJ 50% to WJXT
Amount:
$2,000.00
Remove Tegna Interim Antenna and Line Information not provided.
Helicopter Site Staging Requirement

Component Description:
WJXT Main Helicopter Pad Leveling (50% Shared Payment)
Amount:
$1,400.00
Foundation Expansion

Component Description:
Matrax inv #2041 Mud mat rental UL20181112jgv1
Amount:
$989.48

Component Description:
Osborn inv #26797R Twr found eng 170930 - 171027 UL20181114jgv1
Amount:
$10,372.60

Component Description:
Osborn inv #29390 Twr found eng 180428 - 180525 UL20181114jgv1
Amount:
$69.80

Component Description:
Osborn inv #28225 Twr found eng 180127 - 180223 UL20181114jgv1
Amount:
$4,167.00

Component Description:
Osborn inv #26528R Twr found eng 170701 - 170929 UL20181114jgv1
Amount:
$14,449.65

Component Description:
Osborn inv #28313 Twr found eng 180224 - 180330 UL20181114jgv1
Amount:
N/A

Component Description:
Osborn inv #29009 Twr found eng 180331 - 180427 UL20181114jgv1
Amount:
$2,529.20

Component Description:
Osborn inv #27338 Twr found eng 171125 - 171231 UL20181114jgv1
Amount:
$2,702.68

Component Description:
Osborn inv #27213 Twr found eng 171028 - 171125 UL20181114jgv1
Amount:
$6,201.75

Component Description:
Osborn inv #27832 Twr found eng 180101 - 180126 UL20181114jgv1
Amount:
$109.95
Existing Tower Information not provided.
Tower Helicopter Lift Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
WJXT Main Antenna & Line Installs (40% Payment)
Amount:
$137,080.44

Component Description:
ERI inv #WJXT-001 VHF interim ant and line UL20181113jgv1
Amount:
$32,280.50

Component Description:
WJXT (Tegna) Installs (Final 50% Payment)
Amount:
$36,204.16

Component Description:
WJXT Main Antenna & Line Installs (10% Payment)
Amount:
$29,166.05

Component Description:
WJXT (Tegna) Installs (Change Order Payment)
Amount:
$5,850.00

Component Description:
WJXT Main Antenna and Transmission Line Installation (50% Payment)
Amount:
$145,830.25
Major tower reinforcement/modifications

Component Description:
Inv 26318R WJXT Professional Services UL20180502jgv1
Amount:
$298.20

Component Description:
Inv 26120R WJXT Professional Services UL20180503jgv1
Amount:
$3,701.80

Component Description:
WJXT Main Tower Mods (Final 50% Shared Payment)
Amount:
$17,787.14

Component Description:
WJXT Main Tower Mods (50% Shared Payment)
Amount:
$14,316.25
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Inv 947-05 Tower mapping UL20180712jgv2 50% to WJXT 50% to WCWJ
Amount:
$3,687.50

Component Description:
Inv FL952GRA1422873 WCWJ Climbing Inspection UL20180605jgv2 50% to WCWJ 50% to WJXT
Amount:
$1,531.25

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 $808,122.50 $804,465.00 N/A $492,338.71 N/A
Total for all systems $11,059,285.26 $7,552,713.96 N/A $6,348,891.46 N/A
Outside Professional Services $808,122.50 $804,465.00 $492,338.71
Topographic Survey $870.00 $870.00 Shared cost with WCWJ N/A N/A
Other Legal Services $10,000.00 $10,000.00 Other Legal Services related to the DTV Repack $5,301.21 N/A
Other Engineering Services $417,627.50 $417,627.50 Fewer Project Management "PM" tasks are required & Other Engineering Services "OES" are required, therefore the PM total has been reduced to 850 hrs ($127,500 at $150/hr), & a new OES category has been created & funded with the money removed from PM. $417,627.50 N/A
Osborn Engineering Main Transmitter Facility $8,590.00 $8,590.00 Shared cost with WCWJ. N/A N/A
Intermod Study at Interim Site $2,355.00 $2,355.00 N/A $2,355.00 N/A
Additional Field Engineering Service, 45 Days $90,000.00 $90,000.00 N/A $29,810.00 N/A
RF Exposure Measurements $21,050.00 $10,250.00 Shared expense with WCWJ $4,850.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $81,900.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,050.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,050.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,585.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,095.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,305.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,120.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,535.00 N/A $1,500.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,535.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $6,000.00 See attached Invoices and Quotes. $6,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $14,000.00 See attaches Invoices and Quotes $14,000.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,560.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $7,137.50 See attached Invoices and Quotes. $7,137.50 N/A
Project management of the transition $134,300.00 $130,900.00 Fewer Project Management "PM" tasks are required & Outside Engineering Services "OES" are required, therefore the PM total has been reduced to 850 hrs & a new OES category has been created & funded with the money removed from PM. $3,757.50 N/A

Components

Actual Information Description File Name
Topographic Survey Information not provided.
Other Legal Services

Component Description:
Covington inv #60780136 Various Legal UL20190221jgv2
Amount:
$135.00

Component Description:
Covington inv #60812706 Various Legal UL20181024jgv1
Amount:
$378.10

Component Description:
Covington inv #60780135 Various Legal UL20181019jgv1
Amount:
$762.97

Component Description:
C&B 60847115 v190613pmv1
Amount:
$71.10

Component Description:
C&B 60816789 v190613pmv1
Amount:
$288.90

Component Description:
Covington inv #60836456 Various Legal thru 190131 UL20181030jgv1
Amount:
$927.96

Component Description:
Covington inv #60793199 Various Legal UL20181023jgv1
Amount:
$149.47

Component Description:
Covington inv #60774445 Various Legal UL20181022jgv1
Amount:
$2,621.91

Component Description:
Covington inv #60816783 Various Legal UL20181030jgv1
Amount:
$192.60

Component Description:
Covington inv #60780136 Various Legal UL20181022jgv1
Amount:
$247.50

Component Description:
Covington inv #60790156 Various Legal UL20181023jgv1
Amount:
$62.10
Other Engineering Services

Component Description:
KGA 947-111 v190506pmv1
Amount:
$60,700.00

Component Description:
KGA 947-141 v190801jgv2
Amount:
$11,550.00

Component Description:
KGA 947-18 OES v190523jgv3
Amount:
$22,100.00

Component Description:
KGA 947-179 v190705jgv2
Amount:
$14,832.50

Component Description:
KGA 947-61 v190506pmv1
Amount:
$44,655.00

Component Description:
KGA 947-143 v190513jgv2
Amount:
$25,100.00

Component Description:
KGA 947-178 v190705jgv2
Amount:
$18,860.00

Component Description:
KGA 947-177 v190705jgv2
Amount:
$15,737.50

Component Description:
KGA 947-18 OES v190523jgv3
Amount:
$500.00

Component Description:
KGA inv #947-76 Actual Cost Invs UL20181109jgv1
Amount:
$1,250.00

Component Description:
KGA 947-18 OES v190523jgv3
Amount:
$750.00

Component Description:
KGA 947-180 v190705jgv2
Amount:
$33,117.50

Component Description:
KGA 947-18 OES v190523jgv3
Amount:
$750.00

Component Description:
KGA 947-142 v190520jgv2
Amount:
$16,350.00

Component Description:
KGA 947-18 OES v190523jgv3
Amount:
$3,000.00

Component Description:
KGA 947-141 v190506pmv1
Amount:
$11,550.00

Component Description:
KGA 947-102 v190506pmv1
Amount:
$6,200.00

Component Description:
KGA 947-140 v190521jgv2
Amount:
$4,275.00

Component Description:
KGA 947-18 OES v190523jgv3
Amount:
$750.00

Component Description:
KGA 947-86 v190506pmv1
Amount:
$126,850.00
Osborn Engineering Main Transmitter Facility Information not provided.
Intermod Study at Interim Site

Component Description:
KGA 947-89 v190522jgv2
Amount:
$2,355.00
Additional Field Engineering Service, 45 Days

Component Description:
KGA 947-18 Addl fld eng svs v190523jgv3
Amount:
$5,400.00

Component Description:
KGA 947-41 v190506pmv1
Amount:
$4,050.00

Component Description:
KGA 947-74 v190528jgv2
Amount:
$1,350.00

Component Description:
KGA 947-92 v190506pmv1
Amount:
$2,700.00

Component Description:
KGA 947-40 v190506pmv1
Amount:
$2,700.00

Component Description:
KGA 947-48 v190506pmv1
Amount:
$1,800.00

Component Description:
KGA 947-39 v190503pmv1
Amount:
$2,160.00

Component Description:
KGA 947-42 v190506pmv1
Amount:
$1,800.00

Component Description:
KGA 947-66 v190528jgv2
Amount:
$3,800.00

Component Description:
KGA 947-99 v190506pmv1
Amount:
$2,700.00

Component Description:
KGA 947-70 v190506pmv1
Amount:
$1,350.00
RF Exposure Measurements

Component Description:
KGA 947-101 v190506pmv1
Amount:
$450.00

Component Description:
Inv: WJXT RF exposure study UL20180227
Amount:
$4,400.00
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 Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
KGA 947-91 v190506pmv1
Amount:
$1,500.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
KGA 947-18 CP APP v190523jgv3
Amount:
$3,000.00

Component Description:
KGA 947-25 v190503pmv1
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
KGA 947-18 Perform eng study v190523jgv3
Amount:
$7,000.00

Component Description:
KGA 947-25 v190503pmv1
Amount:
$7,000.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
KGA 947-105 v190506pmv1
Amount:
$3,387.50

Component Description:
KGA 947-11 v190503pmv1
Amount:
$2,500.00

Component Description:
KGA inv #947-76 Actual Cost Invs UL20190307jgv2
Amount:
$1,250.00
Project management of the transition

Component Description:
KGA 947-33 v190503pmv1
Amount:
$300.00

Component Description:
Inv 947-31 WJXT PM 387 2017 Q4 UL20180531jgv2
Amount:
$300.00

Component Description:
Inv 947-30 WJXT PM 387 2017 Q4 UL20180621jgv1
Amount:
$300.00

Component Description:
KGA inv #947-107 Form 387 2018 Q3 UL20181109jgv1
Amount:
$300.00

Component Description:
KGA 947-80 v190506pmv1
Amount:
$300.00

Component Description:
KGA inv 947-18 will not be applied to this component.
Amount:
N/A

Component Description:
KGA 947-55 v190506pmv1
Amount:
$300.00

Component Description:
Inv: WJXT Project Management UL20180227 50% to WJXT 50% to WCWJ
Amount:
$2,257.50

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 $294,020.69 $293,720.69 N/A $102,881.65 N/A
Total for all systems $11,059,285.26 $7,552,713.96 N/A $6,348,891.46 N/A
Other Expenses $294,020.69 $293,720.69 $102,881.65
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $144.11 N/A
Sales Tax $25,000.00 $25,000.00 Sales Tax $8,023.75 N/A
STL System $85,895.19 $85,895.19 STL required at interim site. See attached STL quotes from Vernick Technology, Inc. and Data Flow Communications. $85,895.19 N/A
Develop and air announcement of upcoming channel change $10,000.00 $10,000.00 N/A N/A N/A
Equipment Storage $25,000.00 $25,000.00 N/A $6,645.10 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $59,380.50 $59,380.50 See attached Rohde & Schwarz Quote Number 190380.0 (WJXT Interim Decom) $2,173.50 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $25,000.00 $25,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $195.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,250.00 N/A N/A N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Die 576032 v190920pmv1
Amount:
$144.11
Sales Tax

Component Description:
FLORIDA SALES TAX
Amount:
$878.25

Component Description:
WJXT R&S inv #9500083892 Interim Electrical sales tax UL20180807jgv1
Amount:
$7,145.50
STL System

Component Description:
WJXT Interim STL System - Data Flow (NET30 Payment)
Amount:
$29,036.82

Component Description:
WJXT Interim STL System (Expenses)
Amount:
$224.56

Component Description:
WJXT Interim STL System (NET30 Payment)
Amount:
$18,952.79

Component Description:
Vernick 3579 v190906jgv1
Amount:
$37,905.58
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
WJXT Interim Equipment Storage Container Payment (Quote & Invoices)
Amount:
$995.10

Component Description:
Four additional storage containers required
Amount:
$5,650.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
WJXT R&S inv #9500083845 Dumpster UL20180807jgv1
Amount:
$1,123.50

Component Description:
2nd Dumpster
Amount:
$1,050.00
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification Information not provided.
MVPD Notification of Channel Change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $11,059,285.26 $7,552,713.96 $6,348,891.46

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


09/20/2019

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


09/20/2019

Attachments

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