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:
72123
Service:
DTV
Call Sign:
WWJ-TV
Channel:
21 (UHF)
File Number:
0000026787
FRN:
0003482189
Date Submitted:
03/06/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CBS BROADCASTING INC.

Doing Business As: CBS BROADCASTING INC.

Daniel G. Ryson

1725 DeSales St. NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4074 dryson@cbs.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

Daniel G. Ryson

Director of Spectrum Management

CBS

Daniel G. Ryson

1725 DeSales Street NW

Suite 501

Washington, DC 20036

United States

+1 (202) 457-4075 dryson@cbs.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 New channel 21 antenna and 6-1/8" line to be installed on the south arm of candelabra. Tower owner providing interim broad band antenna system to be leased.

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 SigmaCD-2200P2
Year 1999
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 46 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 ULXTED-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 38.4 kW
Justification for New Transmitter GatesAir Won't Re-tune (See Exhibit 1). IOT replacement is more expensive (See Exhibit 2A). Proposed replacement is less expensive (Exhibit 3B). See also May 2018 Statement.

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 Various Main Site Electrical Work (See Exhibit 4).
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

GatesAir Site Survey

Advanced Site Survey Services. Includes as-built and future layout drawings. See Exhibit 3B Item F.

State Sales Tax

Michigan Sales Tax of 6% on all products and services shown on Exhibit 3B.

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? 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 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: 425.0 kW
Manufacturer
Model TFU-18GTH
Year 1998

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? 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 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: 264.0 kW
Manufacturer
Model TFU-17ETT/VP-R O4
Year 2019
Justification for New Antenna Existing antenna cannot 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?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

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 Leased
Owner American Tower Corporation
Is antenna shared? Yes
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 Elliptical
Type Broadband Slot
Number of Stations Supported 3
Number of Panels/Bays 8
Lower Limit 407.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 0.0 %
Other Antenna Type N/A
ERP: 264.0 kW
Manufacturer
Model TFU-24 WB/VP-C160
Year 2018
Justification for New Antenna Required for continued operation while main WWJ-TV antenna is replaced.

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 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? 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? 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

Enter a list of RF channel numbers.

RF Channel Number
44
21
43

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Interim Antenna Rigging

Cost is for the labor to remove the old side-mount analog channel 62 antenna and waveguide, install the new transmission line, and install interim antenna.

Interim Tower Rental

ATC site and tower rental Required for station to minimize on-air disruption, maintain coverage, and complete the tower work in a safe, timely manner. See Exhibit 7A.

Ice Shield

Ice Shield for side-mount interim antenna. Omitted from initial quote. Please see Exhibit 14.

Install Combiner

Cost is for installing and proofing combiner.

Conduit

This cost includes 200 L/F of 2" conduit and conductor to adequately supply the HVAC unit.

Combiner Cage

24X20 fenced combiner cage area materials and installation. See Exhibit 7A

New Electrical Panel

New HVAC electrical sub-panel for new AC unit required for the repack combiner area fed off of existing 480/208 main panel. This equipment is required to provide the existing power to the HVAC unit.

Nitrogen Generator

Nitrogen Generator Upgrade. See Exhibit 7A.

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 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1150 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 Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1150 feet per run
Justification for New Transmission Line Existing line segment length cannot be used on new channel.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Additional Elbow

Additional Elbow

RF Accessories

Coaxial Switch, Switch Controller, Dummy Load, etc. See Exhibit 9, Item C.

TX Line Mounting Hardware

Transmission Line Tower Mounting Hardware for Primary Line.

Horiz and Ceiling Anchors

Horizontal and Ceiling Mounting Hardware for Primary Line.

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 Broadband
Other Segment Length
Number of parallel runs 1
Length 995 feet per run
Justification for New Transmission Line Material costs for 995 foot 7-3/16" Broadband transmission line, three (3) elbows and a nitrogen generator for pressurization control on the line.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Interim Coax Switch

Coaxial switch between interim transmitter and interim antenna combiner. Permits transmitter testing. (See Exhibit 3B, Items D and G.)

TX Line to Interim Combiner

Horizontal run of transmission line between transmitter and interim combiner. (See Exhibit 7A, last Page. Please disregard identical Items shown on Exhibit 3A, Items I and K.)

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? Candelabra
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? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1003429
Coordinates (NAD83) Latitude (NAD83) 42° 26' 52.5" N-
Longitude (NAD83) 083° 10' 23.1" W-
Overall Structure Height 1086.93 feet
Support Structure Height 1012.13 feet
Ground Elevation Above Mean Sea Level (AMSL) 662.07 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 06/11/1999

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
6592 WKQI FM
6056 WRCJ-FM FM
6594 WNIC FM
74211 WMYD DTV
59952 WLLZ FM
59592 WJLB FM
16817 WTVS 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 undocumented/poorly 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 Candelabra
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Permit Drawing Packages

Construction drawing packages for Tower and Ground Permits.

Structural Engineering

Rigorous Structural analysis to access the structural capacity and modifications needed to accommodate the repacked equipment (see Exhibit 6).

Tower Project Management

Project management fee for both the primary and interim antenna. See Exhibits 6B, 1-A-1 ($9,480) and 7B, 3-D-1 ($5,000). Scheduling and management of the timelines and schedules occurring during the repack.

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 250
Explanation Company lacks internal resources.
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 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 Yes
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement No
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements Yes
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

Site Coordination Meeting

Meeting to coordinate efforts among broadcasters, tower owner, and tower contractor.

RF System Test - Interim

Radiofrequency System Test of Interim Antenna System

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 Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Deinstall Old Transmitter

Deinstallation of present primary transmitter. (See Exhibit 3A Item G.)

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 $1,623,643.80 $1,522,592.66 N/A $1,427,329.73 N/A
Total for all systems $3,830,098.07 $3,020,977.86 N/A $2,686,536.32 N/A
Primary Transmitter ULXTED-60 $1,623,643.80 $1,522,592.66 $1,427,329.73
Other Electrical Service: Various Main Site Electrical Work (See Exhibit 4). $53,719.00 $53,719.00 Various primary transmitter site electrical work. (See Exhibit 4) $53,719.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,371,948.86 Please see May 2018 Statement and Exhibit 3B, Items A, B, C, and H. $1,284,494.06 N/A
State Sales Tax $87,239.00 $87,239.00 6% Michigan State Sales Tax on products and services shown on Exhibit 3B. $79,430.87 N/A
GatesAir Site Survey $9,685.80 $9,685.80 GatesAir Advanced Site Survey. Provides as-built and proposed facility layout drawings. (See Exhibit 3B, Item F.) $9,685.80 N/A

Components

Actual Information Description File Name
Other Electrical Service: Various Main Site Electrical Work (See Exhibit 4).

Component Description:
Main Transmitter Electrical Work Final Payment. Please see Exhibit 4.
Amount:
$35,991.73

Component Description:
Main Transmitter Electrical Work Down Payment. Please see Exhibit 4.
Amount:
$17,727.27
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
One-third progress payment of items A, B, C, and H from GatesAir quote Q-76546 (please see Exhibit 3B).
Amount:
$457,316.29

Component Description:
Final Payment for Exhibit 3B Items A, B, C.
Amount:
$403,118.05

Component Description:
1/3 Down payment for ULXTE-60 Main Transmitter.
Amount:
$424,059.72
State Sales Tax

Component Description:
Michigan Sales Tax for items shipped by October, 2019. Please see Exhibit 17.
Amount:
$79,430.87
GatesAir Site Survey

Component Description:
One-third progress payment of Site Survey. See Exhibit 3B Item F.
Amount:
$3,228.60

Component Description:
Final Payment for Site Survey. Please see Exhibit 3B Item F.
Amount:
$6,457.20

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 $625,376.80 $480,194.46 N/A $462,344.13 N/A
Total for all systems $3,830,098.07 $3,020,977.86 N/A $2,686,536.32 N/A
Interim Antenna TFU-24 WB/VP-C160 $329,146.80 $311,914.46 $310,892.13
Interim Antenna Rigging $70,066.66 $70,066.66 Cost is for the labor to remove the old side-mount analog channel 62 antenna and waveguide and install new line and interim antenna. Cost came in higher than estimated. Includes weather delays. Please see Exhibit 14. $70,066.66 Antenna installation came in higher than estimated. Includes weather delays. Please see Exhibit 14.
Nitrogen Generator $5,000.00 $5,000.00 Please see Exhibit 7B $3,977.67 N/A
New Electrical Panel $0.00 $0.00 New electrical sub-panel found unnecessary. Please see Exhibit 14. $0.00 N/A
Conduit $0.00 $0.00 Conduit found unnecessary. Please see Exhibit 14. $0.00 N/A
Install Combiner $15,962.33 $15,962.33 Combiner installation came in higher than estimated. Please see Exhibit 14. $15,962.33 Combiner installation came in higher than estimated. Please see Exhibit 14.
Ice Shield $744.81 $744.81 Ice shield for side-mounted interim antenna. Omitted from original estimate. Please see Exhibit 14. $744.81 N/A
Sweep test of existing antenna $6,730.00 $3,333.33 The original estimate was rounded to the nearest dollar. This was corrected in the final billing, which was rounded to the nearest cent. Please see Exhibit 14. $3,333.33 The original estimate was rounded to the nearest dollar. This was corrected in the final billing, which was rounded to the nearest cent. Please see Exhibit 14.
UHF - High Power, Side Mount, basic slot antenna, 8 bay,, 264 kW input, directional,, elliptically or circularly polarized $63,637.33 $63,637.33 Pro-rata share (see Exhibit 7B). Updated cost includes taxes and shipping. Please see Exhibit 14. $63,637.33 Updated cost includes taxes and shipping. Please see Exhibit 14.
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $5,260.00 Updated cost includes tax and shipping. Please see Exhibit 14. $5,260.00 Updated cost includes tax and shipping. Please see Exhibit 14.
New combiner, cost per channel (without antenna) $84,200.00 $81,954.33 Updated cost includes taxes and shipping. Please see Exhibit 14. $81,954.33 Updated cost includes taxes and shipping. Please see Exhibit 14.
Combiner Cage $8,355.67 $8,355.67 24x20' fenced combiner cage area materials and installation with 10' privacy slats. See Exhibit 7B and Exhibit 14. $8,355.67 Cost to install fencing and PVC slats around combiner to section of from CBS Suite. Please see Exhibit 14.
Interim Tower Rental $57,600.00 $57,600.00 Rental fee for tower and ground space to support interim antenna, combiner, and interim transmitter. See Exhibit 7B. $57,600.00 N/A
Primary Antenna TFU-17ETT/VP-R O4 $296,230.00 $168,280.00 $151,452.00
Sweep test of existing antenna $6,730.00 $6,400.00 Please see Exhibit 5A $5,760.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $161,880.00 Exhibit 5A Items 1 and 2, minus $16,425 cost of V-Pol. $145,692.00 N/A

Components

Actual Information Description File Name
Interim Antenna Rigging

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Interim Antenna Installation, pro rata share. (See Exhibit 6C, 3-C-1.)
Amount:
$13,750.00

Component Description:
Antenna installation came in higher than estimated. Includes weather delays. Please see Exhibit 14.
Amount:
$28,816.66

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Interim Antenna Installation, pro rata share. (See Exhibit 6C, 3-C-1.)
Amount:
$27,500.00
Nitrogen Generator

Component Description:
Nitrogen generator to pressurize interim line.
Amount:
$227.67

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 25% of the Interim Nitrogen Generator. See Exhibit 6C, 3-D-1.
Amount:
$1,250.00

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 50% of the Interim Nitrogen Generator. (See Exhibit 6C, 3-D-1.)
Amount:
$2,500.00
New Electrical Panel

Component Description:
New Subpanels found unnecessary. Please see Exhibit 14.
Amount:
($1,250.00)

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 25% of the Interim Site Electrical Sub Panels. (See Exhibit 6C, 3-C-6.)
Amount:
$416.67

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 50% of the Interim Site Electrical Sub Panels. (See Exhibit 6C, 3-C-6.)
Amount:
$833.33
Conduit

Component Description:
Conduit found unnecessary. Please see Exhibit 14.
Amount:
($625.01)

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 50% of the Interim Conduit. (See Exhibit 6C, 3-C-1)
Amount:
$416.67

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 25% of the Interim Conduit. (See Exhibit 6C, 3-C-1)
Amount:
$208.34
Install Combiner

Component Description:
Combiner installation came in higher than estimated. Please see Exhibit 14.
Amount:
$9,712.33

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Interim Combiner Installation, Exhibit 6C, 3-C-2.)
Amount:
$4,166.67

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Interim Combiner Installation, Exhibit 6C, 3-C-2.)
Amount:
$2,083.33
Ice Shield

Component Description:
Ice shield for side-mounted interim antenna. Omitted from original estimate. Please see Exhibit 14.
Amount:
$744.81
Sweep test of existing antenna

Component Description:
RF system testing. Please see Exhibit 14.
Amount:
$833.34

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Antenna Line sweep test. (See Exhibit 6C, 3-C-2.)
Amount:
$833.33

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Antenna Line sweep test. (See Exhibit 6C, 3-C-2.)
Amount:
$1,666.66
UHF - High Power, Side Mount, basic slot antenna, 8 bay,, 264 kW input, directional,, elliptically or circularly polarized

Component Description:
Updated cost includes taxes and shipping. Please see Exhibit 14.
Amount:
$18,637.33

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of the Interim Antenna, pro rata share. (See Exhibit 6C, 3-B.)
Amount:
$15,000.00

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of the Interim Antenna, pro rata share. (See Exhibit 6C, 3-B.)
Amount:
$30,000.00
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Updated cost includes tax and shipping. Please see Exhibit 14.
Amount:
$2,760.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 25% of the Interim Antenna Elbow Complex. (See Exhibit 6C, 3-C-2.)
Amount:
$833.33

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 50% of the Interim Antenna Elbow Complex. (See Exhibit 6C, 3-C-2.)
Amount:
$1,666.67
New combiner, cost per channel (without antenna)

Component Description:
Updated cost includes taxes and shipping. Please see Exhibit 14.
Amount:
$24,454.33

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of the Interim Combiner. (See Exhibit 6C, 3-C-1.)
Amount:
$19,166.67

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of the Interim Combiner. (See Exhibit 6C, 3-C-1.)
Amount:
$38,333.33
Combiner Cage

Component Description:
Please see Exhibit 14.
Amount:
$4,605.67

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 50% of the Interim Combiner Cage. (See Exhibit 6C, 3-C-3.)
Amount:
$2,500.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is for 25% of the Interim Combiner Cage. (See Exhibit 6C, 3-C-3.)
Amount:
$1,250.00
Interim Tower Rental

Component Description:
Please see Exhibit 14.
Amount:
$14,400.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This amount is 25% of Interim Site Rent, Exhibit 6C 1-B-1.
Amount:
$14,400.00

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This amount is 50% of Interim Site Rent, Exhibit 6C 1-B-1.
Amount:
$28,800.00
Sweep test of existing antenna

Component Description:
Progress payment for sweep measurements of antenna and line. Please see Exhibit 5A for quote.
Amount:
$2,880.00

Component Description:
Down payment for sweep test of antenna and line.
Amount:
$2,880.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Down payment for primary antenna and elbow complex. Excludes vertical polarization. Please see Exhibit 31.
Amount:
$72,846.00

Component Description:
Primary Antenna and Elbow Complex Down Payment. Please see Exhibit 5A for Quote. Excludes Vertical Polarization Upgrade.
Amount:
$72,846.00

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 $767,073.11 $449,402.38 N/A $371,121.90 N/A
Total for all systems $3,830,098.07 $3,020,977.86 N/A $2,686,536.32 N/A
Interim Transmission Line $416,728.90 $180,002.57 $180,002.57
TX Line to Interim Combiner $34,890.00 $34,890.00 Horizontal run of transmission line between transmitter and interim combiner. Includes Installation. (See Exhibit 7B.) $34,890.00 N/A
Interim Coax Switch $50,503.90 $50,503.90 Coaxial switch between interim transmitter and combiner. Permits off-air testing of interim transmitter. Includes Installation. (See Exhibit 3B, Items D and G.) $50,503.90 N/A
Rigid Transmission Line - copper, 7 3/16" broadband $331,335.00 $94,608.67 Pro-rata Material costs for 995 foot 7-3/16" Broadband transmission line and three (3) elbows. Updated cost includes taxes and shipping for many cut pieces. Please see Exhibit 14. $94,608.67 Updated cost includes taxes and shipping for many cut pieces. Please see Exhibit 14.
Primary Transmission Line $350,344.21 $269,399.81 $191,119.33
Horiz and Ceiling Anchors $1,287.64 $1,287.64 Horizontal and Ceiling Mounting Hardware for Primary Line (please see Quote in Exhibit 35). Includes shipping (please see Exhibit 37). $1,287.64 N/A
Additional Elbow $2,139.84 $2,139.84 Additional 6-inch elbow (Exhibit 32). Includes shipping (Exhibit 34). $2,139.84 N/A
TX Line Mounting Hardware $5,984.31 $5,984.31 Primary Transmission Line Mounting Hardware. Please see Exhibit 24 for quotation. Includes sales tax and freight shown in Exhibit 25. Also includes additional hardware shown in Exhibit 26. $5,984.31 N/A
RF Accessories $74,132.42 $74,132.42 Coaxial Switch, Switch Controller, Dummy Load, etc. See Exhibit 9, Item C. N/A N/A
Rigid Transmission Line - copper, 6 1/8" broadband $266,800.00 $185,855.60 Required for new antenna (see Exhibit 5A). $181,707.54 N/A

Components

Actual Information Description File Name
TX Line to Interim Combiner

Component Description:
Increased form original scope. Please see Exhibit 14.
Amount:
$8,722.50

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of materials and labor to connect Interim transmitter to combiner. (See Exhibit 6C, 1-B-1.)
Amount:
$8,722.50

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of materials and labor to connect Interim transmitter to combiner. (See Exhibit 6C, 1-B-1.)
Amount:
$17,445.00
Interim Coax Switch

Component Description:
Final payment for Items D and G Exhibit 3B.
Amount:
$33,669.27

Component Description:
One-third progress payment of items D and G from GatesAir quote Q-76546 (please see Exhibit 3B).
Amount:
$16,834.63
Rigid Transmission Line - copper, 7 3/16" broadband

Component Description:
Updated cost includes taxes and shipping for many cut pieces. Please see Exhibit 14.
Amount:
$36,401.17

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Interim Transmission Line, pro rata share. (See Exhibit 6C, 3-A.)
Amount:
$38,805.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Interim Transmission Line, pro rata share. (See Exhibit 6C, 3-A.)
Amount:
$19,402.50
Horiz and Ceiling Anchors

Component Description:
Horizontal and ceiling mounting hangers for primary transmission line. See quote in Exhibit 35.
Amount:
$1,172.80

Component Description:
Freight for ceiling and horizontal transmission line hangers - primary line.
Amount:
$114.84
Additional Elbow

Component Description:
One six-inch elbow. Please see quote in Exhibit 32.
Amount:
$2,025.00

Component Description:
Freight - One Six-Inch elbow.
Amount:
$114.84
TX Line Mounting Hardware

Component Description:
Hardware for primary transmission line. See quote in Exhibit 24. Includes Freight and Sales Tax.
Amount:
$5,784.91

Component Description:
Additional hardware for primary transmission line. See quote in Exhibit 24. Includes Freight and Sales Tax.
Amount:
$199.40
RF Accessories Information not provided.
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
Primary transmission line, cut lengths. Please see Exhibit 5A.
Amount:
$4,125.00

Component Description:
Primary transmission line; cut pieces. Please see Exhibit 5A for quote.
Amount:
$2,062.50

Component Description:
Primary transmission line - cut pieces. Please see Exhibit 5A.
Amount:
$8,250.00

Component Description:
Progress payment for primary transmission line. Please see Exhibit 5B for quote.
Amount:
$83,635.02

Component Description:
Down payment for primary transmission line. Please see Exhibit 5A line item 3.
Amount:
$83,635.02

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 $626,113.00 $410,189.00 N/A $395,755.67 N/A
Total for all systems $3,830,098.07 $3,020,977.86 N/A $2,686,536.32 N/A
Primary Tower GTOWER $626,113.00 $410,189.00 $395,755.67
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $377,109.00 Remove and Install top-mounted, candelabra antenna. Remove 1,200 feet of waveguide and install an equal length of rigid coaxial line. Please see Exhibit 21. Includes $57,200 in Bad Weather Days. See Exhibits 27, 28, and 29. $377,109.00 N/A
Minor tower reinforcement/modifications $158,000.00 $4,000.00 Cost for plumb and tension after customer installation is complete. See Exhibit 6B. $4,166.67 Only plumb and tension necessary. See Exhibit 14.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $8,267.00 Cost decreased from prior estimate. See Exhibit 6B. $0.00 N/A
Structural Engineering $6,333.00 $6,333.00 Rigorous Structural analysis to access the structural capacity and modifications needed to accommodate the repacked equipment. Cost decreased since last estimate. See Exhibit 6B. $0.00 N/A
Tower Project Management $14,480.00 $14,480.00 Project management fee for both the primary and interim antenna. See Exhibits 6B, 1-A-1 ($9,480) and 7B, 3-D-1 ($5,000). Scheduling and management of the timelines and schedules occurring during the $14,480.00 N/A
Permit Drawing Packages $0.00 $0.00 No Permit drawing packages required for tower or building A&E. Please see Exhibit 14. $0.00 N/A

Components

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

Component Description:
Bad Weather Days. Please see Exhibit 27.
Amount:
$8,450.00

Component Description:
50% Down Payment for Tower Rigging. Please see Exhibit 21 for quotation.
Amount:
$159,954.50

Component Description:
Bad Weather Days. Please see Exhibit 28.
Amount:
$29,250.00

Component Description:
Bad Weather Days. Please see Exhibit 29.
Amount:
$19,500.00

Component Description:
Primary Antenna and Line Rigging Final Payment. Please see Exhibit 21 for quotation.
Amount:
$159,954.50
Minor tower reinforcement/modifications

Component Description:
Only plumb and tension necessary. See Exhibit 14.
Amount:
$1,166.67

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of tower Plumb and Tension, pro rata share. (See Exhibit 7C, 3-A-2.)
Amount:
$2,000.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of tower Plumb and Tension, pro rata share. (See Exhibit 7C, 3-A-2.)
Amount:
$1,000.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Credits $6,200.01 for costs claimed to be invoiced separately. See Exhibit 14.
Amount:
($6,200.01)

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Tower Mapping, pro rata share. (See Exhibit 7C, 3-A-1.)
Amount:
$2,066.67

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Tower Mapping, pro rata share. (See Exhibit 7C, 3-A-1.)
Amount:
$4,133.34
Structural Engineering

Component Description:
Credits $4,749.99 for items claimed to be invoiced separately. Please see Exhibit 14.
Amount:
($4,749.99)

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Structural Analysis, pro rata share. (See Exhibit 6C, 3-A-1.)
Amount:
$3,166.66

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Structural Analysis, pro rata share. (See Exhibit 6C, 3-A-1.)
Amount:
$1,583.33
Tower Project Management

Component Description:
Credits 75% of the $9,480 Project Management fee (see Exhibits 11C and 13C 1A1) and adds $1,250 for Project Management (Exhibit 14, 3D1 - two places).
Amount:
($5,860.00)

Component Description:
Project Management. See Exhibit 15. Previously Invoiced on Milestone 1 (Exhibit 11C) and Milestone 2 (Exhibit 13C) but later refunded (Exhibit 14).
Amount:
$9,480.00

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Interim plus Primary project management. (See Exhibit 6C, 1-A-1 plus Exhibit 7C, 3-D-1.)
Amount:
$7,240.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Interim plus Primary project management. (See Exhibit 6C, 1-A-1 plus Exhibit 7C 3-D-1.)
Amount:
$3,620.00
Permit Drawing Packages

Component Description:
No permits required by local jurisdiction. Please see Exhibit 14.
Amount:
($7,050.00)

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Tower plus Building Permit Packages, pro rata share. (See Exhibit 7C, 3-D-1 ($4,700 twice).
Amount:
$4,700.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Tower plus Building Permit Packages, pro rata share. (See Exhibit 7C, 3-D-1 ($4,700 twice).
Amount:
$2,350.00

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 $92,775.00 $70,083.00 N/A $13,008.33 N/A
Total for all systems $3,830,098.07 $3,020,977.86 N/A $2,686,536.32 N/A
Outside Professional Services $92,775.00 $70,083.00 $13,008.33
RF System Test - Interim $5,000.00 $5,000.00 Radiofrequency system test of interim antenna system and combiner. Please see Exhibit 14, item 3-D-1, which was missed on the original estimate. $5,000.00 N/A
Site Coordination Meeting $2,500.00 $2,500.00 Meeting to coordinate efforts between broadcasters, tower owner, and tower contractors. $2,500.00 N/A
RF Exposure Measurements $21,050.00 $3,333.00 RF Exposure measurements. See Exhibit 7B. $833.33 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $250.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 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 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A $1,300.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $875.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Please see Exhibit 14. $2,500.00 N/A
Project management of the transition $39,500.00 $37,500.00 Company lacks internal resources. N/A N/A

Components

Actual Information Description File Name
RF System Test - Interim

Component Description:
Radiofrequency system test of interim antenna system and combiner. Missed in original estimate. Please see Exhibit 14.
Amount:
$5,000.00
Site Coordination Meeting

Component Description:
Site coordination meetings. Please see Exhibit 14; 1-B-1.
Amount:
$625.00

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Site Coordination Meetings, pro rata share. (See Exhibit 7C, 1-B-1.)
Amount:
$1,250.00

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Site Coordination Meetings, pro rata share. (See Exhibit 7C, 1-B-1.)
Amount:
$625.00
RF Exposure Measurements

Component Description:
Please see Exhibit 14. Actual cost apparently less than anticipated.
Amount:
($1,666.67)

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Interim RF Exposure Measurements, pro rata share. (See Exhibit 6C, 1-A-4.)
Amount:
$833.33

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Interim RF Exposure Measurements, pro rata share. (See Exhibit 6C, 1-A-4.)
Amount:
$1,666.67
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application

Component Description:
Prepare Engineering Section of FCC Construction Permit Application.
Amount:
$1,300.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Conduct review of channel assignment. Determine Max ERP.
Amount:
$875.00
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Address transition timing. This item was missed on original ATC estimate but included in Exhibit 14.
Amount:
$2,500.00
Project management of the transition 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 $95,116.36 $88,516.36 N/A $16,976.56 N/A
Total for all systems $3,830,098.07 $3,020,977.86 N/A $2,686,536.32 N/A
Other Expenses $95,116.36 $88,516.36 $16,976.56
Deinstall Old Transmitter $21,844.80 $21,844.80 Complete disconnection of Harris Sigma CD transmitter and move to staging area on site. (See Exhibit 3B, Item I.) $0.00 N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $5,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
Local Zoning $5,000.00 $5,000.00 N/A N/A N/A
Non-zoning permits $0.00 $0.00 No permits were required by the local jurisdiction. Please see Exhibit 14. $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $20,000.00 $20,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $34,276.56 $34,276.56 Includes shipping for primary transmitter (Exhibit 3B, Page 1), Primary Antenna and TX Line (Exhibit 38), and various cut length lines (Exhibits 39, 40, and 42.) $16,976.56 N/A

Components

Actual Information Description File Name
Deinstall Old Transmitter

Component Description:
Credit for removal of old transmitter (see Exhibit 3B Item I) since work has not been completed. Will be billed on a future invoice.
Amount:
($7,281.60)

Component Description:
One-third progress payment of item I from GatesAir quote Q-76546 (please see Exhibit 3B).
Amount:
$7,281.60
MVPD Notification of Channel Change Information not provided.
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
Local Zoning Information not provided.
Non-zoning permits

Component Description:
Invoice is 50% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 50% of Building Permit costs. (See Exhibit 7C, 1-A-3.)
Amount:
$375.00

Component Description:
No permits were required by local jurisdiction. Please see Exhibit 14.
Amount:
($562.50)

Component Description:
Invoice is 25% Down Payment for $438,330 ATC total estimated cost, main plus interim. (See Exhibits 6C and 7C). This cost is 25% of Building Permit costs. (See Exhibit 7C, 1-A-3.)
Amount:
$187.50
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Shipping for Primary Antenna and Transmission Line. Please see Exhibit 38.
Amount:
$9,070.20

Component Description:
Freight for Cut Length Primary Transmission Lines shown in Dielectric Invoice 677031 (Exhibit 41).
Amount:
$1,209.80

Component Description:
Freight for Primary Transmission Line Cut Sections. Please see Exhibit 40.
Amount:
$5,623.11

Component Description:
Freight for Primary Transmission Line Cut Sections. See Exhibit 39.
Amount:
$1,073.45

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,830,098.07 $3,020,977.86 $2,686,536.32

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.

Andrew J Siegel

Assistant Secretary


03/06/2020

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.

Andrew J Siegel

Assistant Secretary


03/06/2020

Attachments

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