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:
65680
Service:
DTV
Call Sign:
WISN-TV
Channel:
28 (UHF)
File Number:
0000026822
FRN:
0003792710
Date Submitted:
10/14/2020

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WISN Hearst Television Inc.

Doing Business As: WISN Hearst Television Inc.

PO Box 1800

Raleigh, NC 27602

United States

+1 (919) 839-0300 shartzell@brookspierce.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

Back to Top
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 See attached document

Transmitters

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

Primary Transmitter

Back to Top

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 Sigma CD3200P2
Year 2001
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40 kW

Primary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model ULXTE-72
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 47.2 kW
Justification for New Transmitter Existing IOT transmitter cannot be converted to post-transition channel, see GatesAir EOL and HTV IOT to Solid-State Justification statements. An IOT replacement is more expensive than proposed SS transmitter. See attached Comark IOT Transmitter quote.

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description transmitter installation electrical service See attached quote
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 10 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 600.0 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

Back to Top

Other Transmitter Cost Not Listed

Name Description

Installation incidentals

supplies and equipment needed for transmitter installation

Sales Tax

transmitter sales tax

Change Order

Changes in transmitter accessories & configuration

RF Accessories

Additional RF components required for transmitter

Exterior Modifications

Changes to ice shield, concrete pad and fencing to accommodate repack transmitter and associated equipment

Transmitter de-install

Remove old transmitter

Shipping

Transmitter shipping

Electrical Accessories

Surge Protection required by manufacturer

Remote Control

Remote Control equipment to integrated repack transmitter

Antennas

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

Auxiliary Antenna

Back to Top

Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use backup to main antenna
Ownership Owned
Owner N/A
Site N/A
Is this antenna currently shared with any other stations? No
Is this 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: 850.0 kW
Manufacturer
Model TFU-26GTH-R CT160
Year 2001

Auxiliary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Interim/Aux
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 Broadband Slot
Number of Stations Supported 1
Number of Panels/Bays 24
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Design power capacity in use 65.0 %
Other Antenna Type N/A
ERP: 882.0 kW
Manufacturer
Model TFU-24WB-1-R C160
Year 2019
Justification for New Antenna Current antenna is channel specific and cannot be used on post-transition channel. Antenna must be replaced.

Auxiliary Antenna

Back to Top

Other Antenna Costs

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

Auxiliary Antenna

Back to Top

Other Antenna Cost Not Listed

Name Description

Line Reducer

REDUCER 6-75 X 7-75 EIA CU. FOR ANTENNA INPUT

Shipping

antenna shipping

Custom line section

custom length transmission line to connect antenna to existing line

Sales Tax

antenna sales tax

Primary Antenna

Back to Top

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? 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 Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-31ETT/VP-R 4C160
Year 2010

Primary Antenna

Back to Top

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 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: 882.0 kW
Manufacturer
Model TFU-29ETT/VP-R 4C160
Year 2019
Justification for New Antenna Current antenna is channel specific and cannot be used on post-transition channel. Antenna must be replaced.

Primary Antenna

Back to Top

Other Antenna Costs

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

Primary Antenna

Back to Top

Other Antenna Cost Not Listed

Name Description

Shipping

Antenna shipping

Sales Tax

antenna sales tax

Transmission Line

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

Auxiliary Transmission Line

Back to Top

Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use Auxiliary/Backup
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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1000 feet per run

Auxiliary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

null

null

Primary Transmission Line

Back to Top

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 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1160 feet per run

Primary Transmission Line

Back to Top

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 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1160 feet per run
Justification for New Transmission Line Current transmission line segment length is not compatible with post-transition channel (28) and must be replaced.

Primary Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

Sales Tax

transmission line sales tax

Additional Transmission line

transmission line components needed to complete installation

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

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 No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1035766
Coordinates (NAD83) Latitude (NAD83) 43° 06' 42.0" N-
Longitude (NAD83) 087° 55' 42.0" W-
Overall Structure Height 1107.93 feet
Support Structure Height 1032.80 feet
Ground Elevation Above Mean Sea Level (AMSL) 623.35 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WISN Hearst Television Inc.
Date Constructed 07/24/1955

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
26609 WRNW FM

Primary Tower

Back to Top

Tower Modification Costs

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

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

Tower Consulting

tower consulting and tower project management

Change Orders

Change Orders associated with antenna installations

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? No
Number of Hours N/A
Explanation N/A
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility 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 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 Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Transmitter Site Survey

Transmitter planning survey & transmitter building drawings

Non-Catalog legal expenses

Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues

Other Expenses

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

Back to Top

Other Expenses Not Listed

Name Description

Contract Labor

labor directly related to the station channel change

in-house labor

in-house labor directly related to station's repack

Grounds Restoration

Restore grounds around transmitter site after damage by heavy equipment.

Cost Information

Back to Top

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 $1,854,524.45 $1,518,113.77 N/A $1,518,113.77 N/A
Total for all systems $3,318,670.53 $2,876,981.02 N/A $2,661,716.65 N/A
Primary Transmitter ULXTE-72 $1,854,524.45 $1,518,113.77 $1,518,113.77
Exterior Modifications $8,758.46 $8,758.46 exterior changes to transmitter facility to accommodate repack transmitter equipment $8,758.46 N/A
Shipping $10,812.83 $10,812.83 Transmitter shipping $10,812.83 N/A
Transmitter de-install $30,344.50 $30,344.50 Old transmitter removal costs $30,344.50 N/A
RF Accessories $76,720.12 $76,720.12 Additional RF components required for transmitter operation and integration into current RF environment. $76,720.12 N/A
Change Order $46,640.57 $46,640.57 transmitter change orders $46,640.57 N/A
Sales Tax $82,380.22 $82,380.22 transmitter sales tax per GatesAir invoices $82,380.22 N/A
Other -- Building Addition Size: 600.0 $1,393.92 $1,393.92 Building modifications need for repack transmitter $1,393.92 N/A
10 Ton system $60,500.00 $0.00 N/A N/A N/A
Other Electrical Service: transmitter installation electrical service See attached quote $47,855.00 $47,855.00 per transmitter installation electrical service invoices $47,855.00 N/A
Remote Control $595.00 $595.00 per invoice and quote $595.00 N/A
Electrical Accessories $13,430.49 $13,430.49 Manufacturer required surge protection and transformers $13,430.49 N/A
Installation incidentals $2,093.34 $2,093.34 per invoices $2,093.34 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,197,089.32 GatesAir quote sections A, B & E. Plus change orders $1,197,089.32 N/A

Components

Actual Information Description File Name
Exterior Modifications

Component Description:
WISN ice shield progress payment 1
Amount:
$2,500.00

Component Description:
WISN fence move and concrete footings
Amount:
$5,604.00

Component Description:
WISN core drill hole for TL
Amount:
$654.46
Shipping

Component Description:
WISN transmitter shipping
Amount:
$10,712.97

Component Description:
WISN transmitter shipping 2 rev
Amount:
$99.86
Transmitter de-install

Component Description:
WISN GA transmitter de-install
Amount:
$25,330.20

Component Description:
WISN electrical transmitter de-install
Amount:
$999.07

Component Description:
WISN forklift rental fuel service for transmitter de-install
Amount:
$76.83

Component Description:
WISN forklift rental for transmitter de-install
Amount:
$3,938.40
RF Accessories

Component Description:
WISN transmitter RF accessories
Amount:
$76,720.12
Change Order

Component Description:
WISN transmitter change order
Amount:
$41,640.72

Component Description:
WISN transmitter change order Q-85998
Amount:
$4,999.85
Sales Tax

Component Description:
WISN transmitter sales tax 3
Amount:
$1,546.83

Component Description:
WISN transmitter sales tax
Amount:
$75,420.39

Component Description:
WISN transmitter sales tax 2 rev
Amount:
$5,413.00
Other -- Building Addition Size: 600.0

Component Description:
WISN invoice for duct removal-Best Heating
Amount:
$1,393.92
10 Ton system Information not provided.
Other Electrical Service: transmitter installation electrical service See attached quote

Component Description:
WISN transmitter electrical installation 1
Amount:
$32,485.00

Component Description:
WISN transmitter electrical installation 2
Amount:
$15,370.00
Remote Control

Component Description:
WISN repack transmitter remote control integration
Amount:
$595.00
Electrical Accessories

Component Description:
WISN transmitter electrical accessories
Amount:
$13,430.49
Installation incidentals

Component Description:
WISN transmitter installation forklift rental
Amount:
$1,800.84

Component Description:
WISN transmitter cooling system water for flush
Amount:
$292.50
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Transmitter 1st deposit
Amount:
$138,664.28

Component Description:
WISN transmitter balance due at delivery
Amount:
$242,525.70

Component Description:
WISN transmitter installation and change orders rev
Amount:
$106,351.59

Component Description:
WISN transmitter one-third prior to ship
Amount:
$445,359.88

Component Description:
Transmitter 2nd deposit
Amount:
$264,187.87

Cost Information

Back to Top

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 $538,700.61 $527,655.61 N/A $426,311.83 N/A
Total for all systems $3,318,670.53 $2,876,981.02 N/A $2,661,716.65 N/A
Primary Antenna TFU-29ETT/VP-R 4C160 $337,453.65 $335,438.65 $244,880.87
Shipping $12,219.65 $12,219.65 Antenna shipping per Dielectric invoices $12,219.65 N/A
Sales Tax $16,704.00 $16,704.00 estimated sales tax based on the Wisconsin state and local sales tax rate of 5.6% N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,984.00 N/A $10,984.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $289,131.00 Antenna price for comparable antenna per attached Dielectric quote $215,277.22 N/A
Auxiliary Antenna TFU-24WB-1-R C160 $201,246.96 $192,216.96 $181,430.96
Sales Tax $8,683.00 $8,683.00 estimated antenna sales tax based on Wisconsin state sales tax rate N/A N/A
Shipping $5,233.50 $5,233.50 Shipping per Dielectric quote $5,233.50 N/A
Line Reducer $2,100.00 $2,100.00 Required RF component for antenna installation. See Dielectric quote. N/A N/A
Custom line section $7,326.46 $7,326.46 Custom length line for antenna installation plus shipping $7,323.46 N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $0.00 Part of antenna N/A N/A
Sweep test of existing antenna $6,730.00 $11,400.00 two sweeps required due to timing issues $11,400.00 N/A
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 882 kW input, directional,, horizontally polarized $157,474.00 $157,474.00 auxiliary antenna with elbow complex - cost per Dielectric quote $157,474.00 Includes components not yet itemized

Components

Actual Information Description File Name
Shipping

Component Description:
WISN test transition shipping for antenna sweep
Amount:
$359.65

Component Description:
WISN main antenna shipping
Amount:
$11,860.00
Sales Tax Information not provided.
Sweep test of existing antenna

Component Description:
WISN main antenna and transmission line sweep
Amount:
$6,400.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
WISN main antenna elbow complex
Amount:
$10,984.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
WISN main antenna prior to ship
Amount:
$72,008.47

Component Description:
WISN Dielectric main antenna; payments 1&2 - 45%; $143,268.75
Amount:
$143,268.75
Sales Tax Information not provided.
Shipping

Component Description:
WISN auxiliary antenna shipping
Amount:
$5,233.50
Line Reducer Information not provided.
Custom line section

Component Description:
WISN auxiliary antenna cut piece plus shipping
Amount:
$7,323.46
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna

Component Description:
WISN preliminary auxiliary antenna sweep
Amount:
$5,000.00

Component Description:
WISN auxiliary antenna sweep
Amount:
$6,400.00
UHF - High Power, Side Mount, basic slot antenna, 24 bay,, 882 kW input, directional,, horizontally polarized

Component Description:
Invoice: WISN aux antenna 45% prior to ship
Amount:
$77,203.13

Component Description:
WISN aux antenna payment
Amount:
$3,067.74

Component Description:
WISN Dielectric Aux antenna; payments 1&2 - 45%; $77,203.13
Amount:
$77,203.13

Cost Information

Back to Top

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 $260,420.21 $190,219.71 N/A $177,965.71 N/A
Total for all systems $3,318,670.53 $2,876,981.02 N/A $2,661,716.65 N/A
Primary Transmission Line $260,420.21 $190,219.71 $177,965.71
Additional Transmission line $13,846.21 $13,846.21 per Dielectric invoices $13,846.21 N/A
Sales Tax $12,254.00 $12,254.00 estimated transmission line sales tax based on Wisconsin state and local sales tax rate of 5.6% $0.00 N/A
Rigid Transmission Line - copper, 6 1/8" $234,320.00 $164,119.50 N/A $164,119.50 N/A
Auxiliary Transmission Line $0.00 $0.00 $0.00
null $0.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
Additional Transmission line

Component Description:
WISN additional TL components shipping 2
Amount:
$1,309.55

Component Description:
WISN additional TL components shipping
Amount:
$1,212.62

Component Description:
WISN additional transmission line and shipping
Amount:
$8,113.79

Component Description:
WISN additional TL components
Amount:
$2,539.80

Component Description:
WISN TL components shipping rev
Amount:
$670.45
Sales Tax Information not provided.
Rigid Transmission Line - copper, 6 1/8"

Component Description:
WISN Dielectric main transmission line; payments 1&2 - 45%; $73,853.78
Amount:
$73,853.78

Component Description:
WISN main transmission line payment 3
Amount:
$19,005.44

Component Description:
WISN main transmission line payment prior to ship
Amount:
$145,114.06
null Information not provided.

Cost Information

Back to Top

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 $417,019.69 $441,354.66 N/A $441,354.16 N/A
Total for all systems $3,318,670.53 $2,876,981.02 N/A $2,661,716.65 N/A
Primary Tower TOWER $417,019.69 $441,354.66 $441,354.16
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $19,500.00 N/A $19,500.00 N/A
Minor tower reinforcement/modifications $158,000.00 $61,469.76 N/A $61,469.76 N/A
Tower Consulting $3,613.00 $3,613.00 per tower consulting invoices $3,613.00 N/A
Change Orders $18,606.69 $18,606.69 actual $18,606.69 N/A
Tall Tower (greater than 500') $210,500.00 $338,165.21 contract price plus change order $338,164.71 N/A

Components

Actual Information Description File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
WISN tower evaluation invoice 1. Supporting quote provided.
Amount:
$7,250.00

Component Description:
WISN tower rigorous analysis invoice 1. Supporting quote provided.
Amount:
$2,500.00

Component Description:
WISN tower evaluation invoice 2. Supporting quote provided.
Amount:
$7,250.00

Component Description:
WISN tower rigorous analysis invoice 2. Supporting quote provided.
Amount:
$2,500.00
Minor tower reinforcement/modifications

Component Description:
Invoice for WISN tower modifications
Amount:
$61,469.76
Tower Consulting

Component Description:
WISN Tower Consulting invoice 1
Amount:
$3,538.00

Component Description:
WISN Kube tower consulting
Amount:
$75.00
Change Orders

Component Description:
WISN auxiliary antenna installation change order
Amount:
$18,606.69
Tall Tower (greater than 500')

Component Description:
WISN auxiliary antenna installation payment F
Amount:
$25,152.00

Component Description:
WISN main antenna installation Phase 2-1
Amount:
$55,000.00

Component Description:
WISN CTC tower work deposit
Amount:
$108,380.00

Component Description:
WISN main antenna installation Phase 2-2
Amount:
$50,000.00

Component Description:
WISN main antenna installation Phase 2-3
Amount:
$35,562.50

Component Description:
WISN main antenna installation Phase 2 change order
Amount:
$28,508.21

Component Description:
WISN main antenna installation Phase 2-3
Amount:
$35,562.00

Cost Information

Back to Top

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 $182,978.60 $141,858.70 N/A $50,207.41 N/A
Total for all systems $3,318,670.53 $2,876,981.02 N/A $2,661,716.65 N/A
Outside Professional Services $182,978.60 $141,858.70 $50,207.41
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $2,152.66 N/A
Non-Catalog legal expenses $20,000.00 $20,000.00 Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues $15,371.42 N/A
RF Exposure Measurements $21,050.00 $0.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $592.60 N/A $592.60 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 $2,575.20 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $1,999.43 N/A
Prepare request for Special Temporary Authorization $2,050.00 $550.00 N/A $550.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $250.00 N/A $250.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $400.00 N/A $400.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $650.00 N/A $650.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $1,937.50 N/A $1,937.50 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $1,975.00 N/A $1,975.00 N/A
Transmitter Site Survey $21,753.60 $21,753.60 Transmitter planning survey & transmitter building drawings quote attached $21,753.60 N/A

Components

Actual Information Description File Name
Prepare and or review reimbursement form

Component Description:
WISN Prepare and/or review reimbursement Form 399 5
Amount:
$78.50

Component Description:
WISN Prepare and/or review reimbursement Form 399 2
Amount:
$300.06

Component Description:
WISN Prepare and/or review reimbursement Form 399 3
Amount:
$47.00

Component Description:
WISN Prepare and/or review reimbursement Form 399 4
Amount:
$329.00

Component Description:
WISN Prepare and/or review reimbursement Form 399
Amount:
$1,398.10
Non-Catalog legal expenses

Component Description:
WISN non-catalog legal 6
Amount:
$52.50

Component Description:
WISN non-catalog legal 3
Amount:
$1,081.00

Component Description:
WISN non-catalog legal 2
Amount:
$3,690.02

Component Description:
WISN non-catalog legal 1
Amount:
$4,325.40

Component Description:
WISN non-catalog legal 5
Amount:
$1,143.70

Component Description:
WISN non-catalog legal 4
Amount:
$5,078.80
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
WISN attorney Prepare and File request for Special Temporary Authorization
Amount:
$592.60
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

Component Description:
WISN attorney Aux Antenna, Prepare and File Form 2100 CP or LTC application 2
Amount:
$2,123.60

Component Description:
WISN attorney Aux Antenna, Prepare and File Form 2100 CP or LTC application 1
Amount:
$451.60
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
WISN Prepare and File FCC Form 2100, Construction Permit Application 2
Amount:
$1,054.53

Component Description:
WISN Prepare and File FCC Form 2100, Construction Permit Application
Amount:
$944.90
Prepare request for Special Temporary Authorization

Component Description:
WISN engineering interim STA
Amount:
$550.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application

Component Description:
WISN RF consulting for license to cover
Amount:
$250.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
WISN RF consulting main antenna license to cover
Amount:
$400.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application

Component Description:
WISN engineering auxiliary antenna CP
Amount:
$650.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
WISN RF consulting - Construction Permit
Amount:
$1,937.50
Perform engineering study for new channel assignment and antenna development

Component Description:
WISN RF Consulting - study 3(aux antenna development)
Amount:
$550.00

Component Description:
WISN RF consulting - study invoice 2
Amount:
$625.00

Component Description:
WISN RF consulting - study invoice 1
Amount:
$800.00
Transmitter Site Survey

Component Description:
WISN Field Service, GatesAir, 7/25/2016 $21,753.60
Amount:
$21,753.60

Cost Information

Back to Top

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 $65,026.97 $57,778.57 N/A $47,763.77 N/A
Total for all systems $3,318,670.53 $2,876,981.02 N/A $2,661,716.65 N/A
Other Expenses $65,026.97 $57,778.57 $47,763.77
Grounds Restoration $18,885.11 $18,885.11 per David J Frank Landscaping invoices $18,885.11 N/A
MVPD Notification of Channel Change $2,732.80 $2,732.80 see invoice $2,732.80 N/A
Equipment Storage $7,800.00 $7,800.00 antenna storage $7,800.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A $1,110.00 N/A
DTV Medical Facility Notification $11,550.00 $3,961.60 N/A $3,961.60 N/A
in-house labor $5,709.60 $5,709.60 per attached documentation - WISN IHL IL-12-31-2019 79934.40.pdf $5,709.60 N/A
Contract Labor $4,209.46 $4,209.46 accounting labor directly related to the Spectrum Repack project $4,209.46 N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 Attorney review to ensure FCC compliance N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $10,000.00 $10,000.00 Need quote $2,485.20 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $200.00 per FCC receipt $200.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $670.00 per receipts $670.00 N/A

Components

Actual Information Description File Name
Grounds Restoration

Component Description:
WISN transmitter road and grounds restoration
Amount:
$18,251.51

Component Description:
WISN transmitter driveway restoration
Amount:
$633.60
MVPD Notification of Channel Change

Component Description:
WISN MVPD notifications
Amount:
$2,732.80
Equipment Storage

Component Description:
WISN main antenna storage
Amount:
$7,800.00
FCC Filing Fees - Form 2100 minor change CP application

Component Description:
WISN Auxiliary Construction Permit Application fee
Amount:
$1,110.00
DTV Medical Facility Notification

Component Description:
WISN medical notifications
Amount:
$3,961.60
in-house labor

Component Description:
WISN in-house accounting labor 1
Amount:
$5,709.60
Contract Labor

Component Description:
WISN accounting labor
Amount:
$4,209.46
Develop and air announcement of upcoming channel change Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
WISN waste disposal drum delivery
Amount:
$516.18

Component Description:
WISN liquid waste disposal
Amount:
$1,369.02

Component Description:
WISN waste disposal 1
Amount:
$600.00
FCC Filing Fees - Special Temporary Authorization request

Component Description:
WISN Engineering STA Application fee
Amount:
$200.00
FCC Filing Fees - Form 2100 license to cover application

Component Description:
WISN main antenna License To Cover for DTV Application fee
Amount:
$335.00

Component Description:
WISN License To Cover Auxiliary Construction Permit Application fee
Amount:
$335.00

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,318,670.53 $2,876,981.02 $2,661,716.65

Reimbursement Status

Back to Top
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

Back to Top
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.

John Drain

Hearst Television SVP Chief Financial Officer


10/14/2020

Certification

Back to Top
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.

Douglas Durkee

Hearst Television Manager of Spectrum Repack


10/14/2020

Attachments

Back to Top