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:
23960
Service:
DTV
Call Sign:
WSB-TV
Channel:
32 (UHF)
File Number:
0000027561
FRN:
0022439848
Date Submitted:
10/19/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GEORGIA TELEVISION, LLC

Doing Business As: GEORGIA TELEVISION, LLC

Ray Carter

1601 WEST PEACHTREE STREET, N.E.

ATLANTA, GA 30309

United States

+1 (404) 897-7000 Ray.carter@wsbtv.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

Gary Alexander

Director of Engineering

Georgia Television Company, LLC

Gary Alexander

1601 West Peachtree Street, N.E.

Atlanta, GA 30309

United States

+1 (404) 897-2210 gary.alexander@wsbtv.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Move to American Tower interim site at 1800 Briarcliff road. Go on the air on our new frequency. Prepare our Willoughby Way tower and install new transmission equipment on primary Willoughby Way site and tower. Move back to Willoughby way.

Transmitters

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

Auxiliary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use used for maintenance outages
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 diamond
Year 2006
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 14 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 12.9 kW
Justification for New Transmitter Our current auxiliary transmitter cannot be re-tuned to the new frequency. We are proposing a new transmitter.

Auxiliary 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 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 50.0 feet
Other Electrical Service Yes
Description Panel and breakers for new 208vac service
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Mask Filter

Mask filter for output of transmitter

Freight

Shipment costs

Installation and Proof

Install and proof of performance

RF accessories

RF installation Kit.

Additional services

Remove air cooled transmitter, mask filter, and dummy load

State Tax

State taxes

Primary Transmitter

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Add 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 CD-2
Year 1998
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model ULXTE-90
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 53 kW
Justification for New Transmitter Current Tube transmitter cannot be re-tuned. Although tube transmitters are available, they are far more expensive to purchase and install. The attached quote from Comark doesn't include spare parts kits

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 3 inches
Length 50.0 feet
Other Electrical Service Yes
Description 208VAC breakers and panel
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 250.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Mask Filter

Filter system and accessories

Spare Parts

We currently stock an array of spare parts for our Sigma, this would replace that inventory. Including spare boards, pump module and power supply

Additional services

Removal of transmitter, mask filter, reject load, dummy load, cooling pipes, pump modules, flow meters, regulators, and dry coolers

Install and Proof

Proof of performance, testing and tuning of new transmitter

RF accessories

RF switching and dummy load systems

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-50
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31.7 kW
Justification for New Transmitter New transmitter is needed while our facility is being rebuilt.

Interim 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 3 inches
Length 75.0 feet
Other Electrical Service Yes
Description Electrical for pump modules, HVAC, Loads, Generator, lighting, and UPS
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 30 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 250.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Name Description

Legal form 2100

CP application 2100 2100 license to cover app 2250 Prepare STA 3500 Filing fee 2100 $325 Filing fee STA 190

Mask Filter

Mask filter for RF input to combiner

Georgia Sales Tax

Georgia sales tax as invoiced by Gates Air

Project management

150 / hour 160 hours

Inner city relay

To get the signal from the studio to the new interim transmitter site a new inner city relay will be needed

freight

Freight as billed by Gates Air

Lease for interim facility

Mandatory 5 year lease for interim facility

IP hardware and firewall

Dedicated Hardware firewall for IP portion of redundant back-haul

Building improvements for Interim facility

Ice Bridge, concrete pad, utility outlets

Install and proof

Installation services and proof of performance

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 Standby antenna
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: 1000.0 kW
Manufacturer
Model TFU-30DSC-R O4
Year 1998

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Standby antenna
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and 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: 1000.0 kW
Manufacturer
Model TFU-16DSC-R 04
Year 2017
Justification for New Antenna Our current single channel slotted antenna is not tunable. It is only good for channel 39.

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?
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? 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

Auxiliary Antenna

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Other Antenna Cost Not Listed

Name Description

Trans Test

Trans Test 6-75

freight

freight

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 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-30GTH-R O4D39
Year 1996

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? 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: 1000.0 kW
Manufacturer
Model TFU-27ETT/VP-R O4
Year 2018
Justification for New Antenna Our current single channel slotted antenna is not tunable. It is only good for channel 39.

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?
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 7 3/16 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Mounting Adapter

Wedding cake mounting adapter

Freight

Freight costs to ship to Atlanta

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Lease New
Ownership Leased
Owner American Tower
Is antenna shared? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 4
Number of Panels/Bays 14
Lower Limit 430.00 MHz
Upper Limit 600.00 MHz
Design power capacity in use 69.0 %
Other Antenna Type N/A
ERP: 305.0 kW
Manufacturer
Model PEP70E-05-2-T
Year 2019
Justification for New Antenna Minimizing OTA disruption for the nine existing and one new TV customer operating on the Briarcliff 2 site, ensuring that we meet the Phase 5 cut-over completion date, and minimizing the overall project costs.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 4
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 8 3/16 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Enter a list of RF channel numbers.

RF Channel Number
36
19
18
32

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Combiner Installation

Removal and installation of new combiner module

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 Aux line feeding Dielelectric aux antenna
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 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 825 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 Short line to hook up new shorter Aux antenna
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 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 20 feet per run
Justification for New Transmission Line Line segment to hook up new shorter antenna with existing line

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Rigid transmission line

1 20' 6-75 line with swivel end to be determined during install

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 8 3/16 inches
Segment Length 20'
Other Segment Length
Number of parallel runs 2
Length 1275 feet per run
Justification for New Transmission Line 2550 Refurbished line with connectors replaced. This will serve as input to new broad band antenna being installed for repacked broadcasters

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Refurbish existing line

Refurbish (new connectors existing line)

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? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users 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 1031790
Coordinates (NAD83) Latitude (NAD83) 33° 45' 51.7" N-
Longitude (NAD83) 084° 21' 41.7" W-
Overall Structure Height 1074.79 feet
Support Structure Height 898.94 feet
Ground Elevation Above Mean Sea Level (AMSL) 973.09 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Georgia Television, LLC
Date Constructed 03/31/1957

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
73978 WSB-FM FM

Other Types of Users

Users
ATT cellular

Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Reinforce guy anchors

The soil around the guy anchors is not sufficiently dense to support a "G" rated tower.

Structural mods

Horizontal girts, diagonals and over 200 bolts and holes. Reinforce guy stations, replace Mast.

Antenna replacement and Mast replacement

Rig tower remove antennas and replace with new antennas. Replace undocumented mast

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 529
Explanation WSB-TV lacks capacity in house to handle all activities for completion of station's build by deadline. WSB-TV will hire an outside firm to facilitate a timely transition. Includes supervisor for 5 weeks to oversee interim and main site projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 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 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 Yes
Quantity 1
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
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 Yes
Number of Days 5
Justification Interference studies for adjacent channel market (Macon)

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Consultant services

Consultant services to recommend and determine antenna, transmitter, antenna, interference and coverage areas

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change 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

Aux Dry cooler foundation

Galvanized steel plate for Aux Dry cooler

Interim Complex tower

This candelabra is classified as a complex structure. The costs include removal of 1 antenna w/ feedline (Dielectric TFU-32GTH ch42 fed w/ 7-3/16" coax) and 1 support pedestal on ESE arbor; 1 antenna (TLP-16 former FLO) on NW arm. Antenna Is located 10

Interim Ice bridge for outdoor equipment

Ice bridge to shield HVAC and generator equipment from falling ice see attachment "Ice Bridge and concrete FCC submittal.pdf"

Interim Plumbing for Dry coolers

Installation costs associated with mounting and soldering cooling pipes for liquid cooled transmitter

Interim Project management

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Project management fee for pre-construction services

Interim RF exposure measurements

Interim cost provided by American Tower and represent a fraction shared by 4 tenants Post-construction measurements have customarily been required or conducted.

Interim STL dish installations and alignment

Dish installation on the STL tower and the ATC tower will require custom mounts and careful alignment as narrow beam widtth make alignment diffic

Interim Tower permit drawing package

The generation of a permitting drawing package for one (1) broadcasters/customers.

Interim construction manager

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. (80) hours on Modification project management and RF installation project management for a total of twenty (30) days.

Interim delivery and handling fees

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. This could cover forklifts, labor and costs incurred for the unloading of line, antenna delivery and/or other building material.

Interim engineering study for channel assignment

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Perform engineering study for new channel assignment and antenna development

Interim ground and building permits

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. The generation of a permitting drawing package for one (1) broadcasters/customers.

Interim plumbing work for dry coolers

Installation costs associated with mounting and soldering cooling pipes for liquid cooled transmitter

Interim site Concrete foundations

Concrete foundations for HVAC, Dry coolers and Generator "Ice Bridge at the interim site (Briarcliff). The area is a mud puddle and unable to support this equipment

Interim site RF system test

Testing of the combiner to ensure all frequencies are tuned for optimal patterns.

Interim site coordination meeting

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Site coordination meetings with all broadcasters, contractors and vendors involved with the site project.

Interim site security and theft prevention

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Site security for installatiion and storage of Transmission line and materials for 9 days X 12 hours. This is due to the material value

Interim tower load study

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Structural analysis to access the structural capacity and modifications needed to accommodate the repacked equipment.

Interim tower mapping

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Interim tower reinforcement

Interim cost provided by American Tower and represent a fraction shared by 4 tenants for tower reinforcement

Interim transistion timing cooridnation

Interim cost provided by American Tower and represent a fraction shared by 4 tenants. Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack.

Interim transition timing and coordination issues

Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack.

Old Aux removal

Old Aux removal and disposal

Old Main removal and disposal

Removal of transmitter cabinets, filters, tranformer oil, and glycol

Primary plumbing work for dry coolers

Primary plumbing work for dry coolers

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 $6,368,651.31 $4,441,328.14 N/A $2,489,943.07 N/A
Total for all systems $11,704,214.21 $7,149,505.04 N/A $3,741,069.62 N/A
Interim Transmitter ULXTE-50 $2,776,003.34 $2,340,296.88 $1,423,502.05
Install and proof $107,074.68 $107,074.68 The cost for the installation went up as the connection to the previously undefined combiner was complicated. Additional time and custom on site fabrication of transmission line was required $63,181.41 Difficult installation that required more work to hook the system to the combiner
Building improvements for Interim facility $85,000.00 $85,000.00 N/A N/A N/A
IP hardware and firewall $2,878.40 $2,878.40 N/A N/A N/A
Lease for interim facility $570,000.00 $570,000.00 N/A N/A N/A
freight $11,000.00 $11,000.00 Freight Charges as invoiced by Gates $11,000.00 N/A
Inner city relay $133,270.70 $133,270.70 N/A $116,975.72 N/A
Project management $24,000.00 $24,000.00 N/A $3,920.40 N/A
Georgia Sales Tax $84,782.32 $84,782.32 Georgia Sales Tax as invoiced $84,782.28 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $0.00 N/A
Other Electrical Service: Electrical for pump modules, HVAC, Loads, Generator, lighting, and UPS $125,518.47 $125,518.47 More expensive than original estimate. More man hours required to stay on schedule than originally forecast $121,422.66 Although this cost is over the estimate there will be no charges against the following: -Service entrance 3 phase/800 amp/208 volt -Transformer 3 phase/480v - 300 KVA -3" Rigid Conduit and Wiring (Cost per foot) -Other Electrical Se
Mask Filter $99,118.10 $99,118.10 This is a 8 pol mask filter that was determined to be required to minimize interference from adjacent channels by M. Weiss. Additionally loads associated with filter had to be changed to air cooled loads. $97,535.21 N/A
Legal form 2100 $7,250.00 $7,250.00 N/A N/A N/A
UHF inside RF system including switching $147,500.00 $140,000.00 N/A $44,366.99 N/A
Other -- Building Addition Size: 250.0 $10,000.00 $10,000.00 N/A N/A N/A
Other -- HVAC Service Type: C Size:30 (Other) $87,000.00 $87,000.00 N/A $73,800.00 N/A
3" Rigid Conduit and Wiring (Cost per foot) $3,900.00 $3,675.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $9,277.24 N/A $9,277.24 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $6,788.17 N/A
UHF - Liquid Cooled Solid State Transmitter 31.7 kW $241,310.67 $241,310.67 Please see GatesAir quote Q-75028 (This is the amount remaining to be paid for this equipment.) $241,310.67 N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $549,141.30 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $549,141.30 The transmitter installation was more complicated than anticipated. We had to use a local vendor to meet the repack schedule
Primary Transmitter ULXTE-90 $2,172,701.64 $1,504,693.12 $528,103.94
RF accessories $78,580.16 $78,580.16 N/A $28,377.03 N/A
Install and Proof $83,846.06 $83,846.06 N/A $33,043.80 N/A
Additional services $20,124.00 $20,124.00 N/A $16,474.72 One of these invoices is currently being moved to a different component
Spare Parts $12,008.57 $12,008.57 N/A $4,336.56 N/A
Mask Filter $75,142.85 $75,142.85 N/A $27,135.75 N/A
Other -- Building Addition Size: 250.0 $15,000.00 $15,000.00 N/A N/A N/A
Other Electrical Service: 208VAC breakers and panel $8,000.00 $8,000.00 N/A $0.00 N/A
3" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,450.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $12,998.82 N/A $4,694.16 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $0.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,146,542.66 N/A $414,041.92 N/A
Auxiliary Transmitter ULXTE-20 $1,419,946.33 $596,338.14 $538,337.08
State Tax $38,933.88 $38,933.88 Required State sales tax $38,933.83 N/A
Freight $5,400.00 $5,400.00 N/A $5,400.00 N/A
Mask Filter $46,394.71 $46,394.71 see Estimated Cost Justification WSB-TV-150-1st Auxiliary Transmitter - Mask Filter v0 $46,394.71 x
Other Electrical Service: Panel and breakers for new 208vac service $25,360.00 $25,360.00 N/A $19,536.66 N/A
3" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,450.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $5,754.45 N/A $2,637.07 The transformer cost more than expected
Installation and Proof $33,913.38 $33,913.38 N/A $33,913.37 Not over delete
RF accessories $6,289.90 $6,289.90 N/A $6,289.89 N/A
Additional services $18,804.46 $18,804.46 To meet the deadline we hired a local contractor to do some of the work. This created an overage in this budget line $18,763.09 Instead of waiting for Gates Air installers to arrive we contracted with a local company to remove the transmitter. This resulted in an overage in this line.
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $241,015.85 Please see GatesAir quote Q-74878. (This is the amount remaining to be paid for this equipment.) $230,746.95 N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $135,721.51 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $135,721.51 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A

Components

Actual Information Description File Name
Install and proof

Component Description:
Remaining balance on install and proof
Amount:
$19,288.14

Component Description:
REMOVE this line please
Amount:
N/A

Component Description:
Pre-shipment deposit for Installation of the transmitter and proof of performance testing
Amount:
$21,060.47

Component Description:
Deposit for Installation of the transmitter and proof of performance testing
Amount:
$22,832.80
Building improvements for Interim facility Information not provided.
IP hardware and firewall Information not provided.
Lease for interim facility Information not provided.
freight

Component Description:
Freight
Amount:
$11,000.00
Inner city relay

Component Description:
Antennas, transmission line, mounting hardware and minor services associated with the obtaining the FCC license for this link
Amount:
$41,954.50

Component Description:
Line and hanging hardware for the inner city microwave link to the interim site at Briarcliff
Amount:
$6,109.87

Component Description:
The radios for the Studio Transmitter Link and the switch for hot standby protection
Amount:
$68,911.35
Project management

Component Description:
Project management for multiple vendors on site
Amount:
$3,920.40
Georgia Sales Tax

Component Description:
Georgia Sales Tax,
Amount:
$83,124.91

Component Description:
Sales Tax
Amount:
$1,657.37

Component Description:
Total Sales Tax billed on this invoice
Amount:
$1,657.39
Service entrance 3 phase/800 amp/208 volt Information not provided.
Other Electrical Service: Electrical for pump modules, HVAC, Loads, Generator, lighting, and UPS

Component Description:
Generator 150kw with fuel tank
Amount:
$46,020.30

Component Description:
Electrical work and materials
Amount:
$75,402.36
Mask Filter

Component Description:
Change Order Q-78270 for mask filter change to air cooled from water cooled
Amount:
$56,716.93

Component Description:
Deposit for Mask Filter.
Amount:
$21,233.22

Component Description:
Duplicate line item for the same invoice
Amount:
N/A

Component Description:
Pre-shipment deposit for Mask filter for input to combiner
Amount:
$19,585.06
Legal form 2100 Information not provided.
UHF inside RF system including switching

Component Description:
Third payment for RF accessories
Amount:
$11,217.20

Component Description:
RF System
Amount:
$7,623.21

Component Description:
RF installation kit
Amount:
$13,278.65

Component Description:
Change order for Additional components to hook to the combiner. Total reflected in invoice
Amount:
N/A

Component Description:
Please remove this line
Amount:
N/A

Component Description:
Pre-shipment deposit for RF installation kit for the transmitter
Amount:
$12,247.93
Other -- Building Addition Size: 250.0 Information not provided.
Other -- HVAC Service Type: C Size:30 (Other)

Component Description:
Fourth invoice for PO CPG13330 Interim HVAC system
Amount:
$13,100.00

Component Description:
Third invoice for PO CPG 13330 Interim HVAC system
Amount:
$41,989.00

Component Description:
Second invoice on CPG13330 Interim HVAC system
Amount:
$14,911.00

Component Description:
First Invoice for PO CPG 13330 Interim HVAC system
Amount:
$3,800.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA

Component Description:
Balance on Electrical
Amount:
$2,832.18

Component Description:
Pre-shipment deposit for Transformer, surge suppressor, and filter
Amount:
$3,092.41

Component Description:
Transformer, surge suppressor, and filter
Amount:
$3,352.65
Switchgear - industrial 800 amp

Component Description:
Automatic Transfer switch. This switches power from the Utility to the Generator in case the utility fails
Amount:
$6,788.17
UHF - Liquid Cooled Solid State Transmitter 31.7 kW

Component Description:
Transmitter
Amount:
$43,893.27

Component Description:
Transmitter
Amount:
$197,417.40
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Pre-shipment deposit for for Interim Transmitter
Amount:
$263,483.99

Component Description:
Deposit invoice for Interim transmitter
Amount:
$285,657.31

Component Description:
Invoice moved due to category being superseded.
Amount:
N/A
RF accessories

Component Description:
RF accessories
Amount:
$28,377.03
Install and Proof

Component Description:
Rental forklift to move transmitter components around the transmitter site
Amount:
$2,765.13

Component Description:
Proof of performance
Amount:
$30,278.67
Additional services

Component Description:
Paint, drywall and flooring for main facility building
Amount:
$9,207.50

Component Description:
Invoice moved to correct budget category.
Amount:
N/A

Component Description:
disassembly of old channel 39 transmission system
Amount:
$7,267.22
Spare Parts

Component Description:
Spare parts to replace existing spare parts kit. Power supplies, pump module and circuit boards
Amount:
$4,336.56
Mask Filter

Component Description:
Mask Filter
Amount:
$27,135.75
Other -- Building Addition Size: 250.0 Information not provided.
Other Electrical Service: 208VAC breakers and panel Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA

Component Description:
Transformer, filter, and surge suppressor,
Amount:
$4,694.16
Switchgear - industrial 800 amp

Component Description:
Automatic Transfer switch. This switches power from utility to the generator in case utility fails
Amount:
$6,788.17
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Gates Air Main replacement transmitter deposit.
Amount:
$414,041.92
State Tax

Component Description:
Aux Transmitter
Amount:
$480.60

Component Description:
State Tax for transmitter
Amount:
$38,453.23

Component Description:
invoice zeroed out, to be resubmitted.
Amount:
N/A
Freight

Component Description:
Freight
Amount:
$5,400.00

Component Description:
Invoice resubmitted.
Amount:
N/A
Mask Filter

Component Description:
Mask Filter
Amount:
$15,310.25

Component Description:
Invoice component zeroed out, to be resubmitted.
Amount:
N/A

Component Description:
Please delete this component
Amount:
N/A

Component Description:
Aux Transmitter
Amount:
$21,351.85

Component Description:
Mask filter for transmitter output
Amount:
$9,732.61
Other Electrical Service: Panel and breakers for new 208vac service

Component Description:
Electrical work...Re-configuring the old "Aux" to the new aux Taxes of 1596.66 will be requested on another line
Amount:
$19,536.66
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA

Component Description:
Aux Transmitter Electrical components second payment
Amount:
$564.00

Component Description:
Aux transmitter transformer and filter
Amount:
$2,073.07

Component Description:
Invoice moved to correct budget category.
Amount:
N/A

Component Description:
Invoice moved to correct budget category.
Amount:
N/A
Installation and Proof

Component Description:
Aux Transmitter Install and Proof second payment
Amount:
$11,191.41

Component Description:
Aux Transmitter
Amount:
$10,504.50

Component Description:
Installation and Proof of aux transmitter
Amount:
$12,217.46

Component Description:
Invoice zeroed out, to be resubmitted.
Amount:
N/A
RF accessories

Component Description:
RF accessories for aux transmitter
Amount:
$2,265.97

Component Description:
Aux transmitter RF accessories second payment
Amount:
$2,075.66

Component Description:
Aux Transmitter RF accessories Third payment
Amount:
$1,948.26

Component Description:
Invoice submitted in the wrong category
Amount:
N/A
Additional services

Component Description:
Additional Services
Amount:
$5,069.22

Component Description:
Removal of abandoned duct work to make room for new transmitter
Amount:
$5,880.60

Component Description:
Additional service (de-install)
Amount:
$5,199.67

Component Description:
Additional services (transmission line modiification)
Amount:
$5,110.59

Component Description:
Services to install TXer coolers and associated water pipes. Core holes to allow pipes to penetrate walls
Amount:
$2,613.60
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Transmitter
Amount:
$124,323.32

Component Description:
Aux Transmitter
Amount:
$23,408.88

Component Description:
Aux Transmitter
Amount:
$83,014.75
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
Invoice zeroed out- Duplicate.
Amount:
N/A

Component Description:
Invoice moved as category is superseded.
Amount:
N/A

Component Description:
Invoice moved as category is superceded
Amount:
N/A

Component Description:
Aux Transmitter
Amount:
$135,721.51
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 $1,974,813.00 $578,954.00 N/A $291,510.09 N/A
Total for all systems $11,704,214.21 $7,149,505.04 N/A $3,741,069.62 N/A
Interim Antenna PEP70E-05-2-T $1,209,780.00 $164,290.00 $40,272.37
Combiner Installation $9,900.00 $9,900.00 N/A $7,425.00 N/A
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $18,000.00 N/A $0.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $66,000.00 N/A $16,500.00 N/A
Sweep test of existing antenna $6,730.00 $5,000.00 N/A $0.00 N/A
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized $1,090,000.00 $65,390.00 N/A $16,347.37 N/A
Primary Antenna TFU-27ETT/VP-R O4 $591,750.00 $250,698.00 $108,764.10
Mounting Adapter $25,620.00 $25,620.00 N/A $11,529.00 N/A
Freight $9,000.00 $9,000.00 N/A $0.00 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $12,383.00 N/A $5,572.35 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $108,512.25 Please see Dielectric quote 700363CMZ-7A, less amount reimbursed in superseded category N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $2,880.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $88,782.75 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $88,782.75 N/A
Auxiliary Antenna TFU-16DSC-R 04 $173,283.00 $163,966.00 $142,473.62
Trans Test $2,118.00 $2,118.00 N/A $1,906.20 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $5,760.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, horizontally polarized $115,725.00 $115,725.00 N/A $104,152.50 N/A
freight $8,000.00 $8,000.00 N/A $6,604.22 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
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $16,425.00 N/A $14,782.50 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,298.00 N/A $9,268.20 N/A

Components

Actual Information Description File Name
Combiner Installation

Component Description:
Installation of combiner, dual chain of 5 high power constant impedance waveguide modules, and/or dual chains of 5 directional filter modules per Dielectric layout. required for broadband antenna system. Cost includes removal of existing combiner.
Amount:
$4,950.00

Component Description:
As described in section 3-C-2 of the ATC invoice attached to this request. Installation of combiner.
Amount:
$2,475.00
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Elbow complex for antenna input
Amount:
$5,572.35
New combiner, cost per channel (without antenna)

Component Description:
Dual chain of 4 constant impedance waveguide modules.
Amount:
$33,000.00

Component Description:
As described in section 3-C-1 of the ATC invoice attached to this request. New combiner, cost per channel (without antenna)
Amount:
$16,500.00
Sweep test of existing antenna

Component Description:
RF system testing for two (2) transmission lines with one (1) broadband antenna
Amount:
$2,500.00
UHF - High Power Top Mount (200-1000 kW), Four Station broadband panel antenna, elliptically or circularly polarized

Component Description:
Dielectric 14 bays by 4 around, 56 elements total, 1 four sided assembly mast 1054 AGL to top of existing candelabra with clearance for overall height of 1182 ft AGL.
Amount:
$32,694.75

Component Description:
As described in section 3-A of the ATC invoice attached to this request. Four station broadband panel antenna, elliptically or circularly polarized. Reduced 1 cent to account for ATC rounding problem
Amount:
$16,347.37
Mounting Adapter

Component Description:
Wedding cake mounting adapter to go onto new or existing pole
Amount:
$11,529.00
Freight Information not provided.
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
Elbow complex at input of antenna. This displaces the elbow complex for the 6" line
Amount:
$5,572.35
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized Information not provided.
Sweep test of existing antenna

Component Description:
Sweep Test
Amount:
$2,880.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Payment for main antenna
Amount:
$88,782.75
Trans Test

Component Description:
Trans Test 6-75
Amount:
$953.10

Component Description:
Trans Test 6-75
Amount:
$953.10
Sweep test of existing antenna

Component Description:
Sweep
Amount:
$2,880.00

Component Description:
Sweep of antenna deposit
Amount:
$2,880.00
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, horizontally polarized

Component Description:
Side mount antenna
Amount:
$52,076.25

Component Description:
Payment for side mounted AUX
Amount:
$52,076.25
freight

Component Description:
Shipping for Aux antenna
Amount:
$5,229.15

Component Description:
Invoice to be resubmitted
Amount:
N/A

Component Description:
Freight
Amount:
$1,375.07
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)

Component Description:
Mounting Brackets
Amount:
$7,391.25

Component Description:
antenna mounting bracket down payment
Amount:
$7,391.25
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex
Amount:
$4,634.10

Component Description:
Elbow complex
Amount:
$4,634.10

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 $906,572.00 $21,592.00 N/A $13,519.35 N/A
Total for all systems $11,704,214.21 $7,149,505.04 N/A $3,741,069.62 N/A
Interim Transmission Line $900,813.00 $15,973.00 $11,972.25
Rigid Transmission Line - copper, 8 3/16" $884,850.00 $10.00 N/A N/A N/A
Refurbish existing line $15,963.00 $15,963.00 N/A $11,972.25 N/A
Auxiliary Transmission Line $5,759.00 $5,619.00 $1,547.10
Rigid Transmission Line - copper, 6 1/8" $4,040.00 $3,900.00 N/A $0.00 N/A
Rigid transmission line $1,719.00 $1,719.00 N/A $1,547.10 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 8 3/16" Information not provided.
Refurbish existing line

Component Description:
2550 Refurbished line with connectors replaced. This will serve as input to new broad band antenna being installed for repacked broadcasters
Amount:
$7,981.50

Component Description:
As described in section 3-A of the ATC invoice attached to this request. Refurbish existing line
Amount:
$3,990.75
Rigid Transmission Line - copper, 6 1/8" Information not provided.
Rigid transmission line

Component Description:
Transmission Line
Amount:
$773.55

Component Description:
Line and swivel to hook up new shorter aux antenna
Amount:
$773.55

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 $1,708,900.00 $1,470,900.00 N/A $712,890.00 N/A
Total for all systems $11,704,214.21 $7,149,505.04 N/A $3,741,069.62 N/A
Primary Tower TOWER $1,708,900.00 $1,470,900.00 $712,890.00
Major tower reinforcement/modifications $421,000.00 $394,800.00 N/A $201,290.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $23,400.00 N/A
Structural mods $0.00 $0.00 N/A N/A N/A
Tall Tower (greater than 500') $210,500.00 $0.00 N/A N/A N/A
Antenna replacement and Mast replacement $600,000.00 $600,000.00 N/A $355,760.00 N/A
Reinforce guy anchors $120,000.00 $120,000.00 N/A N/A N/A
Tower Helicopter Lift $331,100.00 $331,100.00 Please see WSB-TV Turris Engineering quote Ref # 19-0129-R2 $132,440.00 N/A

Components

Actual Information Description File Name
Major tower reinforcement/modifications

Component Description:
Portion A Tower Reinforcing Engineering
Amount:
$87,045.00

Component Description:
Portion D, E, F, and G Tower Reinforcing.
Amount:
$101,552.50

Component Description:
Portion H of Tower reinforcing
Amount:
$14,507.50

Component Description:
Change Order 1 for rain days
Amount:
$17,000.00

Component Description:
Change Order 02
Amount:
$10,200.00

Component Description:
Portion B and C Tower reinforcing
Amount:
$87,045.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Payment for Inspection & Mapping and Structural Analysis for WSB-TV's 865.25ft-14ft Face-Guyed Tower Atlanta, GA
Amount:
$11,700.00

Component Description:
Final repack inspection for completed structural analysis
Amount:
$11,700.00
Structural mods Information not provided.
Tall Tower (greater than 500') Information not provided.
Antenna replacement and Mast replacement

Component Description:
Antenna and Mast Replacement
Amount:
$54,985.00

Component Description:
Portion A Aux side mount removal and replacement
Amount:
$47,130.00

Component Description:
Portion A Top Mount antenna removal and Replacement
Amount:
$99,330.00

Component Description:
Invoice to be resubmitted
Amount:
N/A

Component Description:
Invoice to be resubmitted
Amount:
N/A

Component Description:
Invoice to be resubmitted
Amount:
N/A

Component Description:
Portion B and C of invoice for Aux side mount antenna R & R
Amount:
$47,130.00

Component Description:
Invoice to be resubmitted
Amount:
N/A

Component Description:
Antenna and Mask Replacement
Amount:
$7,855.00

Component Description:
Portion B and C of top mounted antenna R & R
Amount:
$99,330.00
Reinforce guy anchors Information not provided.
Tower Helicopter Lift

Component Description:
Helicopter Lift
Amount:
$115,885.00

Component Description:
Helicopter Lift
Amount:
$16,555.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $285,852.00 $177,910.00 N/A $45,186.90 N/A
Total for all systems $11,704,214.21 $7,149,505.04 N/A $3,741,069.62 N/A
Outside Professional Services $285,852.00 $177,910.00 $45,186.90
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
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 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
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 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
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 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 N/A 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
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $83,582.00 $54,285.00 Please see Widelity Strategic Support Quote $21,036.90 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $15,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $15,000.00 N/A N/A N/A
Additional Field Engineering Service, 5 Days $10,000.00 $10,000.00 N/A N/A N/A
Consultant services $27,375.00 $27,375.00 American Tower changed the model number of the antenna and combiner after the initial work was dond requiring additional labor $24,150.00 The interim antenna added a level of complication for Merrill that was not considered during the budget process

Components

Actual Information Description File Name
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization 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 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.
Prepare request for Special Temporary Authorization 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 Information not provided.
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.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
Project management
Amount:
$6,114.30

Component Description:
Project management
Amount:
$8,032.65

Component Description:
Project management
Amount:
$6,244.95

Component Description:
Project management
Amount:
$645.00
Comprehensive coverage verification via field study, if needed Information not provided.
RF Exposure Measurements Information not provided.
Additional Field Engineering Service, 5 Days Information not provided.
Consultant services

Component Description:
Consulting services to WSB for the period December 1 2016 through December 31 2017
Amount:
$23,700.00

Component Description:
Professional Services Rendered
Amount:
$300.00

Component Description:
Invoice to be resubmitted.
Amount:
N/A

Component Description:
Consulting services
Amount:
$150.00

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 $459,425.90 $458,820.90 N/A $188,020.21 N/A
Total for all systems $11,704,214.21 $7,149,505.04 N/A $3,741,069.62 N/A
Other Expenses $459,425.90 $458,820.90 $188,020.21
Interim site RF system test $5,000.00 $5,000.00 N/A $3,750.00 N/A
Interim ground and building permits $9,187.80 $9,187.80 These costs went up as permit process became complicated with county permits for 2 companies. American Tower and RE services $6,837.80 This price includes the drawing package and Engineering stamps. The lease required for us to pay for the ATC permits as well as the WSB permits, causing the price to be more than expected
Interim engineering study for channel assignment $5,000.00 $5,000.00 N/A $3,750.00 N/A
Interim delivery and handling fees $8,333.00 $8,333.00 N/A $3,378.33 N/A
Interim transmission line sweep $1,250.00 $1,250.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $1,250.00 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 $4,250.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $1,501.00 $1,501.00 N/A $187.50 N/A
Non-zoning permits $1,501.00 $1,501.00 N/A $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $6,000.00 $6,000.00 N/A $2,653.41 N/A
Equipment Delivery and Handling Charges $12,000.00 $12,000.00 N/A $2,765.13 N/A
Equipment Storage $7,500.00 $7,500.00 N/A N/A N/A
Primary plumbing work for dry coolers $5,024.00 $5,024.00 Please see MAXAIR Mechanical change request dated 7-31-19 $5,024.00 N/A
Old Main removal and disposal $14,265.90 $14,265.90 N/A $14,265.00 N/A
Old Aux removal $14,157.00 $14,157.00 N/A $14,157.00 N/A
Interim transition timing and coordination issues $5,365.00 $5,365.00 more hours than anticipated $625.00 more hours than anticipated
Interim transistion timing cooridnation $2,370.00 $2,370.00 more hours needed than anticipated $2,370.00 American tower ran into problems with fitting the antenna and power divider into the tower
Interim tower reinforcement $35,000.00 $35,000.00 N/A $8,750.00 N/A
Interim tower mapping $8,267.00 $8,267.00 N/A $2,066.67 N/A
Interim tower load study $6,517.00 $6,517.00 N/A $1,629.17 N/A
Interim site security and theft prevention $1,800.00 $1,800.00 N/A $450.00 N/A
Interim site coordination meeting $2,500.00 $2,500.00 N/A $625.00 N/A
Interim site Concrete foundations $49,473.50 $49,473.50 Concrete foundation for generator, outdoor equipment, and ice bridge. See attachment " Ice Bridge and concrete FCC submittal.pdf". Soil compaction was out of code so additional gravel and soil needed to be brought on site $42,043.50 We contracted with JP construction to provide concrete foundations for the generator and cooling equipment. As they dug the footing for the second foundation they encountered poorly compacted soil and water issues. An additional $7,430 was needed to fix
Interim plumbing work for dry coolers $6,826.00 $6,826.00 Installation costs associated with mounting and soldering cooling pipes for liquid cooled transmitter. Because we could not get a firm date from Gates we began the installation using Maxair plumbing $6,826.00 Gates Air has delayed the installation. We have hired a local plumber to help with the installation. The actual cost was more than my estimate as I mis-measured the length of pipe and number of connections that needed to be cut and soldered
Interim construction manager $10,000.00 $10,000.00 N/A $2,500.00 N/A
Interim Tower permit drawing package $4,700.00 $4,700.00 N/A $1,175.00 N/A
Interim STL dish installations and alignment $29,838.60 $29,838.60 cost to install and align dishes transmission line at the studio and the interim transmitter site. $29,838.60 N/A
Interim RF exposure measurements $5,000.00 $5,000.00 N/A $1,250.00 N/A
Interim Project management $9,480.00 $9,480.00 N/A $0.00 N/A
Interim Plumbing for Dry coolers $5,000.00 $5,000.00 Hired a local plumber to pipe transmitter cooler lines after Gates Air install team was delayed. N/A N/A
Interim Ice bridge for outdoor equipment $96,775.00 $96,775.00 Ice bridge to protect outdoor equipment (Generator, HVAC compressors, and transmitter heat exchangers) See attachment " Ice Bridge and concrete FCC submittal.pdf" N/A N/A
Interim Complex tower $51,000.00 $51,000.00 This candelabra is classified as a complex structure. The costs include removal of 1 antenna w/ feedline (Dielectric TFU‐32GTH ch42 fed w/ 7‐3/16" coax) and 1 support pedestal on ESE arbor; 1 antenna (TLP‐16 former FLO) on NW arm. Antenna Is located 1054' above ground level (AGL), removal of 4" transmission line, moving of (2) 8‐3/16" transmission lines from SW arbor to ESE arbor $17,000.00 N/A
Aux Dry cooler foundation $8,603.10 $8,603.10 A steel plate is needed to install the aux dry cooler. This will buy the plate and pay for the rigging to install the plate $8,603.10 N/A
MVPD Notification of Channel Change $2,001.00 $2,001.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Interim site RF system test

Component Description:
As described in section 1-B-1 of the ATC invoice attached to this request. Testing of the combiner to ensure all frequencies are tuned for optimal patterns.
Amount:
$1,250.00

Component Description:
Testing of the combiner to ensure all frequencies are tuned for optimal patterns.
Amount:
$2,500.00
Interim ground and building permits

Component Description:
cost to prepare, apply, and inspect for permits and certificate of occupancy
Amount:
$5,662.80

Component Description:
building and ground permit drawing package
Amount:
$2,350.00

Component Description:
As described in section 3-D-1 of the ATC invoice attached to this request. Ground & Building A&E Permit Drawing Package (Cost per customer)
Amount:
$1,175.00
Interim engineering study for channel assignment

Component Description:
As described in section 1-A-2 of the ATC invoice attached to this request. Perform engineering study for new channel assignment and antenna development (Cost per customer)
Amount:
$1,250.00

Component Description:
Perform engineering study for new channel assignment and antenna development
Amount:
$2,500.00
Interim delivery and handling fees

Component Description:
This cost is for the material equipment, delivery and offloading by third party contractors. Forklifts, manpower and costs accumulated for the unloading of equipment to complete the construction of the site, due to repack
Amount:
$4,166.67

Component Description:
Moving costs to move Transmitter and components to interim transmitter site
Amount:
$1,295.00

Component Description:
As described in section 1-A-4 of the ATC invoice attached to this request. Equipment Delivery and Handling Charges (Cost per customer)
Amount:
$2,083.33
Interim transmission line sweep

Component Description:
As described in section 3-C-2 of the ATC invoice attached to this request Sweep test of transmission line and antenna
Amount:
$1,250.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
notification of medical facilities of upcoming frequency change
Amount:
$4,250.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning

Component Description:
As described in section 1-A-3 of the ATC invoice attached to this request. Obtain building permits from local zoning authorities
Amount:
$187.50

Component Description:
The cost of preparation and submission of the needed forms for permits, on behalf of the one (1) broadcasters for jurisdictional permits, required for electrical, building and other required tasks
Amount:
$375.00
Non-zoning permits

Component Description:
permit process expense
Amount:
$375.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Dumpster Electrician and Gates
Amount:
$653.40

Component Description:
As described in section 1-A-4 of the ATC invoice attached to this request. Disposal of antenna(s) and other materials removed from tower as needed. Dumpster and garbage removal from interim site during construction
Amount:
$666.67

Component Description:
disposal of antenna(s) and other materials removed from tower as needed.
Amount:
$1,333.34
Equipment Delivery and Handling Charges

Component Description:
SHOOTING BOOM FORKLIFT
Amount:
$2,765.13
Equipment Storage Information not provided.
Primary plumbing work for dry coolers

Component Description:
Drycooler Piping
Amount:
$5,024.00
Old Main removal and disposal

Component Description:
Old Sigma main transmitter removal. Including transformer oil, Glycol and all hardware associated with the transmitter
Amount:
$14,265.00
Old Aux removal

Component Description:
Removal of old aux and line
Amount:
$14,157.00
Interim transition timing and coordination issues

Component Description:
As described in section 1-A-1 of the ATC invoice attached to this request Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack
Amount:
$625.00

Component Description:
Invoice submission is duplicative in this category.
Amount:
N/A
Interim transistion timing cooridnation

Component Description:
As described in section 1-A-1 of the ATC invoice attached to this request Project management fee for pre-construction services to support the transition of one (1) broadcasters.
Amount:
$2,370.00

Component Description:
Coordination and transition planning with all parties onsite and management of the timelines and schedules occurring during the repack.
Amount:
$1,250.00
Interim tower reinforcement

Component Description:
Additional loads imposed on the tower by the new appurtenances required for the repack project will cause the tower to fail. The structural failure is expected to be in the major category replacement of structural members will be needed.
Amount:
$17,500.00

Component Description:
As described in section 3-A-2 of the ATC invoice attached to this request. Major tower reinforcement/modifications (Labor and materials )
Amount:
$8,750.00
Interim tower mapping

Component Description:
As described in section 3-A-1 of the ATC invoice attached to this request. Tower mapping for an undocumented/poorly documented tower.
Amount:
$2,066.67

Component Description:
Structural tower mapping to ensure the proper structural information is relayed to engineering for the rigorous structural assessment for the proposed repack equipment
Amount:
$4,133.33
Interim tower load study

Component Description:
Rigorous Structural analysis to access the structural capacity and modifications needed to accommodate the repacked equipment.
Amount:
$3,258.33

Component Description:
As described in section 3-A-1 of the ATC invoice attached to this request. Structural engineering tower load study for a documented tower with candelabra
Amount:
$1,629.17
Interim site security and theft prevention

Component Description:
Site security for installatiion for materials for 9 days X 12 hours. These materials are a high risk of theft due to the material makeup such as copper. I added 8 cents to this to facilitate ATC rounding error brass and aluminum.
Amount:
$900.00

Component Description:
As described in section 1-B-1 of the ATC invoice attached to this request. Site Security Company during construction for theft prevention and vandalism
Amount:
$450.00
Interim site coordination meeting

Component Description:
As described in section 1-B-1 of the ATC invoice attached to this request. Site coordination meetings with all broadcasters, contractors and vendors involved with the site project
Amount:
$625.00

Component Description:
Site coordination meetings with all broadcasters, contractors and vendors involved with the site project
Amount:
$1,250.00
Interim site Concrete foundations

Component Description:
concrete foundations for dry coolers, HVAC equipment, and Generator
Amount:
$34,613.50

Component Description:
Invoice for Concrete foundation soil compaction, interim transmitter site @ American Tower site located 1800 Briarclif
Amount:
$7,430.00

Component Description:
This this is for the soil remediation
Amount:
N/A
Interim plumbing work for dry coolers

Component Description:
Dry cooler install...more expensive than predicted when i filled out the 399.
Amount:
$6,826.00
Interim construction manager

Component Description:
As described in section 3-D-1 of the ATC invoice attached to this request. Construction project management (Tower Modification reinforcements and facilities)
Amount:
$2,500.00

Component Description:
Project construction manager
Amount:
$5,000.00
Interim Tower permit drawing package

Component Description:
Drawing package
Amount:
$2,350.00

Component Description:
As described in section 3-D-1 of the ATC invoice attached to this request. Tower Permit Drawing Package (Cost per customer)
Amount:
$1,175.00
Interim STL dish installations and alignment

Component Description:
Install and alignment of the dishes and microwave path
Amount:
$29,838.60
Interim RF exposure measurements

Component Description:
As described in section 1-A-4 of the ATC invoice attached to this request. RF Exposure Measurements or sites where post construction measurements have customarily been required or conducted
Amount:
$1,250.00

Component Description:
RF Exposure Measurements (for sites where post construction measurements have customarily been required or conducted
Amount:
$2,500.00
Interim Project management

Component Description:
Project management of the transition Cost per hour per customer. American Tower has had this approved
Amount:
$2,370.00

Component Description:
Proj. man. fee for pre-const. services (initial ant. placement and RF compatibility review, zoning and permitting req. review; lease apps services) to support the trans of 1 broadcasters. Man.of the timelines and scheds occurring during the repack
Amount:
$4,740.00
Interim Plumbing for Dry coolers Information not provided.
Interim Ice bridge for outdoor equipment Information not provided.
Interim Complex tower

Component Description:
As described in section 3-C-1 of the ATC invoice attached to this request. Complex Tower (includes, e.g., towers with candelabras and or stacked antennas)
Amount:
$17,000.00

Component Description:
This candelabra is classified as a complex structure.
Amount:
$34,000.00
Aux Dry cooler foundation

Component Description:
Galvanized steel plate for dry cooler foundation
Amount:
$8,603.10
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $11,704,214.21 $7,149,505.04 $3,741,069.62

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.

Gary Robert Alexander

Director of Engineering


10/19/2020

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.

Gary Robert Alexander

Director of Engineering


10/19/2020

Attachments

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