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:
77719
Service:
DTV
Call Sign:
KLCW-TV
Channel:
23 (UHF)
File Number:
0000027576
FRN:
0015217847
Date Submitted:
11/13/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RAMAR COMMUNICATIONS, INC.

Doing Business As: RAMAR COMMUNICATIONS, INC.

Brad Moran

P.O. BOX 3757

LUBBOCK, TX 79452

United States

+1 (806) 748-9300 bmoran@ramrcom.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

Tee Thomas

Chief Engineer

Ramar Communications

Tee Thomas

PO Box 3757

Lubbock, TX 79452

United States

+1 (806) 548-1280 tthomas@ramarcom.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 Station will install interim antenna and line. Station will replace side mounted antenna and line station will replace main transmitter.

Question Response
Sharee Station Facility ID 55031
Call Sign KJTV-TV
Type Commercial
Licensee Name RAMAR COMMUNICATIONS, INC.
Status LICENSED
DTS No
Community of License LUBBOCK, TX
Pre-auction RF Channel 35
Post-auction RF Channel 35
Neilsen DMA Lubbock
Network Affiliation

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? No
Existing Transmitter Manufacturer and Type Manufacturer
Model Innovator-HX HU500AD
Year 2007
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5 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 TRN-5XU-46D-C
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 5 kW
Justification for New Transmitter The current 5kW Axcera transmitter can't be retuned.

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) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 50.0 feet
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? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? Yes
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 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 Broadband Slot
ERP: 179.0 kW
Manufacturer
Model RD320M-596650H7S07
Year 2005

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
55031 KJTV-TV

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? Yes
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 Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels/Bays 16
Lower Limit 470.00 MHz
Upper Limit 650.00 MHz
Design power capacity in use 75.0 %
Other Antenna Type N/A
ERP: 127.0 kW
Manufacturer
Model PHPR48U3313
Year 2017
Justification for New Antenna Existing antenna can not be retuned

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 3
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 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? 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
43
23
35

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? No
Will antenna be located on or in close proximity to an antenna farm? No
New 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 29.4 kW
Manufacturer
Model STA16-HP
Year 2017
Justification for New Antenna Interim Broadcast Facility

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? Yes
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? 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
24
35

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

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 20'
Other Segment Length
Number of parallel runs 1
Length 900 feet per run
Justification for New Transmission Line Line needed for interim broadcast

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 Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1248244
Coordinates (NAD83) Latitude (NAD83) 33° 30' 08.3" N-
Longitude (NAD83) 101° 52' 21.3" W-
Overall Structure Height 950.12 feet
Support Structure Height 944.87 feet
Ground Elevation Above Mean Sea Level (AMSL) 3206.98 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner FLP Ramar, Ltd.
Date Constructed 12/08/2006

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
55031 KJTV-TV DTV
54684 KTTU-FM FM
55055 KXTQ-CD DTV
88795 KLZK-FM FM
55062 KLBB-FM FM
4019 KXTQ-FM FM
168090 KJTV-CD DTV

Other Types of Users

Users
KLBB-LP
K226CH
K245BG
K249DU
KLBB-LD
K264AN

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: Serious Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Modifications

Modification of tower to accommodate antenna installation modification from side mount to top mount.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Number of Hours N/A
Explanation N/A
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 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 Yes
Number of Days 7
Justification Field study needed due to tower modification,

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

TWR Lighting Inc

New lighting system for modified tower.

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 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

Sweep test-new interim antenna

Sweep test of the new interim antenna

Equipment Storage

Rental of '40 Steel container to be used to store equipment and materials in a dry secure place. Approximate rental period will be eight months.

Installation-Tower Lighting System

Installation of new tower lighting system previously not included in tower work by Houston Tower

Material Handling

Rental of fork lift in order to organize and store materials for tower work

Security Fencing

Chain link fencing with 3 strands of barbed wire to secure transmitter building area to include approximately 100k sq ft (300' x 350'). Area will be used to secure equipment and materials during tower work.

Sweep test-new primary antenna

Sweep test of the new primary antenna

Copper strapping to ground

4" Copper strapping for grounding of primary transmitter

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 $274,600.00 $186,118.00 N/A $149,868.40 N/A
Total for all systems $2,830,006.00 $2,705,406.50 N/A $2,173,397.85 N/A
Primary Transmitter TRN-5XU-46D-C $274,600.00 $186,118.00 $149,868.40
2" Rigid Conduit and Wiring (Cost per foot) $1,300.00 $1,250.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 4 - 6 kW $236,500.00 $149,868.00 Existing transmitter can not be retuned. $149,868.40 Shipping is included
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A N/A N/A

Components

Actual Information Description File Name
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Air Cooled Solid State Transmitter 4 - 6 kW

Component Description:
Transmitter Payment in full, due before vendor will ship.
Amount:
$149,868.40

Component Description:
N/A
Amount:
N/A
Transformer 3 phase/480v - 300 KVA Information not provided.

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 $735,396.00 $659,816.00 N/A $445,238.71 N/A
Total for all systems $2,830,006.00 $2,705,406.50 N/A $2,173,397.85 N/A
Interim Antenna STA16-HP $305,840.00 $235,050.00 $98,730.56
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 $0.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $16,000.00 N/A $7,120.56 N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $120,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,255.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 29 kW input, horizontally polarized $43,650.00 $43,650.00 N/A $43,650.00 RFS Proposal calls for 4 installment payments. Invoice 27010642 is installment #1
New combiner, cost per channel (without antenna) $84,200.00 $44,000.00 N/A $44,705.00 RFS estimate one year ago was adjusted to actual with minimal price difference and within allowable cost.
Primary Antenna PHPR48U3313 $429,556.00 $424,766.00 $346,508.15
UHF - High Power Top Mount Three Station broadband panel antenna horizontally polarized $333,366.00 $333,366.00 UPDATE (8.12.19) Estimate increased to cover final billing of 10% which was included in the PO. Quote was split between side-mount antenna and top-mount antenna. $290,489.40 Proposals require 4 installment payments, this request equals the first of 4.The proposals are attached for your review.
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
New combiner, cost per channel (without antenna) $84,200.00 $80,000.00 N/A $56,018.75 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A

Components

Actual Information Description File Name
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.
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Interim antenna 4" flex coax; Cover letter included
Amount:
$7,120.56
Combiner output splitting/switching for dual feed lines, if applicable Information not provided.
Sweep test of existing antenna

Component Description:
Engineering services to measure antenna and line for repack consideration
Amount:
$3,255.00
UHF - High Power, Side Mount, basic slot antenna, 29 kW input, horizontally polarized

Component Description:
Progress pay second installment, Interim antenna
Amount:
$14,550.00

Component Description:
Second submission/second installment payment with quote attached as requested,
Amount:
$14,550.00

Component Description:
Interim antenna, installment 3 - 30% prior to shipment
Amount:
$14,550.00

Component Description:
Down Payment
Amount:
$14,550.00
New combiner, cost per channel (without antenna)

Component Description:
5 Port patch panel
Amount:
$44,705.00
UHF - High Power Top Mount Three Station broadband panel antenna horizontally polarized

Component Description:
Primary antenna, installment 3 - 30% prior to shipment
Amount:
$96,829.80

Component Description:
Down Payment
Amount:
$96,829.80

Component Description:
Progress pay second installment, Primary antenna
Amount:
$96,829.80

Component Description:
Second submission/second installment invoice with quote attached as requested,
Amount:
$96,829.80
Sweep test of existing antenna Information not provided.
New combiner, cost per channel (without antenna)

Component Description:
Balanced Combiner Down payment due with order.
Amount:
$56,018.75
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.

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 $261,000.00 $395,000.00 N/A $383,865.21 N/A
Total for all systems $2,830,006.00 $2,705,406.50 N/A $2,173,397.85 N/A
Interim Transmission Line $261,000.00 $395,000.00 $383,865.21
Rigid Transmission Line - copper, 7 3/16" $261,000.00 $395,000.00 Line needed to accommodate 1000Ft, quote attached Update: Estimate changed to reflect actual costs incurred to complete transmission line assembly. Required parts become very specific and customized in order to finalize the project. $383,865.21 Please see attached for MYAT invoice for $295,328 actual cost.

Components

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

Component Description:
Down Payment of 50% was required to reserve equipment. This has been paid.
Amount:
$147,664.00

Component Description:
Transmission line assembly CORRECTED INVOICE AND QUOTE CALL LETTERS
Amount:
$3,152.33

Component Description:
Transmission line assembly
Amount:
$11,084.56

Component Description:
Transmission line assembly
Amount:
$6,243.87

Component Description:
Transmission line assembly
Amount:
$800.41

Component Description:
Elbow assembly for final section of transmission line for top-mount antenna
Amount:
$13,009.95

Component Description:
Transmission line assembly
Amount:
$4,523.01

Component Description:
Interim billing for portion due prior to shipment of various components. Includes shipping costs.
Amount:
$136,661.00

Component Description:
50% due with order; with change in order estimate an additional $41,922 is due to make 50%
Amount:
$41,922.00

Component Description:
Transmission line assembly
Amount:
$2,951.37

Component Description:
Transmission Line and related equipment.
Amount:
$295,328.00

Component Description:
Transmission line assembly; This invoice belongs to station KXTQ-CD
Amount:
N/A

Component Description:
Transmission line assembly 6 1/8"; Cover letter attached
Amount:
$13,369.65

Component Description:
Transmission line assembly
Amount:
$611.57

Component Description:
Transmission line assembly
Amount:
$1,871.49

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 $1,288,800.00 $1,210,000.00 N/A $1,109,562.70 N/A
Total for all systems $2,830,006.00 $2,705,406.50 N/A $2,173,397.85 N/A
Primary Tower TOWER $1,288,800.00 $1,210,000.00 $1,109,562.70
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $12,500.00 N/A
Serious tower reinforcement/modifications $1,052,000.00 $985,000.00 Vendor is Houston's Tower Service. Written justification is attached along with updated PO, estimate and invoice. $985,000.00 N/A
Tower Modifications $0.00 $0.00 N/A N/A N/A
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A $112,062.70 N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Structural analysis and modification drawings
Amount:
$7,500.00

Component Description:
Rigging plan for antenna install using a gin pole
Amount:
$5,000.00
Serious tower reinforcement/modifications

Component Description:
Initial down payment to begin project
Amount:
$50,000.00

Component Description:
Installment 5 of 5 $187,000
Amount:
$187,000.00

Component Description:
Progression billing-Installment 1 of 5 (after down payment)
Amount:
$187,000.00

Component Description:
Installment 3 of 5 on progressive billing
Amount:
$187,000.00

Component Description:
Progression billing-Installment 2 of 5
Amount:
$187,000.00

Component Description:
Installment 4 of 5 - Progression Billing $187,000
Amount:
$187,000.00
Tower Modifications Information not provided.
Tall Tower (greater than 500')

Component Description:
Materials needed for tower mods related to repack
Amount:
$63,000.00

Component Description:
Redesign work associated with antenna and line layout Inv FS-20327
Amount:
$3,500.00

Component Description:
Guy wire assembly with sockets
Amount:
$42,562.70

Component Description:
Freight on guy wire and sockets
Amount:
$3,000.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $185,065.00 $178,562.50 N/A $35,689.07 N/A
Total for all systems $2,830,006.00 $2,705,406.50 N/A $2,173,397.85 N/A
Outside Professional Services $185,065.00 $178,562.50 $35,689.07
TWR Lighting Inc $22,000.00 $22,000.00 Anticipated costs were higher than previously expected Revised estimate #2 was the result of mounting brackets not included in the original quote-$1,200 $21,664.07 N/A
Additional Field Engineering Service, 7 Days $15,000.00 $15,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 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 $2,687.50 Predetermined cost slightly underestimated. Estimated cost = invoice total $2,000.00 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,625.00 Predetermined cost slightly underestimated. Estimated cost = invoice total $2,000.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 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 Comprehensive legal services regarding form 399
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 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 N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A $2,825.00 Consulting engineer invoiced for both primary and Aux services on one invoice, total services do not exceed allowed amount
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A 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
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $7,200.00 Multiple engineering consulting services were required,
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A

Components

Actual Information Description File Name
TWR Lighting Inc

Component Description:
Tower lighting brackets
Amount:
$1,558.80

Component Description:
Tower light upgrades-revised invoice
Amount:
$20,105.27
Additional Field Engineering Service, 7 Days Information not provided.
RF Exposure Measurements Information not provided.
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

Component Description:
Consulting service to prep and file FAA Obstruction Evaluation application for increased tower height
Amount:
$2,000.00
ASR modification (prepare FCC Form 854)

Component Description:
Consulting services to prep and file FCC ASR application for increased tower height
Amount:
$2,000.00
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

Component Description:
Professional legal services regarding form 399.
Amount:
$2,800.00
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License 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 Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application

Component Description:
Invoice represents fee for Aux and Primary RF consulting engineer fee
Amount:
$2,825.00
Prepare and or review reimbursement form Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
KLCW repack antenna project management.-revised invoice
Amount:
$7,200.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of 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 $85,145.00 $75,910.00 N/A $49,173.76 N/A
Total for all systems $2,830,006.00 $2,705,406.50 N/A $2,173,397.85 N/A
Other Expenses $85,145.00 $75,910.00 $49,173.76
Copper strapping to ground $1,600.00 $1,600.00 N/A $1,555.21 N/A
Sweep test-new primary antenna $1,500.00 $1,500.00 N/A N/A N/A
Security Fencing $25,000.00 $25,000.00 Approximately 100k sq. ft. of secured space (300' x 350') surrounding the transmitter building to store equipment and materials when delivered. $24,556.00 N/A
Material Handling $500.00 $500.00 Rental of fork lift to move and store material for tower project (invoice attached) N/A N/A
Equipment Storage $2,000.00 $2,000.00 40' steel container to be used to store and secure items during tower work-Estimated 8-10 months $1,441.05 N/A
Sweep test-new interim antenna $1,300.00 $1,300.00 N/A $1,299.00 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A $1,765.00 N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 N/A N/A N/A
Equipment Storage $2,000.00 $2,000.00 N/A $0.00 N/A
Equipment Delivery and Handling Charges $9,000.00 $9,000.00 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 $2,320.00 N/A $2,320.00 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Installation-Tower Lighting System $17,000.00 $17,000.00 Installation of new tower lighting system previously not included in tower work $16,237.50 N/A

Components

Actual Information Description File Name
Copper strapping to ground

Component Description:
4" Copper strapping used for grounding transmitter
Amount:
$1,555.21
Sweep test-new primary antenna Information not provided.
Security Fencing

Component Description:
Security fencing around transmitter building to protect equipment and materials during tower work
Amount:
$24,556.00
Material Handling Information not provided.
Equipment Storage

Component Description:
Jan 2019 container rental
Amount:
$135.31

Component Description:
Oct 2018 container rental
Amount:
$135.31

Component Description:
Mar 2019 container rental
Amount:
$135.31

Component Description:
Feb 2019 container rental
Amount:
$135.31

Component Description:
Sept 2018 container rental
Amount:
$135.31

Component Description:
July container rental
Amount:
$358.57

Component Description:
Aug 2018 container rental
Amount:
$135.31

Component Description:
Initial rental (1/4 of month) plus delivery charge plus pick-up
Amount:
$358.57

Component Description:
Nov 2018 container rental
Amount:
$135.31

Component Description:
Dec 2018 container rental
Amount:
$135.31
Sweep test-new interim antenna

Component Description:
SBB transmission line and antenna sweep measurements
Amount:
$1,299.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification Service-cable and satellite providers
Amount:
$1,765.00
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
Notification to medical facilities regarding frequency change
Amount:
$2,320.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Installation-Tower Lighting System

Component Description:
Tower lighting installation
Amount:
$16,237.50

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,830,006.00 $2,705,406.50 $2,173,397.85

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.

Keith Kerr

CFO


11/13/2019

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.

Keith Kerr

CFO


11/13/2019

Attachments

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