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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:
125011
Service:
LPT
Call Sign:
K50IE-D
Channel:
4 (Low VHF)
File Number:
0000088894
FRN:
0006192942
Eligibility Status:
Eligible
Date Submitted:
06/17/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

FRANKLIN COUNTY TV DISTRICT #1

Doing Business As: FRANKLIN COUNTY TV DISTRICT #1

FRANKLIN COUNTY TV DISTRICT #1

PO Box 168

PRESTON, ID 83263

United States

+1 (208) 766-4405 wsjaussi@gmail.com Government Entity

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

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 K50IE-D displaced to channel 4. K40GZ-D, K42GN-D, K44HA-D displace to microwave 6887.5 MHz, and K46HW-D, K48IJ-D displace to microwave 6937.5 MHz requiring two sets of microwave radios.

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)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Bz5mxd10ux
Year 1999
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 10 W

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 TAVD-25
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 25 W
Justification for New Transmitter Need VHF transmitter to transition UHF channel 50 to channel 4 VHF

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs
Does the transmitter installation require a Transmitter Building Site Survey/Installation? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
Other Electrical Service No
HVAC Service Does the replacement transmitter require HVAC Service? No
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmodulator

Technalogix TP400D Transmodulator to go with transmitter

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)
Ownership Owned
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
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Other
Other Antenna Type paraflector
ERP: 402.0 W
Manufacturer
Model pr-tv/50n
Year 1996

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
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
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Log Periodic
ERP: 155.0 W
Manufacturer
Model cl-46hcm50n
Year 2019
Justification for New Antenna Changing from UHF channel 50 to VHF channel 4 requires VHF channel 4 antenna

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? 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

Name Description

Receive antenna

Scala CL 46 log periodic antenna for receiving channel 4 at Preston Facility.

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)
Ownership Owned
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? No
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Foam
Diameter 1/2 inches
Number of parallel runs 1
Length 35 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Foam
Diameter 1/2 inches
Number of parallel runs 2
Length 50 feet per run
Justification for New Transmission Line It requires two new lengths 50 feet each with new connectors. The existing transmission line is too short.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? No

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Andrew L4TNMPSA

Andrew N Male connector positive stop. 4 required.

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? No
Outside RF consulting Engineering Services Perform engineering study for displacement application No
Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
Prepare and file Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement No
Form 399 assistance or other program management costs No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

B. W. St. Clair

Engineering Study to establish coordinates and path information for Short Divide - Clarkston to Preston ID. To replace lost over the air relay signals. Prepare Engineering for coordination letters, prepare 601 applications (2).

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change 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)? 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
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System Yes
Type 7/13 GHz Licensed Part 74

Other Expenses

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Other Expenses Not Listed

Name Description

Anywave exciters for microwave front end

Anywave exciters for microwave front end for K40, K42K44,K46,K48

Microwave tower installation

Microwave towers installation

Tower Fabrication

Two MIcrowave towers fabricated

Wave guide support

Wave guide support fabrication

microwave system engineering and equipment installation

Transition K40GZ-D,K42GN-D,K44HA-D to microwave system #1 and K46HW-D,K48IJ-D, to microwave system #2. No in-core channels to transition to.

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 $9,091.00 $9,091.00 N/A $9,091.00 N/A
Total for all systems $105,841.13 $132,792.22 N/A $133,264.42 N/A
Primary Transmitter TAVD-25 $9,091.00 $9,091.00 $9,091.00
Transmodulator $2,695.00 $2,695.00 N/A $2,695.00 N/A
Low VHF - Air Cooled Solid State Transmitter 25 Watts $6,396.00 $6,396.00 N/A $6,396.00 N/A

Components

Actual Information Description File Name
Transmodulator

Component Description:
Transmodulator cost from invoice 6657
Amount:
$2,695.00
Low VHF - Air Cooled Solid State Transmitter 25 Watts

Component Description:
Transmitter TAVD-25 cost from invoice 6657
Amount:
$6,396.00

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 $2,002.00 $1,814.00 N/A $1,530.00 N/A
Total for all systems $105,841.13 $132,792.22 N/A $133,264.42 N/A
Primary Antenna cl-46hcm50n $2,002.00 $1,814.00 $1,530.00
Receive antenna $907.00 $907.00 N/A $765.00 N/A
Low-VHF, Low Power,Yagi/Cross dipole/Log Periodic Transmit antenna $1,095.00 $907.00 N/A $765.00 N/A

Components

Actual Information Description File Name
Receive antenna

Component Description:
receive antenna cost $765.00
Amount:
$765.00
Low-VHF, Low Power,Yagi/Cross dipole/Log Periodic Transmit antenna

Component Description:
Transmit antenna cost is $765.00
Amount:
$765.00

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 $453.80 $441.30 N/A $297.50 N/A
Total for all systems $105,841.13 $132,792.22 N/A $133,264.42 N/A
Primary Transmission Line $453.80 $441.30 $297.50
Andrew L4TNMPSA $103.80 $103.80 N/A $80.00 N/A
Flexible Foam Transmission Line - dielectric, 1/2" $350.00 $337.50 N/A $217.50 N/A

Components

Actual Information Description File Name
Andrew L4TNMPSA

Component Description:
connectors for transmission cable.Broadcasters general store invoice # 559656
Amount:
$80.00
Flexible Foam Transmission Line - dielectric, 1/2"

Component Description:
cable for receive and transmit.
Amount:
$217.50

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 $1,647.00 $1,647.00 N/A $2,547.00 N/A
Total for all systems $105,841.13 $132,792.22 N/A $133,264.42 N/A
Outside Professional Services $1,647.00 $1,647.00 $2,547.00
B. W. St. Clair $1,647.00 $1,647.00 N/A $2,547.00 additional refiling of application 601's. See details on Invoice # 6246 B.W. St. Clair.

Components

Actual Information Description File Name
B. W. St. Clair

Component Description:
Engineering services for microwave filing.
Amount:
$225.00

Component Description:
Engineering services update microwave applications
Amount:
$525.00

Component Description:
additional engineering services for microwave paperwork filing.
Amount:
$1,797.00

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 $92,647.33 $119,798.92 N/A $119,798.92 N/A
Total for all systems $105,841.13 $132,792.22 N/A $133,264.42 N/A
Other Expenses $92,647.33 $119,798.92 $119,798.92
Anywave exciters for microwave front end $18,558.25 $18,558.25 N/A $18,558.25 N/A
Microwave tower installation $4,124.86 $4,124.86 N/A $4,124.86 N/A
microwave system engineering and equipment installation $12,000.00 $12,000.00 N/A $12,000.00 N/A
New Point to Point Microwave System: 7/13 GHz Licensed Part 74 $51,300.00 $78,451.59 The costs are for two-point to point microwave radio systems. System #1 transition K40, K42, K44 to 6887.5 MHz. System #2 Transition K46, K48 to 6937.5 MHz. See heartland video systems invoice #66521. $78,451.59 The Heartland video systems invoice includes two-point to point microwave radio systems. System #1 transition K40, K42, K44 to 6887.5 MHz. System #2 Transition K46, K48 to 6937.5 MHz.
Wave guide support $230.97 $230.97 N/A $230.97 N/A
Tower Fabrication $6,433.25 $6,433.25 N/A $6,433.25 N/A

Components

Actual Information Description File Name
Anywave exciters for microwave front end

Component Description:
Exciters for microwave front end.
Amount:
$18,558.25
Microwave tower installation

Component Description:
Microwave tower installation
Amount:
$4,124.86
microwave system engineering and equipment installation

Component Description:
Consulting and engineering services, microwave planning and installation of microwave system
Amount:
$12,000.00
New Point to Point Microwave System: 7/13 GHz Licensed Part 74

Component Description:
dollar amount from Heartland Video Systems invoice #66521
Amount:
$78,451.59
Wave guide support

Component Description:
Waveguide support manufacturing.
Amount:
$230.97
Tower Fabrication

Component Description:
Microwave tower fabrication.
Amount:
$6,433.25

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $105,841.13 $132,792.22 $133,264.42

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. 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.

William C. Jaussi , Jaussi .

Reimbursement contact


06/17/2020

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.

William C. Jaussi , Jaussi .

Reimbursement contact


06/17/2020

Attachments

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