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:
37806
Service:
DTV
Call Sign:
WLFB
Channel:
25 (UHF)
File Number:
0000028104
FRN:
0002058089
Date Submitted:
10/22/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

LIVING FAITH MINISTRIES, INC.

Doing Business As: LIVING FAITH MINISTRIES, INC.

P.O. Box 16789

BRISTOL, VA 24209

United States

+1 (276) 676-3806 lisa@livingfaithtv.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Timothy Z Sawyer

Technical Consultant

T Z Sawyer Technical Consultants

2130 Hutchison Grove Court

Suite 100

Falls Church, VA 22043

United States

+1 (703) 848-2130 tzsawyer@tzsawyer.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Please refer to attachment titled "WLFB Updated Repack Transition Plan Narrative Exhibit as of July 2019."

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model QXD1
Year 2001
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 20 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-40
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.3 kW
Justification for New Transmitter Existing xmitter cannot be re-channeled - channel change is 90 MHz shift (from Ch 40 to Ch 25). IOT operation not available, manufacturer no longer in business. See attached letter from manufacturer dated 1-1-2017. Please also see 9-6-19 xmitter exhibit.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 3 inches
Length 250.0 feet
Other Electrical Service Yes
Description Incoming AC line surge suppression and disconnect switchgear.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Mask Filter System

Mask Filter System

Transmitter Site Access Road

Truck turnaround for access and road prep for safe transport of WLFB repack equipment (CL Dale Proposal Attached)

Installation and Proof

Installation and Proof

Misc RF Components

Additional RF components required for installation of transmitter - including but not limited to rf couplers and short transmission line lengths.

Electrical

Electrical

Transmitter Building Electrical

Transmitter Building Electrical

Site Survey

Basic Site Survey

Installation RF Mask-Filter

Installation expense related to the installation and positioning of the RF mask-filter in limited available space.

Transmitter Removal

Removal of old primary transmitter from facility

RF Accessories

RF Accessories

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model 2100-32
Year 2001

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 739.0 kW
Manufacturer
Model ATW26H3-HSP230-25H
Year 2019
Justification for New Antenna CURRENT CHANNEL IS ON CHANNEL 40 NEW CHANNEL IS CHANNEL 25. 90 MHZ FREQUENCY SHIFT.

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 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Installation of Ice Shields

Installation of Ice Shields

Freight

Freight

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 300.0 kW
Manufacturer
Model ALP16M2-HSP-2S
Year 2019
Justification for New Antenna Must remove old channel 40 antenna, prior to installation of new channel 25 antenna. Interim antenna allows for operation at a lower elevation on the existing tower.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Tower Rigging to Stabilize Tower during interim antenna transmission line work

Tower Rigging to Stabilize Tower during interim antenna transmission line work

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 275 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 300 feet per run
Justification for New Transmission Line RECHANNELED FROM CH 40 TO CH 25, LINE SEGMENT LENGTH REQUIRES 19-1/2 FT. OLD SEGMENT LENGTH IS 20 FT.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission Line Bridge Option

Transmission Line Bridge Option (included in ERI New Tower Proposal)

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 Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 324 feet per run
Justification for New Transmission Line Interim use while main transmission line is removed from tower.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission Line Routing

RF Interconnect components between transmission line and interim transmitter.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1219321
Coordinates (NAD83) Latitude (NAD83) 37° 13' 12.3" N-
Longitude (NAD83) 081° 15' 19.0" W-
Overall Structure Height 424.86 feet
Support Structure Height 421.91 feet
Ground Elevation Above Mean Sea Level (AMSL) 3837.88 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Living Faith Ministries, Inc.
Date Constructed 09/30/2000

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
52864 WKQB FM

Other Types of Users

Users
ISP Provider

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Site Security

Site security required during construction phase.

RF Engineer Consultant

Research regarding tower foundations, structural materials, ground penetration radar options

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1219321
Coordinates (NAD83) Latitude (NAD83) 37° 13' 12.3" N-
Longitude (NAD83) 081° 15' 19.0" W-
Overall Structure Height 424.86 feet
Support Structure Height 421.91 feet
Ground Elevation Above Mean Sea Level (AMSL) 3837.88 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Living Faith Ministries, Inc.
Date Constructed 09/30/2000

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
52864 WKQB FM

Other Types of Users

Users
ISP Provider

Primary Tower

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Tower Construction Costs

Section Question Response
Construct New Tower Use Primary (Main)
Description of Use N/A
Is this a request for upgraded equipment? No
Height 424.00 feet
Justification for New Tower Please see attached exhibit "WLFB New Tower Justification July 2 2019.pdf". Also, please note that the design of the new tower is not yet finalized; as such, the 424 feet AGL height noted above is subject to change.

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Addison Surveyors

Survey services at Bluefield Tower Site

Radio Services

Radio Antenna Install

Tower Site Tree Removal Tower Site to Road

Clear trees from tower site to road for stacking of old tower (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

ERI Geotechnical Survey for collection of soil core samples

ERI Geotechnical Survey for collection of soil core samples (proposal attached)

Porta-Potty

Porta-Potty (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

Tower Site Fencing Guy Anchors

New fence and gates at 3 tower guy anchors; remove old fences and gates (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

Tower Site Fence East and West End Removal

East and West End removal during project (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

Waste Disposal

Large Dumpster for waste disposal (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

Installation

Installation Services

Tower Site Fencing New Fence and Gate

New fence and gate extending east end beyond new tower (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

Tower Site Tree Removal New Guy Path

Clear trees on new guy path 40 feed wide NE and South guy locations (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)

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 100
Explanation Station does not have staff available.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

PROJECT PLANNING

TX PHYSICAL LAYOUT REVIEW AND TRANSITION PLANNING

Insurance Costs

Insurance coverage for repack related equipment installation and transportation

Additional Repack Legal Services Not Otherwise Specified in Form 399

Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees.

Interim Antenna Considerations

Interim Antenna Considerations

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? No
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

Tower Lease and Tenant Correspondence

Tower Lease and Tenant Correspondence

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,976,645.34 $988,936.16 N/A $894,686.16 N/A
Total for all systems $4,657,256.41 $3,496,270.93 N/A $2,839,121.81 N/A
Primary Transmitter ULXTE-40 $1,976,645.34 $988,936.16 $894,686.16
RF Accessories $64,134.44 $64,134.44 N/A $64,134.44 N/A
Transmitter Removal $4,500.00 $4,500.00 N/A N/A N/A
Installation RF Mask-Filter $3,500.00 $3,500.00 N/A N/A N/A
Site Survey $8,416.62 $8,416.62 N/A $8,416.62 Additional expenses were incurred as indicated in the attached invoices.
Transmitter Building Electrical $31,700.00 $31,700.00 N/A N/A N/A
Electrical $7,122.72 $7,122.72 N/A $7,122.72 N/A
Misc RF Components $6,000.00 $6,000.00 N/A N/A N/A
Installation and Proof $58,543.75 $58,543.75 N/A $58,543.75 N/A
Transmitter Site Access Road $21,463.84 $21,463.84 N/A $21,463.84 Additional expenses were incurred as indicated in the attached invoices.
Mask Filter System $50,763.97 $50,763.97 N/A $50,763.97 N/A
Other Electrical Service: Incoming AC line surge suppression and disconnect switchgear. $38,300.00 $38,300.00 Additional expenses were incurred as indicated in the attached invoices $38,300.00 Additional expenses were incurred as indicated in the attached invoices
3" Rigid Conduit and Wiring (Cost per foot) $13,000.00 $12,250.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $422,303.03 Additional expenses were incurred as indicated in the attached invoices. $422,303.03 Additional expenses were incurred as indicated in the attached invoices.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW $684,000.00 $223,637.79 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $223,637.79 N/A

Components

Actual Information Description File Name
RF Accessories

Component Description:
RF Accessories for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$21,378.14

Component Description:
RF Accessories for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$20,516.42

Component Description:
RF Accessories for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$22,239.88
Transmitter Removal Information not provided.
Installation RF Mask-Filter Information not provided.
Site Survey

Component Description:
Basic Site Survey
Amount:
$8,416.62
Transmitter Building Electrical Information not provided.
Electrical

Component Description:
Electrical for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$2,374.24

Component Description:
Electrical for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$2,374.24

Component Description:
Electrical for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$2,374.24
Misc RF Components Information not provided.
Installation and Proof

Component Description:
Installation and Proof for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$19,514.58

Component Description:
Installation and Proof for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$19,514.58

Component Description:
Installation and Proof for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$19,514.59
Transmitter Site Access Road

Component Description:
Grading which includes grubbing and road widening improvements to facilitate safe travel for equipment
Amount:
$9,080.00

Component Description:
Additional Stone needed for preparation of main road for safe transport of equipment
Amount:
$483.84

Component Description:
Preparation of main road for safe transport of equipment
Amount:
$11,900.00
Mask Filter System

Component Description:
Mask Filter System for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$16,921.33

Component Description:
Mask Filter System for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$17,783.05

Component Description:
Mask Filter System for ULXTE-40 Transmitter per Quote Q-81168
Amount:
$16,059.59
Other Electrical Service: Incoming AC line surge suppression and disconnect switchgear.

Component Description:
Install tower light control panel with dedicated circuit from transmitter equipment panel
Amount:
$2,100.00

Component Description:
Electrical installations, voltage conduit, additional volt circuits
Amount:
$12,800.00

Component Description:
Installation of additional circuits; relocation of existing circuits
Amount:
$4,200.00

Component Description:
Amp panel, hanging heater, conduit and wire
Amount:
$19,200.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
GatesAir ULXTE-40 Transmitter per Quote Q-81168 (including Exciter, modulation software, heat exchanger)
Amount:
$198,665.25

Component Description:
GatesAir ULXTE-40 Transmitter per Quote Q-81168
Amount:
$223,637.78
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW

Component Description:
GatesAir ULXTE-40 Transmitter per Quote Q-81168
Amount:
$223,637.79

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 $545,084.99 $534,633.24 N/A $232,876.49 N/A
Total for all systems $4,657,256.41 $3,496,270.93 N/A $2,839,121.81 N/A
Interim Antenna ALP16M2-HSP-2S $255,467.00 $256,130.25 $44,851.50
Tower Rigging to Stabilize Tower during interim antenna transmission line work $30,827.00 $30,827.00 N/A $15,413.50 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,260.00 N/A $2,400.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $23,150.00 N/A N/A N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $189,500.00 N/A $19,644.75 N/A
Sweep test of existing antenna $6,730.00 $7,393.25 Additional expenses were incurred as indicated in the attached invoices. $7,393.25 Additional expenses were incurred as indicated in the attached invoices.
Primary Antenna ATW26H3-HSP230-25H $289,617.99 $278,502.99 $188,024.99
Freight $1,782.50 $1,782.50 N/A $1,782.50 N/A
Installation of Ice Shields $15,395.49 $15,395.49 Additional expenses were incurred as indicated in the attached invoices $15,395.49 Additional expenses were incurred as indicated in the attached invoices
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $4,800.00 N/A $4,800.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $13,575.00 N/A $13,575.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $11,700.00 N/A $4,454.00 N/A
Sweep test of existing antenna $6,730.00 $6,250.00 N/A $6,250.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 739 kW input, directional,, horizontally polarized $225,000.00 $225,000.00 N/A $141,768.00 N/A

Components

Actual Information Description File Name
Tower Rigging to Stabilize Tower during interim antenna transmission line work

Component Description:
Replacement Steel Tails for Installation of Interim Antenna
Amount:
$15,413.50
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
Scattering Study
Amount:
$2,400.00
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
Interim Antenna
Amount:
$19,644.75
Sweep test of existing antenna

Component Description:
System Sweep
Amount:
$7,393.25
Freight

Component Description:
Freight
Amount:
$1,782.50
Installation of Ice Shields

Component Description:
Ice shield assembly and freight cost
Amount:
$11,195.49

Component Description:
Installation of ice shields and weather day
Amount:
$4,200.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)

Component Description:
Antenna Scattering Study
Amount:
$2,400.00

Component Description:
Antenna Scattering Study
Amount:
$2,400.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Custom Mounts
Amount:
$6,787.50

Component Description:
Custom Mounts
Amount:
$6,787.50
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow Complex
Amount:
$4,454.00
Sweep test of existing antenna

Component Description:
System Sweep
Amount:
$3,125.00

Component Description:
System Sweep
Amount:
$3,125.00
UHF - High Power, Side Mount, basic slot antenna, 739 kW input, directional,, horizontally polarized

Component Description:
Side Mount Antenna
Amount:
$70,884.00

Component Description:
Side Mount Antenna
Amount:
$70,884.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $100,086.00 $97,086.00 N/A $61,817.81 N/A
Total for all systems $4,657,256.41 $3,496,270.93 N/A $2,839,121.81 N/A
Interim Transmission Line $26,616.00 $26,616.00 $9,082.89
Flexible Air Transmission Line - dielectric, 3" $19,116.00 $19,116.00 N/A $9,082.89 N/A
Transmission Line Routing $7,500.00 $7,500.00 N/A N/A N/A
Primary Transmission Line $73,470.00 $70,470.00 $52,734.92
Rigid Transmission Line - copper, 6 1/8" $60,600.00 $57,600.00 N/A $43,257.09 N/A
Transmission Line Bridge Option $12,870.00 $12,870.00 N/A $9,477.83 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 3"

Component Description:
Heliax Line and Dehydrator
Amount:
$9,082.89
Transmission Line Routing Information not provided.
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Transmission Line
Amount:
$23,516.82

Component Description:
Transmission Line
Amount:
$19,740.27
Transmission Line Bridge Option

Component Description:
Ice Shield, installation, and freight for transmission line bridge exposure to falling ice
Amount:
$9,477.83

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 $1,221,768.96 $1,217,568.96 N/A $1,046,831.88 N/A
Total for all systems $4,657,256.41 $3,496,270.93 N/A $2,839,121.81 N/A
Primary Tower TOWER $95,231.25 $91,031.25 $73,595.25
Short Tower (less than 500') $84,200.00 $80,000.00 N/A $71,064.00 N/A
Site Security $8,500.00 $8,500.00 N/A N/A N/A
RF Engineer Consultant $2,531.25 $2,531.25 N/A $2,531.25 N/A
Primary Tower TOWER $0.00 $0.00 $0.00
Primary Tower $1,126,537.71 $1,126,537.71 $973,236.63
Short Tower (less than 500') $84,200.00 $84,200.00 N/A $0.00 N/A
Tower Site Fencing Guy Anchors $8,000.00 $8,000.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. N/A N/A
ERI Geotechnical Survey for collection of soil core samples $5,650.00 $5,650.00 N/A $2,825.00 N/A
Radio Services $12,250.00 $12,250.00 N/A N/A N/A
Addison Surveyors $3,900.00 $3,900.00 N/A $3,900.00 N/A
Installation $31,619.00 $31,619.00 N/A N/A N/A
Tower Site Fence East and West End Removal $1,600.00 $1,600.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. N/A N/A
Tower Site Fencing New Fence and Gate $7,500.00 $7,500.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. N/A N/A
Waste Disposal $3,500.00 $3,500.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. N/A N/A
Porta-Potty $2,000.00 $2,000.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. $192.92 N/A
Tower Site Tree Removal New Guy Path $13,000.00 $13,000.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. Additional expenses were incurred as indicated in the attached invoices. $13,000.00 Additional expenses were incurred as indicated in the attached invoices.
Tower Site Tree Removal Tower Site to Road $8,300.00 $8,300.00 WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. Additional expenses were incurred as indicated in the attached invoices. $8,300.00 Additional expenses were incurred as indicated in the attached invoices.
New tower $945,018.71 $945,018.71 Additional expenses were incurred as indicated in the attached invoices. $945,018.71 Additional expenses were incurred as indicated in the attached invoices.

Components

Actual Information Description File Name
Short Tower (less than 500')

Component Description:
Installation
Amount:
$71,064.00
Site Security Information not provided.
RF Engineer Consultant

Component Description:
RF Engineer Consultant
Amount:
$2,531.25
Short Tower (less than 500')

Component Description:
Installation
Amount:
N/A
Tower Site Fencing Guy Anchors Information not provided.
ERI Geotechnical Survey for collection of soil core samples

Component Description:
Geotechnical Services and Foundation Mapping
Amount:
$2,825.00
Radio Services Information not provided.
Addison Surveyors

Component Description:
Tying tower site into boundary, verifying guy anchor locations, locating existing tower center
Amount:
$3,900.00
Installation Information not provided.
Tower Site Fence East and West End Removal Information not provided.
Tower Site Fencing New Fence and Gate Information not provided.
Waste Disposal Information not provided.
Porta-Potty

Component Description:
Portable Restroom
Amount:
$192.92
Tower Site Tree Removal New Guy Path

Component Description:
Tower Site Tree Removal New Guy Path
Amount:
$7,500.00

Component Description:
Clearing of trees and debris for construction and installation of guy wires around tower
Amount:
$5,500.00
Tower Site Tree Removal Tower Site to Road

Component Description:
Limb removal from main road, up mountain, through entrance gate, and up tower entrance road
Amount:
$6,000.00

Component Description:
Clearing of trees and stumps between main and new road
Amount:
$2,300.00
New tower

Component Description:
Custom hauling to limited access site. Receive and unload material.
Amount:
$53,573.00

Component Description:
Custom Tower, Foundation and Antenna Installation, Structural Destack - Change order
Amount:
$82,365.25

Component Description:
Custom Tower, Foundation and Antenna Installation, Structural Destack
Amount:
$400,240.00

Component Description:
Custom Tower, Foundation and Antenna Installation, Structural Destack and Freight
Amount:
$408,840.46

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $157,162.89 $411,044.34 N/A $390,850.54 N/A
Total for all systems $4,657,256.41 $3,496,270.93 N/A $2,839,121.81 N/A
Outside Professional Services $157,162.89 $411,044.34 $390,850.54
Interim Antenna Considerations $420.00 $420.00 N/A $420.00 N/A
PROJECT PLANNING $5,000.00 $5,000.00 N/A $750.00 N/A
RF Exposure Measurements $21,050.00 $10,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,710.80 Additional expenses were incurred as indicated in the attached invoices. $3,710.80 Additional expenses were incurred as indicated in the attached invoices.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $4,306.20 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 $3,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $7,000.00 N/A
Additional Repack Legal Services Not Otherwise Specified in Form 399 $68,922.55 $68,922.55 Additional expenses were incurred as indicated in the attached invoices $68,922.55 Additional expenses were incurred as indicated in the attached invoices.
Insurance Costs $17,890.34 $17,890.34 N/A $17,890.34 N/A
Project management of the transition $15,800.00 $226,205.55 Additional expenses were incurred as indicated in the attached invoices. $226,205.55 Additional expenses were incurred as indicated in the attached invoices.
Prepare and or review reimbursement form $2,630.00 $58,645.10 Additional expenses were incurred as indicated in the attached invoices. $58,645.10 Additional expenses were incurred as indicated in the attached invoices.

Components

Actual Information Description File Name
Interim Antenna Considerations

Component Description:
Interim Antenna Considerations
Amount:
$420.00
PROJECT PLANNING

Component Description:
Engineering consulting services necessary to ascertain power of, and plan for, new transmitter.
Amount:
$750.00
RF Exposure Measurements Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Prepare and File request for Special Temporary Authorization
Amount:
$1,440.00

Component Description:
Prepare and File request for Special Temporary Authorization
Amount:
$2,270.80
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Attorney Fees - Prepare and File FCC Form 2100 CP
Amount:
$367.00

Component Description:
Attorney Fees - Prepare and File FCC Form 2100 CP
Amount:
$2,622.90

Component Description:
Tolling request for repack construction permit
Amount:
$1,316.30
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare engineering section of FCC Form 2100 CP Application
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform engineering digital channel study for new channel assignment and antenna development for selected channel.
Amount:
$7,000.00
Additional Repack Legal Services Not Otherwise Specified in Form 399

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$659.60

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$5,255.10

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$405.60

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$846.90

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$370.10

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$748.60

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$1,785.40

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$4,195.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog fees.
Amount:
N/A

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$5,845.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$164.10

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$826.10

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$1,559.20

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$2,814.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$6,982.50

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$518.50

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$3,136.80

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$1,843.90

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$11,311.90

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$407.40

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$2,471.20

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$2,282.10

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$1,591.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$980.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$1,156.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees
Amount:
$791.30

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$3,269.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees.
Amount:
$5,600.00

Component Description:
Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog fees.
Amount:
$1,106.25
Insurance Costs

Component Description:
General liability insurance coverage for repack related equipment installation and transportation
Amount:
$4,513.39

Component Description:
Excess liability insurance coverage for repack related equipment installation and transportation
Amount:
$10,876.95

Component Description:
Installation/Builders Risk Policy
Amount:
$2,500.00
Project management of the transition

Component Description:
Project Management of Transition
Amount:
$27,115.55

Component Description:
Project Management of Transition
Amount:
$15,842.91

Component Description:
Project Management of Transition
Amount:
$25,158.34

Component Description:
Project Management of Transition
Amount:
$3,625.00

Component Description:
Project Management of Transition
Amount:
$1,015.00

Component Description:
Project Management of Transition
Amount:
$12,213.17

Component Description:
Project Management of Transition
Amount:
$450.00

Component Description:
Project Management of Transition
Amount:
$19,378.08

Component Description:
Project Management of Transition
Amount:
$15,698.74

Component Description:
Project Management of Transition
Amount:
$7,646.06

Component Description:
Project Management of Transition
Amount:
$8,168.67

Component Description:
Project Management of Transition
Amount:
$3,915.00

Component Description:
Project Management of Transition
Amount:
$2,211.25

Component Description:
Project Management of Transition
Amount:
$16,352.34

Component Description:
Project Management of Transition
Amount:
$26,741.91

Component Description:
Project Management of Transition
Amount:
$9,690.93

Component Description:
Project Management of Transition
Amount:
$687.50

Component Description:
Project Management of Transition
Amount:
$507.50

Component Description:
Project Management of Transition
Amount:
$9,794.34

Component Description:
Project Management of Transition
Amount:
$1,703.75

Component Description:
Project Management of Transition
Amount:
$250.00

Component Description:
Project Management of Transition
Amount:
$1,461.60

Component Description:
Project Management of Transition
Amount:
$507.50

Component Description:
Project Management of Transition
Amount:
$900.00

Component Description:
Project Management of Transition
Amount:
$9,563.26

Component Description:
Project Management of Transition
Amount:
$1,341.25

Component Description:
Project management of transition
Amount:
$2,030.00

Component Description:
Project management of the transition
Amount:
$2,235.90
Prepare and or review reimbursement form

Component Description:
Prepare and or review reimbursement form
Amount:
$2,773.10

Component Description:
Prepare and or review reimbursement form
Amount:
$464.00

Component Description:
Prepare and or review reimbursement form
Amount:
$12,950.30

Component Description:
Prepare and or review reimbursement form
Amount:
$59.80

Component Description:
Prepare and or review reimbursement form
Amount:
$10,633.10

Component Description:
Prepare and or review reimbursement form
Amount:
$1,181.20

Component Description:
Prepare and or review reimbursement form
Amount:
$988.00

Component Description:
Prepare and or review reimbursement form
Amount:
$942.60

Component Description:
Prepare and or review reimbursement form
Amount:
$1,979.70

Component Description:
Prepare and or review reimbursement form
Amount:
$691.60

Component Description:
Prepare and or review reimbursement form
Amount:
$2,015.50

Component Description:
Prepare and or review reimbursement form
Amount:
$505.80

Component Description:
Prepare and or review reimbursement form
Amount:
$1,641.40

Component Description:
Prepare and or review reimbursement form
Amount:
$1,679.00

Component Description:
Prepare and or review reimbursement form
Amount:
$1,589.00

Component Description:
Prepare budget for FCC Form 399 including reimbursement for expenses including vendor review and technical justification
Amount:
$2,500.00

Component Description:
Prepare and or review reimbursement form
Amount:
$547.90

Component Description:
Prepare and or review reimbursement form
Amount:
$1,982.30

Component Description:
Prepare and or review reimbursement form
Amount:
$3,195.00

Component Description:
Prepare and or review reimbursement form
Amount:
$1,702.40

Component Description:
Prepare and or review reimbursement form
Amount:
$1,267.20

Component Description:
Prepare and or review reimbursement form
Amount:
$1,544.20

Component Description:
Prepare and or review reimbursement form
Amount:
$806.40

Component Description:
Prepare and or review reimbursement form
Amount:
$1,496.30

Component Description:
Prepare and or review reimbursement form
Amount:
$1,011.10

Component Description:
Prepare and or review reimbursement form
Amount:
$511.00

Component Description:
Prepare and/or review reimbursement form
Amount:
$1,987.20

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 $78,383.23 $77,778.23 N/A $42,834.93 N/A
Total for all systems $4,657,256.41 $3,496,270.93 N/A $2,839,121.81 N/A
Other Expenses $78,383.23 $77,778.23 $42,834.93
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 N/A $1,158.70 N/A
Equipment Delivery and Handling Charges $35,149.23 $35,149.23 Additional expenses were incurred as indicated in the attached invoices. $35,149.23 Additional expenses were incurred as indicated in the attached invoices.
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,865.00 N/A
Tower Lease and Tenant Correspondence $1,000.00 $1,000.00 N/A $98.00 N/A
MVPD Notification of Channel Change $1,544.00 $1,544.00 Additional expenses were incurred as indicated in the attached invoices. $1,544.00 Additional expenses were incurred as indicated in the attached invoices.
Disposal Costs (for equipment and other waste, net of any salvage value) $20,000.00 $20,000.00 N/A N/A N/A
Non-zoning permits $2,500.00 $2,500.00 N/A $1,020.00 N/A
Local Zoning $2,500.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Develop and air announcement of upcoming channel change

Component Description:
Develop and air announcement of upcoming channel change
Amount:
$644.00

Component Description:
Develop and air announcement of upcoming channel change
Amount:
$514.70
Equipment Delivery and Handling Charges

Component Description:
Equipment Delivery and Handling Charges
Amount:
$35,149.23
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification Mailing
Amount:
$2,950.00

Component Description:
DTV Medical Facility Notification
Amount:
$179.40

Component Description:
DTV Medical Facility Notification
Amount:
$196.00

Component Description:
DTV Medical Facility Notification
Amount:
$119.60

Component Description:
DTV Medical Facility Notification
Amount:
$322.00

Component Description:
DTV Medical Facility Notification
Amount:
$98.00
Tower Lease and Tenant Correspondence

Component Description:
Tower lease and tenant correspondence
Amount:
$98.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification process
Amount:
$49.00

Component Description:
MVPD Notification Mailing
Amount:
$245.00

Component Description:
MVPD Notification Mailing
Amount:
$1,250.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits

Component Description:
Permit for Foundation and Tower Erection
Amount:
$630.00

Component Description:
Building and Electrical Permits
Amount:
$1,020.00

Component Description:
Credit for Reimbursement Received for Invoice #1023
Amount:
($630.00)
Local Zoning Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,657,256.41 $3,496,270.93 $2,839,121.81

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.

Michael D. Smith

President


10/22/2020

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.

Michael D. Smith

President


10/22/2020

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