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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:
10203
Service:
DTV
Call Sign:
WSFL-TV
Channel:
27 (UHF)
File Number:
0000028115
FRN:
0002710192
Date Submitted:
06/30/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Scripps Broadcasting Holdings LLC

Doing Business As: WSFL, LLC

Dave Giles

312 Walnut Street, 28th Floor

Cincinnati, OH 45202

United States

 +1 (513) 977-3000 dave.giles@scripps.com Limited Liability Company

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

Ray Thurber

Vice President Engineering

SCRIPPS BROADCASTING HOLDINGS LLC

Ray Thurber

312 Walnut St.

Cincinnati, OH 45202

United States

 +1 (248) 827-9202 ray.thurber@scripps.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 Replace Side mount antenna with new antenna Replace Tube transmitter with Solid State. Operate from Interim antenna provided by Landlord

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Auxiliary
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 Elite 1000
Year 2010
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-10
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 6 kW
Justification for New Transmitter Manufacturer has state current in not re-tunable or supported

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 100.0 feet
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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 DCX-2
Year 2001
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 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 ULXTE-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 38 kW
Justification for New Transmitter Current transmitter is not re-tunable as stated by manufacturer. ULXTE-90 was the initial requirement Antenna change reduced this to ULXTE-60

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 100.0 feet
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 Lease New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
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: 1000.0 kW
Manufacturer
Model TFU-12DSC-R P270BNT
Year 2002

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 Lease New
Is this a request for upgraded equipment? No
Ownership Leased
Owner American Tower
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 Types Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 3
Number of Panels/Bays 20
Lower Limit 470.00 MHz
Upper Limit 600.00 MHz
Design power capacity in use 53.0 %
Other Antenna Type N/A
ERP: 3000.0 kW
Manufacturer
Model TUM20-3BP-12/30U-1
Year 2010
Justification for New Antenna Current antenna will not work on assigned channel. Moving to existing antenna reduced installation cost and tower loading. This antenna is existing and will be leased

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 Additional Module
Number of channels supported 1
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? Yes
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

Enter a list of RF channel numbers.

RF Channel Number
27

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 Lease 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 984 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 Lease New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 7 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 2
Length 1150 feet per run
Justification for New Transmission Line Add 2nd Line to the existing system to increase power handling capacity.

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? 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? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1026553
Coordinates (NAD83) Latitude (NAD83) 25° 58' 08.0" N-
Longitude (NAD83) 080° 13' 19.0" W-
Overall Structure Height 1041.00 feet
Support Structure Height 936.67 feet
Ground Elevation Above Mean Sea Level (AMSL) 7.87 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Tower, LLC
Date Constructed 01/01/1990

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
73230 WLTV-DT DTV
63154 WTVJ DTV
12497 WBFS-TV DTV
47902 WFOR-TV 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 tower with candelabra
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

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 100
Explanation Local Management by Landlord
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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 No
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 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

Documentation

Documentation fee on tower and move.

Tower Lease

Negotiate Lease addendum

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 No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
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? 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

Information not provided.

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 $1,856,900.00 $1,240,000.00 N/A $1,182,807.18 N/A
Total for all systems $3,624,715.00 $1,986,340.00 N/A $1,578,282.51 N/A
Primary Transmitter ULXTE-60 $1,528,200.00 $1,002,500.00 $971,903.65
2" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,500.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $30,400.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $13,700.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $950,000.00 N/A $927,803.65 N/A
Auxiliary Transmitter ULXTE-10 $328,700.00 $237,500.00 $210,903.53
2" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,500.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $185,000.00 N/A $181,503.53 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $29,400.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A

Components

Actual Information Description File Name
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp

Component Description:
electrical work
Amount:
$30,400.00
Service entrance 3 phase/800 amp/208 volt

Component Description:
electrical work
Amount:
$13,700.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
3rd payment ULXTE-60
Amount:
$281,955.17

Component Description:
ULXTE-60
Amount:
$65,456.25

Component Description:
Deposit for ULXTE60 Transmitter
Amount:
$291,353.72

Component Description:
2nd payment ULXTE-60 primary transmitter
Amount:
$289,038.51

Component Description:
Site Survey
Amount:
$5,823.90
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
ULXTE-10
Amount:
$29,956.99

Component Description:
Interim transmitter 2nd payment
Amount:
$55,831.14

Component Description:
Deposit for ULXTE-10 Transmitter
Amount:
$56,821.65

Component Description:
3rd payment ULXTE-10
Amount:
$38,893.75
Switchgear - industrial 800 amp

Component Description:
electrical work
Amount:
$29,400.00
Service entrance 3 phase/800 amp/208 volt Information not provided.

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 $216,930.00 $111,400.00 N/A $71,250.00 N/A
Total for all systems $3,624,715.00 $1,986,340.00 N/A $1,578,282.51 N/A
Primary Antenna TUM20-3BP-12/30U-1 $216,930.00 $111,400.00 $71,250.00
Adding a module to existing combiner (without antenna) $84,200.00 $95,000.00 Based on ATC estimate attached $75,000 Combiner $15,000 Installation $67,500.00 N/A
UHF - High Power Top Mount Three Station broadband panel antenna elliptically or circularly polarized $0.00 $0.00 Existing antenna N/A N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $10,000.00 N/A $0.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,750.00 N/A

Components

Actual Information Description File Name
Adding a module to existing combiner (without antenna)

Component Description:
adding a module to existing combiner (without antenna)
Amount:
$37,500.00

Component Description:
Combiner Installation
Amount:
$7,500.00

Component Description:
combiner installation
Amount:
$3,750.00

Component Description:
adding a module to existing combiner (without antenna)
Amount:
$18,750.00

Component Description:
adding a module to existing combiner (without antenna)
Amount:
$18,750.00

Component Description:
combiner installation
Amount:
$3,750.00
UHF - High Power Top Mount Three Station broadband panel antenna elliptically or circularly polarized Information not provided.
Combiner output splitting/switching for dual feed lines, if applicable

Component Description:
RF combiner reconfiguration
Amount:
$2,500.00
Sweep test of existing antenna

Component Description:
RF System test
Amount:
$1,250.00

Component Description:
sweep test
Amount:
$2,500.00

Component Description:
sweep test
Amount:
$1,250.00

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 $765,900.00 $270,000.00 N/A $196,323.63 N/A
Total for all systems $3,624,715.00 $1,986,340.00 N/A $1,578,282.51 N/A
Primary Transmission Line $765,900.00 $270,000.00 $196,323.63
Rigid Transmission Line - copper, 7 3/16" broadband $765,900.00 $270,000.00 N/A $196,323.63 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 7 3/16" broadband

Component Description:
transmission line
Amount:
$115,000.00

Component Description:
tax
Amount:
$15,882.42

Component Description:
7 3/16" broadband - 1st milestone
Amount:
$57,500.00

Component Description:
tax
Amount:
$7,941.21

Component Description:
transmission line
Amount:
$57,500.00

Component Description:
tax
Amount:
$7,941.21

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 $599,000.00 $102,500.00 N/A $76,875.00 N/A
Total for all systems $3,624,715.00 $1,986,340.00 N/A $1,578,282.51 N/A
Primary Tower GTOWER $599,000.00 $102,500.00 $76,875.00
Minor tower reinforcement/modifications $158,000.00 $37,500.00 N/A $28,125.00 N/A
Structural engineering tower load study for a documented tower with candelabra $20,000.00 $21,900.00 Based on ATC estimate attached $16,425.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $43,100.00 N/A $32,325.00 N/A

Components

Actual Information Description File Name
Minor tower reinforcement/modifications

Component Description:
Minor tower reinforcements
Amount:
$18,750.00

Component Description:
Minor tower reinforcements
Amount:
$9,375.00

Component Description:
Minor tower reinforcements
Amount:
$9,375.00
Structural engineering tower load study for a documented tower with candelabra

Component Description:
Structural tower mapping
Amount:
$6,200.00

Component Description:
structural analysis on candelabra tower
Amount:
$4,750.00

Component Description:
structural eng. tower load study for documented tower with candelabra
Amount:
$2,375.00

Component Description:
tower mapping
Amount:
$3,100.00

Component Description:
structural analysis on candelabra tower
Amount:
$2,375.00

Component Description:
Structural tower mapping
Amount:
$3,100.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
installation of 7" transmission line
Amount:
$20,300.00

Component Description:
construction project management
Amount:
$1,250.00

Component Description:
complex tower
Amount:
$10,150.00

Component Description:
construction project management
Amount:
$625.00

Component Description:
installation of 7" transmission line
Amount:
$10,150.00

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 $101,645.00 $179,775.00 N/A $40,839.20 N/A
Total for all systems $3,624,715.00 $1,986,340.00 N/A $1,578,282.51 N/A
Outside Professional Services $101,645.00 $179,775.00 $40,839.20
Project management of the transition $15,800.00 $99,675.00 per Justifying quote Widelity WSFL-TV strategic support quote $28,414.20 N/A
Tower Lease $38,600.00 $38,600.00 N/A N/A N/A
Documentation $10,000.00 $10,000.00 N/A $1,175.00 N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A $7,500.00 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 $3,750.00 N/A
Prepare request for Special Temporary Authorization $4,100.00 $0.00 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

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project Management
Amount:
$1,382.70

Component Description:
Project Management
Amount:
$2,394.70

Component Description:
Project management
Amount:
$4,740.00

Component Description:
Project management - timing
Amount:
$1,250.00

Component Description:
Site Coordination meeting
Amount:
$1,250.00

Component Description:
Project Management
Amount:
$3,170.95

Component Description:
Project Management
Amount:
$2,742.20

Component Description:
Project Management
Amount:
$2,703.90

Component Description:
Project Management
Amount:
$3,160.80

Component Description:
Site Coordination meeting
Amount:
$625.00

Component Description:
address transition timing and coordination issues wit other stations
Amount:
$625.00

Component Description:
Project management 94.8 hrs @ $100 per hour
Amount:
$2,370.00

Component Description:
Project Management
Amount:
$1,998.95

Component Description:
Site Coordination meeting
Amount:
$625.00

Component Description:
Project management
Amount:
$2,370.00

Component Description:
Construction project management
Amount:
$625.00

Component Description:
Project management - timing
Amount:
$625.00
Tower Lease Information not provided.
Documentation

Component Description:
Ground & Building A&E permit drawing package
Amount:
$1,175.00

Component Description:
Tower permit drawing package
Amount:
$1,175.00
RF Exposure Measurements

Component Description:
RF Project Management
Amount:
$5,000.00

Component Description:
RF Project Management
Amount:
$2,500.00
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:
Eng study for new channel assignment
Amount:
$2,500.00

Component Description:
Eng study for new channel
Amount:
$1,250.00

Component Description:
Eng study for new channel assignment
Amount:
$1,250.00
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application 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 $59,340.00 $57,665.00 N/A $10,187.50 N/A
Total for all systems $3,624,715.00 $1,986,340.00 N/A $1,578,282.51 N/A
Other Expenses $59,340.00 $57,665.00 $10,187.50
MVPD Notification of Channel Change $11,000.00 $11,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $10,150.00 $10,150.00 N/A $6,437.50 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 $0.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,750.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning

Component Description:
Building permits
Amount:
$375.00

Component Description:
Ground & Building Permit Drawing Package
Amount:
$2,350.00

Component Description:
Tower Permit Drawing Package
Amount:
$2,350.00

Component Description:
Ground & Building Permit Drawing Package
Amount:
$1,175.00

Component Description:
obtain building permits
Amount:
$187.50

Component Description:
Tower Permit Drawing Package
Amount:
$1,175.00

Component Description:
Building permits
Amount:
$187.50
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Medical Testing
Amount:
$3,750.00

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $3,624,715.00 $1,986,340.00 $1,578,282.51

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.

Sravan Reddy , Reddy .

Senior Director, General Accounting


06/30/2020

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.

Sravan Reddy , Reddy .

Senior Director, General Accounting


06/30/2020

Attachments

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