Applicant | Address | Phone | Applicant Type | |
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CARIBOU COUNTY TV ASSOCIATION Doing Business As: CARIBOU COUNTY TV ASSOCIATION |
C/O CORD MCCURDY 8571 Winning Way Pocatello, ID 83204 United States |
+1 (208) 317-0008 | cordly1@gmail.com | Government Entity |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | Applicant had 6 translators displace during the 2018 "Special Displacement Window". They are colocated and share the same antenna. Only expense involved was a two new combiners to feed the turnstile antenna. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | No |
Section | Question | Response |
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Antenna Related Expenses | Do you have antenna related expenses? | No |
Section | Question | Response |
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Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
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Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | No |
Section | Question | Response |
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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 | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
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 | Yes | |
Form 399 assistance or other program management costs | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No |
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 | No |
Name | Description |
---|---|
Combiner |
Microwave Filter Combiner Ch 21, 25, 27, 29, 31, 33, 35 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $7,145.00 | $3,060.00 | N/A | $3,060.00 | N/A |
Total for all systems | $10,546.25 | $6,461.25 | N/A | $6,461.25 | N/A |
Outside Professional Services | $7,145.00 | $3,060.00 | $3,060.00 | ||
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | $1,710.00 | N/A |
Prepare request for Special Temporary Authorization | $1,280.00 | $50.00 | N/A | $50.00 | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | BWS Consulting 399 Eligibility / 1876 Form Turnkey Project see Caribou 399E BWS Invoice 6180.pdf | $1,000.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $250.00 | N/A | $250.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $50.00 | BWS Invoice 5827 License to Cover K21MR | $50.00 | N/A |
Actual Information Description | File Name |
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Prepare/ Review 399 reimbursement form | |
Prepare request for Special Temporary Authorization | |
Form 399 assistance or other Program Management costs | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $3,401.25 | $3,401.25 | N/A | $3,401.25 | N/A |
Total for all systems | $10,546.25 | $6,461.25 | N/A | $6,461.25 | N/A |
Other Expenses | $3,401.25 | $3,401.25 | $3,401.25 | ||
Combiner | $3,401.25 | $3,401.25 | Microwave Filter Company UHF Combiner Invoice157700 $13605 divided by 4 channels repacked = $3401.25 ea | $3,401.25 | N/A |
Actual Information Description | File Name |
---|---|
Combiner |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $10,546.25 | $6,461.25 | $6,461.25 |
Question | Response |
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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 |
Section | Question | Response |
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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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Cord McCurdy Board Member 06/19/2020 |