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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:
18753
Service:
DTV
Call Sign:
WVIZ
Channel:
35 (UHF)
File Number:
0000027479
FRN:
0005277538
Date Submitted:
12/17/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

IDEASTREAM

Doing Business As: IDEASTREAM

KEVIN E. MARTIN

IDEA CENTER

1375 EUCLID AVENUE

CLEVELAND, OH 44115

United States

+1 (216) 916-6455 kevin.martin@ideastream.org Not-for-Profit

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

Jerrold Francis Wareham

Repack Coordinator

ideastream

JERRY WAREHAM

IDEA CENTER

1375 EUCLID AVENUE

CLEVELAND, OH 44115

United States

+1 (216) 916-6120 jerry.wareham@ideastream.org

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 WVIZ must replace its main antenna and transmitter in order to move it its new channel. It will need to install interim facilities in order to be able to replace the main facility. See attached narrative.

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 Innovator
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 15 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 23 kW
Justification for New Transmitter The new transmitter is required because higher TPO for higher ERP to replicate the current signal on the new channel. The replication transmitter is the ULXTE30 (invoice attached). The ULXTE40 is an upgrade to achieve maximization (invoice attached)

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Necessary conduit, wiring and fuse disconnects as quoted by electrical contractor.
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

Name Description

Switch

Switch, cable and controller for new transmitter and dummy load Dielectric Switch Quote Attached

Bypass Switch

To provide electrical engineering services for new electrical circuits that need to be added to allow simultaneous operation of the transmitters to maintain service on the original channel during the test period. Osborn Engineering Quote Attached

Transmitter Site Suvey

Survey of transmitter site to determine exact facility needs

Dummy Load

New dummy load required for new transmitter see attached quote from Bird

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
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: 150.0 kW
Manufacturer
Model TFU-10GTH-R C170
Year 2009

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
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 Top
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: 181.0 kW
Manufacturer
Model TFU-10GTH-R C170 SP
Year 2019
Justification for New Antenna Existing main antenna is a coaxial slot antenna that is channel specific and cannot be reused on the new channel.

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? 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? 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? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

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? No
Is antenna directional? Yes
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 Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 8
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 40.0 %
Other Antenna Type N/A
ERP: 150.0 kW
Manufacturer
Model TFU-8WB-R
Year 2019
Justification for New Antenna WVIZ needs an interim antenna for operation . while it replaces the primary antenna Dielectric Quote Attached

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? 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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1207 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
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 1207 feet per run
Justification for New Transmission Line Current transmission line has 19.5" segment lengths which will not work for the WVIZ assigned repack Ch. 35. See attached quote.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 4 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 1000 feet per run
Justification for New Transmission Line WVIZ will need an interim transmission line for operation while it replaces its primary transmission line. Dielectric quote attached.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex?
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? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1265403
Coordinates (NAD83) Latitude (NAD83) 41° 23' 09.9" N-
Longitude (NAD83) 081° 41' 20.7" W-
Overall Structure Height 912.06 feet
Support Structure Height 912.06 feet
Ground Elevation Above Mean Sea Level (AMSL) 1040.01 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner 6600 Broadview LLC
Date Constructed 06/05/2009

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
73195 WKYC DTV

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: Minor 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? Yes

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 160
Explanation Project manager needed to manage all work required coordinate vendor and contractor specification development, selection of list for bid solicitation, bid evaluation, vendor/contractor selection/contracting and contract enforcement. See Osborn estimate.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification 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 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

Cesium Communications LP

Work with Tower Crew to bring Xmission Line into specification

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 Yes
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? 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

Employee Time

Time needed by ideastream employees to work on the transition to a new channel.

Test Antenna

Home test antenna to replicate user issues in home

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 $1,034,637.04 $874,460.20 N/A $721,672.15 N/A
Total for all systems $2,880,206.16 $2,643,585.28 N/A $2,105,877.97 N/A
Primary Transmitter ULXTE40 $1,034,637.04 $874,460.20 $721,672.15
Dummy Load $18,660.04 $18,660.04 New dummy load required for new transmitter see quote from Bird attached. $18,660.04 N/A
Transmitter Site Suvey $8,000.00 $8,000.00 Survey of transmitter site to determine needs $0.00 N/A
Bypass Switch $11,565.00 $11,565.00 WVIZ is not able to connect the new transmitter to the existing Bypass Switch during the interim period between transmitter changes with the existing. Osborn Engineering Quote Attached $9,470.85 N/A
Switch $19,712.00 $19,712.00 New switch needed for new transmitter and dummy load. Dielectric Quote Attached. $19,712.00 N/A
Other Electrical Service: Necessary conduit, wiring and fuse disconnects as quoted by electrical contractor. $29,700.00 $29,700.00 See attached electrical quote from Ullman Electric. $29,700.00 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $786,823.16 N/A $644,129.26 N/A

Components

Actual Information Description File Name
Dummy Load

Component Description:
New Dummy Load Invoice for $18,660.04 attached along with quote.
Amount:
$18,660.04
Transmitter Site Suvey

Component Description:
Site Survey
Amount:
$7,900.00
Bypass Switch

Component Description:
As requested by repack administrator more detail add by the vendor to the invoice for this fixed fee service. Quote attached to invoice. Required design and installation of switch.
Amount:
$5,679.96

Component Description:
Payment due for fixed fee service to design necessary switch per vendor quote previously submitted.
Amount:
$206.00

Component Description:
Fixed Fee required design and installation of switch per vendor quote previously submitted
Amount:
$3,584.89
Switch

Component Description:
New switch Invoice and quote attached
Amount:
$19,712.00
Other Electrical Service: Necessary conduit, wiring and fuse disconnects as quoted by electrical contractor.

Component Description:
This component covers the installation of the new electric service and grounding system for the new transmitter.
Amount:
$29,700.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
One third, third payment for transmitter required for replication (total $643,920.34). The additional cost for maximization (total $151,895.56) third payment of one third invoice also attached is not reimbursable. Quote also attached
Amount:
$164,784.28

Component Description:
Transmitter install and change order Q-80492 quote attached. The change order was to install the switch and test load.
Amount:
$56,059.92

Component Description:
One third second payment for transmitter required for replication (total $634,927.60). The additional cost for maximization (total $151,895.56) second payment of one third invoice also attached is not reimbursable. Quote also attached.
Amount:
$211,642.53

Component Description:
One third down payment for transmitter required for replication (total $634,927.60). The additional cost for maximization (total $151,895.56) also attached as JW3004459VI is not reimbursable.
Amount:
$211,642.53

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 $392,360.00 $275,446.00 N/A $229,075.96 N/A
Total for all systems $2,880,206.16 $2,643,585.28 N/A $2,105,877.97 N/A
Interim Antenna TFU-8WB-R $96,130.00 $51,325.00 $50,869.82
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $44,925.00 Dielectric Quote for Interim Antenna attached $44,469.82 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
Primary Antenna TFU-10GTH-R C170 SP $296,230.00 $224,121.00 $178,206.14
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $217,721.00 Quoted cost of antenna from the manufacturer with the upgrade cost related to vertical polarization removed from the overall cost. See attached quote. Increase due to added shipping and storage cost of antenna. $178,206.14 The original estimate is lower than actual costs.
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
See attached Cover Letter. Reimbursement sought for down payment of the Interim Antenna portion of the invoice
Amount:
$20,216.25

Component Description:
Payment required before shipping. Invoice with quote attached.
Amount:
$4,037.32

Component Description:
See attached cover letter. Reimbursement is sought for the second payment related to the Interim Antenna
Amount:
$20,216.25
Sweep test of existing antenna

Component Description:
Antenna Sweep
Amount:
$6,400.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Storage of antenna until install date. See quote #700078CMZ-6 WVIZ as requested.
Amount:
$2,020.00

Component Description:
a single 3 foot section of 6 inch 50 to 75 ohm transition.
Amount:
$2,363.74

Component Description:
Sweep repack antenna onsite
Amount:
N/A

Component Description:
See attached Cover Letter. Reimbursement requested for first payment for amount related to Main Antenna Antenna $67,726.80 Mounting $ 8,798.40 Feed Through $ 7,225.20 Elbow Complex $ 3,160.80 Total $86,911.20
Amount:
$86,911.20

Component Description:
See attached Cover Letter/ invoice/quote. Reimbursement request 2nd payment for amount of this invoice related to Main Antenna: Antenna $67,726.80 Mounting $ 8,798.40 Feed Through $ 7,225.20 Elbow Complex $ 3,160.80 Total $86,911.20
Amount:
$86,911.20

Component Description:
Wedding cake mounting adapter and transmission line connectors.
Amount:
$18,185.55
Sweep test of existing antenna 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 $317,814.00 $318,648.26 N/A $216,447.68 N/A
Total for all systems $2,880,206.16 $2,643,585.28 N/A $2,105,877.97 N/A
Interim Transmission Line $74,000.00 $59,448.26 $54,245.41
Flexible Air Transmission Line - dielectric, 4" $74,000.00 $59,448.26 Dielectric Quote attached. Line $53,048.26 Sweep $ 6,400.00 Total $59,448.26 $54,245.41 N/A
Primary Transmission Line $243,814.00 $259,200.00 $162,202.27
Rigid Transmission Line - copper, 6 1/8" $243,814.00 $259,200.00 N/A $162,202.27 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 4"

Component Description:
See attached cover letter. Reimbursement is requested for second payment of amount related to interim transmission line. Line $23,871.72 Sweep $ 2,880.00 Total $26,751.72
Amount:
$26,751.72

Component Description:
Reducer line that connects the interim facility to the transmitter switch.
Amount:
$741.97

Component Description:
See attached Cover Letter. Reimbursement requested for down payment of the amount related to the Interim Transmission Line. Line $23,871.72 Sweep $ 2,880.00 Total $26,751.72
Amount:
$26,751.72
Rigid Transmission Line - copper, 6 1/8"

Component Description:
See attached Cover Letter/invoice/quote. Reimbursement is requested for down payment of amount related to the Main Transmission Line Line $74,759.96 TLSCR'S $ 2,485.69 Sweep $ 2,880.00 Total $80,125.65
Amount:
$80,125.65

Component Description:
45-degree elbow to connect main transmission line to switch. Also listed is the bullet which goes inside to make the connection.
Amount:
$1,950.97

Component Description:
See attached Cover Letter. Reimbursement is requested for down payment of amount related to the Main Transmission Line Line $74,759.96 TLSCR'S $ 2,485.69 Sweep $ 2,880.00 Total $80,125.65
Amount:
$80,125.65

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 $802,100.00 $902,875.70 N/A $740,875.70 N/A
Total for all systems $2,880,206.16 $2,643,585.28 N/A $2,105,877.97 N/A
Primary Tower TOWER $802,100.00 $902,875.70 $740,875.70
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $568,302.00 Alternative contractor was needed due to original contractor was unable to complete by deadline. The new contractor will complete stacked antenna install with helicopter, quote includes cost for helicopter. Project quote is WVIZ Cleveland Quote.pdf $568,302.00 N/A
Tower Helicopter Lift $0.00 $0.00 Estimate for helicopter lift included complex tower estimate. N/A N/A
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A $0.00 N/A
Tall Tower (greater than 500') $210,500.00 $172,573.70 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $172,573.70 N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Repack Antenna and Line Installation. Balance due
Amount:
$284,151.00

Component Description:
1/2 of project total. This was the deposit for the crew to begin work.
Amount:
$284,151.00
Tower Helicopter Lift Information not provided.
Minor tower reinforcement/modifications Information not provided.
Tall Tower (greater than 500')

Component Description:
This component consists a few of items structural study/report, tower rigging, structural tower modifications, and the install of interim antenna transmission line. The quote is also attached.
Amount:
$172,573.70
Structural engineering tower load study for well documented tower 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 $155,605.92 $102,115.92 N/A $53,489.11 N/A
Total for all systems $2,880,206.16 $2,643,585.28 N/A $2,105,877.97 N/A
Outside Professional Services $155,605.92 $102,115.92 $53,489.11
Comprehensive coverage verification via field study, if needed $84,200.00 $29,950.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A $2,703.00 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
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $3,904.00 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A $1,344.00 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 $1,575.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $975.00 N/A
Prepare and or review reimbursement form $2,630.00 $7,500.00 Required to revise and resubmit Form 399 at the request of the FCC and respond to multiple requests for additional information and documentation regarding reimbursement requests $6,248.25 Required to revise and resubmit 399 at the request of the FCC
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 $25,280.00 $23,000.00 Osborn Engineering Estimate attached. $21,000 Time $ 2,000 Reimbursable $23,000 Total $21,323.94 N/A
Cesium Communications LP $15,415.92 $15,415.92 N/A $15,415.92 N/A

Components

Actual Information Description File Name
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Fees for STA
Amount:
$1,380.00

Component Description:
Fees for STA
Amount:
$1,323.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Includes revised cover letter correcting typo in amount of cost as requested. Legal Services 9-27-2017 $78 Memo to client reports due for CP holders and second filing window notice
Amount:
$78.00

Component Description:
See attached cover letter. $296.50 is the amount of this invoice related to Outside Professional Services Attorney Fees Prepare and File FCC Form 2100 (main) Construction Permit.
Amount:
$296.50

Component Description:
Construction permit modifications.
Amount:
$1,458.00

Component Description:
Extend Construction permit
Amount:
$1,080.00

Component Description:
Legal Services on 6-7-2017 $117 Review of public notice & email to client 6-20-2017 $117 Review draft construction permit modification appliecation and associated emails
Amount:
$234.00

Component Description:
Legal Services on 7-24-2017 $195 Review of CP authorizations
Amount:
$195.00

Component Description:
Legal Services on 5-3-2017 $117 email exchanges with consulting engineer regarding FCC release of TV study update
Amount:
$117.00

Component Description:
Legal Services on 2-10-2017 $78 email exchange with client regarding channel change
Amount:
$78.00

Component Description:
See attached cover letter. $328.50 is the portion of this invoice related to Outside Professional Services Attorney Fees Prepare and File FCC Form 2100 (main) Construction Permit.
Amount:
$328.50

Component Description:
See attached cover letter and invoice marked as requested. $39 is the portion of this invoice related to Outside Professional Services Attorney Fees Prepare and File FCC Form 2100 (main) Construction Permit.
Amount:
$39.00
Prepare request for Special Temporary Authorization

Component Description:
STA Filling
Amount:
$594.00

Component Description:
TPO Calculations and coverage map for interim facility. STA preparation for interim facility.
Amount:
$750.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Modiify construction permit to lower ERP
Amount:
$225.00

Component Description:
Extend Construction permit
Amount:
$450.00

Component Description:
Prepare CP Application for WVIZ 6.0
Amount:
$900.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Total Power Output Calculations for final configuration
Amount:
$75.00

Component Description:
WVIZ - Review of Proposed Dielectric Antenna Pattern and Subsequently Revised Pattern. Conference Call to Discuss Status and Options 3.0 $450.00
Amount:
$450.00

Component Description:
WVIZ Repack Call and Data Review 1.5 $225.00
Amount:
$225.00

Component Description:
WVIZ Assignment - Review of Population Loss, Preliminary Antenna Comparison (TUA-C4-08) and Potential Interfering Stations 1.5 $225.00
Amount:
$225.00
Prepare and or review reimbursement form

Component Description:
See attached Cover Letter and invoice marked as requested. Prepare and or Review Reimbursement
Amount:
$186.00

Component Description:
See attached cover letter and invoice marked as requested. $273.00 is the portion of this invoice relating to Prepare and or Review Reimbursement Form
Amount:
$273.00

Component Description:
See attached cover letter. $558 is the amount of this invoice related to Prepare and or Review Reimbursement form
Amount:
$558.00

Component Description:
Legal Services on 5-2-2017 Review of Widelity catalog with client
Amount:
$156.00

Component Description:
6-14-2017 $195 Resp to client re reimbursement 6-19-2017 $117 Resp to client re 399 6-20-2017 $195 Review Draft Reimburse App 6-28-2017 $624 Review 399 narr conf call & follow up
Amount:
$1,131.00

Component Description:
Review of FCC Requested 399 Changes, Conference Call and Preparation 4.0 $600 Services provided by engineer Benjamin Pidek
Amount:
$600.00

Component Description:
-Help Prepare 399 1.0 $150.00 - Review of 399 1.0 $150.00 - 399 Narrative Review and Conference Call 2.0 $300.00 - 399 Questions1.0 $150.00
Amount:
$750.00

Component Description:
Review and categorize past invoices to provide information required for reimbursement Invoice reissued to include Tax ID and who did the work
Amount:
$75.00

Component Description:
Legal Services on 7-5-2017 $117 Resp to client re empl. time reimb 7-6-2017 $156 Review empl. time exhibit 7-10-2017 $49.50 File forms 7-10-2017 $468 Rev final 399 and confirm to file
Amount:
$790.50

Component Description:
Legal Services on 8-4-2017 $117 Rev of 399 revision request 8-7-2017 $117 Rev add documentation 8-11-2017 $41.25 File amended 399 8-11-2017 $312 Review amended 399 8-17-2017 $117 Resp client regard CORES
Amount:
$704.25

Component Description:
- Preliminary Widelity Cost Spreadsheet for WVIZ 1.0 $150.00
Amount:
$150.00

Component Description:
See attached cover letter. $195.00 is the amount of this invoice related to Prepare and or Review Reimbursement Form
Amount:
$195.00

Component Description:
See attached Cover Letter with invoice marked as requested. Prepare and or Review Reimbusement
Amount:
$604.50

Component Description:
Review of and Reponse to WVIZ 399 Questions .5 $75.00
Amount:
$75.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition

Component Description:
Interim invoice for Project Management per vendor quote previously submitted
Amount:
$2,584.76

Component Description:
Interim invoice for Project Management per vendor quote previously submitted
Amount:
$225.00

Component Description:
Initial invoice for Project Management Services per Osborn Engineering with estimate attached.
Amount:
$8,400.00

Component Description:
Interim payment for project management based on vendor estimate previously submitted
Amount:
$825.00

Component Description:
Repack Project Management Services
Amount:
$2,325.00

Component Description:
Interim payment for project management based on vendor estimate previously submitted.
Amount:
$750.00

Component Description:
Project Management Services per estimate previously submitted
Amount:
$675.00

Component Description:
Project management, progress calls, schedule aux antenna sweep calls.
Amount:
$375.00

Component Description:
Project manager to coordinate antenna shipping and installation. Review project timeline with all stakeholders, onsite meeting.
Amount:
$1,639.18

Component Description:
Second invoice for Project Management per Osborn Engineering estimate attached.
Amount:
$915.00

Component Description:
Third payment for Project Management per Osborn Engineering estimate previously submitted.
Amount:
$2,610.00
Cesium Communications LP

Component Description:
Work with Tower Crew to bring Xmission Line into specification
Amount:
$15,415.92

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 $177,689.20 $170,039.20 N/A $144,317.37 N/A
Total for all systems $2,880,206.16 $2,643,585.28 N/A $2,105,877.97 N/A
Other Expenses $177,689.20 $170,039.20 $144,317.37
Test Antenna $86.39 $86.39 N/A $86.39 N/A
Employee Time $120,000.00 $120,000.00 Labor on project was greater than originally estimated due to project delay and tower crew changes. $115,989.20 The actual labor was greater than the estimated labor.
MVPD Notification of Channel Change $1,935.00 $1,935.00 This was the only vendor that could preform notification at this price on the needed timeline. $1,935.00 N/A
Develop and air announcement of upcoming channel change $5,000.00 $5,000.00 N/A N/A N/A
Equipment Storage $5,000.00 $5,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $28,117.81 $28,117.81 Shipping and offloading for transmitter and main, switch and interim antennas and transmission lines. See attached quotes. $22,406.78 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 N/A N/A N/A
Non-zoning permits $1,000.00 $1,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $3,900.00 N/A $3,900.00 N/A

Components

Actual Information Description File Name
Test Antenna

Component Description:
Test antenna to replicate repack related reception issues
Amount:
$86.39
Employee Time

Component Description:
See attached cover letter and invoice updated per request. This invoice is for the period 10-1-2017 through 9-30-2018. Attached is detailed labor rate calculation for the period along with individual hours and pay stubs. Also revised estimate.
Amount:
$41,871.90

Component Description:
Internal labor related to Repack of WVIZ through 09-30-2019
Amount:
$45,406.80

Component Description:
Invoice as requested, summary of hours to be reimbursed by position, labor rate calculation, individual time records, paystubs for the first date and last date for which reimbursement is requested.
Amount:
$28,710.50
MVPD Notification of Channel Change

Component Description:
Vendor provided MVPD Notification Service
Amount:
$1,935.00
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
ForkLift to unload transmitter and associated components into the building.
Amount:
$538.68

Component Description:
Monthly rental cost for scissor lift for transmitter and transmission line install.
Amount:
$698.97

Component Description:
Lift used to connect transmission line to transmitter
Amount:
$698.97

Component Description:
Scissor Lift for the installition of the transmitter components, transmission line, and switch.
Amount:
$986.47

Component Description:
Lift to install transmission line to transmitter
Amount:
$698.97

Component Description:
Lift used to connect transmission line to transmitter
Amount:
$698.97

Component Description:
Monthly rental cost for scissor lift for transmitter and transmission line install.
Amount:
$698.97

Component Description:
See attached cover letter, quote and invoice for shipping for interim antenna and transmission line.
Amount:
$7,586.50

Component Description:
See attached cover letter. Reimbursement is requested for the down payment of the amount related to Equipment Delivery and Handling Main Antenna and Transmission Line
Amount:
$4,185.00

Component Description:
See attached cover letter/invoice/quote. Reimbursement is requested for the second payment of the amount related to Equipment Delivery and Handling Main Antenna and Transmission Line
Amount:
$4,185.00

Component Description:
See attached cover letter and invoice for shipping for necessary switch
Amount:
$731.31

Component Description:
Monthly rental cost for scissor lift for transmitter and transmission line install.
Amount:
$698.97
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
DTV Medical Facility Notification

Component Description:
Provide Medical Notification Service
Amount:
$3,900.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,880,206.16 $2,643,585.28 $2,105,877.97

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. Yes
Construction of final facilities or all necessary modifications are complete. Yes
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.

Christian Siebeneck

Chief Technologist


12/17/2019

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.

Christian Siebeneck

Chief Technologist


12/17/2019

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. 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.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. 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.

Christian Siebeneck

Chief Technologist


12/17/2019

Attachments

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