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:
71221
Service:
DTV
Call Sign:
WBRC
Channel:
29 (UHF)
File Number:
0000025069
FRN:
0018223693
Date Submitted:
09/30/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GRAY TELEVISION LICENSEE, LLC

Doing Business As: WBRC

4370 PEACHTREE ROAD, NE

ATLANTA, GA 30319

United States

+1 (205) 322-6666 Robert.Folliard@gray.tv 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

Samuel Hariton

Widelity

4031 University Dr.

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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. No
Briefly describe transition plan Station has licensed aux line and antenna they will use as interim. Remove and replace top mounted antenna and connect to existing line. Station needs small rental interim transmitter while dual IOT is replaced due to building space considerations.

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 DDT60KW2
Year 2003
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 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? No
Manufacturer
Model ULXTE-100
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 62.9 kW
Justification for New Transmitter Existing IOT can not be retuned UBS document attached Headroom analysis attached

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) Yes
Transformer (480V) Yes
Power 500 kVA
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? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Primary Transmitter - Relocate HVAC Condenser

Relocate HVAC Condenser

Primary Transmitter - Install and Deinstall

Deinstallation of prior transmitter and installation of new transmitter

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 ULXTE-60
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 30 kW
Justification for New Transmitter interim rental while existing is removed and replaced due to building space considerations Existing 1kw transmitter insufficient as interim and being replaced.

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) No
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical drawings, labor, and other electrical expenses related to the interim transmitter
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
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

Information not provided.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Auxiliary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use Auxiliary
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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-30DSC RO4
Year 2006

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Auxiliary
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side 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: 609.0 kW
Manufacturer
Model TFU-30DSC Ch-29
Year 2020
Justification for New Antenna Existing Aux antenna can not be retuned Aux licensed H-pol

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Auxiliary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
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: 912.0 kW
Manufacturer
Model TFU-28GRTH/VP-R 06
Year 2003

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? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 609.0 kW
Manufacturer
Model TFU-22GTH/VP-R-O6
Year 2019
Justification for New Antenna Existing antenna can not be retuned Station licensed e-pol

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? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

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? No

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 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) No
Others Types of Users Yes
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? Yes
ASR Number 1007836
Coordinates (NAD83) Latitude (NAD83) 33° 29' 19.0" N-
Longitude (NAD83) 086° 47' 58.0" W-
Overall Structure Height 1041.98 feet
Support Structure Height 984.24 feet
Ground Elevation Above Mean Sea Level (AMSL) 1006.88 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WBRC, LLC
Date Constructed 01/01/1987


Other Types of Users

Users
WBHM-FM ID 4240

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Engineering Costs

Structural Engineering Tower Load Study

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 300
Explanation Pattern analysis Antenna Spec Transmitter Spec Building drawings Installation Supervision Accounting Internal Legal
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
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 Yes
RF exposure measurements No
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

Information not provided.

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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? 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

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 $4,492,490.83 $3,400,350.64 N/A $3,326,720.00 N/A
Total for all systems $5,882,499.33 $4,521,634.64 N/A $4,030,159.51 N/A
Interim Transmitter ULXTE-60 $987,000.00 $1,138,468.20 $1,109,663.79
Other Electrical Service: Electrical drawings, labor, and other electrical expenses related to the interim transmitter $3,200.00 $3,200.00 Please see WBRC Interim Transmitter-Other Electrical Service Budget Revision Justification Letter N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $1,100,268.20 Please see Estimated Cost Justification WBRC-180-Interim Transmitter - UHF Liquid Cooled Solid State, 21-31 kW v0 $1,100,268.19 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A $9,395.60 N/A
Primary Transmitter ULXTE-100 $3,505,490.83 $2,261,882.44 $2,217,056.21
Primary Transmitter - Install and Deinstall $6,186.92 $6,186.92 Please see Estimated Cost Justification WBRC-110-1st Primary Transmitter - Install and Deinstall v1 $6,186.92 N/A
UHF - Liquid Cooled Solid State Transmitter 62.9 kW $1,616,066.91 $1,616,066.91 see Estimated Cost Justification WBRC-110-1st Primary Transmitter - UHF - Liquid Cooled Solid State Transmitter 62.9 kW v1 $1,607,475.88 N/A
Primary Transmitter - Relocate HVAC Condenser $8,637.00 $8,637.00 Please see VULCAN HEATING & AIR CONDITIONING SERVICE, INC proposal dated 1-24-19 $8,637.00 N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $46,000.00 N/A $9,764.80 N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $584,991.61 ***System Notice: Estimate adjusted and locked because line has been superseded.***Quote attached $584,991.61 N/A
Switchgear - industrial 800 amp $38,200.00 $0.00 included in primary transmitter estimated cost $0.00 N/A

Components

Actual Information Description File Name
Other Electrical Service: Electrical drawings, labor, and other electrical expenses related to the interim transmitter Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
ULXTE-60 Transmitter
Amount:
$359,844.85

Component Description:
ULXTE-60
Amount:
$147,597.65

Component Description:
Transmitter
Amount:
$494,427.26

Component Description:
ULXTE-60
Amount:
$98,398.43
Transformer 3 phase/480v - 300 KVA

Component Description:
WBRC-180-Interim Transmitter - 3 Phase, 480 V, 300 KVA Transformer
Amount:
$3,041.00

Component Description:
WBRC-180-Interim Transmitter - 3 Phase, 480 V, 300 KVA Transformer
Amount:
$6,354.60
Primary Transmitter - Install and Deinstall

Component Description:
WBRC-110-1st Primary Transmitter - Install and Deinstal
Amount:
$1,920.00

Component Description:
HEATER/KEROSENE
Amount:
$416.92

Component Description:
Provided Material and Labor to relocate clean agent piping in data room for new equipment to be installed.
Amount:
$3,850.00
UHF - Liquid Cooled Solid State Transmitter 62.9 kW

Component Description:
A. Transmitter
Amount:
$683,103.62

Component Description:
contract price
Amount:
$8,591.00

Component Description:
Transmitter
Amount:
$924,372.26
Primary Transmitter - Relocate HVAC Condenser

Component Description:
Invoice for work performed at the location listed above.
Amount:
$8,637.00
Transformer 3 phase/480v - 500 KVA

Component Description:
WBRC-110-1st Primary Transmitter - 3 Phase, 480 V, 500 KVA Transformer
Amount:
$1,148.80

Component Description:
WBRC-110-1st Primary Transmitter - 3 Phase, 480 V, 500 KVA Transformer
Amount:
$8,616.00
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Contract Price
Amount:
$20,790.00

Component Description:
Contract Price
Amount:
$13,860.00

Component Description:
UXLTE-100-E
Amount:
$181,328.64

Component Description:
Contract Price
Amount:
$20,790.00

Component Description:
Contract Price
Amount:
$20,790.00

Component Description:
Contract Price
Amount:
$41,580.00

Component Description:
Invoice moved as the category has been superseded.
Amount:
N/A

Component Description:
ULXTE-100-E
Amount:
$271,992.97

Component Description:
Contract Price
Amount:
$13,860.00
Switchgear - industrial 800 amp 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 $504,979.00 $429,894.50 N/A $385,422.99 N/A
Total for all systems $5,882,499.33 $4,521,634.64 N/A $4,030,159.51 N/A
Primary Antenna TFU-22GTH/VP-R-O6 $296,230.00 $221,735.50 $190,382.49
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $215,335.50 Quote attached Station is licensed e-pol $184,942.49 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,440.00 N/A
Auxiliary Antenna TFU-30DSC Ch-29 $208,749.00 $208,159.00 $195,040.50
UHF - High Power, Side Mount, basic slot antenna, 609 kW input, horizontally polarized $196,759.00 $196,759.00 Quote attached H-pol only aux antenna $194,400.50 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $640.00 N/A

Components

Actual Information Description File Name
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
UHF - High power top mount; Elbow complex; EIA length; Reducer; Field engineer
Amount:
$53,833.87

Component Description:
"Elbow complex, single channel, at antenna input, per 6-1/8"" feedline (if needed) ELBOW COMPLEX 6-1/8"" 75 OHM CH 29 WBRC"
Amount:
$1,907.32

Component Description:
UHF - High Power Top Mount, EIA length, Elbow complex, Reducer, Field engineer
Amount:
$107,667.75

Component Description:
UHF- High Powered Top Mount
Amount:
$21,533.55
Sweep test of existing antenna

Component Description:
Primary Antenna Sweep Test
Amount:
$3,200.00

Component Description:
WBRC-210-Primary Antenna - Sweep Test
Amount:
$1,600.00

Component Description:
Primary Antenna Sweep
Amount:
$640.00
UHF - High Power, Side Mount, basic slot antenna, 609 kW input, horizontally polarized

Component Description:
UHF - Lower Power Side Mount Horizontally Polarized Side Mount Ant
Amount:
$162,309.10

Component Description:
ELBOW COMPLEX, SINGLE CHANNEL AT ANTENNA INPUT
Amount:
$12,415.50

Component Description:
UHF Lower Power Side Mount
Amount:
$19,675.90
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Sweep test of existing antenna

Component Description:
Auxiliary Antenna - Sweep Test
Amount:
$640.00

Cost Information

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Transmission Line

Information not provided.

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 $668,150.00 $390,600.00 N/A $221,750.00 N/A
Total for all systems $5,882,499.33 $4,521,634.64 N/A $4,030,159.51 N/A
Primary Tower TOWER $668,150.00 $390,600.00 $221,750.00
Tower Helicopter Lift $56,350.00 $56,350.00 Please see attached proposal Tower King C-19-008 and email $56,350.00 N/A
Minor tower reinforcement/modifications $158,000.00 $150,000.00 N/A N/A N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $5,500.00 N/A $5,500.00 N/A
Tower Engineering Costs $6,500.00 $6,500.00 See Purchase Order RE-WBRC-5-23-17 $3,250.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $172,250.00 Please see Estimated Cost Justification WBRC-410-Existing Primary Tower - Tower Rigging, Complex Tower V0 $156,650.00 N/A

Components

Actual Information Description File Name
Tower Helicopter Lift

Component Description:
WBRC-410-Existing Primary Tower -Tower Helicopter Lift
Amount:
$29,894.60

Component Description:
WBRC-410-Existing Primary Tower -Tower Helicopter Lift
Amount:
$26,455.40
Minor tower reinforcement/modifications Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Tower Service - Mapping of WBRC for Repack
Amount:
$5,500.00
Tower Engineering Costs

Component Description:
Professional Engineering Services
Amount:
$3,250.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Final Billing for Completion of the project for the WBRC-TV Repack Antenna Project in Birmingham AL
Amount:
$83,105.40

Component Description:
Tower Service - Down payment and mobilization for the WBRC-TV repack antenna project
Amount:
$73,544.60

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 $159,215.00 $250,925.00 N/A $82,571.01 N/A
Total for all systems $5,882,499.33 $4,521,634.64 N/A $4,030,159.51 N/A
Outside Professional Services $159,215.00 $250,925.00 $82,571.01
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 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 - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,000.00 N/A
Project management of the transition $47,400.00 $144,675.00 Widelity Strategic Support Quote $79,071.01 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,500.00 N/A

Components

Actual Information Description File Name
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
FCC Form 2100 Construction Permit Application
Amount:
$2,000.00
Project management of the transition

Component Description:
Project Management
Amount:
$2,327.65

Component Description:
Project Management
Amount:
$5,038.50

Component Description:
Project Management
Amount:
$2,265.35

Component Description:
Project Management
Amount:
$3,918.70

Component Description:
Project Management
Amount:
$4,493.30

Component Description:
Project management
Amount:
$2,650.25

Component Description:
Project Management
Amount:
$2,019.65

Component Description:
Project Management
Amount:
$4,208.25

Component Description:
Project Management
Amount:
$3,775.75

Component Description:
Project Management
Amount:
$2,028.15

Component Description:
Project Management
Amount:
$2,761.90

Component Description:
Project Management
Amount:
$2,116.70

Component Description:
Project Management
Amount:
$2,290.95

Component Description:
Project Management
Amount:
$3,447.30

Component Description:
Project Management
Amount:
$28.23

Component Description:
Project Management
Amount:
$3,543.70

Component Description:
Project Management
Amount:
$439.10

Component Description:
Project Management
Amount:
$125.76

Component Description:
Project Management
Amount:
$2,128.20

Component Description:
Project Management
Amount:
$633.96

Component Description:
Project Management
Amount:
$2,583.70

Component Description:
Project Management
Amount:
$2,183.35

Component Description:
Project Management
Amount:
$3,410.15

Component Description:
Project Management
Amount:
$7,269.30

Component Description:
Project Management
Amount:
$3,212.55

Component Description:
Project Management
Amount:
$3,482.21

Component Description:
Project Management
Amount:
$2,588.40

Component Description:
Project Management
Amount:
$4,100.00
Perform engineering study for new channel assignment and antenna development

Component Description:
WBRC-530-RF Eng - Engineering Study for New Channel Assignment
Amount:
$375.00

Component Description:
Engineering study work for new channel assignment and antenna development.
Amount:
$125.00

Component Description:
Engineering study work for new channel assignment and antenna development; Preparation of the engineering portion of FCC Form 2100 (90 day construction permit application).
Amount:
$1,000.00

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 $57,664.50 $49,864.50 N/A $13,695.51 N/A
Total for all systems $5,882,499.33 $4,521,634.64 N/A $4,030,159.51 N/A
Other Expenses $57,664.50 $49,864.50 $13,695.51
MVPD Notification of Channel Change $0.00 $0.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $1,599.16 $1,599.16 Please see Gray TV WBRC Disposal Costs Budget Justification Cover Letter $1,599.16 N/A
DTV Medical Facility Notification $11,550.00 $3,750.00 Group quote attached N/A N/A
Equipment Delivery and Handling Charges $11,165.34 $11,165.34 see Estimated Cost Justification WBRC-610-Equipment Delivery and Handling v0 $11,165.34 N/A
Develop and air announcement of upcoming channel change $2,850.00 $2,850.00 estimate for on air rescan announcement production. Quote attached N/A N/A
Equipment Storage $30,500.00 $30,500.00 Estimate for Dielectric on site antenna storage Dielectric letter attached $931.01 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Recovery Fee
Amount:
$1,310.36

Component Description:
Oil Service/Stop Fee
Amount:
$288.80
DTV Medical Facility Notification Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Forklift rental
Amount:
$2,879.45

Component Description:
FORKLIFT/RT/EXT REACH
Amount:
$2,756.99

Component Description:
FORKLIFT/RT/EXT
Amount:
$2,764.45

Component Description:
Forklift/RT/Ext Reach/8K
Amount:
$2,764.45
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Storage Container/20'
Amount:
$109.14

Component Description:
Storage Container/20'
Amount:
$109.14

Component Description:
STORAGE CONTAINER/20'
Amount:
$109.14

Component Description:
STORAGE CONTAINER
Amount:
$109.14

Component Description:
Storage Container/20'
Amount:
$167.03

Component Description:
Storage Container/20'
Amount:
$109.14

Component Description:
Storage Container
Amount:
$109.14

Component Description:
Storage Container/20'
Amount:
$109.14

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $5,882,499.33 $4,521,634.64 $4,030,159.51

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.

Robert Folliard , III .

Assistant Secretary


09/30/2020

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.

Robert Folliard , III .

Assistant Secretary


09/30/2020

Attachments

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