Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
Fox Television Stations, LLC |
Ann West Bobeck 400 N. CAPITOL STREET, NW SUITE 890 WASHINGTON, DC 20001 United States |
+1 (202) 824-6503 | ann.bobeck@fox.com | Limited Liability Company |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Dennis Wallace Managing Partner Meintel, Sgrignoli & Wallace, LLC |
Dennis Wallace 1282 Smallwood Drive Suite 372 Waldorf, MD 20603 United States |
+1 (202) 251-7589 | Dennis.Wallace@mswdtv.com |
Question | Response |
---|---|
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | No |
Briefly describe transition plan | WJZY will remove the existing top mount antenna and transmission line and install a new antenna and transmission line in its place. |
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 | CD3200P2 | |
Year | 2005 | |
Type | Inductive Output Tube | |
IOT Power Type | Two | |
Power Capacity | 60 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | THU9EVO-72 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 106 kW | |
Justification for New Transmitter | New transmitter is required. Current transmitter is obsolete and no longer supported by its manufacturer. See quote 0928_quote_xmtr_upgrade regarding upgrade cost |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Power | N/A | |
Rigid Conduit and Wiring | No | |
Size | N/A | |
Length | N/A | |
Other Electrical Service | Yes | |
Description | New Transmitter Electrical Installation. See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS Quote. | |
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 |
Name | Description |
---|---|
STL related equipment |
Relocation of equipment from old to new building. See 0928_Micro move and ethernet switch quote |
Remote Control Wiring |
Wire up remote control to new transmitter. |
Installation |
Transmitter Installation. Includes upgrade cost. See 0928_xmtr_install_upgrade quote. |
Air Conditioner Backup Power |
Install transformer and breaker for backup power to air conditioning. See 0928_PO X20-66 Data Power Source quote. |
Pre-Install Site Survey |
Preliminary survey to determine needs for install. |
Removal of Existing Equipment |
Remove existing equipment |
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 | 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? | Yes | |
Existing Antenna Manufacturer and Type | 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 | N/A | |
Design power capacity in use | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Other Antenna Type | N/A | |
ERP: | 1000.0 kW | |
Manufacturer | ||
Model | ATW30H5-HSO-47H | |
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? | Yes | |
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: | 1000.0 kW | |
Manufacturer | ||
Model | ATW25H5-ETO4-25H | |
Year | 2019 | |
Justification for New Antenna | New antenna required for new channel. See quote 0928_quote_antenna_upgrade for upgrade cost |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | |
Type | ||
Number of channels supported | N/A | |
Frequencies of channels supported | N/A | |
Frequency | N/A | |
Do you need a combiner output splitter/switcher for dual feed lines? | N/A | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | 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 a high power antenna? | |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
Name | Description |
---|---|
Bad Weather days |
Days where no work could be performed due to weather. Tower crew idle. |
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 | 8 3/16 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 2090 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? | No | |
Type | Rigid | |
Diameter | 8 3/16 inches | |
Other Diameter | N/A | |
Segment Length | 19 1/2 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 2090 feet per run | |
Justification for New Transmission Line | existing transmission line is incorrect length for operation on new channel. Transmission line must be replaced. |
Name | Description |
---|---|
Waveguide Switch |
Waveguide RF Switch |
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? | ||
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? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1006705 | |
Coordinates (NAD83) | Latitude (NAD83) | 35° 21' 44.5" N- |
Longitude (NAD83) | 081° 09' 18.3" W- | |
Overall Structure Height | 1943.55 feet | |
Support Structure Height | 1887.44 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 805.76 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | Fox Television Stations, LLC | |
Date Constructed | 01/01/1986 |
Facility ID | Call Sign | Service |
---|---|---|
70097 | WGTB-CD | DTV |
74194 | WHQC | FM |
53975 | WNKS | FM |
20624 | WMYT-TV | DTV |
6586 | WPEG | FM |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | Other |
Helicopter Services Required | Are helicopter services required? | Yes |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 650 | |
Explanation | Project Management of repack project with outside consulting and project management services. Coordinate Tower work with tenants. | |
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 | Yes |
RF exposure measurements | Yes | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
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 | Yes | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | Yes | |
FCC License to Cover Application | Yes | |
FCC Special Temporary Authority Application | Yes | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | Yes |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
Does this relocation require Equipment Storage? | Yes | |
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | Yes | |
Does this relocation require MVPD Notification of a Channel Change? | Yes |
Name | Description |
---|---|
Prepare FCC Quarterly Progress Reports |
FCC Progress reports. Prepare and file. See attached quote. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $3,045,246.94 | $2,518,321.94 | N/A | $1,068,079.94 | N/A |
Total for all systems | $4,854,866.94 | $4,001,105.54 | N/A | $1,579,861.68 | N/A |
Primary Transmitter THU9EVO-72 | $3,045,246.94 | $2,518,321.94 | $1,068,079.94 | ||
Pre-Install Site Survey | $15,237.50 | $15,237.50 | Site survey with drawing package. Preliminary survey to determine needs for install. | $15,237.50 | N/A |
Removal of Existing Equipment | $15,000.00 | $15,000.00 | Remove existing equipment. See attached quote. | N/A | N/A |
Air Conditioner Backup Power | $9,250.00 | $9,250.00 | Install transformer and breaker for backup power to air conditioning. See attached quote 0928_PO X20-66 Data Power Source. | N/A | N/A |
Installation | $94,880.00 | $94,880.00 | Transmitter installation. Includes upgrade cost. See quote 0928_xmtr_install_upgrade. | N/A | N/A |
Remote Control Wiring | $3,600.00 | $3,600.00 | Wire existing remote control to new transmitter. See Attached Quote | N/A | N/A |
Other Electrical Service: New Transmitter Electrical Installation. See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS Quote. | $269,000.00 | $269,000.00 | See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS | N/A | N/A |
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW | $2,630,000.00 | $2,103,075.00 | Cost reflects like-for-like transmitter with upgrade. See 0928 revised narrative and quote 0928_Quote_xmtr_upgrade. | $1,052,842.44 | N/A |
STL related equipment | $8,279.44 | $8,279.44 | Relocation of STL waveguide and purchase of IT Switches to relocate in new building. See quote 0928_Micro move and ethernet switch | N/A | N/A |
Actual Information Description | File Name |
---|---|
Pre-Install Site Survey | |
Removal of Existing Equipment | Information not provided. |
Air Conditioner Backup Power | Information not provided. |
Installation | Information not provided. |
Remote Control Wiring | Information not provided. |
Other Electrical Service: New Transmitter Electrical Installation. See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS Quote. | Information not provided. |
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW | |
STL related equipment | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $300,780.00 | $229,425.00 | N/A | $130,174.00 | N/A |
Total for all systems | $4,854,866.94 | $4,001,105.54 | N/A | $1,579,861.68 | N/A |
Primary Antenna ATW25H5-ETO4-25H | $300,780.00 | $229,425.00 | $130,174.00 | ||
Sweep test of existing antenna | $6,730.00 | $6,250.00 | N/A | $3,750.00 | N/A |
Bad Weather days | $4,550.00 | $4,550.00 | Days where no work could be performed due to weather. Tower crew idle. | $4,550.00 | N/A |
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized | $289,500.00 | $218,625.00 | Cost includes upgrade. See 0928_Quote_antenna_upgrade. | $121,874.00 | N/A |
Actual Information Description | File Name |
---|---|
Sweep test of existing antenna | |
Bad Weather days | |
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $747,730.00 | $526,993.60 | N/A | $300,824.46 | N/A |
Total for all systems | $4,854,866.94 | $4,001,105.54 | N/A | $1,579,861.68 | N/A |
Primary Transmission Line | $747,730.00 | $526,993.60 | $300,824.46 | ||
Waveguide Switch | $22,500.00 | $22,500.00 | Waveguide RF Switch and controller | N/A | N/A |
Rigid Transmission Line - copper, 8 3/16" | $725,230.00 | $504,493.60 | See quote 0928_Quote_antenna_upgrade. | $300,824.46 | N/A |
Actual Information Description | File Name |
---|---|
Waveguide Switch | Information not provided. |
Rigid Transmission Line - copper, 8 3/16" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $421,000.00 | $400,000.00 | N/A | $0.00 | N/A |
Total for all systems | $4,854,866.94 | $4,001,105.54 | N/A | $1,579,861.68 | N/A |
Primary Tower TOWER | $421,000.00 | $400,000.00 | $0.00 | ||
Tower Helicopter Lift | $0.00 | $0.00 | N/A | N/A | N/A |
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) | $421,000.00 | $400,000.00 | Catalog | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $244,390.00 | $231,250.00 | N/A | $69,669.00 | N/A |
Total for all systems | $4,854,866.94 | $4,001,105.54 | N/A | $1,579,861.68 | N/A |
Outside Professional Services | $244,390.00 | $231,250.00 | $69,669.00 | ||
RF Exposure Measurements | $21,050.00 | $20,000.00 | Catalog | $19,150.00 | N/A |
Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | Catalog | $15,237.50 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $7,360.00 | $7,000.00 | Catalog | N/A | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,250.00 | Catalog | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | Catalog | N/A | N/A |
Project management of the transition | $102,700.00 | $97,500.00 | Catalog | $35,281.50 | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | Catalog | N/A | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | Catalog | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | Catalog | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | Catalog | N/A | N/A |
Prepare request for Special Temporary Authorization | $4,100.00 | $3,000.00 | Catalog | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | Catalog | N/A | N/A |
Actual Information Description | File Name |
---|---|
RF Exposure Measurements | |
Comprehensive coverage verification via field study, if needed | |
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 and or review reimbursement form | Information not provided. |
Project management of the transition | |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
Perform engineering study for new channel assignment and antenna development | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare request for Special Temporary Authorization | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $95,720.00 | $95,115.00 | N/A | $11,114.28 | N/A |
Total for all systems | $4,854,866.94 | $4,001,105.54 | N/A | $1,579,861.68 | N/A |
Other Expenses | $95,720.00 | $95,115.00 | $11,114.28 | ||
Prepare FCC Quarterly Progress Reports | $27,030.00 | $27,030.00 | Prepare and file FCC Progress reports quarterly. See attached vendor quote. | N/A | N/A |
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 | $1,500.00 | $1,500.00 | N/A | N/A | N/A |
Equipment Storage | $10,000.00 | $10,000.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $12,000.00 | $12,000.00 | N/A | $11,114.28 | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $15,000.00 | $15,000.00 | Disposal of old equipment | N/A | N/A |
Non-zoning permits | $12,000.00 | $12,000.00 | Local Permits. | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $190.00 | Catalog | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $11,000.00 | Catalog | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,070.00 | Catalog | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | Catalog | N/A | N/A |
Actual Information Description | File Name |
---|---|
Prepare FCC Quarterly Progress Reports | Information not provided. |
MVPD Notification of Channel Change | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage | Information not provided. |
Equipment Delivery and Handling Charges | |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
Non-zoning permits | Information not provided. |
FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
DTV Medical Facility Notification | Information not provided. |
FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $4,854,866.94 | $4,001,105.54 | $1,579,861.68 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Angelo Servedio Vice President Controller 10/15/2019 |
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. | Angelo Servedio Vice President Controller 10/15/2019 |