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:
26304
Service:
DTV
Call Sign:
KENS
Channel:
29 (UHF)
File Number:
0000027992
FRN:
0003801594
Date Submitted:
11/20/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KENS-TV, INC.

Denise Branson, Sr. Paralegal

TEGNA Inc.

8350 Broad Street, Suite 2000

Tysons, VA 22102

United States

+1 (703) 873-6606 dbranson@TEGNA.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

Gary Davis

Regional Head of Technology and Operations

TEGNA

Gary Davis

8350 Broad Street

Suite 2000

Tysons, VA 22102

United States

+1 (404) 873-9199 gadavis@tegna.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 KENS will be transitioning from channel 39 to channel 29. The KENS tower is shared with Sinclair. KENS is the bottom half of a 2 antenna stack. KENS has a licensed auxiliary & main transmitter that will need to be replaced as part of this repack.

Transmitters

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

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Reduced power Backup Transmitter
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Diamond DHD8D1
Year 2000
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 2 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model UAXTE-4R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2.4 kW
Justification for New Transmitter The older Diamond series of Harris transmitters cannot be re-tuned and and are no longer supported.

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 100.0 feet
Other Electrical Service Yes
Description Additional electrical services required for transmitter installation.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 CD3260P2-CF
Year 2004
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 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? Yes
Manufacturer
Model ULXTE 90
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 56.4 kW
Justification for New Transmitter Per the original manufacturer the transmitter cannot be re-tuned. The parts are not available. The reimbursable TPO is 51.7 kW based on initial 90-day filing CP. This requires a ULXTE-90 and is therefore reimbursable.

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 Yes
Size 3 inches
Length 100.0 feet
Other Electrical Service Yes
Description Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc.
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? Yes
Size 100.0 square feet
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Coax elbows

Coax elbows

Antennas

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

Auxiliary Antenna

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Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use Backup Antenna
Ownership Owned
Owner N/A
Site N/A
Is this antenna currently shared with any other stations? No
Is this 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: 54.3 kW
Manufacturer
Model TFU-32DSB-H
Year 2008

Auxiliary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use Backup Antenna for maintenance and repairs
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 8
Lower Limit 620.00 MHz
Upper Limit 626.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 54.3 kW
Manufacturer
Model TFU-16WB
Year 2019
Justification for New Antenna Existing AUX can't be re-tuned. A new AUX antenna is necessary to keep station on air during primary antenna replacement & for duration of assigned phase. TFU-8WB cost is equivalent to a single-channel slot AUX antenna and is required for replication.

Auxiliary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? 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 4 1/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Auxiliary Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

$5,400

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Bottom
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model TFU-30BH-R06
Year 2008

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? No
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 Bottom
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: 816.0 kW
Manufacturer
Model TFU-26GBH-R 06
Year 2019
Justification for New Antenna Licensed top-mount antenna cannot be re-tuned for new post-transition frequency and must be replaced.

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? 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 7 3/16 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

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Other Antenna Cost Not Listed

Name Description

Shipping

$6,800

New Top Plate

Existing top-plate and/or bolt pattern may not work for new top-mount antenna.

Transmission Line

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

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup transmission line
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 4 1/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1515 feet per run

Auxiliary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use Backup transmission line
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 1515 feet per run
Justification for New Transmission Line Current 20 ft line sections will not work on the new channel assignment.

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

Sweep required to verify post-transition channel measures well on existing line.

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 7 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1675 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 7 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1675 feet per run
Justification for New Transmission Line Old 20 foot line sections will not work on the new channel assignment.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

TX Line Sweep

Sweep required to verify post-transition channel measures well on existing line.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? No
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1226610
Coordinates (NAD83) Latitude (NAD83) 29° 16' 11.5" N-
Longitude (NAD83) 098° 15' 55.9" W-
Overall Structure Height 1529.84 feet
Support Structure Height 1526.56 feet
Ground Elevation Above Mean Sea Level (AMSL) 519.02 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Texas Tall Tower Corporation
Date Constructed 12/13/2001

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
69618 WOAI-TV DTV

Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Helicopter Security

Helicopter Security

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 750
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399s. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
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 Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 20
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Engineering Services

Fewer PM tasks are required & Other Engineering Services are required, therefore the PM total has been reduced to 750 hrs ($112,500.00 at $150/hr), & a new OES category has been created & funded with the $ removed from PM. See KGA quote to KENS for OE.pdf

Other Legal Services

Other Legal Services related to the DTV Repack

Pre-Submission Site Review

We hired Osborne Engineering to review or sites to insure that we were not missing items.

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 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? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Demolition

Demolition

Internal Labor

Internal and Corporate labor

Sales Tax

Sales Tax

Transmitter Installation

Transmitter Installation

Viewer call assistance service

Viewer call assistance service

Coaxial switch installation

Coaxial switch installation

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 $2,065,725.07 $1,904,472.35 N/A $1,782,267.92 N/A
Total for all systems $4,992,201.32 $4,735,521.58 N/A $3,419,606.05 N/A
Primary Transmitter ULXTE 90 $1,912,125.07 $1,761,803.43 $1,667,099.00
Coax elbows $4,630.20 $4,630.20 See attached / uploaded PDF file titled "Myat 00090198 v201119jgv1.pdf" $4,440.00 N/A
Other -- Building Addition Size: 100.0 $25,000.00 $25,000.00 New pad required for heat exchangers, transformers, pumps, etc. Equipment must also be shielded. $7,644.43 N/A
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. $89,294.87 $89,294.87 Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc. $89,294.87 N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $1,637,978.36 N/A $1,565,719.70 N/A
Auxiliary Transmitter UAXTE-4R37 $153,600.00 $142,668.92 $115,168.92
Other Electrical Service: Additional electrical services required for transmitter installation. $25,000.00 $25,000.00 Additional electrical services required for transmitter installation. N/A N/A
2" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,500.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $115,168.92 For explanation and costs, see attached "Gates 464956212 JW30004287-2 181207 181207 Transmitter UAXTE-4R37 aux pmt 2 41932-35 v1.pdf" $115,168.92 N/A

Components

Actual Information Description File Name
Coax elbows

Component Description:
Myat 00090198 v201119jgv1
Amount:
$4,440.00
Other -- Building Addition Size: 100.0

Component Description:
Inv 12114 KENS Various electrical materials UL20180522jg v1
Amount:
$85.13

Component Description:
Inv 0581 02 38352 KENS Various electrical materials UL20180522jg v1
Amount:
$25.67

Component Description:
Alterman 101616 v190514jgv1
Amount:
$6,846.00

Component Description:
Inv 11182017 KENS Dumpster rental UL20180605jgv2
Amount:
$620.62

Component Description:
Inv S1155JG7 2199758 KENS Various electrical materials UL20180522jgv1
Amount:
$67.01
Other Electrical Service: Additional electrical services required for transmitter installation, including heat exchangers, transformers, cooling pumps, etc.

Component Description:
Alterman 103993 v190814jgv1
Amount:
$34,130.89

Component Description:
Inv 90448 KENS Electrical UL20180531jgv1
Amount:
$4,554.00

Component Description:
Alterman 100535 v190510jgv1
Amount:
$23,272.06

Component Description:
Alterman 101616 v190514jgv1
Amount:
$10,331.00

Component Description:
Alterman 100535 v190510jgv1
Amount:
$17,006.92
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Holes 019972 v190606pmv1
Amount:
$562.90

Component Description:
Gates inv #JW30004286-2 Transmitter ULXTE-90 & filter pmt 2 UL20180606jgv1
Amount:
$729,968.80

Component Description:
Anderson 5352184 v190606pmv1
Amount:
$947.41

Component Description:
Anderson 1563030 v190611pmv1
Amount:
$838.98

Component Description:
Alterman 101616 v190514jgv1
Amount:
$7,345.00

Component Description:
Bird 574415 v190606pmv1
Amount:
$382.49

Component Description:
Inv JW30004286-DP KENS Transmitter ULXTE-90 & filter UL20180606jg 50 perc dp v2
Amount:
$821,575.48

Component Description:
United 167764509-001 v190530pmv1
Amount:
$4,098.64
Other Electrical Service: Additional electrical services required for transmitter installation. Information not provided.
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Inv JW30004287-DP KENS Transmitter UAXTE-4R37 aux UL20180606jg 50 perc dp v2
Amount:
$57,243.81

Component Description:
Myat 00087567 v190711jgv1
Amount:
$1,083.29

Component Description:
Gates US0329377 V190904pmv1
Amount:
$14,909.47

Component Description:
Gates inv #JW30004287-2 Transmitter UAXTE-4R37 aux pmt 2 UL20190222jgv1
Amount:
$41,932.35

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 $482,468.25 $600,966.37 N/A $497,004.64 N/A
Total for all systems $4,992,201.32 $4,735,521.58 N/A $3,419,606.05 N/A
Primary Antenna TFU-26GBH-R 06 $330,947.00 $435,743.12 $388,621.44
New Top Plate $25,000.00 $25,000.00 Existing top-plate and/or bolt pattern may not work for new top-mount antenna $309.57 N/A
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed) $13,900.00 $12,383.00 N/A $12,383.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $353,643.12 Bottom antenna in a two Antenna stack. it must be able to hold the load of the top antenna. $353,643.12 N/A
Shipping $38,317.00 $38,317.00 Please see attached invoices $22,285.75 N/A
Auxiliary Antenna TFU-16WB $151,521.25 $165,223.25 $108,383.20
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,000.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 4 1/16. feedline (if needed) $10,950.00 $8,232.00 N/A $823.20 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $107,560.00 Cost estimate now includes a power divider to combine two TFU-8WB antennas into a single TFU-16WB. $107,560.00 N/A
Shipping $16,031.25 $16,031.25 Please see attached invoices and quotes. $0.00 N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A

Components

Actual Information Description File Name
New Top Plate

Component Description:
Myat 00087466 v190626pmv1
Amount:
$309.57
Elbow complex, single channel, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
KENS Die inv #MAN00713 Elbow complex 45 perc down pmt UL20181001jgv1
Amount:
$5,572.35

Component Description:
Die inv #MAN00796 Primary ant elbow complex pmt 2 UL20190227jgv1
Amount:
$5,572.35

Component Description:
Die 417012 v190815pmv1
Amount:
$1,238.30
Sweep test of existing antenna Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
Die 393015 v200103pmv4
Amount:
$35,310.00

Component Description:
Eos 31610 v190604pmv1
Amount:
$543.12

Component Description:
KENS Die inv #MAN00713 Antenna 45 perc down pmt UL20181001jgv1
Amount:
$158,895.00

Component Description:
Die 393015 v190926pmv3
Amount:
$35,310.00

Component Description:
Die inv #MAN00796 Primary ant pmt 2 UL20190227jgv1
Amount:
$158,895.00

Component Description:
Die 393015 v190815pmv1
Amount:
N/A
Shipping

Component Description:
Die 516019 v190724pmv1
Amount:
$9,265.75

Component Description:
Die 516019 v190724pmv1
Amount:
$13,020.00

Component Description:
Die 539034 v190725pmv1
Amount:
$16,031.25
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, broadband, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
Die 393017 v200522pmv2
Amount:
$823.20
Sweep test of existing antenna Information not provided.
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized

Component Description:
Die inv #MAN00627 Aux ant 45 pct pmt 2 UL20181214jgv1
Amount:
$20,216.25

Component Description:
Die 571002 v190813pmv1
Amount:
$44,925.00

Component Description:
Die inv #453008 Ant kit to combine two 8WB into one 16WB UL20190426jgv1
Amount:
$17,710.00

Component Description:
Die 515002 v190624pmv1
Amount:
$1,750.00

Component Description:
Die inv #MAN00225 Aux ant 45 pct pmt 1 UL20181214jgv1
Amount:
$20,216.25

Component Description:
Die 393017 v200522pmv2
Amount:
$4,492.50
Shipping

Component Description:
Die 515002 v190624pmv1
Amount:
$16,031.25
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.

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 $804,580.00 $606,049.86 N/A $536,737.21 N/A
Total for all systems $4,992,201.32 $4,735,521.58 N/A $3,419,606.05 N/A
Primary Transmission Line $492,150.00 $348,115.67 $316,750.22
Rigid Transmission Line - copper, 7 3/16" $485,750.00 $341,715.67 See attached invoices and quotes $310,350.22 N/A
TX Line Sweep $6,400.00 $6,400.00 N/A $6,400.00 N/A
Auxiliary Transmission Line $312,430.00 $257,934.19 $219,986.99
TX Line Sweep $6,400.00 $6,400.00 N/A $6,400.00 N/A
Rigid Transmission Line - copper, 6 1/8" $306,030.00 $251,534.19 See attached invoices and quotes. $213,586.99 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 7 3/16"

Component Description:
Die 866023 v200902pmv1
Amount:
$1,122.00

Component Description:
Die inv #MAN00796 Primary TLSCRs pmt 2 UL20190227jgv1
Amount:
$5,028.75

Component Description:
Die 582031 v191030pmv1
Amount:
$195.00

Component Description:
Myat 20041399 v190626pmv1
Amount:
$646.15

Component Description:
Die 510010 v190725pmv1
Amount:
$5,355.00

Component Description:
Die 512035 v190624pmv1
Amount:
$2,998.50

Component Description:
Die 507010 v190826pmv2
Amount:
$2,312.00

Component Description:
Die 393015 v200103pmv4
Amount:
($6,034.50)

Component Description:
Die 393015 v200103pmv4
Amount:
$26,647.94

Component Description:
Die 588031 v190904pmv1
Amount:
$18,513.00

Component Description:
Die 516019 v190724pmv1
Amount:
$447.00

Component Description:
Die 512039 v190624pmv1
Amount:
$3,390.82

Component Description:
Die 576001 v190823pmv1
Amount:
$390.00

Component Description:
Die 496009 v190815pmv1
Amount:
$1,525.00

Component Description:
KENS Die inv #MAN00713 Line 45 perc down pmt UL20181001jgv1
Amount:
$124,944.53

Component Description:
Die 580024 v190823pmv1
Amount:
$2,312.50

Component Description:
Weebz 019136 v190606pmv1
Amount:
$300.00

Component Description:
Die 393015 v190815pmv1
Amount:
$26,647.95

Component Description:
Die inv #MAN00796 Primary line pmt 2 UL20190227jgv1
Amount:
$119,915.78

Component Description:
Weebz 019135 v190606pmv1
Amount:
$125.00

Component Description:
Airgas 1078395571 v190530pmv1
Amount:
$215.75

Component Description:
Die 393015 v190926pmv3
Amount:
$26,647.95
TX Line Sweep

Component Description:
Die 495008 v190815pmv1
Amount:
$640.00

Component Description:
Die inv #MAN00796 Primary sweep pmt 2 UL20190227jgv1
Amount:
$2,880.00

Component Description:
KENS Die inv #MAN00713 Sweep 45 perc down pmt UL20181001jgv1
Amount:
$2,880.00
TX Line Sweep

Component Description:
Die 530019 v190712pmv1
Amount:
$640.00

Component Description:
Die inv #MAN00627 Aux sweep 45 pct pmt 2 UL20181214jgv1
Amount:
$2,880.00

Component Description:
Die inv #MAN00225 Aux sweep 45 pct pmt 1 UL20181214jgv1
Amount:
$2,880.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Die 393017 v200522pmv2
Amount:
($5,481.00)

Component Description:
Die inv #MAN00225 Aux TLSCRs 45 pct pmt 1 UL20181214jgv1
Amount:
$2,740.50

Component Description:
Die 582031 v191030pmv1
Amount:
$195.00

Component Description:
Die 576001 v190823pmv1
Amount:
$390.00

Component Description:
Eagle 1380 v190626pmv1
Amount:
$2,000.00

Component Description:
Die 466021 v190626pmv1
Amount:
$5,750.00

Component Description:
Die inv #MAN00627 Aux jumper 45 pct pmt 2 UL20181214jgv1
Amount:
$3,704.40

Component Description:
Die inv #MAN00627 Aux TLSCRs 45 pct pmt 2 UL20181214jgv1
Amount:
$2,740.50

Component Description:
Die inv #MAN00627 Aux line 45 pct pmt 2 UL20181214jgv1
Amount:
$101,159.10

Component Description:
Die 502024 v190816pmv1
Amount:
$1,141.00

Component Description:
Die 393017 v200506pmv1
Amount:
N/A

Component Description:
Die 487013 v190826pmv2
Amount:
$3,898.00

Component Description:
Die 496014 v190815pmv1
Amount:
$920.00

Component Description:
Die 481004 v190816pmv1
Amount:
$1,141.00

Component Description:
Die 393017 v200522pmv2
Amount:
($30,379.20)

Component Description:
Die 491003 v190626pmv1
Amount:
$2,206.19

Component Description:
Die 496015 v190815pmv1
Amount:
$260.00

Component Description:
Die inv #MAN00225 Aux line 45 pct pmt 1 UL20181214jgv1
Amount:
$101,159.10

Component Description:
Die 485015 v190826pmv2
Amount:
$4,742.00

Component Description:
Die 481004 v190815pmv1
Amount:
$1,141.00

Component Description:
Die 490005 v190626pmv1
Amount:
$7,633.50

Component Description:
Die 580024 v190823pmv1
Amount:
$2,312.50

Component Description:
Die 502024 v190815pmv1
Amount:
$1,141.00

Component Description:
Die 496015 v190815pmv1
Amount:
$1,650.00

Component Description:
Die inv #MAN00225 Aux jumper 45 pct pmt 1 UL20181214jgv1
Amount:
$3,704.40

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 $1,051,655.00 $1,018,855.00 N/A $395,855.00 N/A
Total for all systems $4,992,201.32 $4,735,521.58 N/A $3,419,606.05 N/A
Primary Tower TOWER $1,051,655.00 $1,018,855.00 $395,855.00
Tower Helicopter Lift $393,255.00 $393,255.00 See attached invoices and quotes $17,878.00 N/A
Helicopter Security $600.00 $600.00 N/A $600.00 N/A
Tall Tower (greater than 500') $210,500.00 $200,000.00 N/A N/A N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $375,377.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $2,000.00 N/A

Components

Actual Information Description File Name
Tower Helicopter Lift

Component Description:
FDH SIN000562 v200128pmv1
Amount:
$17,878.00
Helicopter Security

Component Description:
D Bierman 05312019-102323 v190729jgv1
Amount:
$600.00
Tall Tower (greater than 500') Information not provided.
Major tower reinforcement/modifications

Component Description:
FDH E-189238 v190708jgv1
Amount:
$37,537.70

Component Description:
FDH E-186853 v190709jgv1
Amount:
$225,226.20

Component Description:
FDH SIN000476 v200128pmv1
Amount:
$3,449.00

Component Description:
FDH inv #E-177475 Antenna and line install 30 pct dp UL20181114jg v1
Amount:
$112,613.10
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
FDH inv #E-173510 Structural Analysis 50 perc final pmt UL20190102jgv2
Amount:
$1,000.00

Component Description:
FDH inv #E-173409 Structural Analysis 50 perc down pmt UL20190102jgv2
Amount:
$1,000.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $393,795.00 $411,750.00 N/A $110,810.11 N/A
Total for all systems $4,992,201.32 $4,735,521.58 N/A $3,419,606.05 N/A
Outside Professional Services $393,795.00 $411,750.00 $110,810.11
Other Legal Services $10,000.00 $10,000.00 Other Legal Services related to the DTV Repack $424.09 N/A
Other Engineering Services $37,500.00 $37,500.00 Fewer Project Management "PM" tasks are required & Other Engineering Services "OES" are required, therefore the PM total has been reduced to 750 hrs ($112,500.00 at $150/hr), & a new OES component has been created & funded with the money removed from PM. $19,150.00 N/A
Additional Field Engineering Service, 20 Days $50,000.00 $50,000.00 $2,500 per site visit including expenses x 20 days. It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services. N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A $1,500.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $625.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $35,000.00 The cost estimate includes the initial 399 amendment, anticipated subsequent 399 amendments, and Actual Cost invoice prep and submission by KGA. $39,224.00 N/A
Project management of the transition $118,500.00 $112,500.00 It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399s. Station does not have available personnel or personnel trained in project management for such complex projects. $49,887.02 N/A
Pre-Submission Site Review $24,000.00 $24,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Other Legal Services

Component Description:
Covington 60801029 v190712jgv2
Amount:
$144.71

Component Description:
Covington 60801032 v190529jgv2
Amount:
$70.43

Component Description:
Covington 60801029 v190513pmv1
Amount:
$164.44

Component Description:
Covington inv #60796723 Various Legal UL20181024jgv1
Amount:
$174.42

Component Description:
Covington 60801029 v190508pmv1
Amount:
$164.44

Component Description:
Covington 60805585 v190508pmv1
Amount:
$34.53

Component Description:
Covington 60801032 v190508pmv1
Amount:
$99.68

Component Description:
Covington 60805585 v190513pmv1
Amount:
$34.53
Other Engineering Services

Component Description:
Osborn 39375 v201116pmv1
Amount:
$190.00

Component Description:
Osborn 35395 OES v191223jgv2
Amount:
$14,785.00

Component Description:
Osborn inv #29836 Proj Mgt 180526-180629 OES UL201902313jgv1
Amount:
$4,175.00
Additional Field Engineering Service, 20 Days Information not provided.
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization

Component Description:
Osborn 33851 STA v191127jgv1
Amount:
$1,500.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Osborn 34580 v190809jgv1
Amount:
$625.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Osborn inv #29836 Proj Mgt 180526-180629 399 AC UL201902313jgv1
Amount:
$1,250.00

Component Description:
Osborn 33851 PRRF v191127jgv1
Amount:
$1,125.00

Component Description:
Osborn 33851 PRRF v191127jgv1
Amount:
$1,775.00

Component Description:
Osborn 33851 PRRF v191127jgv1
Amount:
$4,321.00

Component Description:
Osborn 35395 PRRF v191223jgv2
Amount:
$4,795.00

Component Description:
Osborn 31132 PRRF v191127jgv1
Amount:
$575.00

Component Description:
Osborn 35000 PRRF v191127jgv1
Amount:
$5,935.00

Component Description:
Osborn 30004 PRRF v191127jgv1
Amount:
$235.00

Component Description:
Osborn inv #28993 Proj Mgt 180331-180427 Amend 399 UL20190313jgv1
Amount:
$3,200.00

Component Description:
Osborn 36537 V200422pmv1
Amount:
$770.00

Component Description:
Osborn 32200 PRRF v191127jgv1
Amount:
$350.00

Component Description:
Osborn 39375 v201116pmv1
Amount:
$6,290.00

Component Description:
Osborn 35809 v200326jgv2
Amount:
$5,700.00

Component Description:
Osborn 34580 v190809jgv1
Amount:
$2,903.00
Project management of the transition

Component Description:
Osborn 36566 V200422pmv1
Amount:
$553.00

Component Description:
Osborn 32827 v190613pmv1
Amount:
$2,175.00

Component Description:
Osborn 33665 v190618pmv1
Amount:
$1,725.00

Component Description:
Osborn inv #28583 Proj Mgt thru 180330 UL20190222jgv1
Amount:
$750.00

Component Description:
Osborn 32824 v190614pmv1
Amount:
$75.00

Component Description:
Osborn 38312 v200723pmv1
Amount:
$366.00

Component Description:
Osborn 33851 PM v191127jgv1
Amount:
$2,550.00

Component Description:
Osborn 33851 PM v191127jgv1
Amount:
$150.00

Component Description:
Osborn 33851 PM v191127jgv1
Amount:
$300.00

Component Description:
Osborn 32967 v190827pmv2
Amount:
$1,575.00

Component Description:
Osborn 32200 PM v191127jgv1
Amount:
$975.00

Component Description:
Osborn 31607 PM v191127jgv1
Amount:
$525.00

Component Description:
Osborn 34580 v190809jgv1
Amount:
$1,575.00

Component Description:
Osborn 35395 PM v191223jgv2
Amount:
$632.00

Component Description:
Osborn 32835 v190614pmv1
Amount:
$187.50

Component Description:
Osborn 30482 PM v200122jgv2
Amount:
$1,575.00

Component Description:
Osborn 35809 v200326jgv2
Amount:
$474.00

Component Description:
Osborn 39375 v201116pmv1
Amount:
$208.00

Component Description:
Osborn 30004 PM v191127jgv1
Amount:
$675.00

Component Description:
Osborn 30684 PM v191210jgv2
Amount:
$300.00

Component Description:
Osborn inv #26013 Prof srvcs 170330 - 170728 UL20181107jg v1
Amount:
$19,556.02

Component Description:
Osborn 32971 v190617pmv1
Amount:
$112.50

Component Description:
Osborn 38578 v200716pmv1
Amount:
$840.00

Component Description:
Osborn inv #29836 Proj Mgt 180526-180629 UL201902313jgv1
Amount:
$3,000.00

Component Description:
Osborn 38966 v200716pmv1
Amount:
$237.00

Component Description:
Osborn 35000 PM v191127jgv1
Amount:
$1,493.00

Component Description:
Inv 29209 KENS Proj Mgt 180428-180525 UL20180702jg v1
Amount:
$2,400.00

Component Description:
Osborn 31132 PM v191127jgv1
Amount:
$1,350.00

Component Description:
Osborn inv #28993 Proj Mgt 180331-180427 UL20190313jgv1
Amount:
$1,725.00

Component Description:
Osborn 36537 V200422pmv1
Amount:
$79.00

Component Description:
Osborn 31788 v191114jgv1
Amount:
$1,275.00

Component Description:
Osborn 36186 PM v191209jgv1
Amount:
$474.00
Pre-Submission Site Review Information not provided.

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 $193,978.00 $193,428.00 N/A $96,931.17 N/A
Total for all systems $4,992,201.32 $4,735,521.58 N/A $3,419,606.05 N/A
Other Expenses $193,978.00 $193,428.00 $96,931.17
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 N/A $17,080.58 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A $2,194.84 N/A
Non-zoning permits $25,000.00 $25,000.00 N/A N/A N/A
Local Zoning $1,050.00 $1,050.00 Construction permit fee N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,750.00 N/A
Transmitter Installation $10,217.02 $10,217.02 Transmitter Installation: This Estimated Cost is directly from the actual cost invoices / receipts $8,510.18 N/A
Sales Tax $4,165.09 $4,165.09 Sales Tax $4,165.09 N/A
Internal Labor $22,029.00 $22,029.00 N/A N/A N/A
Demolition $1,896.54 $1,896.54 Demolition $1,896.54 N/A
MVPD Notification of Channel Change $6,000.00 $6,000.00 Notification campaign to inform MVPD's of upcoming channel changes and testing periods. $3,730.00 N/A
Develop and air announcement of upcoming channel change $6,000.00 $6,000.00 To produce informational spot for air $3,270.00 N/A
Equipment Storage $15,000.00 $15,000.00 2 flatbed trailers of equipment for 6 Months. $11,263.59 N/A
Viewer call assistance service $32,745.85 $32,745.85 N/A $32,745.85 N/A
Coaxial switch installation $8,324.50 $8,324.50 N/A $8,324.50 N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Die 866023 v200902pmv1
Amount:
$88.63

Component Description:
Die 507010 v190826pmv2
Amount:
$1,959.58

Component Description:
Die 502024 v190816pmv1
Amount:
$1,061.68

Component Description:
Myat 00090198 v201119jgv1
Amount:
$190.20

Component Description:
Die 481004 v190816pmv1
Amount:
$1,945.89

Component Description:
Die 487013 v190826pmv2
Amount:
$1,002.16

Component Description:
United inv #165122744-001 Forklift rental UL20190411jgv1
Amount:
$1,455.67

Component Description:
Die 485015 v190826pmv2
Amount:
$886.44

Component Description:
Die 496015 v190815pmv1
Amount:
$157.63

Component Description:
Die 496014 v190815pmv1
Amount:
$201.58

Component Description:
Die 393017 v200522pmv2
Amount:
$8,131.12
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Ace 0001079 v190503jgv1
Amount:
$783.73

Component Description:
Ace inv #0000519 Dumpster rental UL20190411jgv1
Amount:
$621.35

Component Description:
Ace 0001175 v190604pmv1
Amount:
$789.76
Non-zoning permits Information not provided.
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
RF Notifications 1127 v181029jgv1
Amount:
$3,750.00
Transmitter Installation

Component Description:
Alterman 100535 v190510jgv1
Amount:
$5,661.89

Component Description:
Alterman 100535 v190510jgv1
Amount:
$2,648.50

Component Description:
N Tool inv #173753 Pallet jack and hand tools UL20190411jgv1
Amount:
$280.34

Component Description:
HD inv #WD51179477 Cordless tools UL20190411jgv1
Amount:
$1,187.51

Component Description:
ReadyRefresh inv #09B0127526440 Distilled water UL20190411jgv1
Amount:
$199.79

Component Description:
Amazon 64805-019999 v190611jgv2
Amount:
$238.99
Sales Tax

Component Description:
Alterman 100535 v190510jgv1
Amount:
$4,165.09
Internal Labor Information not provided.
Demolition

Component Description:
Alterman 100535 v190510jgv1
Amount:
$1,896.54
MVPD Notification of Channel Change

Component Description:
Osborn 33851 MVPD 2 v191127jgv1
Amount:
$1,865.00

Component Description:
Osborn 33851 MVPD 1 v191127jgv1
Amount:
$1,865.00
Develop and air announcement of upcoming channel change

Component Description:
2C Media inv #203806 Creation of channel change announcement UL20181016jgv1
Amount:
$3,270.00
Equipment Storage

Component Description:
Lockaway 13616 v190606pmv1
Amount:
$167.78

Component Description:
Lockaway inv #6859 POD rental 190415-190514 UL20190415jgv1
Amount:
$167.78

Component Description:
Lockaway inv #13367 POD rental 190315-190414 UL20190411jgv1
Amount:
$167.78

Component Description:
Die 516019 v190724pmv1
Amount:
$4,040.00

Component Description:
Lockaway inv #13142 POD rental 190115-190214 UL20190411jgv1
Amount:
$242.47

Component Description:
Lockaway inv #13253 POD rental 190215-190134 UL20190411jgv1
Amount:
$167.78

Component Description:
Die 516019 v190724pmv1
Amount:
$4,290.00

Component Description:
Die 393017 v200522pmv2
Amount:
$2,020.00
Viewer call assistance service

Component Description:
Inktel 33848 v190731jgv1
Amount:
$32,745.85
Coaxial switch installation

Component Description:
Marsand 7129 v191114jgv1
Amount:
$8,324.50

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,992,201.32 $4,735,521.58 $3,419,606.05

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.

Jeffrey C Gehman

Engineering Associate


11/20/2020

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.

Jeffrey C Gehman

Engineering Associate


11/20/2020

Attachments

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