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:
50361
Service:
LPT
Call Sign:
K14RY-D
Channel:
14 (UHF)
File Number:
0000088803
FRN:
0015211394
Eligibility Status:
Not Determined
Date Submitted:
12/21/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ONEIDA COUNTY TRANSLATOR DISTRICT

Doing Business As: ONEIDA COUNTY TRANSLATOR DISTRICT

Oneida County Translator District

10 COURT STREET

MALAD, ID 83252

United States

+1 (208) 315-0513 wsjaussi@gmail.com 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

Susan Hansen

Consultant

B. W. St. Clair

Susan Hansen

2305 Vida Shaw Rd.

New Iberia, LA 70563

United States

+1 (303) 378-8209 stcl@comcast.net

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Transition K51KS-D to K14RY-D. Install new Broadband antenna array and 3 channel combiner for channels 14, 16 and 18.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? No

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Ownership Owned
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
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Other
Other Antenna Type single frequency panel
ERP: 1.0 kW
Manufacturer
Model 4dr
Year 1999

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 3
Number of Panels/Bays 4
Lower Limit 470.00 MHz
Upper Limit 860.00 MHz
Design power capacity in use 40.0 %
ERP: 1.0 kW
Manufacturer
Model 750 10210
Year 2018
Justification for New Antenna Old Antennas were single channel out of core frequencies. not re-tunable.

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? Yes
Type New
Number of channels supported 3
Frequencies of channels supported RF channel
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
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? No
Power Dividers Does the panel antenna require power dividers? No
Cable Harness Does the panel antenna require cable harness? No

Enter a list of RF channel numbers.

RF Channel Number
18
14
16

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? No
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Foam
Diameter 1/2 inches
Number of parallel runs 1
Length 75 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Foam
Diameter 1/2 inches
Number of parallel runs 1
Length 45 feet per run
Justification for New Transmission Line The new antenna Array is located on different pole apparatus than the old antenna array requiring a different length of the transmission line.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? No

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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? No
Outside RF consulting Engineering Services Perform engineering study for displacement application Yes
Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
Prepare and file Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement No
Form 399 assistance or other program management costs Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Jaussi Electronics

Project engineering services invoice #200, costs per channel

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change 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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

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Other Expenses Not Listed

Name Description

installation

installation

Cost Information

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Transmitters

Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $21,100.00 $1,865.62 N/A $1,865.62 N/A
Total for all systems $25,104.16 $4,012.28 N/A $3,012.28 N/A
Primary Antenna 750 10210 $21,100.00 $1,865.62 $1,865.62
1 kW UHF Combiner (per channel) $14,100.00 $725.00 Combiner estimated cost is from Jaussi Electronics invoice # 6-31-22018. The total invoice is $6600 for 3 channel combiners including freight. The cost of 1 combiner is $2200. $725.00 N/A
UHF Broadband panel antenna (per panel), horizontally-polarized $7,000.00 $1,140.62 antenna components $1,140.62 N/A

Components

Actual Information Description File Name
1 kW UHF Combiner (per channel)

Component Description:
combiner
Amount:
$725.00
UHF Broadband panel antenna (per panel), horizontally-polarized

Component Description:
antenna
Amount:
$622.03

Component Description:
antenna
Amount:
$518.59

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 $157.50 $0.00 N/A $0.00 N/A
Total for all systems $25,104.16 $4,012.28 N/A $3,012.28 N/A
Primary Transmission Line $157.50 $0.00 $0.00
Flexible Foam Transmission Line - dielectric, 1/2" $157.50 $0.00 used 45 feet of a 300-foot roll at $1.53 a foot for facility numbers 50361. See SCMS invoice #124042 $0.00 N/A

Components

Actual Information Description File Name
Flexible Foam Transmission Line - dielectric, 1/2"

Component Description:
45 feet of transmission line @ $1.53 a foot for use on facility id # 50361. invoice # 124042 SCMS.
Amount:
N/A

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 $3,466.66 $1,766.66 N/A $766.66 N/A
Total for all systems $25,104.16 $4,012.28 N/A $3,012.28 N/A
Outside Professional Services $3,466.66 $1,766.66 $766.66
Jaussi Electronics $666.66 $666.66 Engineering Services $666.66 N/A
Perform engineering study for displacement application $1,800.00 $100.00 N/A $100.00 N/A
Form 399 assistance or other Program Management costs $1,000.00 $1,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Jaussi Electronics

Component Description:
Engineering
Amount:
$666.66

Component Description:
Engineering services for transition to new channels.
Amount:
$666.66
Perform engineering study for displacement application

Component Description:
interference analysis $50 per channel, Engineering exhibit preparation k51 to channel 14 $50 total $100. See cover letter
Amount:
$100.00
Form 399 assistance or other Program Management costs 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 $380.00 $380.00 N/A $380.00 N/A
Total for all systems $25,104.16 $4,012.28 N/A $3,012.28 N/A
Other Expenses $380.00 $380.00 $380.00
installation $380.00 $380.00 installation $380.00 N/A

Components

Actual Information Description File Name
installation

Component Description:
installation
Amount:
$380.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $25,104.16 $4,012.28 $3,012.28

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.

William Jaussi

Reimbursement contact


12/21/2020

Attachments

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