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:
40626
Service:
DTV
Call Sign:
WFPT
Channel:
28 (UHF)
File Number:
0000027907
FRN:
0003857380
Date Submitted:
11/17/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MARYLAND PUBLIC BROADCASTING COMMISSION

Carl Wolfe, Director, Transmission and Distribution

11767 OWINGS MILLS BOULEVARD

OWINGS MILLS, MD 21117

United States

+1 (410) 356-5600 cwolfe@mpt.org Government Entity

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

Samuel Hariton

Widelity Inc.

Samuel Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.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 Current transmission system consists of a transmitter feeding a transmission line which connects to an antenna on the tower. Work includes installing new repack channel transmitter and connecting to transmission line feeding antenna.

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 TDU21K50LV
Year 2004
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 1.6 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 MPTV-PRLX-U3
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 5.0 kW
Justification for New Transmitter Current transmitter not supported for a channel change. See attached Transmitter Replace justification letter. WFPT needs a like for like liquid cooled transmitter. See attached letter, 1.5 to 5.0 kW, from Comark.

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) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor.
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

Bag Filter

Bag type water filtration for heat exchanger system. Current pre-repack cooling system has this filtering.

Rigid Coax Line

Rigid interconnection coax lines from transmitter to filter to antenna switch.

8-Pole Mask Filter

A more stringent mask filter to protect adjacent channel WWPB on channel 29. WFPT is moving to channel 28 as part of an agreement provided to the FCC to accommodate moving WETA to channel 31.

Coolant

The coolant used for the transmitter heat exchanger is not included in the transmitter price

Shelf Spares

Spare Power Amps & Power Supply. There is no auxiliary transmitter. WFPT currently has shelf spares. This is a like for like replacement.

Motorized switch

Electric actuated switch to switch between main transmitter, load and antenna. Current transmitter has this capability but switch cannot be moved as it is in pre-repack service.

CIF Mask Filter

Constant Impedance mask Filter. Current mask filter is a CIF.

Site Design and Survey

Incorporates all aspects of the transmitter room design, including power distribution requirements, equipment placement, RF system layout, plumbing, and remote control.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? No

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

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? No

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 150
Explanation Applicant has limited internal resources to oversee installing and commissioning this repack project. It will rely on outside services to manage all work required.
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 No
Quantity N/A
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 No
Quantity N/A
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 Yes
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 No
Additional Field Engineering Service Yes
Number of Days 1
Justification Sweep testing of antenna system on original repack channel 21 to evaluate suitability of antenna and line for that channel.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Progress Reporting

Prepare and file 8 required progress reports on FCC Form 2100, Schedule 387 on a quarterly basis with the FCC.

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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
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? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

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 $437,731.00 $398,391.00 N/A $378,295.00 N/A
Total for all systems $545,101.00 $576,876.00 N/A $426,893.29 N/A
Primary Transmitter MPTV-PRLX-U3 $437,731.00 $398,391.00 $378,295.00
Motorized switch $22,615.00 $22,615.00 Electric actuated switch to switch between main transmitter, load and antenna. Current transmitter has this capability but switch cannot be moved as it is in pre-repack service. $22,615.00 N/A
Shelf Spares $22,500.00 $22,500.00 WFPT currently has shelf spares of power amplifiers and power supply. Since this site has no aux transmitter these shelf spares are required and is why station has them now. See quote and proof of ownership. This IS NOT an upgrade. $22,500.00 N/A
CIF Mask Filter $60,207.00 $60,207.00 Constant Impedance mask Filter. Current mask filter is a CIF. $60,207.00 N/A
Rigid Coax Line $6,620.00 $6,620.00 Rigid interconnection coax lines from transmitter to filter to antenna switch. These will be cut to length. This IS NOT an upgrade, but part of normal installation of internal RF System. Additional transmission line needed and special lengths $2,600.00 N/A
Bag Filter $6,975.00 $6,975.00 Bag type water filtration for heat exchanger system. Current pre-repack cooling system has this filtering. This IS NOT an upgrade. See attached proof of current ownership. $6,975.00 N/A
8-Pole Mask Filter $15,000.00 $15,000.00 A more stringent mask filter to protect WWPB on ch 29. WFPT is moving to ch 28 as part of an agreement provided to the FCC to accommodate moving WETA to channel 31. See line item 2.4 in original transmitter quote. $15,000.00 N/A
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $234,160.00 Please see Estimated Cost Justification WFPT-110-1st Primary Transmitter - UHF Liquid Cooled Solid State, 4.9-6.5 kW V0 $225,458.00 N/A
Coolant $814.00 $814.00 The coolant used for the transmitter heat exchanger is not included in the transmitter price. See attached quote. $0.00 N/A
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. $14,200.00 $14,200.00 Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor. See attached electrical quote. $7,640.00 N/A
Site Design and Survey $15,300.00 $15,300.00 Incorporates all aspects of the transmitter room design, including power distribution requirements, equipment placement, RF system layout, plumbing, and remote control. $15,300.00 N/A

Components

Actual Information Description File Name
Motorized switch

Component Description:
50% deposit Motorized switch
Amount:
$11,307.50

Component Description:
Motorized Switch 45% due upon installation (part of Miscellaneous Equipment on invoice)
Amount:
$10,176.75

Component Description:
WFPT-110-1st Primary Transmitter - Motorized Coaxial Switch
Amount:
$1,130.75
Shelf Spares

Component Description:
WFPT-110-1st Primary Transmitter - Spare Parts
Amount:
$1,125.00

Component Description:
Spare Power amps & Spare power supply 50% deposit
Amount:
$11,250.00

Component Description:
Shelf Spares 45% Due Upon Installation (Part of Miscellaneous Equipment on Invoice)
Amount:
$10,125.00
CIF Mask Filter

Component Description:
CIF Mask Filter 45% due upon installation (Part of Miscellaneous Equipment on Invoice)
Amount:
$27,093.15

Component Description:
50% deposit constant impedance filter
Amount:
$30,103.50

Component Description:
WFPT-110-1st Primary Transmitter - CIF Mask Filter
Amount:
$3,010.35
Rigid Coax Line

Component Description:
WFPT-110-1st Primary Transmitter - Rigid Coax Transmission Line
Amount:
$130.00

Component Description:
20' coax sections 50% deposit
Amount:
$1,300.00

Component Description:
Rigid Coax Line 45% due upon installation (Part of Miscellaneous Equipment on invoice)
Amount:
$1,170.00
Bag Filter

Component Description:
WFPT-110-1st Primary Transmitter - Bag Filter
Amount:
$348.75

Component Description:
Bag Filter 45% due upon installation (Part of Miscellaneous Equipment on invoice)
Amount:
$3,138.75

Component Description:
bag filter 50% deposit
Amount:
$3,487.50
8-Pole Mask Filter

Component Description:
WFPT-110-1st Primary Transmitter - 8 Pole Mask Filter
Amount:
$750.00

Component Description:
8-Pole Mask Filter 45% due upon installation (Part of Miscellaneous Equipment on invoice)
Amount:
$6,750.00

Component Description:
50 % deposit on 8 pole filter
Amount:
$7,500.00
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
System, WFPT PRLX U3 D21
Amount:
$11,708.00

Component Description:
50% deposit on check out and offloading
Amount:
$6,550.00

Component Description:
50% deposit on Installtion 5-25KW Single cab
Amount:
$9,317.50

Component Description:
PRLX U3 System 45% due upon installation
Amount:
$86,969.25

Component Description:
Installation 5-25DW 45% due upon installation
Amount:
$8,385.75

Component Description:
Check Out & Proof Parallax 45% due upon installation
Amount:
$5,895.00

Component Description:
50 % deposit on order system WFPT PLRX U3 D21
Amount:
$96,632.50
Coolant Information not provided.
Other Electrical Service: Electrical contractor to connect transmitter into existing electrical panel and wire heat exchanger into transmitter. Includes material and labor.

Component Description:
First draw for WFPT Repack Project per Quote 2018-68
Amount:
$3,440.00

Component Description:
Final Draw for Proposal 2018-68
Amount:
$4,200.00
Site Design and Survey

Component Description:
System Design Services/Site Survey
Amount:
$15,300.00

Cost Information

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Antennas

Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Information not provided.

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 $84,660.00 $160,325.00 N/A $35,646.29 N/A
Total for all systems $545,101.00 $576,876.00 N/A $426,893.29 N/A
Outside Professional Services $84,660.00 $160,325.00 $35,646.29
Progress Reporting $28,000.00 $28,000.00 Prepare and file 8 required progress reports on FCC Form 2100, Schedule 387 on a quarterly basis with the FCC. $1,057.50 N/A
Additional Field Engineering Service, 1 Days $6,400.00 $6,400.00 Sweep testing of antenna system on original repack channel 21 to evaluate suitability of antenna and line for that channel. $3,000.00 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $5,000.00 Fees related to multi-party resolution agreement with Maryland Public TV, WETA and HME Equity Fund II, LLC. Involved several stations moving channels to accommodate WETA moving from ch 14 to 31. $869.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $848.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Project management of the transition $23,700.00 $99,675.00 see Justifying Quote WFPT Widelity Strategic support quote $27,893.65 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,888.89 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $89.25 N/A

Components

Actual Information Description File Name
Progress Reporting

Component Description:
Legal Services associated with the repacking project
Amount:
$382.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$31.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$79.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$104.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$104.50

Component Description:
Legal fees for Progress Reporting for Repacking Project
Amount:
$142.50

Component Description:
Legal Services associated with the repacking project
Amount:
$212.50
Additional Field Engineering Service, 1 Days

Component Description:
Sweep of existing antenna system at WFPT.
Amount:
$3,000.00
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Television Repacking Services
Amount:
$425.00

Component Description:
Legal fees
Amount:
$444.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Legal fees associated with the repacking project
Amount:
$168.00

Component Description:
WFPT-550-Attorney - License to Cover Application (Aux)-
Amount:
$467.50

Component Description:
Legal Services
Amount:
$212.50
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$3,420.35

Component Description:
Project Management
Amount:
$2,278.05

Component Description:
Project Management
Amount:
$1,856.15

Component Description:
Project Management
Amount:
$2,480.05

Component Description:
Project Management
Amount:
$1,704.65

Component Description:
Project Management
Amount:
$2,208.35

Component Description:
Project Management
Amount:
$162.90

Component Description:
Project Management
Amount:
$2,175.15

Component Description:
Project Management
Amount:
$1,690.50

Component Description:
Project management
Amount:
$4,959.00

Component Description:
Project Management
Amount:
$146.10

Component Description:
Project Management
Amount:
$1,575.30

Component Description:
Project Management
Amount:
$2,114.10

Component Description:
Project Management
Amount:
$117.45

Component Description:
Project Management
Amount:
$903.05

Component Description:
Project Management
Amount:
$102.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Consulting Services for FCC repacking, site surverys
Amount:
$1,888.89
Prepare and or review reimbursement form

Component Description:
some items not included in FCC matters. see attached Spreadsheet for this location
Amount:
$89.25

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 $22,710.00 $18,160.00 N/A $12,952.00 N/A
Total for all systems $545,101.00 $576,876.00 N/A $426,893.29 N/A
Other Expenses $22,710.00 $18,160.00 $12,952.00
Disposal Costs (for equipment and other waste, net of any salvage value) $1,000.00 $1,000.00 Applicant will be required to dispose of the current transmitter. The exact costs are not known at this time. N/A N/A
DTV Medical Facility Notification $11,550.00 $7,000.00 N/A $4,250.00 N/A
MVPD Notification of Channel Change $1,000.00 $1,000.00 Notification will need to be made to MVPD's as required. Applicant to explore using an outside firm to determine which facilities will need to be notified and send the appropriate notification letters. N/A N/A
Equipment Delivery and Handling Charges $9,160.00 $9,160.00 Transmitter shipping and unloading. See transmitter quote option. $8,702.00 N/A

Components

Actual Information Description File Name
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification Mailing
Amount:
$4,250.00
MVPD Notification of Channel Change Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Shipping & offloading 45% due upon installation
Amount:
$4,122.00

Component Description:
50% shipping
Amount:
$4,580.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $545,101.00 $576,876.00 $426,893.29

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. Yes
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 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.

Carl R Wolfe

Director, Transmission and Distribution


11/17/2020

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. 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.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. 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.

Carl R Wolfe

Director, Transmission and Distribution


11/17/2020

Attachments

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