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:
29712
Service:
DTV
Call Sign:
WCWJ
Channel:
20 (UHF)
File Number:
0000027958
FRN:
0002161107
Date Submitted:
09/21/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAHAM MEDIA GROUP, FLORIDA. INC.

Doing Business As: GRAHAM MEDIA GROUP, FLORIDA. INC.

James Lowery

4 BROADCAST PLACE

JACKSONVILLE, FL 32207

United States

+1 (904) 393-9871 jlowery@wjxt.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

William T Godfrey , Jr. .

Consulting Engineers

Kessler and Gehman Associates, Inc.

William T. Godfrey, Jr.

Kessler and Gehman Associates, Inc.

507-D NW 60th Street

Gainesville, FL 32607

United States

+1 (352) 332-3157 bill@kesslerandgehman.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 The WCWJ tower must be replaced due to the repack. Instead of building a new tower, it will be dismantled & WCWJ will collocate with WJXT. An interim antenna, transmitter & line are required to operate at alternate site during dismantle of WCWJ tower.

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 Sigma CD3140P2CF
Year 2008
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 34.0 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 THU9EVO-48
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 73.5 kW
Justification for New Transmitter ERP: 1000 kW (1st Priority Station) RMS Gain: 18.9 Azimuth Gain: 1.39 TX Line Loss: 0.812 Mask Filter Loss: 0.931 Combiner Loss: 0.933 H-pol Only TPO: 54.0 kW (THU9EVO-36) 1 Step Up: THU9EVO-40 Upgrade: THU9EVO-48

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 900.0 square feet
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

Other

Other transmitter costs

Remote Control

Required Remote Control Mods

Additional Installation Costs

Work performed by TSG Dermac subbed TSG Rohde & Schwarz subbed Dermac & provided quote

Electrical

Electrical for new WCWJ Main Transmitter installation & operation

Ceiling Structure Mods

Structural Analysis, Structural Design & Structural Mods required to hang RF System

Switch

Switch to Combiner Interconnect 8-3/16" 75 ohm.

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model THU9EVO-24
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 37.0 kW
Justification for New Transmitter A new transmitter for an interim facility at an alternate site is required to keep station on air while WCWJ tower is dismantled and for duration of the assigned phase. H-pol only TPO: 30.4 kW Required TX: THU9EVO-20 Upgrade TX: THU9EVO-24

Interim Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 500 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Other electrical services will be required for transmitter building at the alternate site for the interim facility to operate while the tower is being dismantled and through the assigned phase. See lease, bldg & elec quotes.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 450.0 square feet
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
Inside RF System Is an additional interior RF system required to support this interim transmitter? No

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Additional RF Components

Required to split cabinets in order to meet spacing requirements in transmitter building.

Back-up Generator

A temporary generator is required at the interim site while the WCWJ tower is being dismantled.

Temp HVAC Rental

Temporary HVAC rentals required due to temperatures exceeding 120 deg inside making conditions unworkable for crews and equipment

Remote Control

Required for operate at an interim site

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? 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: 863.0 kW
Manufacturer
Model TFU-28GTH-R 6T170
Year 2008

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 2
Number of Panels/Bays 24
Lower Limit 497.00 MHz
Upper Limit 509.00 MHz
Design power capacity in use 60.0 %
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-24GTH/VP-R TC O6SP
Year 2018
Justification for New Antenna The existing main antenna is a single channel slotted coaxial which cannot accommodate the assigned channel. The antenna is an upgrade; however, it will result in an overall system savings for the FCC since it will be shared with WJXT.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported 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? Broadband
Feed Line Size 8 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
20
18

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Extension Pole

MOUNTING POLE FOR TOP MOUNTING ANTENNA IN ORDER TO MAINTAIN FAA HEIGHT.

Shipping

Shipping Cost: $9,800

Antenna adapter

ANTENNA WEDDING CAKE MOUNTING ADAPTER.

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 Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
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: 863.0 kW
Manufacturer
Model TFU-25ETT-R O6T170
Year 2018
Justification for New Antenna An interim antenna is necessary to keep station on the air at an alternate site while the WCWJ tower is being dismantled and while the primary antenna is built-out and throughout duration of assigned phase.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? S
Feed Line Size 6 1/8 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

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

Shipping Cost: $9,800

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 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1005 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? Yes
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1155 feet per run
Justification for New Transmission Line The power rating for 7-3/16" line is not capable of handling the power required for WJXT and WCWJ shared operation. The line is considered an upgrade; however, it will result in an overall system savings since WCWJ and WJXT stations will share the costs.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Shipping

Shipping Cost: $9,800

Transmission Line Layout

Main transmission line layout and site survey to provide detailed technical information required for definitive transmission line layout.

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 6 1/8 inches
Segment Length 19 ½ '
Other Segment Length
Number of parallel runs 1
Length 1100 feet per run
Justification for New Transmission Line Interim transmission line is necessary in order to keep WCWJ on the air during primary antenna replacement and for the duration of the assigned phase. This will be at an alternate site since the tower has to be dismantled.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Shipping

Shipping Cost: $5,400

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

Auxiliary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Auxiliary (Backup)
Description of Use Interim Tower (InSite)
Ownership Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1016457
Coordinates (NAD83) Latitude (NAD83) 30° 16' 36.0" N-
Longitude (NAD83) 081° 33' 57.0" W-
Overall Structure Height 1001.63 feet
Support Structure Height 950.78 feet
Ground Elevation Above Mean Sea Level (AMSL) 25.92 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner IWG Towers Assets II, LLC
Date Constructed 07/01/1988


Auxiliary 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 documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Auxiliary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Auxiliary Tower

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Other Tower Expenses Not Listed

Name Description

Transmission Line Bridge

Required to shield interim transmission line exiting interim container feed-through to existing transmission line bridge.

Lead Based Paint Services

Interim tower discovered to have lead based paint.

Interim Tower Lease

Monthly lease expenses at alternate site (InSite Tower) to support the top-mount interim antenna, TX line and STL for up to 21 months (see attached quote).

Remove Interim Equipment

Interim tower must be rigged a second time after assigned phase is complete to have the interim antenna, interim line, STL dish and waveguide removed from tower and disposed. Old pre-auction top-mount antenna reinstalled for FAA height.

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 Owned
Is this tower consider Complex? Terrain Constrained
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? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 30° 16' 25.0" N-
Longitude (NAD83) 081° 33' 12.0" W-
Overall Structure Height 996.38 feet
Support Structure Height 882.21 feet
Ground Elevation Above Mean Sea Level (AMSL) 49.87 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner First Coast Tower Group-- DBA WTLV/WJXT
Date Constructed 01/01/1985

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
11893 WJXX DTV
65046 WTLV 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: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Helicopter Site Staging Requirement

Erickson Incorporated requires a 200 x 200 ft staging area for the helicopter lift. See attached quote to clear the site.

Foundation Expansion

In order to support the loading for WCWJ to collocate with WJXT on the WJXT tower, the guy wire anchor foundations must be reinforced (expanded).

Primary Tower

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Add Tower

Section Question Response
Existing Tower Description Type of change Construct New
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Terrain Constrained
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 30° 16' 37.0" N-
Longitude (NAD83) 081° 33' 46.0" W-
Overall Structure Height 1013.77 feet
Support Structure Height 944.87 feet
Ground Elevation Above Mean Sea Level (AMSL) 32.81 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Graham Media Group, Florida, Inc.
Date Constructed 11/15/1967


Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 1013.80 feet
Justification for New Tower Not required since tower is being dismantled

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Decom Assessment

Complete inspection to determine which Decommissioning Process will best suit the site

Inspection and Review

Engineering Climbing Inspection and Engineering Tower Decommissioning Review

Site Clearing

Terrain restricted site requires site clearing for rigging winch

Tower Dismantle

Dismantle existing tower and co-locate to WJXT tower instead of building a new 222-G rated tower.

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 Owned
Is this tower consider Complex? Terrain Constrained
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? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 30° 16' 25.0" N-
Longitude (NAD83) 081° 33' 12.0" W-
Overall Structure Height 996.38 feet
Support Structure Height 882.21 feet
Ground Elevation Above Mean Sea Level (AMSL) 49.87 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner First Coast Tower Group-- DBA WTLV/WJXT
Date Constructed 01/01/1985

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
11893 WJXX DTV
65046 WTLV DTV

Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 945.00 feet
Justification for New Tower A recent structural analysis indicates that the tower fails when changes are made that invoke EIA-222-G, such as required for this repack. The analysis states that tower cannot be upgraded to comply with the standards (see attached structural analysis).

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Other
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Helicopter Site Staging Requirement

See attached quotes. Erickson Inc. requires a 200 x 200 ft clearing for lifts and the only way to achieve this is to have the area clear-cut and also requires a Strong Plank Steel Mat.

Tower Mapping

Tower mapping cost shared with WJXT related to WCWJ moving to the WJXT tower

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 850
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
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 1
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 Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 45
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Geotechnical Report

Required for new interim transmitter building container (shared cost with WJXT).

Intermod Study at Interim Site

Tower owner requires an intermod study (see attached quote from InSite Towers, LLC)

Osborn Engineering Examination of Interim Site

Professional Services - review existing drawings, design interim transmitter building, prepare conceptual site plan layout, prepare construction documents, provide construction administration services (shared cost with WJXT).

Osborn Engineering Main Transmitter Facility

Professional Services - main transmitter facility site assessment consisting of on-site laser scanning of both the interior and exterior of the WJXT main transmitter facility (shared costs with WJXT).

Other Engineering Services

Fewer Project Management "PM" tasks are required & Other Engineering Services "OES" are required, therefore the PM total has been reduced to 850 hrs ($127,500 at $150/hr), & a new OES category has been created & funded with the money removed from PM.

Other Legal Services

Other Legal Services related to the DTV Repack

Topographic Survey

Required for new interim transmitter building container (shared cost with WJXT).

Tower Foundation Modification

Main Tower Foundation Modification To Support Post-Auction Loads. Component placed in this section because the tower section in the 399 is locked and existing components vanish when trying to add new components in that section.

Environmental Impact Study

Study conducted due to presence of visible mold in existing interim building. Building determined to be uninhabitable (shared cost with WJXT).

First Priority Filing Window Engineering Study for New Channel Assignment and Antenna Development

Prepare Engineering Portion of a First Priority Filing Window Construction Pemit Application (Unable to Construct)

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 No
FCC License to Cover Application No
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? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

STL System

Microwave dish required for interim studio to transmitter link (STL) to be operated up to 21 months. Receiver, waveguide, licensing, etc. required for interim STL. See attached STL quotes.

Sales Tax

Sales Tax

Site Clearing

Site clearing required for tower dismantle in order to have sufficient room for winch. This category has been created because the 399 will not allow additional categories under the tower section.

Other

Other expenses required for FCC Repack

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 $4,726,587.05 $3,694,811.53 N/A $3,545,933.61 N/A
Total for all systems $13,120,908.47 $7,632,609.15 N/A $6,308,936.22 N/A
Interim Transmitter THU9EVO-24 $2,124,996.16 $1,604,308.14 $1,499,151.42
Other -- Building Addition Size: 450.0 $360,210.71 $360,210.71 Attached letter from InSite Tower (interim tower) states that new building must be provided. $358,185.71 N/A
Remote Control $5,922.59 $5,922.59 N/A $5,922.59 N/A
Temp HVAC Rental $9,793.42 $9,793.42 N/A $2,661.71 N/A
Back-up Generator $61,652.08 $61,652.08 Back-up generator to be shared at interim site with WCWJ and WJXT. $61,652.08 N/A
Additional RF Components $567.10 $567.10 N/A $567.10 N/A
10 Ton system $38,900.00 $36,935.00 N/A $36,935.00 N/A
Other Electrical Service: Other electrical services will be required for transmitter building at the alternate site for the interim facility to operate while the tower is being dismantled and through the assigned phase. See lease, bldg & elec quotes. $88,350.26 $88,350.26 Jacksonville Electric Authority (JEA) services must be retained in order to modify on-site transformer to provide required service to new interim building (container). Also see attached quotes. $88,350.26 N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $5,559.50 N/A $5,559.50 N/A
Switchgear - industrial 800 amp $38,200.00 $29,700.00 N/A $29,700.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,005,617.48 Total cost minus non-reimbursable upgrade cost and non-reimbursable portion of taxes related to the upgrade. $909,617.47 N/A
Primary Transmitter THU9EVO-48 $2,601,590.89 $2,090,503.39 $2,046,782.19
Switch $49,932.51 $49,932.51 Switching required in order to access dummy load and combiner. $49,932.51 N/A
Electrical $181,700.00 $181,700.00 N/A $181,170.00 N/A
Additional Installation Costs $269,881.93 $269,881.93 WCWJ portion of installation costs. See attached R&S Quotes and Invoices. $268,011.43 The Sub-total is not greater than the Estimated Cost; they are equal.
Other -- Building Addition Size: 900.0 $25,000.00 $25,000.00 N/A $14,890.00 N/A
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW $1,999,000.00 $1,487,912.50 See attached Rohde and Schwarz Quotes and Invoices $1,487,912.50 N/A
Ceiling Structure Mods $44,865.75 $44,865.75 See attached "WJXT & WCWJ Ceiling Structural Analysis (WT Group)" for justification. $44,865.75 N/A
Other $0.00 $0.00 N/A $0.00 N/A
Remote Control $31,210.70 $31,210.70 Required Remote Control Mods $0.00 N/A

Components

Actual Information Description File Name
Other -- Building Addition Size: 450.0

Component Description:
FL Mechanical Systems (Crane to load, move and offload Interim Container)
Amount:
$6,617.50

Component Description:
Mulch Masters Railroad Ties for Interim Container
Amount:
$400.00

Component Description:
WCWJ INT Container Scherer Const 90% Invoice (Shared)
Amount:
$46,512.00

Component Description:
WCWJ INT Container (Change Order)
Amount:
$2,680.00

Component Description:
WCWJ Interim Building (Container) Construction (NET30 Payment)
Amount:
$211,797.10

Component Description:
Osborn inv #30282 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$6,900.00

Component Description:
Osborn inv #28314 Prof srvcs 180224 - 180330 UL20190205jgv1
Amount:
$9,247.48

Component Description:
Interim Container Design
Amount:
$2,425.00

Component Description:
Osborn inv #27953 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$6,558.50

Component Description:
WCWJ Interim Container (NET30)
Amount:
$32,173.50

Component Description:
WCWJ INT Container Scherer Const 10% & CO Invoice (Shared)
Amount:
$12,377.50

Component Description:
Osborn inv #29391 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$10,089.27

Component Description:
WCWJ Interim Dumpster, Storage, Plywood & Parallel RC Interface (Quote & Invoices)
Amount:
$5,075.00

Component Description:
FL Mechanical Systems (Crane to move Interim Container)
Amount:
$860.62

Component Description:
Osborn inv #29010 Interim TX Facility prof srvcs UL20190214jgv1
Amount:
$6,897.24
Remote Control

Component Description:
WCWJ Interim Remote Control (50% Shared Payment)
Amount:
$5,922.59
Temp HVAC Rental

Component Description:
Temp HVAC Rental from 8-10-20 thru 9-6-20 (5-Ton)
Amount:
$840.22

Component Description:
Temp HVAC Rental from 6-15-20 thru 7-12-20 (5-Ton)
Amount:
$981.27

Component Description:
Temp HVAC Rental from 7-13-20 thru 8-9-20 (5-Ton)
Amount:
$840.22
Back-up Generator

Component Description:
FL Mechanical Systems (Offload & Set Interim Backup Generator)
Amount:
$759.37

Component Description:
WCWJ R&S inv #9500083890 Interim Electrical temporary generator UL20180731jgv1
Amount:
$9,155.00

Component Description:
Diesel Serv-Supp inv #110000051 Backup Generator UL20180905jgv1 50% to WCWJ 50% to WJXT
Amount:
$50,375.00

Component Description:
Back-Up Generator Diesel Fuel
Amount:
$1,362.71
Additional RF Components

Component Description:
WCWJ R&S inv #9500083873 Interim Elbow UL20180725jgv1
Amount:
$567.10
10 Ton system

Component Description:
WCWJ Interim HVAC (NET30 Payment)
Amount:
$36,935.00
Other Electrical Service: Other electrical services will be required for transmitter building at the alternate site for the interim facility to operate while the tower is being dismantled and through the assigned phase. See lease, bldg & elec quotes.

Component Description:
WCWJ Interim Fire Alarm Electrical 100% Invoice (Shared)
Amount:
$296.26

Component Description:
WCWJ R&S inv #9500083847 Interim Main Panel UL20180725jgv1
Amount:
$9,484.00

Component Description:
WCWJ R&S inv #9500083890 Interim Electrical installation UL20180731jgv1
Amount:
$78,570.00
Transformer 3 phase/480v - 500 KVA

Component Description:
Coffman Elec inv #131850E Automatic Transfer Switch UL20180905jgv1 50% to WCWJ 50% to WJXT
Amount:
$5,559.50
Switchgear - industrial 800 amp

Component Description:
WCWJ R&S inv #9500083890 Interim Electrical switchgear UL20180731jgv1
Amount:
$29,700.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
WCWJ Interim Dumpster, Storage, Plywood & Parallel RC Interface (Quote & Invoices) v2
Amount:
$875.00

Component Description:
WCWJ Interim Transmitter (NET30 Down Payment)
Amount:
$262,321.02

Component Description:
WCWJ Interim Transmitter (NET30 Payment Upon Delivery)
Amount:
$646,421.45
Switch

Component Description:
WCWJ Main Additional Parts & Services (Switching)
Amount:
$49,932.51
Electrical

Component Description:
WCWJ Main Electrical 100% Invoice (Shared)
Amount:
$181,170.00
Additional Installation Costs

Component Description:
WCWJ Main Waveguide to Coax Transition
Amount:
$5,434.53

Component Description:
WCWJ Main TX & RF System Installation (100% Payment)
Amount:
$255,889.40

Component Description:
Updated as requested by RFAS Ref: MSG5451849
Amount:
N/A

Component Description:
RF System Additional Parts
Amount:
$6,687.50
Other -- Building Addition Size: 900.0

Component Description:
WCWJ Main TX Bldg Demo & Disposal (NET30 Payment)
Amount:
$14,890.00

Component Description:
WCWJ Main TX Bldg Demo & Disposal (NET30 Payment) v2
Amount:
$14,890.00
UHF - Liquid Cooled Solid State Transmitter 68.5 - 75 kW

Component Description:
WCWJ Main Transmitter (Final 25% Down Payment)
Amount:
$370,150.00

Component Description:
WCWJ Main Transmitter (Initial 25% Down Payment)
Amount:
$370,150.00

Component Description:
WCWJ Main Transmitter Reject Load
Amount:
$7,312.50

Component Description:
WCWJ Main Transmitter (50% Down Payment)
Amount:
$740,300.00
Ceiling Structure Mods

Component Description:
WCWJ Main Ceiling Structural Modification
Amount:
$29,836.00

Component Description:
WCWJ Portion of Ceiling Structural and Miscellaneous.
Amount:
$12,975.35

Component Description:
WCWJ Main Ceiling Structural Support Design (100% Payment)
Amount:
$2,054.40
Other

Component Description:
Storage Containers
Amount:
N/A
Remote Control

Component Description:
Required Remote Control Mods
Amount:
$17,379.50

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 $647,834.90 $552,578.51 N/A $518,243.01 N/A
Total for all systems $13,120,908.47 $7,632,609.15 N/A $6,308,936.22 N/A
Interim Antenna TFU-25ETT-R O6T170 $276,241.40 $222,323.40 $222,323.40
Shipping $10,211.40 $10,211.40 Actual cost for freight. See Dielectric Invoice 182009 $10,211.40 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,984.00 See attached Dielectric Quote. $10,984.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $194,728.00 See attached Dielectric Quote. $194,728.00 N/A
Primary Antenna TFU-24GTH/VP-R TC O6SP $371,593.50 $330,255.11 $295,919.61
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $20,400.00 Cost: $17,760; however, it is shared cost with WJXT, therefore, cost for WCWJ is $8,880. See attached Dielectric Quote. See attached / uploaded PDF file titled, "Die 223008 v200323pmv1". $20,400.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $44,941.61 Shared cost with WJXT $44,941.61 N/A
Sweep test of existing antenna $6,730.00 $3,200.00 Shared cost with WJXT $3,200.00 N/A
UHF - High Power Top Mount Two Station antenna elliptically or circularly polarized $161,246.50 $161,246.50 Cost: $350,093 ($322,493 less V-pol Upgrade); however, it is shared cost with WJXT, therefore, reimbursable cost for WCWJ is $161,246.49. See attached Dielectric Quote. $161,246.50 N/A
Antenna adapter $19,252.00 $19,252.00 Cost: $21,472; however, it is shared cost with WJXT, therefore, cost for WCWJ is $10,736. See attached Dielectric Quote. A 2nd adapter is required at a total price of $17,032 which is $8,516 to WCWJ and $8,516 to WJXT. $19,252.00 N/A
Shipping $4,900.00 $4,900.00 Cost: $9,800; however, it is shared cost with WJXT therefore, cost for WCWJ is $4,900. See attached Dielectric Quote. N/A N/A
Extension Pole $76,315.00 $76,315.00 Cost: $152,630; however, it is shared cost with WJXT, therefore, cost for WCWJ is $76,315. See attached Dielectric Quote. $46,879.50 N/A

Components

Actual Information Description File Name
Shipping

Component Description:
Die 182009 v190612jgv1
Amount:
$10,211.40
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
WCWJ Interim Antenna Elbow Complex (Final 10% Payment)
Amount:
$1,098.40

Component Description:
Inv MAN00266 WCWJ Interim elbow complex 45% down payment UL20180503jgv1
Amount:
$4,942.80

Component Description:
Die inv #MAN00154 Interim TX antenna elbow complex UL20181119jgv1
Amount:
$4,942.80
Sweep test of existing antenna

Component Description:
WCWJ Interim Repack Sweep (Final 10% Payment)
Amount:
$640.00

Component Description:
Die inv #MAN00154 Interim TX antenna sweep UL20181119jgv1
Amount:
$2,880.00

Component Description:
Inv MAN00266 WCWJ Interim sweep test 45% down payment UL20180503jgv1
Amount:
$2,880.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Die inv #MAN00154 Interim TX antenna UL20181119jgv1
Amount:
$87,627.60

Component Description:
Inv MAN00266 WCWJ Interim TX antenna 45% down payment UL20180503jgv1
Amount:
$87,627.60

Component Description:
WCWJ Interim Antenna (Final 10% Payment)
Amount:
$19,472.80
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Die 198003 v200323pmv4
Amount:
$888.00

Component Description:
Die inv #MAN00299 Elbow complex UL20181106jgv1
Amount:
$3,996.00

Component Description:
Die 223008 v200323pmv1
Amount:
$11,520.00

Component Description:
Inv MAN00214 WCWJ WJXT Elbow complex UL20180718jgv2
Amount:
$3,996.00
New combiner, cost per channel (without antenna)

Component Description:
WCWJ Main Combiner Payment (Cover Letter, Invoice & Quote)
Amount:
$44,941.61
Sweep test of existing antenna

Component Description:
Die inv #MAN00299 Sweep UL20181106jgv1
Amount:
$1,440.00

Component Description:
Inv MAN00214 WCWJ WJXT Sweep UL20180718jgv2
Amount:
$1,440.00

Component Description:
Die 198003 v200323pmv4
Amount:
$320.00
UHF - High Power Top Mount Two Station antenna elliptically or circularly polarized

Component Description:
Die 198003 v200323pmv4
Amount:
$16,124.66

Component Description:
Die inv #MAN00299 Primary antenna UL20181106jgv1
Amount:
$72,560.92

Component Description:
Inv MAN00214 WCWJ WJXT Primary antenna UL20180718jgv2
Amount:
$72,560.92
Antenna adapter

Component Description:
Die 198003 v200323pmv4
Amount:
$1,073.60

Component Description:
Die inv #MAN00299 Primary ant adapter UL20181106jgv1
Amount:
$4,831.20

Component Description:
Die inv #MAN00299 Primary ant adapter UL20181106jgv1
Amount:
$3,832.20

Component Description:
Die 198003 v200323pmv4
Amount:
$4,683.80

Component Description:
Inv MAN00214 WCWJ WJXT Primary ant adapter UL20180718jgv2
Amount:
$4,831.20
Shipping Information not provided.
Extension Pole

Component Description:
Inv MAN00214 WCWJ WJXT Prim ant ext pole UL20180718jgv2
Amount:
$34,341.75

Component Description:
Die 223008 v200323pmv1
Amount:
($8,558.02)

Component Description:
Die inv #MAN00299 Prim ant ext pole UL20181106jgv1
Amount:
$21,095.77

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 $696,595.00 $325,130.51 N/A $314,350.74 N/A
Total for all systems $13,120,908.47 $7,632,609.15 N/A $6,308,936.22 N/A
Interim Transmission Line $227,600.00 $167,515.51 $162,115.51
Shipping $5,400.00 $5,400.00 N/A N/A N/A
Rigid Transmission Line - copper, 6 1/8" $222,200.00 $162,115.51 See Dielectric quote for WCWJ interim facility. $162,115.51 N/A
Primary Transmission Line $468,995.00 $157,615.00 $152,235.23
Transmission Line Layout $3,250.00 $3,250.00 N/A $3,250.00 N/A
Shipping $4,900.00 $4,900.00 Shipping Cost is $9,800; however, it is a shared expense with WJXT; therefore, WCWJ shipping cost is N/A N/A
Rigid Transmission Line - copper, 8 3/16" broadband $460,845.00 $149,465.00 N/A $148,985.23 N/A

Components

Actual Information Description File Name
Shipping Information not provided.
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Inv MAN00266 WCWJ Interim line 45% down payment UL20180503jgv1
Amount:
$72,951.98

Component Description:
Die inv #MAN00154 Interim TX line UL20181119jgv1
Amount:
$70,466.29

Component Description:
Die inv #MAN00154 Interim TX antenna TLSCRs UL20181119jgv1
Amount:
$2,485.69

Component Description:
WCWJ Interim Transmission Line (Final 10% Payment)
Amount:
$16,211.55
Transmission Line Layout

Component Description:
WCWJ Main Transmission Line Layout Payment
Amount:
$3,250.00
Shipping Information not provided.
Rigid Transmission Line - copper, 8 3/16" broadband

Component Description:
Die inv #MAN00299 Feed thru UL20181106jgv1
Amount:
$4,128.75

Component Description:
Inv MAN00214 WCWJ WJXT Feed thru UL20180718jgv2
Amount:
$5,138.55

Component Description:
Die 198003 v200323pmv4
Amount:
$11,173.59

Component Description:
Die 705035 v200323pmv1
Amount:
$940.53

Component Description:
Inv MAN00214 WCWJ WJXT Transmission line UL20180718jgv2
Amount:
$63,743.94

Component Description:
Die inv #MAN00299 TLSCRs UL20181106jgv1
Amount:
$1,792.80

Component Description:
Die 198003 v200323pmv4
Amount:
($92.30)

Component Description:
Die 223008 v200323pmv1
Amount:
($929.60)

Component Description:
Inv MAN00214 WCWJ WJXT TLSCRs UL20180718jgv2
Amount:
$1,792.80

Component Description:
Die inv #MAN00299 Transmission line UL20181106jgv1
Amount:
$61,296.17

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 $5,494,587.15 $1,547,774.23 N/A $1,350,330.60 N/A
Total for all systems $13,120,908.47 $7,632,609.15 N/A $6,308,936.22 N/A
Auxiliary Tower TOWER $775,356.79 $574,411.87 $395,718.24
Structural engineering tower load study for well documented tower $12,600.00 $2,000.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $2,000.00 N/A
Transmission Line Bridge $8,595.52 $8,595.52 N/A $8,595.52 N/A
Minor tower reinforcement/modifications $158,000.00 $75,000.00 Shared cost with WJXT $55,458.37 N/A
Interim Tower Lease $217,096.77 $217,096.77 See attached InSite Tower LLC quote. Costs are based on leasing space on the interim tower for just under 22 months at $10,000 per month. $217,096.77 N/A
Tall Tower (greater than 500') $210,500.00 $103,155.08 Shared expense with WJXT $103,155.08 N/A
Lead Based Paint Services $9,412.50 $9,412.50 N/A $9,412.50 N/A
Remove Interim Equipment $159,152.00 $159,152.00 Interim tower must be rigged after assigned phase is complete in order to have interim antenna, line, STL & waveguide removed from tower and disposed. Old pre-auction top-mount antenna belonging to tower owner must be reinstalled to maintain FAA height. N/A N/A
Primary Tower GTOWER $3,790,760.15 $702,940.15 $684,190.15
Tower Dismantle $656,140.15 $656,140.15 N/A $656,140.15 N/A
Tower Decom Assessment $7,950.00 $7,950.00 N/A $7,950.00 N/A
Inspection and Review $20,100.00 $20,100.00 N/A $20,100.00 N/A
Site Clearing $18,750.00 $18,750.00 N/A N/A N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 Not required since tower is being dismantled N/A N/A
New tower between 1000' and 1500' without elevator, presumptive soil conditions $2,666,820.00 $0.00 Not required since tower is being dismantled N/A N/A
Primary Tower $923,251.46 $265,203.46 $265,203.46
Major tower reinforcement/modifications $421,000.00 $32,103.39 ***System Notice: Estimate adjusted and locked because line has been superseded.***Costs for WCWJ tower mods are a shared expense with WJXT. $32,103.39 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $151,848.61 ***System Notice: Estimate adjusted and locked because line has been superseded.***Actual costs: $477,646 for main antenna install minus $73,300 for helicopter lift equates to $404,346. Since main antenna is shared with WJXT, the main antenna install cost for WCWJ is $202,173 (50% of $404,346). See ERI Proposal No. 20180123-851 Rev B. $151,848.61 N/A
Foundation Expansion $43,751.46 $43,751.46 ***System Notice: Estimate adjusted and locked because line has been superseded.***Quote is for $183,284. Shared expense with WJXT; therefore WCWJ cost is $91642. $43,751.46 N/A
Helicopter Site Staging Requirement $37,500.00 $37,500.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***See attached clearing quote for $75,000. Erickson Inc. requires a 200 x 200 ft clearing for lifts and the only way to achieve this is to have the area clear-cut and also requires a Strong Plank Steel Mat. Shared expense with WJXT is $37,500. $37,500.00 N/A
Primary Tower $5,218.75 $5,218.75 $5,218.75
Tower Mapping $5,218.75 $5,218.75 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $5,218.75 N/A
Primary Tower TOWER $0.00 $0.00 $0.00

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Inv FL952GRARADIO WJXT Structural Analysis UL20180521jgv2 50% to WJXT 50% to WCWJ
Amount:
$2,000.00
Transmission Line Bridge

Component Description:
WCWJ Interim Transmission Line Bridge (10%)
Amount:
$311.35

Component Description:
WCWJ Interim Transmission Line Bridge (50%)
Amount:
$3,480.50

Component Description:
WCWJ Interim Transmission Line Bridge (40%)
Amount:
$4,803.67
Minor tower reinforcement/modifications

Component Description:
WCWJ INT TWR Climbing Inspection (NET30 Pymt)
Amount:
$1,531.25

Component Description:
WCWJ Interim Tower Mods (First 50% Shared Payment)
Amount:
$24,754.37

Component Description:
WCWJ Interim Tower Mods (Final 50% Shared Payment)
Amount:
$29,172.75
Interim Tower Lease

Component Description:
WCWJ Interim TWR Lease Payments (April 2020)
Amount:
$10,000.00

Component Description:
WCWJ Interim TWR Lease Payments (OCT & NOV 2019)
Amount:
$20,000.00

Component Description:
WCWJ Interim TWR Lease Payments (September 2019)
Amount:
$10,000.00

Component Description:
WCWJ Interim TWR Lease Payments (February 2020)
Amount:
$10,000.00

Component Description:
WCWJ Interim TWR Lease Payments (March 2020)
Amount:
$10,000.00

Component Description:
WCWJ Interim TWR Lease Payments (January 2020)
Amount:
$10,000.00

Component Description:
WCWJ Interim Tower Lease Payments (MAR 2019)
Amount:
$10,000.00

Component Description:
WCWJ Interim Tower Lease Payments (JAN & FEB 2019)
Amount:
$20,000.00

Component Description:
WCWJ Interim TWR Lease Payments (May & June 2019)
Amount:
$20,000.00

Component Description:
WCWJ Interim TWR Lease Payments (APRIL 2019)
Amount:
$10,000.00

Component Description:
WCWJ Interim Tower Lease Payments (JUL 10, 2018 - DEC 31, 2018)
Amount:
$57,096.77

Component Description:
WCWJ Interim TWR Lease Payments (July & August 2019)
Amount:
$20,000.00

Component Description:
WCWJ Interim TWR Lease Payments (December 2019)
Amount:
$10,000.00
Tall Tower (greater than 500')

Component Description:
ERI WCWJ-005 v190910jgv1
Amount:
$4,825.70

Component Description:
ERI inv #WCWJ-004 Spring Hanger Ext Hardware UL20181127jgv1
Amount:
$3,925.88

Component Description:
WCWJ INT Ant Install (50%, 40% and 10% Pymts)
Amount:
$94,403.50
Lead Based Paint Services

Component Description:
WCWJ Interim Tower Lead Based Paint Initial Payment
Amount:
$4,150.00

Component Description:
WCWJ Interim Tower Lead Based Paint Final Payment
Amount:
$5,262.50
Remove Interim Equipment Information not provided.
Tower Dismantle

Component Description:
Tower Dismantle - Initial 50% Payment
Amount:
$325,350.00

Component Description:
WCWJ Tower Dismantle Washers required to stabilize tower while dismantling.
Amount:
$313.44

Component Description:
Tower Dismantle - Final 10% Payment
Amount:
$64,926.71

Component Description:
Tower Dismantle - 40% Payment
Amount:
$265,550.00
Tower Decom Assessment

Component Description:
WCWJ Tower Inspection Mobilization Invoice & Quote (TEP)
Amount:
$2,000.00

Component Description:
WCWJ Tower Decom Assessment Invoice & Quote (TEP)
Amount:
$5,950.00
Inspection and Review

Component Description:
WCWJ Tower Inspection & Decom Assessment ERI Invoice & Quote (Initial 50%)
Amount:
$10,050.00

Component Description:
WCWJ Tower Inspection & Decom Assessment ERI Invoice & Quote (Final 50%)
Amount:
$10,050.00
Site Clearing Information not provided.
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
New tower between 1000' and 1500' without elevator, presumptive soil conditions Information not provided.
Major tower reinforcement/modifications

Component Description:
WCWJ Main Tower Mods (Final 50% Shared Payment)
Amount:
$17,787.14

Component Description:
WCWJ Main Tower Mods (50% Shared Payment)
Amount:
$14,316.25
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
WCWJ Main Antenna & Line Installs (Final 10% Payment)
Amount:
$14,331.05

Component Description:
WCWJ Main Antenna & Line Installs (40% Payment)
Amount:
$65,862.31

Component Description:
WCWJ Main Antenna & Line Installs (Initial 50% Down Payment)
Amount:
$71,655.25
Foundation Expansion

Component Description:
Osborn inv #26797R Twr found eng 170930 - 171027 UL20181114jgv1
Amount:
$10,372.60

Component Description:
Osborn inv #26528R Twr found eng 170701 - 170929 UL20181114jgv1
Amount:
$14,449.65

Component Description:
Osborn inv #29009 Twr found eng 180331 - 180427 UL20181114jgv1
Amount:
$2,529.20

Component Description:
Osborn inv #28313 Twr found eng 180224 - 180330 UL20181114jgv1
Amount:
$2,159.35

Component Description:
Osborn inv #27338 Twr found eng 171125 - 171231 UL20181114jgv1
Amount:
$2,702.68

Component Description:
Matrax inv #2041 Mud mat rental UL20181112jgv1
Amount:
$989.48

Component Description:
Osborn inv #28225 Twr found eng 180127 - 180223 UL20181114jgv1
Amount:
$4,167.00

Component Description:
Osborn inv #28313 Twr found eng 180224 - 180330 UL20190213jgv1
Amount:
$2,159.35

Component Description:
Osborn inv #29390 Twr found eng 180428 - 180525 UL20181114jgv1
Amount:
$69.80

Component Description:
Osborn inv #27213 Twr found eng 171028 - 171125 UL20181114jgv1
Amount:
$6,201.75

Component Description:
Osborn inv #27832 Twr found eng 180101 - 180126 UL20181114jgv1
Amount:
$109.95
Helicopter Site Staging Requirement

Component Description:
Roberts Tree Svc 456877 v200306jgv1
Amount:
$37,500.00
Tower Mapping

Component Description:
Inv 947-05 Tower mapping UL20180712jgv2 50% to WCWJ 50% to WJXT
Amount:
$3,687.50

Component Description:
Inv FL952GRA1422873 WCWJ Climbing Inspection UL20180605jgv2 50% to WCWJ 50% to WJXT
Amount:
$1,531.25

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 $879,596.50 $864,761.50 N/A $496,174.41 N/A
Total for all systems $13,120,908.47 $7,632,609.15 N/A $6,308,936.22 N/A
Outside Professional Services $879,596.50 $864,761.50 $496,174.41
First Priority Filing Window Engineering Study for New Channel Assignment and Antenna Development $7,000.00 $7,000.00 Required for Unable to Construct Stations $7,000.00 N/A
Environmental Impact Study $2,420.00 $2,420.00 Shared cost with WJXT N/A N/A
Tower Foundation Modification $50,511.50 $50,511.50 Tower foundation modification required to support post-auction loads for the WCWJ and WJXT facilities. $50,511.50 N/A
Topographic Survey $870.00 $870.00 Shared cost with WJXT N/A N/A
Other Legal Services $10,000.00 $10,000.00 Other Legal Services related to the DTV Repack $5,670.41 N/A
Other Engineering Services $381,490.00 $381,490.00 See attached invoiced & quotes applicable as the project has progressed. $381,490.00 N/A
Osborn Engineering Main Transmitter Facility $8,590.00 $8,590.00 Shared cost with WJXT. N/A N/A
Osborn Engineering Examination of Interim Site $51,710.00 $51,710.00 Shared cost with WJXT. See attached Osborn Engineering quote. N/A N/A
Intermod Study at Interim Site $500.00 $500.00 See attached InSite Tower LLC quote for required study. Shared cost with WJXT. N/A N/A
Geotechnical Report $2,035.00 $2,035.00 Shared cost with WJXT N/A N/A
Additional Field Engineering Service, 45 Days $90,000.00 $90,000.00 N/A $23,810.00 N/A
RF Exposure Measurements $21,050.00 $10,000.00 Shared expense with WJXT N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A $550.00 N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $11,885.00 See attached Invoices and Quotes $11,885.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A $1,500.00 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
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $3,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $7,000.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $134,300.00 $127,500.00 Fewer Project Management "PM" tasks are required & Outside Engineering Services "OES" are required, therefore the PM total has been reduced to 850 hrs ($127,500 at $150/hr), & a new OES category has been created & funded with the money removed from PM. $3,757.50 N/A

Components

Actual Information Description File Name
First Priority Filing Window Engineering Study for New Channel Assignment and Antenna Development

Component Description:
KGA 947-16 v190502pmv1
Amount:
$7,000.00
Environmental Impact Study Information not provided.
Tower Foundation Modification

Component Description:
WCWJ Main Tower Foundation Modifications 100% Invoice (Shared with WJXT)
Amount:
$50,511.50
Topographic Survey Information not provided.
Other Legal Services

Component Description:
C&B 60847115 v190613pmv1
Amount:
$71.10

Component Description:
C&B 60816789 v190613pmv1
Amount:
$288.90

Component Description:
Covington inv #60790156 Various Legal UL20181023jgv1
Amount:
$62.10

Component Description:
Covington inv #60780136 Various Legal UL20190221jgv2
Amount:
$135.00

Component Description:
Covington inv #60836456 Various Legal thru 190131 UL20181030jgv1
Amount:
$1,694.06

Component Description:
Covington inv #60793199 Various Legal UL20181023jgv1
Amount:
$149.47

Component Description:
Covington inv #60812706 Various Legal UL20181024jgv1
Amount:
$309.70

Component Description:
Covington inv #60780135 Various Legal UL20181019jgv1
Amount:
$1,872.22

Component Description:
Covington inv #60780136 Various Legal UL20181022jgv1
Amount:
$247.50

Component Description:
Covington inv #60816783 Various Legal UL20181030jgv1
Amount:
$130.50

Component Description:
Covington inv #60774445 Various Legal UL20181022jgv1
Amount:
$1,246.26
Other Engineering Services

Component Description:
KGA 947-184 v190705jgv2
Amount:
$32,462.50

Component Description:
KGA 947-145 v190507pmv1
Amount:
$12,325.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$3,000.00

Component Description:
KGA 947-183 v190705jgv2
Amount:
$14,167.50

Component Description:
KGA 947-19 v191003jgv5
Amount:
$750.00

Component Description:
KGA 947-182 v190705jgv2
Amount:
$16,247.50

Component Description:
KGA 947-144 v190507pmv1
Amount:
$4,575.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$750.00

Component Description:
KGA 947-87 v190503pmv1
Amount:
$120,300.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$22,100.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$5,400.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$22,100.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$750.00

Component Description:
KGA 947-64 v190503pmv1
Amount:
$36,645.00

Component Description:
KGA 947-17 v190502pmv1
Amount:
$2,800.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$750.00

Component Description:
KGA 947-161 v190507pmv1
Amount:
$300.00

Component Description:
KGA inv #947-112 Other Eng Srvcs UL20181113jgv1
Amount:
$54,625.00

Component Description:
KGA 947-50 v190503pmv1
Amount:
$2,425.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$750.00

Component Description:
KGA 947-147 v190507pmv1
Amount:
$22,575.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$5,400.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$3,000.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$750.00

Component Description:
KGA inv #947-77 Actual Cost Invs UL20181109jgv1
Amount:
$750.00

Component Description:
KGA 947-146 v190507pmv1
Amount:
$14,450.00

Component Description:
KGA 947-181 v190705jgv2
Amount:
$14,392.50

Component Description:
KGA 947-100 v190503pmv1
Amount:
$450.00
Osborn Engineering Main Transmitter Facility Information not provided.
Osborn Engineering Examination of Interim Site Information not provided.
Intermod Study at Interim Site Information not provided.
Geotechnical Report Information not provided.
Additional Field Engineering Service, 45 Days

Component Description:
KGA 947-93 v190503pmv1
Amount:
$2,700.00

Component Description:
KGA 947-43 v190503pmv1
Amount:
$4,050.00

Component Description:
KGA 947-68 v190530pmv2
Amount:
$1,350.00

Component Description:
KGA 947-52 v190503pmv1
Amount:
$2,700.00

Component Description:
KGA 947-98 v190503pmv1
Amount:
$2,700.00

Component Description:
KGA 947-19 v200204jgv6
Amount:
$500.00

Component Description:
KGA 947-73 v190503pmv1
Amount:
$1,350.00

Component Description:
KGA 947-44 v190503pmv1
Amount:
$1,800.00

Component Description:
KGA 947-45 v190503pmv1
Amount:
$1,800.00

Component Description:
KGA 947-46 v190503pmv1
Amount:
$2,700.00

Component Description:
KGA 947-47 v190503pmv1
Amount:
$2,160.00

Component Description:
KGA 947-67 v190711jgv3
Amount:
$3,800.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$500.00

Component Description:
KGA 947-68 v191210jgv2
Amount:
$1,350.00
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
KGA 947-72 v190503pmv1
Amount:
$550.00
ASR modification (prepare FCC Form 854) Information not provided.
Prepare and or review reimbursement form

Component Description:
KGA 947-106 v190503pmv1
Amount:
$2,677.50

Component Description:
KGA inv #947-77 Actual Cost Invs UL20190329jgv2
Amount:
$750.00

Component Description:
KGA 947-123 v190507pmv1
Amount:
$700.00

Component Description:
KGA 947-122 v190507pmv1
Amount:
$275.00

Component Description:
KGA 947-166 v190507pmv1
Amount:
$1,232.50

Component Description:
KGA 947-125 v190507pmv1
Amount:
$250.00

Component Description:
KGA 947-12 v190502pmv1
Amount:
$2,500.00

Component Description:
KGA 947-156 v190507pmv1
Amount:
$725.00

Component Description:
KGA 947-124 v190507pmv1
Amount:
$2,775.00
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
KGA 947-90 v190503pmv1
Amount:
$1,500.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
KGA 947-22 v190502pmv1
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
KGA 947-19 v200204jgv6
Amount:
$7,000.00

Component Description:
KGA 947-19 v191003jgv5
Amount:
$7,000.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition

Component Description:
KGA inv #947-108 Form 387 2018 Q3 UL20181109jgv1
Amount:
$300.00

Component Description:
KGA inv947-19 is no longer being applied to this component
Amount:
N/A

Component Description:
KGA 947-32 v190502pmv1
Amount:
$300.00

Component Description:
KGA 947-79 v190503pmv1
Amount:
$300.00

Component Description:
KGA inv #947-23 Project Management UL20180726jgv1 50% to WCWJ 50% to WJXT
Amount:
$2,257.50

Component Description:
KGA 947-54 v190503pmv1
Amount:
$300.00

Component Description:
Inv 947-31 WCWJ PM 387 2017 Q4 UL20180621jgv1
Amount:
$300.00

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 $242,107.87 $241,552.87 N/A $77,903.85 N/A
Total for all systems $13,120,908.47 $7,632,609.15 N/A $6,308,936.22 N/A
Other Expenses $242,107.87 $241,552.87 $77,903.85
Other $825.00 $825.00 N/A $825.00 N/A
Site Clearing $18,750.00 $18,750.00 Site clearing required for tower dismantle in order to have sufficient room for winch. This category has been created because the 399 will not allow additional categories under the tower section. $18,750.00 N/A
Sales Tax $8,628.76 $8,628.76 Sales tax on any purchases where it is charged will be added to this component, with the cost adjusted upward accordingly. $8,023.75 N/A
STL System $47,989.61 $47,989.61 STL required at interim site. See attached STL quotes from Vernick Technology, Inc. and Data Flow Communications. $27,977.19 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $10,000.00 $10,000.00 N/A N/A N/A
Equipment Storage $25,000.00 $25,000.00 N/A $8,515.60 N/A
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $8,363.81 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $42,169.50 $42,169.50 See attached Rohde & Schwarz Quote Number 190379.0 (WCWJ Interim Decom) $2,173.50 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $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
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,275.00 N/A

Components

Actual Information Description File Name
Other

Component Description:
Interim Site Fence Re-Installation
Amount:
$825.00
Site Clearing

Component Description:
WCWJ Tower Dismantle Site Clearing (Big Ben's Tree Service)
Amount:
$18,750.00

Component Description:
WCWJ Tower Dismantle Site Clearing (Big Ben's Tree Service)
Amount:
$18,750.00
Sales Tax

Component Description:
WCWJ Interim Dumpster, Storage, Plywood & Parallel RC Interface (Quote & Invoices)
Amount:
$878.25

Component Description:
WCWJ R&S inv #9500083890 Interim Electrical sales tax UL20180731jgv1
Amount:
$7,145.50

Component Description:
Die ST572035 v190924pmv1
Amount:
$302.50
STL System

Component Description:
WCWJ Interim STL System - Data Flow (NET30 Payment)
Amount:
$27,977.19
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Storage Containers
Amount:
$1,870.50

Component Description:
WCWJ Interim Dumpster, Storage, Plywood & Parallel RC Interface (Quote & Invoices)
Amount:
$5,650.00

Component Description:
WCWJ R&S inv #9500083842 Storage container UL20180723jgv1
Amount:
$995.10
Equipment Delivery and Handling Charges

Component Description:
Die 214014 v200323pmv1
Amount:
$8,363.81

Component Description:
Die 576032 v190920pmv1
Amount:
$144.10
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
WCWJ R&S inv #9500083843 Dumpster UL20180725jgv1
Amount:
$1,123.50

Component Description:
WCWJ Interim Dumpster, Storage, Plywood & Parallel RC Interface (Quote & Invoices)
Amount:
$1,050.00
Non-zoning permits Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification

Component Description:
RF Notifs 1347 v190925jgv1
Amount:
$3,275.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $13,120,908.47 $7,632,609.15 $6,308,936.22

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 T. Godfrey , Jr. .

KGA - Consulting Engineers


09/21/2020

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 T. Godfrey , Jr. .

KGA - Consulting Engineers


09/21/2020

Attachments

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