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:
23337
Service:
DTV
Call Sign:
WBNG-TV
Channel:
8 (High VHF)
File Number:
0000027464
FRN:
0018223693
Date Submitted:
10/02/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WBNG LICENSE, LLC

Doing Business As: WBNG LICENSE, LLC

Brady Dreasler

P.O. BOX 909

QUINCY, IL 62306

United States

+1 (217) 223-5100 bdreasler@quincyinc.com Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Tony zumMallen

QCommunications, LLC

Tony zumMallen

705B SE Melody LN #314

Lees Summit, MO 64063

United States

+1 (816) 729-1177 tony@qcom1.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 To transition from ch 7 to ch 8. Analysis has indicated that the antenna will work but the lines will require modification. A new transmitter will be needed. A new interim transmission system is needed to provide service during the transition.

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 Platinum
Year 2006
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 8.0 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? No
Manufacturer
Model VAXTE -12R44
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 9.6 kW
Justification for New Transmitter Existing transmitter is not tunable to new channel.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 200.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 25 tons
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

Cabinet Fans

(3) cabinet fans for cooling equipment

Transmitter - Training

Transmitter training - offsite - 1 week in duration at mfg site.

Hot Exhaust Piping

Hot exhaust piping re-routing due to the new location for transmitter due to repack activities.

Securirty - Site

This site requires security once the new transmission line and equipment arrive on site to be installed. Estimated length of 4-6 weeks.

Sales Tax

sales tax required

Patch Cables, hood, connectors

Patch cables, hoods, Male D connector Solder per Unicorn Electronics sales invoices.

Asbestos Monitoring

Asbestos Monitoring due to demo necessary for repack activities

Remote Control System

Remote control system

Modifications to TX building

Required modifications to transmitter building due to the removal of existing equipment in preparation for installation of new equipment.

Mini Converter SDI Distribution

Mini Converter SDI Distribution

Site Survey - TX

Site survey and report are required to be performed before the new transmitter and components installation plan can be finalized.

Engineering Services

Engineering services and PM for possible new transmitter bldg

Disconnect existing Transmitter

Disconnect transmitter and components from existing configuration and move within building to make way for new facilities.

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 VAXTE-6R44
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 4.8 kW
Justification for New Transmitter Interim facility is required to avoid prolonged period of station silence during transition, and station currently has no aux facility to use for interim operation. Extended silent period during transition to new channel is unreasonable. Gates lowest kW

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) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 200.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Freight for Interim Transmitter

Freight charges for interim transmitter

SALES TAX FOR EQ

SALES TAX FOR EQ

Elbow

Elbow, 3-1/8

Antennas

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

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? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Other
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 Omni-Directional
ERP: 15.0 kW
Manufacturer
Model THV-7
Year 2017
Justification for New Antenna Interim facility is required to avoid prolonged period of station silence during transition, and station currently has no aux facility to use for interim operation. Extended silent period during transition to new channel is unreasonable.

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? B
Feed Line Size 3 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
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

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Interim Tx Line
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1063 feet per run

Auxiliary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use Interim Line
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1063 feet per run
Justification for New Transmission Line The unused antenna and transmission line were removed from the tower to provide structural capacity for the new interim antenna. The old line was 6" and the new interim line was 3" which connected the new interim antenna with the interim transmitter.

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1063 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? No
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1200 feet per run
Justification for New Transmission Line The unused antenna and transmission line were removed from the tower to provide structural capacity for the new interim antenna. The old line was 6" and the new interim line was 3" which connected the new interim antenna to the new interim transmitter.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
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? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1016566
Coordinates (NAD83) Latitude (NAD83) 42° 03' 31.0" N-
Longitude (NAD83) 075° 57' 05.0" W-
Overall Structure Height 789.03 feet
Support Structure Height 705.04 feet
Ground Elevation Above Mean Sea Level (AMSL) 1765.07 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WBNG Television, Inc.
Date Constructed 08/01/1987


Primary 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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Structrual

Structural analysis of tower

Tower Modifications

May require tower modifications. Awaiting tower study. Not available at time of submission.

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 389
Explanation Scope & significance of project (QMI has multiple stations repacked) require outside management services to augment existing internal personnel to assist turnkey management of and ensure timely and safe execution of channel relocation.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application 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 2
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 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 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

Name Description

Quarterly reporting

Preparation and submittal of the FCC required quarterly report 387 by PM and attorney.

Survey

Survey for replacement of transmitter building

General Legal

General legal counseling for the repack project

PM-reimbursable travel expenses

PM travel expenses to and from the station for Repack work accounted for in quote QC-17011

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? Yes
Is Remediation needed? Yes
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 Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? 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

Ambulance Service

Ambulance service on site for helicopter lift of antenna.

Fire Stand-by service

10 hours of fire stand by service at WBNG site on Ingraham Hill

Tower Lighting

Tower Lighting

Asbestos Floor Abatement

Costs for abatement of the asbestos flooring required to be removed during Repack activities

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,076,474.73 $945,255.22 N/A $496,443.53 N/A
Total for all systems $2,220,456.32 $2,677,437.23 N/A $1,978,264.33 N/A
Interim Transmitter VAXTE-6R44 $387,745.21 $282,125.70 $170,195.23
Elbow $2,221.64 $2,221.64 Per Gates Air Change order Q-87530 (INV US0338699) $2,221.64 N/A
SALES TAX FOR EQ $8,564.48 $8,564.48 Estimated sales tax. ($4,282.24) N/A
Freight for Interim Transmitter $4,071.12 $4,071.12 Freight for transmitter Gates INV US0338699 $4,071.12 N/A
VHF inside RF system including switching $78,900.00 $75,000.00 N/A $15,273.76 N/A
2" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $5,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $1,942.49 N/A
High VHF - Air Cooled Solid State Transmitter 4.8 kW $93,805.73 $93,805.73 Actual amount remaining on PO. $93,805.73 Actual invoice amounts
SALES TAX FRO EQ $4,282.24 $4,282.24 ***System Notice: Estimate adjusted and locked because line has been superseded.***SALES TAX EST PER Q-73715 AND INV BOTH UPLOADED $4,282.24 N/A
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW $152,500.00 $52,880.49 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $52,880.49 N/A
Primary Transmitter VAXTE -12R44 $688,729.52 $663,129.52 $326,248.30
Disconnect existing Transmitter $20,000.00 $20,000.00 Disconnect transmitter and components from existing configuration and move within building to make way for new facilities. N/A N/A
Engineering Services $43,884.32 $43,884.32 Engineering and PM services for replacement of transmitter building. $43,884.32 N/A
Site Survey - TX $22,000.00 $22,000.00 Site survey and report are required to be performed before the new transmitter and components installation plan can be finalized. $7,000.00 N/A
Mini Converter SDI Distribution $99.95 $99.95 Mini converter per B&H Invoice $99.95 N/A
Modifications to TX building $23,815.81 $23,815.81 Required modifications to interior of transmitter building to prepare for new equipment. $15,450.00 N/A
Remote Control System $8,916.58 $8,916.58 Costs to replace remote control system as the old system isn't compatible with new transmitter equipment due to technical reasons. $0.00 N/A
Asbestos Monitoring $3,937.00 $3,937.00 Asbestos monitoring necessary because of demolition of materials caused by repack activities $2,653.40 N/A
Patch Cables, hood, connectors $286.27 $286.27 Patch cables, hoods, connector solder necessary to install new transmitter. (3) Unicorn sales invoices. $286.27 N/A
Securirty - Site $17,500.00 $17,500.00 This site requires security once the new transmission line and equipment arrive on site to be installed. Estimated length of 4-6 weeks. N/A N/A
Hot Exhaust Piping $5,850.00 $5,850.00 Costs necessary to re-route exhaust ductwork due to the new location of the transmitter. $5,850.00 N/A
Transmitter - Training $3,300.00 $3,300.00 Transmitter training - offsite - 1 week in duration at mfg site. N/A N/A
Cabinet Fans $195.00 $195.00 Fans for cabinets per B&H invoice $195.00 N/A
2" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $5,000.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 N/A $1,510.82 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $14,711.78 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $331,500.00 $315,000.00 N/A $227,491.90 N/A
Sales Tax $21,344.59 $21,344.59 sales tax est by mfg $7,114.86 N/A
25 Ton system $91,500.00 $87,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Elbow

Component Description:
Elbow Gates INV US0338699
Amount:
$2,221.64
SALES TAX FOR EQ

Component Description:
New York doesn't charge sales tax on broadcast equipment. Gates INV US0338699
Amount:
($4,282.24)
Freight for Interim Transmitter

Component Description:
Freight for interim transmitter - US0338699
Amount:
$4,071.12
VHF inside RF system including switching

Component Description:
Change orders Q-86787 and Q-86791. Gates US0338699
Amount:
$15,273.76
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp

Component Description:
Line C only on Invoice GO10004794-2. See attached cover matrix.
Amount:
$647.49

Component Description:
Line D only on Invoice US0324213. See attached cover matrix.
Amount:
$647.50

Component Description:
WBNG- GATES- INTERIM TX - ELEC- LINE C OF Q-73715 UPLOADED
Amount:
$647.50
High VHF - Air Cooled Solid State Transmitter 4.8 kW

Component Description:
Final Interim Transmitter -Gates INV US0338699
Amount:
$15,293.69

Component Description:
Per reviewer's instructions - resubmitted on new transmitter line. Lines A, B, D on invoice GO10004794-2. See attached matrix.
Amount:
$48,895.41

Component Description:
Per reviewer instructions - resubmitted on new line for interim transmitter. Lines A, B on Inv US0324213.
Amount:
$29,616.63
SALES TAX FRO EQ

Component Description:
WBNG-GATES INTERIM TX- SALES TAX PER Q-73715 AND INV EST. UPLAODED
Amount:
$4,282.24
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW

Component Description:
Lines A, B, D on Invoice GO10004794-2. See attached cover matrix.
Amount:
N/A

Component Description:
WBNG-GATES-INTERIM TX- LINE AB AND D Q-73715
Amount:
$52,880.49

Component Description:
Lines A, B on Inv US0324213. Interim TX.
Amount:
N/A
Disconnect existing Transmitter Information not provided.
Engineering Services

Component Description:
Engineering services - Delta - INV 2. NOTE: Vendor name is Delta Engineers, Architects & Land Surveyors; "and" was substituted for special character "&"
Amount:
$4,656.74

Component Description:
Engineering services for tx bldg - Delta #3. NOTE: Vendor Name is Delta Engineers, Architects & Land Surveyors; "and" was substituted for special character "&"
Amount:
$26,142.80

Component Description:
Engineering services and PM for replacement of tx building. Delta INV #1
Amount:
$11,795.32

Component Description:
Engineering/PM services - Delta - INV 4
Amount:
$1,289.46
Site Survey - TX

Component Description:
WBNG-SURVEY-INV-QC18-026
Amount:
$7,000.00
Mini Converter SDI Distribution

Component Description:
Mini converter - INV 174481114
Amount:
$99.95
Modifications to TX building

Component Description:
Requesting line item #1 for reimbursement only. 5-15-20 Excluded water line repairs from request WBNG - Wm Lane - INV 18-1131-1 - PO 20405
Amount:
$15,450.00

Component Description:
Modifications necessary to prepare building for new equipment. See cover letter for explanation. Wm H. Lane INV 18-1131-1
Amount:
$23,815.81
Remote Control System

Component Description:
Remote control system. Burk Technology INV 00068848 - PO 20365
Amount:
$8,916.58
Asbestos Monitoring

Component Description:
Revised Asbestos monitoring invoice 2018.304.001-1. Delta Engineering
Amount:
$2,653.40
Patch Cables, hood, connectors

Component Description:
Grey plastic hoods, connector solder - Unicorn - INV 637203
Amount:
$15.40

Component Description:
CAT 6 Patch cable 50' Unicorn - INV 636670
Amount:
$219.90

Component Description:
Snagless patch cables - Unicorn - INV 637087
Amount:
$50.97
Securirty - Site Information not provided.
Hot Exhaust Piping

Component Description:
WBNG - Picciano - reroute exhaust piping - INV 10161. Note: The actual vendor name is Louis N. Picciano & Son, Inc. Since the tool doesn't allow special characters, "and" was substituted for "&".
Amount:
$5,850.00
Transmitter - Training Information not provided.
Cabinet Fans

Component Description:
Vender name is B&H Photo - Video - Pro Audio. INV 174366612
Amount:
$195.00
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA

Component Description:
Line D only on Invoice US0324214
Amount:
$503.61

Component Description:
Line D only on Invoice GO10004795-2. See cover matrix.
Amount:
$503.60

Component Description:
WBNG-MAIN-TX- INV - Elec - Line D per Q-73717
Amount:
$503.61
Switchgear - industrial 800 amp

Component Description:
Line C only on INV US0324214. See cover matrix
Amount:
$4,903.92

Component Description:
WBNG - Gates- TX - Main - RF - 1st inv - per line C of Q-73717
Amount:
$4,903.93

Component Description:
Line C only of Invoice GO10004795-2.
Amount:
$4,903.93
Service entrance 3 phase/800 amp/208 volt Information not provided.
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
WBNG-GATES-MAIN - TX - 1st inv lines A B and E per Q-73717
Amount:
$83,528.27

Component Description:
Lines A,B,E only. WBNG - Main Tx - INV GO10004795-2. See cover invoice matrix
Amount:
$83,528.27

Component Description:
3/25/20 this component zeroed out and moved to new lline under Primary tx. Prepare transmitter building for installation of tx equipment. Wm H Lane Inv 18-1131-1; PO 20405
Amount:
N/A

Component Description:
Lines A, B of attached INV US0324214.
Amount:
$60,435.36
Sales Tax

Component Description:
WBNG-Gates-Main TX-sales tax inv per quote Q-73717
Amount:
$7,114.86
25 Ton system 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 $348,113.25 $319,581.50 N/A $316,061.54 N/A
Total for all systems $2,220,456.32 $2,677,437.23 N/A $1,978,264.33 N/A
Interim Antenna THV-7 $348,113.25 $319,581.50 $316,061.54
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $0.00 NOT NEEDED FOR NEW CONFIGURATION. N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $0.00 NOT NEEDED IN THE NEW CONFIGURATION. N/A N/A
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed) $9,340.00 $9,548.25 Per actual Dielectric invoices. $9,548.25 N/A
High VHF - High Power Side Mount One Station elliptically or circularly polarized $303,633.25 $303,633.25 Cost of interim antenna not sure why the catalog of costs did not automatically add standardized pricing. $303,633.29 The actual costs were from invoices from Dielectric. See attached invoices, quotes and POs for cost breakdown.
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $2,880.00 UPLOAD DIELECTRIC ORDER COMF #4530001 for both INVOICES MAN00085 and 00090

Components

Actual Information Description File Name
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
LINE 5 ELBOW-WBNG-35% INV MAN00090 4-2 UPLOADED ORDER CONF AND UPGRADE COVER
Amount:
$2,304.75

Component Description:
WBNG - Dielectric - Elbow - INV 605003 - order conf 453001
Amount:
$6,585.00

Component Description:
ELBOW-WBNG-INTERIM-ANT-10% -LINE 5 4-2 UPLOADED ORDER CONF AND UPGRADE COVER LETTER 4-13-corrected due date
Amount:
$658.50
High VHF - High Power Side Mount One Station elliptically or circularly polarized

Component Description:
INTERIM ANT-WBNG-10% DEPOSIT LINES-1,3,4 and 6 4-2 UPLOADED ORDER CONF AND UPGRADE COVER
Amount:
$40,196.10

Component Description:
Request for lines 1, 3, 4 only. Line 2 is for VPOL, and is not part of this requested reimbursement. INV 594002 - PO 19973
Amount:
$122,750.84

Component Description:
INTERIM ANT-WBNG-35% DUE 11.1- LINES 1,3,4, AND 6 4-2 UPLOADED ORDER CONF AND UPGRADE COVER
Amount:
$140,686.35
Sweep test of existing antenna

Component Description:
SWEEP INTERIM ANT-WBNG-10 DEPOSIT- LINE 25 - 4-2 UPLOADED ORDER CONF AND UPGRADE COVER
Amount:
$640.00

Component Description:
LINE 25 -SWEEP 35% WBNG INV MAN00090 4-2 UPLOADED ORDER CONF AND UPGRADE COVER 4-13-corrected inv date
Amount:
$2,240.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $235,352.00 $100,768.67 N/A $100,768.67 N/A
Total for all systems $2,220,456.32 $2,677,437.23 N/A $1,978,264.33 N/A
Primary Transmission Line $124,800.00 $0.00 $0.00
Rigid Transmission Line - copper, 3 1/8" $124,800.00 $0.00 9/28/20 Zeroed out. Added new cost under interim transmission line. $0.00 N/A
Auxiliary Transmission Line $110,552.00 $100,768.67 $100,768.67
Rigid Transmission Line - copper, 3 1/8" $110,552.00 $100,768.67 The unused antenna and transmission line were removed from the tower to provide structural capacity for the new interim antenna. The old line was 6” and the new interim line was 3” which connected the new interim antenna to the new interim transmitter. $100,768.67 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 3 1/8"

Component Description:
9/28/20 Zeroed out. freight for cut line pieces - Dielectric - INV 617014
Amount:
N/A

Component Description:
9/28/20 Zeroed out. 3" rigid transmission line - Dielectric INV 597024
Amount:
N/A

Component Description:
9/28/20 Zeroed out. freight - Dielectric - INV 616049
Amount:
N/A

Component Description:
9/28/20 Zeroed out. cut pieces - Dielectric INV 611017
Amount:
N/A

Component Description:
9/28/20 Zeroed out. Freight for sales order 1931615 - INV 770014
Amount:
N/A

Component Description:
9/28/20 Zeroed out. cut pieces - Dielectric INV 615041
Amount:
N/A

Component Description:
9/28/20 Zeroed out. Cut line pieces - Dielectric - INV 772009
Amount:
N/A

Component Description:
9/28/20 Zeroed out. Freight for items 1-3 on PO 21087 - Dielectric - INV 773017
Amount:
N/A

Component Description:
9/28/20 Zeroed out. Freight for line 53 - Dielectric - INV 778013
Amount:
N/A

Component Description:
9/28/2 Zeroed out. WBNG - freight for cut pieces - Dielectric INV 613019
Amount:
N/A

Component Description:
9/28/20 Zeroed out. Elbow, connectors, o-ring - Dielectric - INV 769015
Amount:
N/A
Rigid Transmission Line - copper, 3 1/8"

Component Description:
Freight for 453001 - cut pieces.
Amount:
$2,371.33

Component Description:
freight - Dielectric - INV 770014
Amount:
$450.57

Component Description:
freight for cut pieces - Dielectric INV 778013
Amount:
$870.98

Component Description:
freight for cut line pieces - Dielectric INV 617014
Amount:
$818.84

Component Description:
Interim TX Line - Dielectric INV 597024
Amount:
$88,508.70

Component Description:
cut pieces and lateral brace. Dielectric INV 772009
Amount:
$1,636.60

Component Description:
Freight - Dielectric - INV 773017
Amount:
$496.70

Component Description:
Elbow, anchor connector and o-ring - Dielectric - INV 769015
Amount:
$1,871.80

Component Description:
Cut pieces. Dielectric INV 611017
Amount:
$1,934.80

Component Description:
Cut pieces. Dielectric - INV 615041
Amount:
$861.00

Component Description:
Freight for cut pieces. Dielectric INV 613019
Amount:
$947.35

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 $213,500.00 $925,450.00 N/A $925,450.00 N/A
Total for all systems $2,220,456.32 $2,677,437.23 N/A $1,978,264.33 N/A
Primary Tower TOWER $213,500.00 $925,450.00 $925,450.00
Tall Tower (greater than 500') $210,500.00 $922,450.00 Actual's exceeded predetermined estimate. Per actual invoice which includes tower rigging PLUS modifications. PO 20868 and PO 21060 (in attachments) plus invoice for weather days for $24,500. Includes addendum to proposal 20353-5 $922,450.00 Per actual invoice which includes tower rigging PLUS modifications. PO 20868 and PO 21060 plus weather days invoice.
Tower Structrual $3,000.00 $3,000.00 Tower structural for revisions required to move to new channel. $3,000.00 N/A
Tower Modifications $0.00 $0.00 Minor Tower reinforcement/modifications, may be necessary. Awaiting tower study finding not available at time of submittal. $0.00 N/A

Components

Actual Information Description File Name
Tall Tower (greater than 500')

Component Description:
Tower work. WBNG - PCI - INV 0001 - PO 21060. Vendor EIN is correct on invoice. See cover letter.
Amount:
$251,300.00

Component Description:
7-8-20 Added letter of explanation from vendor. Per revised addendum - revised invoice for wx days, heli mob, work outside scope, equipment rental. PCI INV 0018 R
Amount:
$124,250.00

Component Description:
Invoice includes rigging PLUS tower modifications. PCI - INV 7732 - PO 20868
Amount:
$396,750.00

Component Description:
Tower work in addition to tower modifications previously reimbursed. See attached invoice/PO/Quote. PO 21060 (Proposal 20353-5 is also in attachments). Total PO amount is $376,950. Additional invoice from PCI expected.
Amount:
$251,300.00

Component Description:
Resubmitted due to invoice being in wrong category. Weather days for tower work per Addendum . See attached documents.
Amount:
$24,500.00

Component Description:
Tower completion invoice - PCI INV 0016 - PO 21060
Amount:
$125,650.00

Component Description:
6/30/20 Zeroed out. Submitted under new component. New EIN. WBNG - heli mob, wx days - INV 0018 - Addendum to proposal 20353-5
Amount:
N/A
Tower Structrual

Component Description:
WBNG- PJ FORD _ TOWER STRUCTURAL ANALYSIS _ INV -200174 and PO 19970
Amount:
$3,000.00
Tower Modifications

Component Description:
Tower Engineering - Delta inv #3
Amount:
$26,142.80

Component Description:
Weather days for tower modification work. INV 7733 Proposal 19325-5; Terms & Conditions line 2(a). See attached cover letter and addendums.
Amount:
$24,500.00

Component Description:
WBNG - Asbestos Monitoring due to repack activities. Delta - INV 2018.304.001-1; PO 20375
Amount:
$2,653.40

Component Description:
WBNG Tower Engineering - Delta invoice #1.
Amount:
$11,795.32

Component Description:
Tower engineering, Delta invoice#2
Amount:
$4,656.74

Component Description:
Tower Engineering - Delta Invoice #4
Amount:
$1,289.46

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 $211,555.01 $252,965.51 N/A $97,490.46 N/A
Total for all systems $2,220,456.32 $2,677,437.23 N/A $1,978,264.33 N/A
Outside Professional Services $211,555.01 $252,965.51 $97,490.46
PM-reimbursable travel expenses $9,612.00 $9,612.00 Repack work requires the PM to travel to and from the station as part of the PM responsibilities. The expenses are identified in the PM quote -QC-17011. $3,500.13 N/A
General Legal $9,951.01 $9,951.01 General legal counseling for the repack project $9,951.01 Per actual costs invoiced.
Survey $2,390.00 $2,390.00 Actual costs for survey & mapping for replacement transmitter building. $2,390.00 N/A
Quarterly reporting $7,500.00 $7,500.00 Preparation and submittal of the FCC required quarterly report 387 by PM and attorney. N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $21,135.60 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $14,000.00 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $3,991.22 N/A
Prepare request for Special Temporary Authorization $4,100.00 $6,000.00 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
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,735.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,800.00 Actual costs per invoices. $7,800.00 WBNG - THE ANTENNA SYSTEM LINE HAS ALREADY BEEN PERFORMED AND A VERIFICATION TEST FOR NEW CH 8 WAS RUN TO CONFIRM WORK WAS PERFORMED CORRECTLY. WE UNDER BUDGETED THIS LINE BY $800.
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $61,462.00 $98,962.50 Repack project management $46,987.50 N/A

Components

Actual Information Description File Name
PM-reimbursable travel expenses

Component Description:
WBNG-QCOMM-PM INV QC17-150 ITEMS 1010-1015
Amount:
$3,500.13
General Legal

Component Description:
WBNG-BROOKS-APR180 INV3952578
Amount:
$594.00

Component Description:
Gen Legal May 2020 - Brooks - INV 3982754
Amount:
$832.00

Component Description:
WBNG-BROOKS JULY18-INV 3955731
Amount:
$99.00

Component Description:
General Repack Legal Services for period ending December 31, 2017. INV 3947925 $40.28 is WBNG portion of total invoice
Amount:
$40.28

Component Description:
General Repack legal services for period ending July 31, 2017. INV 3942230. $275.00 is WBNG portion of total invoice.
Amount:
$275.00

Component Description:
General Repack Legal Services for period ending August 31, 2017. INV 3943365. $117.86 is WBNG portion of total invoice. See cover sheet for breakdown.
Amount:
$117.86

Component Description:
Repack Legal Services Period ending Oct 31, 2017 INV 3945572
Amount:
$235.00

Component Description:
Brooks Repack Legal Services period ending Dec. 2018; INV 3961872
Amount:
$49.50

Component Description:
General Repack Legal Services for period ending June 30, 2017 INV 3941325 $266.44 is WBNG portion of total invoice amount
Amount:
$266.44

Component Description:
Brooks Legal Repack Services, period ending June 30, '19; INV 3968511
Amount:
$156.00

Component Description:
Brooks Repack Legal Services period ending Nov, 2017; INV 3946859
Amount:
$47.00

Component Description:
11-1-19 WBNG - Brooks - Gen Legal - Feb '18 - see cover sheet for breakdown
Amount:
$28.28

Component Description:
General Repack legal services for period ending May 31, 2017 $190.86 is WBNG portion of total invoice. See cover sheet for breakdown.
Amount:
$190.86

Component Description:
WBNG - Brooks - Gen Legal Jan '20 - INV 3977752
Amount:
$416.00

Component Description:
Brooks Repack Legal Services, period ending Apr 30, '19; INV 3966160
Amount:
$156.00

Component Description:
WBNG-BROOKS-MAY18 INV- 3953758
Amount:
$99.00

Component Description:
Gen Legal - June 2020 - Brooks - INV 3984322
Amount:
$2,319.50

Component Description:
General legal period ending July 31, 2020 - INV 3985551
Amount:
$1,532.00

Component Description:
WBNG-BROOKS- MAR18 -INV 3951195
Amount:
$99.00

Component Description:
General Repack Legal services for period ending April 30, 2018. INV 3952584 $28.29 is WBNG portion of total invoice
Amount:
$28.29

Component Description:
WBNG-BROOKS-FEB19-INV 3964370
Amount:
$208.00

Component Description:
Brooks Repack Legal Services period ending Oct 31, 2019; INV 3974479
Amount:
$156.00

Component Description:
General Repack Legal Services for period ending March 31, 2018. INV 3951201 $28.28 is WBNG portion of total invoice
Amount:
$28.28

Component Description:
Brooks Repack Legal Services Period ending Oct 31, 2018 INV 3959628
Amount:
$297.00

Component Description:
General Repack Legal Services for period ending November 30, 2017. INV 3946865 $221.57 is WBNG portion of total invoice
Amount:
$221.57

Component Description:
Brooks - Legal July '19 - INV 3970198
Amount:
$312.00

Component Description:
General Repack Legal Service for period ending October 31, 2017. INV 3945578 $322.29 is WBNG portion of total invoice. See cover sheet for breakdown.
Amount:
$322.29

Component Description:
WBNG BROOKS AUG18 INV 3957118
Amount:
$198.00

Component Description:
Brooks Repack Legal Services Period ending Dec 31, 2017. INV 3947919
Amount:
$282.00

Component Description:
11-1-19 - WBNG - Brooks - Gen legal Jan '18 - INV 3949059 See cover sheet for breakdown.
Amount:
$35.36

Component Description:
Brooks Repack Legal Services for period ending Nov , 2018; INV 3960717
Amount:
$49.50

Component Description:
WBNG-BROOKS-JAN19 INV 3962865
Amount:
$260.00
Survey

Component Description:
Costs for survey for new transmitter building. INV 3586 - PO 20638
Amount:
$2,390.00
Quarterly reporting Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
Revised 8/26/20 w/ cover letter. Repack Site Survey. GATES - INV US0298286 - PO GA-00013393
Amount:
$21,135.60
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

Component Description:
WBNG-BROOKS INV 3949053-JAN18
Amount:
$742.50

Component Description:
WBNG-ATTY FEES CP - JULY 17
Amount:
$1,564.00

Component Description:
ATTY FEE- CP- APRIL17
Amount:
$543.72

Component Description:
ATTY FEE CP - WBNG- SEPT17
Amount:
$94.00

Component Description:
ATTY FEES MAY17-WBNG
Amount:
$453.00

Component Description:
WBNG-ATTY FEES - JUNE 17
Amount:
$359.00

Component Description:
ATTY FEES -WBNG-AUGUST 17
Amount:
$235.00
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
WBNG- CP APP-INV
Amount:
$1,735.00
Perform engineering study for new channel assignment and antenna development

Component Description:
PRE FIELD TEST OF ANT SYS FOR CH 7 AND 8.
Amount:
$2,700.00

Component Description:
ENGR-TEST AT SITE ON REFURBED LINE FOR CHANNEL 8 CONFIRMATION.
Amount:
$3,000.00

Component Description:
WBNG- ENGR NEW CHANNEL ASSIGNMENT INV
Amount:
$2,100.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
WBNG- PM AUG-DEC18 - INV QC19-022
Amount:
$8,437.50

Component Description:
WBNG-PM-1THRU3-18 - INV QC18-052
Amount:
$7,350.00

Component Description:
WBNG - QCOMM - PM - APRIL-JULY18 INV QC18-064
Amount:
$3,360.00

Component Description:
WBNG-QCOMM-PM-INV QC17-149 ITEM 4004
Amount:
$12,675.00

Component Description:
WBNG-PM - 8THRU12-18 INV - QC18-024
Amount:
$15,165.00

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 $135,461.33 $133,416.33 N/A $42,050.13 N/A
Total for all systems $2,220,456.32 $2,677,437.23 N/A $1,978,264.33 N/A
Other Expenses $135,461.33 $133,416.33 $42,050.13
Asbestos Floor Abatement $22,270.00 $22,270.00 Per Sunstream PO 20612 $3,488.80 N/A
Tower Lighting $5,430.00 $5,430.00 Per PO 21087, Sales Order 1931639 - Dielectric $5,430.00 N/A
Fire Stand-by service $1,500.00 $1,500.00 10 hours of fire stand-by service at WBNG site on Ingraham Hill per Town of Binghamton Volunteer Fire Company invoice. $1,500.00 N/A
Ambulance Service $2,400.00 $2,400.00 On site ambulance service for helicopter lift of antenna $2,400.00 N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 Required FCC announcements and good will public relations must we upheld. The production airing and disseminating of these announcements are fundamental to our operations. N/A N/A
Equipment Storage $20,906.33 $20,906.33 Expecting multiple staggered equipment deliveries from different vendors and need to store and stage new equipment prior to installation date. Anticipate from 6-24 months of storage time. Also includes antenna storage on specialized flatbed trailer $20,906.33 N/A
Equipment Delivery and Handling Charges $8,325.00 $8,325.00 Transport, forklift rental and handling fees from staging area to transmitter site per Casey's Garage invoices. $8,325.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 Rent 40 yard dumpster with multiple pickups. Estimated 6- months on site. Potential hazardous waste management issues. N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A N/A N/A
AM Pattern Disturbance -- Impact study $7,890.00 $7,500.00 N/A N/A N/A
AM Pattern Disturbance -- Remedy $21,050.00 $20,000.00 N/A N/A N/A
MVPD Notification of Channel Change $7,500.00 $7,500.00 Required FCC notification. N/A N/A

Components

Actual Information Description File Name
Asbestos Floor Abatement

Component Description:
Asbestos flooring abatement - 2nd phase
Amount:
$3,488.80
Tower Lighting

Component Description:
Tower Lighting - Dielectric - INV 778006
Amount:
$5,430.00
Fire Stand-by service

Component Description:
10 hours of fire stand-by Service - Town of Binghamton - INV 100
Amount:
$1,500.00
Ambulance Service

Component Description:
Emergency services on site during helicopter antenna lift - Broome INV 420
Amount:
$2,400.00
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Antenna storage on specialized trailer for 29 weeks at Dielectric INV 834022
Amount:
$13,706.33

Component Description:
2nd quarter equipment storage fees - INV 1028 - NOTE: Actual vendor name is Casey's Garage but the tool would not allow the " ' " .
Amount:
$1,800.00

Component Description:
3rd Quarter Equipment storage fees - Casey's Garage - INV 1031. NOTE: Actual name of vendor is Casey's Garage, but tool would not allow the " ' ".
Amount:
$1,800.00

Component Description:
4th Qtr 2019 Equipment Storage fee. Not requesting reimbursement for $200 late fee. NOTE: Actual vendor name is Casey's Garage, but tool does not allow for the " ' ".
Amount:
$1,800.00

Component Description:
1st Quarter 2019 - Equipment Storage Fees - INV 1025 NOTE: Actual vendor name is Casey's Garage, but tool would not allow the " ' ".
Amount:
$1,800.00
Equipment Delivery and Handling Charges

Component Description:
Load and deliver crate of equipment. Rogers INV 37245
Amount:
$325.00

Component Description:
Equipment delivery from storage to WBNG site PLUS forklift charge. Casey's Garage INV 1037
Amount:
$8,000.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification Information not provided.
AM Pattern Disturbance -- Impact study Information not provided.
AM Pattern Disturbance -- Remedy Information not provided.
MVPD Notification of Channel Change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,220,456.32 $2,677,437.23 $1,978,264.33

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.

BRADY DREASLER

CORPORATE DIRECTOR OF ENGINEERING


10/02/2020

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.

BRADY DREASLER

CORPORATE DIRECTOR OF ENGINEERING


10/02/2020

Attachments

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