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:
49236
Service:
DCA
Call Sign:
WDNN-CD
Channel:
20 (UHF)
File Number:
0000028692
FRN:
0027847094
Date Submitted:
02/26/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NORTH GEORGIA TELEVISION

Doing Business As: NORTH GEORGIA TELEVISION

Deborah Boyd

PO Box 1740

Dalton, GA 30721

United States

+1 (706) 278-9713 dboyd@wdnntv.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

The Preparer is same as the reimbursement contact.

 

 

 

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 WDNN-CD & WDGA-CD share the same transmitter room, combiner and antenna.

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 560
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 0.5 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-5X-4D-U-C
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 0.5 kW
Justification for New Transmitter Old transmitter not readily tunable over required span.

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 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 Class A
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 5.92 kW
Manufacturer
Model SL-8
Year 2009

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

Facility ID Call Sign
49235 WDGA-CD

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? 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 Class A
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Slot
Number of Stations Supported 2
Number of Panels/Bays 1
Lower Limit 506.00 MHz
Upper Limit 572.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 3.28 kW
Manufacturer
Model JA/MS-8/D20-D30
Year 2017
Justification for New Antenna ANTENNA IS SHARED BY TWO CHANNELS. OLD ANTENNA WILL NOT WORAK FOR THE NEW SHARED CHANNELS 20 & 30.

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 2
Frequencies of channels supported Upper and lower frequency
Frequency 506.0 MHz - 572.0 MHz
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? No
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Primary 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? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Foam
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 100 feet per run

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

Facility ID Call Sign
49235 WDGA-CD

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 Flexible Foam
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 150 feet per run
Justification for New Transmission Line Transmission lines have been damaged in previous storms and unreliable.

Primary 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? No

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 30
Explanation No in house capability.
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 No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare and file Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
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 Yes
Number of Days 3
Justification Contract engineer to install and turn on equipment.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Tower Labor

Labor install antenna and transmission line

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 Yes
FCC License to Cover Application Yes
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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
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

Name Description

Dehydrator

Dryline Dehydrator 19" rack mountable,50/60Hz

RF connectors

Change out RF connectors to match new repack antenna and combiner which is shared with WDGA.

Mounting Brackets

Antenna mounting brackets and hardware

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 $21,000.00 $21,000.00 N/A $18,691.20 N/A
Total for all systems $180,056.30 $81,514.80 N/A $54,872.35 N/A
Primary Transmitter TRN-5X-4D-U-C $21,000.00 $21,000.00 $18,691.20
UHF - Air Cooled Solid State Transmitter 0.5 kW $21,000.00 $21,000.00 N/A $18,691.20 N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 0.5 kW

Component Description:
The exciters with ASI/SMPTE 310 inputs only were delivered with transmitter. Asking for like replacement equipment and not an upgrade. Amount divided equally between WDNN & WDGA.
Amount:
$235.00

Component Description:
Invoice is for Transmitter and for combiner the amount requested is for transmitter with discount plus shipping and handling
Amount:
$18,456.20

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 $102,915.00 $22,215.00 N/A $15,881.15 N/A
Total for all systems $180,056.30 $81,514.80 N/A $54,872.35 N/A
Primary Antenna JA/MS-8/D20-D30 $102,915.00 $22,215.00 $15,881.15
New combiner, cost per channel (without antenna) $84,200.00 $3,500.00 N/A $2,275.00 N/A
UHF - Lower Power, Side Mount, Class A, basic slot antenna, 1 bay,, 3 kW input, horizontally polarized $18,715.00 $18,715.00 N/A $13,606.15 Facility ID 49235 & 49236 share antenna.. 50% of costs for antenna and shipping is $13187.50

Components

Actual Information Description File Name
New combiner, cost per channel (without antenna)

Component Description:
Combiner
Amount:
$2,275.00
UHF - Lower Power, Side Mount, Class A, basic slot antenna, 1 bay,, 3 kW input, horizontally polarized

Component Description:
Invoice amount is split between WDNN and WDGA equally
Amount:
$13,187.50

Component Description:
Facility ID 49235 & 49236 share antenna and line. 50% of costs for antenna and shipping is $14,115.
Amount:
N/A

Component Description:
Correct supplies not in Jampro shipment. Had to order additional equipment to mount antenna.
Amount:
$418.65

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 $3,600.00 $2,421.50 N/A $0.00 N/A
Total for all systems $180,056.30 $81,514.80 N/A $54,872.35 N/A
Primary Transmission Line $3,600.00 $2,421.50 $0.00
Flexible Foam Transmission Line - dielectric, 1 5/8" $3,600.00 $2,421.50 N/A $0.00 N/A

Components

Actual Information Description File Name
Flexible Foam Transmission Line - dielectric, 1 5/8"

Component Description:
Not requesting line at this time
Amount:
N/A

Component Description:
New connectors needed for existing transmission line to match output of channel combiner and input to new antenna. Old connectors are 7/8 EIA and new connectors need to be 1-5/8 EIA. Divided equally between WDNN and WDGA.
Amount:
$355.00

Cost Information

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Tower Equipment and Rigging Costs

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 $31,965.00 $22,600.00 N/A $13,400.00 N/A
Total for all systems $180,056.30 $81,514.80 N/A $54,872.35 N/A
Outside Professional Services $31,965.00 $22,600.00 $13,400.00
Tower Labor $10,000.00 $10,000.00 N/A $7,000.00 N/A
Additional Field Engineering Service, 3 Days $2,500.00 $2,500.00 N/A $2,000.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,000.00 N/A $800.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $1,500.00 N/A N/A N/A
Project management of the transition $4,740.00 $4,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $1,600.00 N/A $1,600.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $2,000.00 N/A $2,000.00 N/A

Components

Actual Information Description File Name
Tower Labor

Component Description:
Additional expense for tower crew because correct antenna equipment was not mailed from Jampro.
Amount:
$3,500.00

Component Description:
Install Antenna on Tower
Amount:
$3,500.00
Additional Field Engineering Service, 3 Days

Component Description:
Install Kathrein K723147 panel array antenna for temporary STA operation of WDNN & WDGA until Jampro antenna can be shipped and installed.
Amount:
$250.00

Component Description:
Field Engineer
Amount:
$1,750.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Form 2100 - Engineer Section License to Cover WDNN
Amount:
$800.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Project management of the transition Information not provided.
Prepare and or review reimbursement form

Component Description:
Prepare reimbursement form WDNN
Amount:
$1,600.00

Component Description:
Prepare and review reimbursement to transition
Amount:
$1,600.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineer study for new channel assignment WDNN
Amount:
$2,000.00

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 $20,576.30 $13,278.30 N/A $6,900.00 N/A
Total for all systems $180,056.30 $81,514.80 N/A $54,872.35 N/A
Other Expenses $20,576.30 $13,278.30 $6,900.00
Mounting Brackets $837.30 $837.30 N/A N/A N/A
RF connectors $710.00 $710.00 Current line uses 7/8 EIA connectors. Need to use 1-5/8 EIA connectors to connect to new repack antenna and combiner. $710.00 N/A
Dehydrator $3,136.00 $3,136.00 Dehydrator needed to keep water from getting into line because of the kind of wire used. $0.00 N/A
MVPD Notification of Channel Change $1,898.00 $1,898.00 N/A $1,898.00 N/A
Develop and air announcement of upcoming channel change $1,000.00 $1,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $4,292.00 N/A $4,292.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Mounting Brackets Information not provided.
RF connectors

Component Description:
New connectors needed for existing transmission line to match output of channel combiner and input to new antenna. Shared with WDGA.
Amount:
$710.00
Dehydrator

Component Description:
Not requesting dehydrator at this time
Amount:
N/A
MVPD Notification of Channel Change

Component Description:
WDNN-CD MVPD
Amount:
$1,898.00
Develop and air announcement of upcoming channel change Information not provided.
DTV Medical Facility Notification

Component Description:
WDNN-CD Medical
Amount:
$4,292.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $180,056.30 $81,514.80 $54,872.35

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.

Deborah Boyd

Sec


02/26/2020

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.

Deborah Boyd

Sec


02/26/2020

Attachments

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