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:
3646
Service:
DTV
Call Sign:
WIPB
Channel:
19 (UHF)
File Number:
0000027954
FRN:
0002871614
Date Submitted:
11/11/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BALL STATE UNIVERSITY

Doing Business As: BALL STATE UNIVERSITY

Daniel R. Lutz

2000 WEST UNIVERSITY AVENUE

MUNCIE, IN 47306

United States

+1 (765) 285-1249 dlutz@bsu.edu Government Entity

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

Daniel Lutz

Assoc Vice President for IT and Interim GM WIPB

Ball State University

Daniel Lutz

Letterman Media Com Building LB128

Muncie, IN 47306

United States

+1 (765) 285-9116 dlutz@bsu.edu

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan As mandated by the FCC WIPB-TV is being repacked from Channel 23 to Channel 19. Our transition in in compliance with the guidelines and processes set forth by the FCC.

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 DHD 60 P2 Diamond CD
Year 2006
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 60 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? No
Manufacturer
Model UAXTE-24R44
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 24.4 kW
Justification for New Transmitter As per the attached letter, effective January 1, 2017, GatesAir will no longer offer channel change services nor will they support in field channel changes on our existing transmitter.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 720.0 feet
Other Electrical Service Yes
Description Fuse disconnects
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? No

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex?
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 40° 05' 37.0" N-
Longitude (NAD83) 085° 23' 32.0" W-
Overall Structure Height 849.73 feet
Support Structure Height 800.52 feet
Ground Elevation Above Mean Sea Level (AMSL) 994.08 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Ball State University
Date Constructed 09/06/2005


Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 595
Explanation We are in the midst of a transitional period of general manager. We currently are working with and interim GM. We will need the project manager to facilitate tracking and performance of outside vendors and suppliers and coordinate any facility changes.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Professional engineering

Review and sign off

Site Survey GatesAir

Complete site survey with sweep analysis.

Attorney Fees and Other Matters

Misc attorney fees for repack legal needs

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? 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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $587,320.00 $584,000.00 N/A $298,381.91 N/A
Total for all systems $1,219,077.45 $787,181.48 N/A $346,826.09 N/A
Primary Transmitter UAXTE-24R44 $587,320.00 $584,000.00 $298,381.91
UHF - Air Cooled Solid State Transmitter 24.4 kW $506,000.00 $506,000.00 N/A $289,163.02 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $9,218.89 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $18,720.00 $18,000.00 N/A N/A N/A
Other Electrical Service: Fuse disconnects $10,000.00 $10,000.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 24.4 kW

Component Description:
UAXTE-24R44 Transmitter per Quote Q-76153
Amount:
$144,581.51

Component Description:
UAXTE-24R44 Transmitter per Quote Q-76153
Amount:
$144,581.51

Component Description:
Transmitter
Amount:
$120,275.99
Service entrance 3 phase/800 amp/208 volt

Component Description:
FPM Labor Revenue
Amount:
$2,326.20

Component Description:
FPM Labor Revenue / FPM Materials
Amount:
$9,218.89
Switchgear - industrial 800 amp Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Other Electrical Service: Fuse disconnects Information not provided.

Cost Information

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Antennas

Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $433,600.00 $0.00 N/A $0.00 N/A
Total for all systems $1,219,077.45 $787,181.48 N/A $346,826.09 N/A
Primary Tower TOWER $433,600.00 $0.00 $0.00
Structural engineering tower load study for well documented tower $12,600.00 $0.00 N/A $0.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $148,107.45 $153,681.48 N/A $38,229.18 N/A
Total for all systems $1,219,077.45 $787,181.48 N/A $346,826.09 N/A
Outside Professional Services $148,107.45 $153,681.48 $38,229.18
Attorney Fees and Other Matters $5,845.00 $5,845.00 Please see invoices from Schwartz, Woods, & Miller invoice (20289) & Garvey, Shubert, Barer (665569) $1,431.00 N/A
Site Survey GatesAir $18,402.45 $18,402.45 N/A $18,402.45 N/A
Professional engineering $7,500.00 $7,500.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $1,326.00 N/A
Project management of the transition $94,010.00 $99,675.00 Please see quote. $14,646.20 N/A
Prepare and or review reimbursement form $2,630.00 $3,509.03 See Garvey Schubert Barer invoice 665569 $2,123.53 Please see invoices, legal fees exceeded estimated costs.
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 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 $300.00 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
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Attorney Fees and Other Matters

Component Description:
Legal Services
Amount:
$117.00

Component Description:
Legal services rendered
Amount:
$78.00

Component Description:
WIPB Attorney Other Matters
Amount:
$390.00

Component Description:
Legal Services
Amount:
$78.00

Component Description:
WIPB- Attorney Fees Other Matters
Amount:
$468.00

Component Description:
Legal services
Amount:
$78.00

Component Description:
Legal Services
Amount:
$39.00

Component Description:
Legal services
Amount:
$300.00
Site Survey GatesAir

Component Description:
Repack site survey including line sweep.
Amount:
$18,402.45
Professional engineering Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Professional Services
Amount:
$312.00

Component Description:
WIPB- Construction Permit Application (Main)
Amount:
$1,014.00
Project management of the transition

Component Description:
Project Management
Amount:
$411.25

Component Description:
Project Management
Amount:
$3,368.00

Component Description:
Project Management
Amount:
$2,089.85

Component Description:
Project Management
Amount:
$2,656.65

Component Description:
Project Management
Amount:
$2,844.35

Component Description:
Project Management
Amount:
$2,821.10

Component Description:
Project Management
Amount:
$455.00
Prepare and or review reimbursement form

Component Description:
WIPB-Prepare and/or Review Reimbursement Form
Amount:
$75.00

Component Description:
Legal Services
Amount:
$78.00

Component Description:
Legal Services Rendered
Amount:
$743.25

Component Description:
Legal services
Amount:
$234.00

Component Description:
Transportation and Special handling
Amount:
$18.28

Component Description:
Legal Services Rendered
Amount:
$78.00

Component Description:
Legal Services Rendered
Amount:
$39.00

Component Description:
Legal Services Rendered
Amount:
$156.00

Component Description:
Prepare and Review Reimbursement
Amount:
$702.00
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Preparation of CP Application for WIPB
Amount:
$300.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $50,050.00 $49,500.00 N/A $10,215.00 N/A
Total for all systems $1,219,077.45 $787,181.48 N/A $346,826.09 N/A
Other Expenses $50,050.00 $49,500.00 $10,215.00
MVPD Notification of Channel Change $11,000.00 $11,000.00 N/A $2,485.00 N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $7,730.00 N/A
Equipment Delivery and Handling Charges $15,000.00 $15,000.00 N/A N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
MVPD Notification Services
Amount:
$2,485.00

Component Description:
MVPD Notification Services:Notification of Cable and Satellite MVPD Providers of new RF Channel and Transport Stream Parameters on Repack Channel.
Amount:
$2,485.00
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Service
Amount:
$3,865.00

Component Description:
DTVNotification Service - Notification of Medical Facilities - Transmitter Medical Facility Notification per proposal.
Amount:
$3,865.00
Equipment Delivery and Handling Charges Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,219,077.45 $787,181.48 $346,826.09

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.

Alan Finn

Vice President for Business Affairs and Treasurer


11/11/2019

Attachments

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