Applicant | Address | Phone | Applicant Type | |
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ION MEDIA LICENSE COMPANY, LLC Doing Business As: ION MEDIA LICENSE COMPANY, LLC |
Bianca Frye 601 Clearwater Park Road West Palm Beach, FL 33401 United States |
+1 (561) 682-4110 | BiancaFrye@ionmedia.com | Limited Liability Company |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | No |
Briefly describe transition plan | Operate from current side mounted digital antenna while a new top mounted antenna is installed for post repack channel. Remove top mount analog antenna. Replace transmission line and non re-tuneable transmitter for operation on post repack channel. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
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 | Millenium | |
Year | 2003 | |
Type | Inductive Output Tube | |
IOT Power Type | Two | |
Power Capacity | 40 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | MPTV-PRLX-U4 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 6.5 kW | |
Justification for New Transmitter | See attached Transmitter Exhibits. See attached Transmitter Upgrade Disclaimer |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Power | N/A | |
Rigid Conduit and Wiring | No | |
Size | N/A | |
Length | N/A | |
Other Electrical Service | Yes | |
Description | Electrical Installation for replacement transmitter. | |
HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
Type | Cooling Only | |
Size | 5 tons | |
Other Size | N/A | |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | Yes |
Size | 700.0 square feet | |
Channel 14 Costs | Is an RF Consulting Engineer needed? | N/A |
Is a channel 14 Mask Filer needed? | N/A | |
Is additional field engineering time needed? | N/A | |
Number of Days | N/A |
Name | Description |
---|---|
RF Interconnect |
Interconnect between RF System and transmission line |
Removal of Existing Equipment |
Removal of existing transmitters and equipment / Site Prep |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing antenna shared with another station or stations? | No | |
Is the existing antenna directional? | Yes | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | 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: | 109.4 kW | |
Manufacturer | ||
Model | TFU-22DSC-RS200 | |
Year | 2003 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Description of Use | N/A | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Ownership | Owned | |
Owner | N/A | |
Is antenna shared? | No | |
Is antenna directional? | Yes | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | Class | Full Power |
Mounting | Top Mount | |
Antenna position in stack | 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: | 56.0 kW | |
Manufacturer | ||
Model | ATW26H3-ETSX-28H | |
Year | 2019 | |
Justification for New Antenna | See attached Antenna Exhibit |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | |
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? | Yes |
Broadband or Single Channel? | Single Channel | |
Feed Line Size | 6 1/8 inches inches | |
Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
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 | 4 1/16 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 825 feet per run |
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 | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 19 3/4 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 500 feet per run | |
Justification for New Transmission Line | See attached Antenna Exhibit |
Name | Description |
---|---|
Sweep existing transmission line |
Sweep existing transmission line |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Modify Existing |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Leased | |
Is this tower consider Complex? | 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? | Yes | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1003634 | |
Coordinates (NAD83) | Latitude (NAD83) | 38° 23' 18.0" N- |
Longitude (NAD83) | 090° 29' 16.0" W- | |
Overall Structure Height | 849.73 feet | |
Support Structure Height | 803.80 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 869.41 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | ROBERTS BROADCASTING COMPANY | |
Date Constructed | 09/23/1989 |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | Study needed for documented tower |
Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | Yes |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | No |
Number of Hours | N/A | |
Explanation | N/A | |
Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | Yes |
Prepare engineering section of Form FCC Construction Permit Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
Do you have Distributed Transmission System engineering services? | N/A | |
Critical Facility | N/A | |
Terrain-Shielded Facility | N/A | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
NEPA Section 106 environmental review | Yes | |
Environmental Assessment | Yes | |
ASR Modification | Yes | |
FAA Consultation (including preparation of FAA Form 7460) | Yes | |
Negotiation of Lease and other Matter for Shared Locations | Yes | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
RF exposure measurements | Yes | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Facility Expenses | Name | N/A |
Other Distributed Transmission System Expenses Not listed | N/A | |
Name | N/A | |
Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
Permit and Filing Costs | Local Zoning | Yes |
Non-zoning permits | Yes | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | No | |
FCC License to Cover Application | 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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $380,705.71 | $321,064.71 | N/A | $255,446.75 | N/A |
Total for all systems | $1,526,465.68 | $1,146,758.81 | N/A | $938,224.98 | N/A |
Primary Transmitter MPTV-PRLX-U4 | $380,705.71 | $321,064.71 | $255,446.75 | ||
Removal of Existing Equipment | $25,000.00 | $25,000.00 | N/A | N/A | N/A |
RF Interconnect | $25,000.00 | $25,000.00 | N/A | $3,632.04 | N/A |
Other -- Building Addition Size: 700.0 | $7,906.00 | $7,906.00 | Please see Archway Proposal #190919s4rev1 and AMF Cable Trough Fill In WRBU | $7,906.00 | N/A |
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW | $273,500.00 | $214,859.00 | See attached Hitachi Comark Quote #P3457PRLXU4-050918-R2 | $214,859.00 | ION is only asking for reimbursement of Hitachi Comark #S10262-1 (Revised) and #S10262-2 (Revised) and S10262-4A. |
Other Electrical Service: Electrical Installation for replacement transmitter. | $29,049.71 | $29,049.71 | Please see attached AMF Transmitter Electrical Install WRBU and AMF Dehydrator Receptacle | $29,049.71 | N/A |
5 Ton system | $20,250.00 | $19,250.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Removal of Existing Equipment | Information not provided. |
RF Interconnect | |
Other -- Building Addition Size: 700.0 | |
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW | |
Other Electrical Service: Electrical Installation for replacement transmitter. | |
5 Ton system | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $308,530.00 | $195,707.59 | N/A | $195,557.59 | N/A |
Total for all systems | $1,526,465.68 | $1,146,758.81 | N/A | $938,224.98 | N/A |
Primary Antenna ATW26H3-ETSX-28H | $308,530.00 | $195,707.59 | $195,557.59 | ||
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized | $289,500.00 | $179,478.19 | V-Pol cost not included in reimbursement request. See attached Electronics Research, Inc. Quote #20170525-633 Rev C and TWR Beacon 163317-SO | $179,478.19 | N/A |
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | $12,300.00 | $9,829.40 | N/A | $9,829.40 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $6,250.00 | N/A |
Actual Information Description | File Name |
---|---|
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized | |
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | |
Sweep test of existing antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $107,400.00 | $135,106.94 | N/A | $128,706.92 | N/A |
Total for all systems | $1,526,465.68 | $1,146,758.81 | N/A | $938,224.98 | N/A |
Primary Transmission Line | $107,400.00 | $135,106.94 | $128,706.92 | ||
Rigid Transmission Line - copper, 6 1/8" | $101,000.00 | $128,706.94 | Cost of rigid transmission line. Please see attached Electronics Research, Inc. Quote #20170525-633RevC. and ERI Transmission Line Components Quote | $128,706.92 | N/A |
Sweep existing transmission line | $6,400.00 | $6,400.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Rigid Transmission Line - copper, 6 1/8" | |
Sweep existing transmission line | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $466,100.00 | $320,035.00 | N/A | $320,035.00 | N/A |
Total for all systems | $1,526,465.68 | $1,146,758.81 | N/A | $938,224.98 | N/A |
Primary Tower TOWER | $466,100.00 | $320,035.00 | $320,035.00 | ||
Tower Helicopter Lift | $85,000.00 | $85,000.00 | Please see attached VTS Tower Rigging 18218-IL-REV-4 WRBU (Corrected) and Explanation of Helicopter Lift at WRBU | $85,000.00 | N/A |
Minor tower reinforcement/modifications | $158,000.00 | $45,875.00 | Please see attached ESC Design and Rigging Plan Quote WRBU and VTS Tower Rigging 18218-IL-REV-4 WRBU (Corrected) | $45,875.00 | N/A |
Structural engineering tower load study for well documented tower | $12,600.00 | $29,160.00 | See attached Elevated Structural Consultants Quote #01, Invoices #146 and #156 ESC Design and Rigging Plan Quote WRBU and AMF Electrical Contractors Invoice #19-51487. | $29,160.00 | N/A |
Tall Tower (greater than 500') | $210,500.00 | $160,000.00 | Please see attached VTS Tower Rigging 18218-IL-REV-4 WRBU (Corrected). This cost includes the $20,000 and $6,000 deductions on lines D and E Scope of Work for previous down payment and VTS keeping removed equipment | $160,000.00 | N/A |
Actual Information Description | File Name |
---|---|
Tower Helicopter Lift | |
Minor tower reinforcement/modifications | |
Structural engineering tower load study for well documented tower | |
Tall Tower (greater than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $161,210.00 | $80,389.60 | N/A | $9,538.75 | N/A |
Total for all systems | $1,526,465.68 | $1,146,758.81 | N/A | $938,224.98 | N/A |
Outside Professional Services | $161,210.00 | $80,389.60 | $9,538.75 | ||
RF Exposure Measurements | $21,050.00 | $20,000.00 | N/A | N/A | N/A |
Comprehensive coverage verification via field study, if needed | $84,200.00 | $7,639.60 | Cost of 1 ProMax unit for ION staff to internally verify coverage | $7,639.60 | N/A |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | $2,105.00 | $2,000.00 | N/A | N/A | N/A |
ASR modification (prepare FCC Form 854) | $2,105.00 | $2,000.00 | N/A | N/A | N/A |
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet | $10,520.00 | $10,000.00 | N/A | N/A | N/A |
Attorney Fees - Negotiation of lease and other matters for shared locations | $4,210.00 | $4,000.00 | 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 | $399.15 | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,500.00 | N/A | N/A | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $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 |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $1,500.00 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | N/A | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
NEPA Section 106 environmental review, if needed | $6,310.00 | $6,000.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
RF Exposure Measurements | Information not provided. |
Comprehensive coverage verification via field study, if needed | |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | Information not provided. |
ASR modification (prepare FCC Form 854) | Information not provided. |
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet | Information not provided. |
Attorney Fees - Negotiation of lease and other matters for shared locations | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare and or review reimbursement form | Information not provided. |
Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
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 | |
Perform engineering study for new channel assignment and antenna development | Information not provided. |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
NEPA Section 106 environmental review, if needed | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $102,519.97 | $94,454.97 | N/A | $28,939.97 | N/A |
Total for all systems | $1,526,465.68 | $1,146,758.81 | N/A | $938,224.98 | N/A |
Other Expenses | $102,519.97 | $94,454.97 | $28,939.97 | ||
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 |
DTV Medical Facility Notification | $11,550.00 | $3,500.00 | N/A | $3,500.00 | N/A |
Develop and air announcement of upcoming channel change | $0.00 | $0.00 | The amount is yet to be determined (TBD) and ION will submit on-air announcement costs when finalized. | N/A | N/A |
Equipment Storage | $10,000.00 | $10,000.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $22,639.97 | $22,639.97 | Amount charged by vendors to deliver equipment for repack | $22,639.97 | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $15,000.00 | $15,000.00 | N/A | N/A | N/A |
Non-zoning permits | $15,000.00 | $15,000.00 | N/A | N/A | N/A |
Local Zoning | $25,000.00 | $25,000.00 | N/A | N/A | N/A |
MVPD Notification of Channel Change | $2,800.00 | $2,800.00 | A second MVPD notification was needed due to a transition timing change because of dependencies | $2,800.00 | N/A |
Actual Information Description | File Name |
---|---|
FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
DTV Medical Facility Notification | |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage | Information not provided. |
Equipment Delivery and Handling Charges | |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
Non-zoning permits | Information not provided. |
Local Zoning | Information not provided. |
MVPD Notification of Channel Change |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $1,526,465.68 | $1,146,758.81 | $938,224.98 |
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 |
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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Mario Vasquez Vice President - Finance, Operations 10/13/2020 |
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). |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Mario Vasquez Vice President - Finance, Operations 10/13/2020 |