Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
MISSISSIPPI TV LICENSE COMPANY, LLC |
3282 NORTHSIDE PARKWAY SUITE 275 ATLANTA, GA 30327 United States |
+1 (470) 355-1944 | jburgett@wileyrein.com | Limited Liability Company |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | Commence temporary ch. 8 operations with existing backup side-mount antenna/line while install new primary top-mount antenna/line and new primary transmitter for permanent repack ch. 11 operations. Replace backup antenna after phase completion date. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
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 | DTT3M | |
Year | 2008 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 3.5 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | VAXTE-16 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 4.2 kW | |
Justification for New Transmitter | Current transmitter cannot be re-channeled to meet repack channel assignment and is no longer supported by out-of-business manufacturer. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | Yes | |
Transformer (480V) | Yes | |
Power | 150 kVA | |
Rigid Conduit and Wiring | Yes | |
Size | 2 inches | |
Length | 100.0 feet | |
Other Electrical Service | Yes | |
Description | 500ft #1 Wire to connect new transmitter to service transformer | |
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 |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Auxiliary (Backup) | |
Description of Use | Backup Antenna | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is this antenna currently shared with any other stations? | No | |
Is this antenna directional? | No | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | Class | Full Power |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Other | |
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 | halfway spaced dual dipole | |
ERP: | 7.2 kW | |
Manufacturer | ||
Model | JHD-HV2 2/2 (4) | |
Year | 2008 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Auxiliary (Backup) |
Description of Use | Backup | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Ownership | Owned | |
Owner | N/A | |
Is antenna shared? | No | |
Is antenna directional? | No | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | Class | Full Power |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
Number of Stations Supported | N/A | |
Number of Panels/Bays | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Design power capacity in use | N/A | |
Other Antenna Type | N/A | |
ERP: | 8.0 kW | |
Manufacturer | ||
Model | ALV8H7-HSO-11 | |
Year | 2018 | |
Justification for New Antenna | Existing aux/backup antenna cannot be re-tuned for use on repack channel. |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
Type | ||
Number of channels supported | N/A | |
Frequencies of channels supported | N/A | |
Frequency | N/A | |
Do you need a combiner output splitter/switcher for dual feed lines? | N/A | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
Broadband or Single Channel? | Single Channel | |
Feed Line Size | 4 1/16 inches inches | |
Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | 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 |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing antenna shared with another station or stations? | No | |
Is the existing antenna directional? | No | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | Class | Full Power |
Mounting | Top Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Other | |
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 | Bat Wing | |
ERP: | 16.0 kW | |
Manufacturer | ||
Model | JAT-10/8-90 | |
Year | 2008 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Description of Use | N/A | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Ownership | Owned | |
Owner | N/A | |
Is antenna shared? | No | |
Is antenna directional? | No | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | Class | Full Power |
Mounting | Top Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Elliptical | |
Type | Slotted Coaxial | |
Number of Stations Supported | N/A | |
Number of Panels/Bays | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Design power capacity in use | N/A | |
Other Antenna Type | N/A | |
ERP: | 31.0 kW | |
Manufacturer | ||
Model | ATW9V3-ETO-11H | |
Year | 2017 | |
Justification for New Antenna | Current primary antenna cannot be re-tuned for use on repack channel. |
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? | 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 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmission Line Description | Type of change | Purchase New |
Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing transmission line shared with another station or stations? | No | |
Is Transmission Line in operating condition? | Yes | |
Existing Transmission Line Manufacturer and Type | Manufacturer | |
Type | Rigid | |
Diameter | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1500 feet per run |
Section | Question | Response |
---|---|---|
New Transmission Line Costs | Use | Primary (Main) |
Description of Use | N/A | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Type | Rigid | |
Diameter | 3 1/8 inches | |
Other Diameter | N/A | |
Segment Length | Other | |
Other Segment Length | 18.67 feet | |
Number of parallel runs | 1 | |
Length | 1550 feet per run | |
Justification for New Transmission Line | New transmission line is required for installation of new primary antenna. Repack channel necessitates a change in transmission line segment length. |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Move Equipment |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Is this tower consider Complex? | No | |
Is this tower currently shared with any other stations? | Yes | |
One or more FM, AM or TV radio broadcaster(s) | Yes | |
Others Types of Users | No | |
Is tower documented for structural analysis? | Yes | |
Is tower compliant with Rev G? | No | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1040183 | |
Coordinates (NAD83) | Latitude (NAD83) | 33° 47' 40.0" N- |
Longitude (NAD83) | 089° 05' 16.0" W- | |
Overall Structure Height | 1559.69 feet | |
Support Structure Height | 1501.95 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 579.72 feet | |
Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
Tower Owner | Mississippi TV, LLC | |
Date Constructed | 05/15/1972 |
Facility ID | Call Sign | Service |
---|---|---|
83946 | WEPH | DTV |
37732 | WLOV-TV | DTV |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 595 | |
Explanation | WTVA does not have dedicated personnel that can handle the project management of the transition | |
Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | Yes |
Prepare engineering section of Form FCC Construction Permit Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 2 | |
Do you have Distributed Transmission System engineering services? | N/A | |
Critical Facility | N/A | |
Terrain-Shielded Facility | N/A | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 2 | |
NEPA Section 106 environmental review | No | |
Environmental Assessment | No | |
ASR Modification | No | |
FAA Consultation (including preparation of FAA Form 7460) | No | |
Negotiation of Lease and other Matter for Shared Locations | No | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
Attorney Fees and Other Matters |
Legal Services |
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 | Yes | |
FCC License to Cover Application | Yes | |
FCC Special Temporary Authority Application | Yes | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | Yes |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
Does this relocation require Equipment Storage? | No | |
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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $222,450.00 | $341,739.03 | N/A | $39,799.64 | N/A |
Total for all systems | $1,181,617.50 | $1,403,920.17 | N/A | $356,172.45 | N/A |
Primary Transmitter VAXTE-16 | $222,450.00 | $341,739.03 | $39,799.64 | ||
Other Electrical Service: 500ft #1 Wire to connect new transmitter to service transformer | $3,600.00 | $3,600.00 | N/A | N/A | N/A |
2" Rigid Conduit and Wiring (Cost per foot) | $2,600.00 | $2,500.00 | N/A | N/A | N/A |
Transformer 3 phase/480v - 150 KVA | $25,550.00 | $24,300.00 | N/A | N/A | N/A |
Switchgear - industrial 800 amp | $38,200.00 | $36,300.00 | N/A | N/A | N/A |
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW | $152,500.00 | $275,039.03 | Please see the attached Gates air quote #Q-75518 | $39,799.64 | N/A |
Actual Information Description | File Name |
---|---|
Other Electrical Service: 500ft #1 Wire to connect new transmitter to service transformer | Information not provided. |
2" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
Transformer 3 phase/480v - 150 KVA | Information not provided. |
Switchgear - industrial 800 amp | Information not provided. |
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $415,240.00 | $412,100.00 | N/A | $107,325.00 | N/A |
Total for all systems | $1,181,617.50 | $1,403,920.17 | N/A | $356,172.45 | N/A |
Primary Antenna ATW9V3-ETO-11H | $275,780.00 | $274,850.00 | $78,900.00 | ||
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | $12,300.00 | $11,700.00 | N/A | N/A | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $1,875.00 | N/A |
High VHF - High Power Top Mount One Station elliptically or circularly polarized | $256,750.00 | $256,750.00 | ERI Proposal # 20171025-095, this the estimated cost for a like-for-like (H pol) of the current antenna | $77,025.00 | N/A |
Auxiliary Antenna ALV8H7-HSO-11 | $139,460.00 | $137,250.00 | $28,425.00 | ||
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 | $22,000.00 | N/A | $0.00 | N/A |
High VHF - High Power Side Mount One Station horizontally polarized | $94,750.00 | $94,750.00 | N/A | $28,425.00 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $0.00 | N/A |
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) | $9,570.00 | $9,100.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | Information not provided. |
Sweep test of existing antenna | |
High VHF - High Power Top Mount One Station elliptically or circularly polarized | |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | Information not provided. |
Side mount brackets for high power antennas (if not included in antenna base cost) | Information not provided. |
High VHF - High Power Side Mount One Station horizontally polarized | |
Sweep test of existing antenna | Information not provided. |
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $161,200.00 | $124,448.89 | N/A | $37,334.66 | N/A |
Total for all systems | $1,181,617.50 | $1,403,920.17 | N/A | $356,172.45 | N/A |
Primary Transmission Line | $161,200.00 | $124,448.89 | $37,334.66 | ||
Rigid Transmission Line - copper, 3 1/8" | $161,200.00 | $124,448.89 | N/A | $37,334.66 | N/A |
Actual Information Description | File Name |
---|---|
Rigid Transmission Line - copper, 3 1/8" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $210,500.00 | $337,621.00 | N/A | $101,286.30 | N/A |
Total for all systems | $1,181,617.50 | $1,403,920.17 | N/A | $356,172.45 | N/A |
Primary Tower GTOWER | $210,500.00 | $337,621.00 | $101,286.30 | ||
Tall Tower (greater than 500') | $210,500.00 | $337,621.00 | Installation cost for Primary and Auxiliary antenna. See attachment "WTVA - ERI Invoice, Cover Letter, Explanation of Variance and Quote (Submitted 10.16.18)." | $101,286.30 | Installation cost for Primary and Auxiliary antenna. |
Actual Information Description | File Name |
---|---|
Tall Tower (greater than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $146,537.50 | $162,926.25 | N/A | $70,426.85 | N/A |
Total for all systems | $1,181,617.50 | $1,403,920.17 | N/A | $356,172.45 | N/A |
Outside Professional Services | $146,537.50 | $162,926.25 | $70,426.85 | ||
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | $1,117.50 | N/A |
Attorney Fees and Other Matters | $16,087.50 | $16,087.50 | per Estimated Cost Justification WTVA-550-Attorney Fees - Other Matters v3 | $16,087.50 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $7,360.00 | $7,000.00 | 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 |
Prepare request for Special Temporary Authorization | $4,100.00 | $3,000.00 | N/A | $2,460.00 | 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 | $412.50 | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
Project management of the transition | $94,010.00 | $99,675.00 | Please see the attached Widelity quote | $34,435.60 | N/A |
Prepare and or review reimbursement form | $2,630.00 | $15,913.75 | see Estimated Cost Justification WTVA-590-Prepare and_or Review Reimbursement Form v1 | $15,913.75 | N/A |
Actual Information Description | File Name |
---|---|
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Attorney Fees and Other Matters | |
Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare request for Special Temporary Authorization | |
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 | |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
Project management of the transition | |
Prepare and or review reimbursement form |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $25,690.00 | $25,085.00 | N/A | $0.00 | N/A |
Total for all systems | $1,181,617.50 | $1,403,920.17 | N/A | $356,172.45 | N/A |
Other Expenses | $25,690.00 | $25,085.00 | $0.00 | ||
MVPD Notification of Channel Change | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
Develop and air announcement of upcoming channel change | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $1,000.00 | $1,000.00 | LULL rental for moving heavy equipment | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $1,500.00 | $1,500.00 | Disposal of Glycol in transmitter | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $190.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,070.00 | N/A | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $11,000.00 | N/A | N/A | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $1,181,617.50 | $1,403,920.17 | $356,172.45 |
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 |
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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Robert S. Prather , Jr . CEO 10/25/2019 |
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). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Robert S. Prather , Jr . CEO 10/25/2019 |