TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
UNIVISION LOCAL MEDIA, INC. Doing Business As: Univision Local Media, Inc.	Christopher G. Wood 5999 Center Drive Los Angeles, CA 90045 United States	+1 (310) 348-3600	cwood@univision.net	Corporation

Applicant

Address

Phone

Applicant Type

UNIVISION LOCAL MEDIA, INC.

Doing Business As: Univision Local Media, Inc.

Christopher G. Wood

5999 Center Drive

Los Angeles, CA 90045

United States

+1 (310) 348-3600

cwood@univision.net

Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Theodore Stoner VP Distribution Technology Strategy Univision Management Company	Theodore Stoner 9405 NW 41st Street Miami, FL 33178 United States	+1 (513) 608-0308	tstoner@univision.net

Applicant

Address

Phone

Theodore Stoner

VP Distribution Technology Strategy

Univision Management Company

Theodore Stoner

9405 NW 41st Street

Miami, FL 33178

United States

+1 (513) 608-0308

tstoner@univision.net

Broadcaster Information and Transition Plan

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	WRCF-CD will relocate to American Tower's Bithlo RT site, where it will share the transmitter room of WOTF-DT. All equipment downstream from the existing power distribution panels will be separate, not shared

Transmitters

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

Primary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Retune Existing
	Use	Primary (Main)
	Ownership	Owned
	Owner	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	Pineapple
	Model	DTX-PRO
	Year	2013
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	1.2 kW

Primary Transmitter

Retuning Transmitter Costs

Section	Question	Response
New IOT Tubes	Number of Tubes (including accessories) needed	N/A
New Mask Filter
	Power	1.5 kW
	Other Power	N/A
New Exciter	Is a new exciter needed?	No

Primary Transmitter

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	No
	Description	N/A
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

Other Transmitter Cost Not Listed

Information not provided.

Primary Transmitter

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	DTX-PRO
	Year	2013
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	1.2 kW

Primary Transmitter

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	TMU9-4
	Transmitter Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	2.4 kW
	Justification for New Transmitter	WRCF did replace its transmitter but is only eligible for reimbursement of the equivalent mask filter. Only the cost of the mask filter will be requested in reimbursement.

Primary Transmitter

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	No
	Description	N/A
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

Other Transmitter Cost Not Listed

Name	Description
Mask Filter	Reimbursable mask filter costs

Antennas

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

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing antenna shared with another station or stations?	No
	Is the existing antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	No
Existing Antenna Manufacturer and Type	Class	Class A
	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:	15.0 kW
	Manufacturer
	Model	PSILP16OI SPECIAL
	Year	2013

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Class A
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels/Bays	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Design power capacity in use	N/A
	Other Antenna Type	N/A
	ERP:	15.0 kW
	Manufacturer
	Model	ALP8L2-HSH-16
	Year	2017
	Justification for New Antenna	Existing slot antenna is for channel 35 - will not work on channel 16

Primary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?
	Type
	Number of channels supported	N/A
	Frequencies of channels supported	N/A
	Frequency	N/A
	Do you need a combiner output splitter/switcher for dual feed lines?	N/A
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	No
	Broadband or Single Channel?	N/A
	Feed Line Size	N/A
Side Mount Brackets	Do you require the separate purchase of side mount brackets for 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

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Tower Equipment And Rigging Costs

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

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	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?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1212124
Coordinates (NAD83)	Latitude (NAD83)	28° 35' 12.6" N-
	Longitude (NAD83)	081° 04' 57.5" W-
	Overall Structure Height	1682.07 feet
	Support Structure Height	1574.13 feet
	Ground Elevation Above Mean Sea Level (AMSL)	66.93 feet
	Structure Type	GTOWER - Guyed Structure Used for Communication Purposes
	Tower Owner	American Tower, LLC
	Date Constructed	03/18/2002

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
5802	WVEN-TV	DTV

Primary Tower

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:	No reinforcements needed

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Structural Analysis	ATC structural analysis fee

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	635
	Explanation	WRCF-CD does not have full-time local technical staff available to oversee and coordinate equipment replacement. Also, Please see the attached quote from Widelity.
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	Yes
	RF exposure measurements	No
	Additional Field Engineering Service	No
	Number of Days	N/A
	Justification	N/A

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Engineering Study for New Channel Assignment and Antenna Development	An engineering study needed for the new channel assignment.
Environmental Assessment - Tower Nest Review	Environmental Assessment - Tower Nest Review

Other Expenses

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

Other Expenses

Other Expenses Not Listed

Name	Description
American Tower Admin Fee	Bithlo tower is owned by American Tower - their standard repack is quoted as $9,480

Cost Information

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	$237,027.05	$6,815.71	N/A	$6,815.71	N/A
Total for all systems	$747,857.05	$275,980.33	N/A	$248,194.42	N/A
Primary Transmitter DTX-PRO	$105,200.00	$988.66		$988.66
UHF and VHF - minor banding issues	$105,200.00	$988.66	*System Notice: Estimate adjusted and locked because line has been superseded.*	$988.66	Invoices match the estimated cost in this locked category.
Primary Transmitter TMU9-4	$131,827.05	$5,827.05		$5,827.05
Mask Filter	$5,827.05	$5,827.05	Although WRCF replaced its transmitter, only the cost of the mask filter will be requested in reimbursement: Please see Rohde & Schwarz quote 392433.0, plus sales tax of $349.05 and shipping of $108.00	$5,827.05	N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	$126,000.00	$0.00	Although WRCF replaced its transmitter, only the cost of the mask filter will be requested in reimbursement	N/A	N/A

Components

Actual Information Description	File Name
UHF and VHF - minor banding issues	Component Description: FREIGHT, SHIPPING, AND HANDLING Amount: $267.66 Component Description: PRESS CAP 4-50 W/CONN CLEARANCE CU Amount: $721.00
Mask Filter	Component Description: 30% down payment Amount: $1,715.71 Component Description: Remainder of tax owing on this order Amount: $122.18 Component Description: 35% Final Payment Amount: $1,987.50 Component Description: 35% due upon FAT Amount: $2,001.66
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	Information not provided.

Cost Information

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	$33,030.00	$24,899.34	N/A	$21,589.82	N/A
Total for all systems	$747,857.05	$275,980.33	N/A	$248,194.42	N/A
Primary Antenna ALP8L2-HSH-16	$33,030.00	$24,899.34		$21,589.82
Sweep test of existing antenna	$6,730.00	$4,500.00	N/A	$2,236.50	N/A
UHF - Lower Power Side Mount, Class A One Station antenna -- basic	$26,300.00	$20,399.34	see Estimated Cost Justification WRCF-CD-210-Primary Antenna - UHF Lower Power Side Mount Class A v0	$19,353.32	N/A

Components

Actual Information Description	File Name
Sweep test of existing antenna	Component Description: System Sweep Amount: $2,236.50
UHF - Lower Power Side Mount, Class A One Station antenna -- basic	Component Description: Antenna Amount: $9,554.52 Component Description: Antenna ALP8L2-HSH-16 Amount: $1,290.30 Component Description: Antenna & Installation of Antenna Amount: $8,508.50

Cost Information

Transmission Line

Information not provided.

Cost Information

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	$241,550.00	$79,549.80	N/A	$75,549.81	N/A
Total for all systems	$747,857.05	$275,980.33	N/A	$248,194.42	N/A
Primary Tower GTOWER	$241,550.00	$79,549.80		$75,549.81
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$6,590.60	Please see the attached ATC invoice # 460207446	$6,590.60	N/A
Structural Analysis	$4,750.00	$4,750.00	Please see the attached ATC invoice # 460207445	$4,750.00	N/A
Tall Tower (greater than 500')	$210,500.00	$68,209.20	Please see Estimated Cost Justification WRCF-CD-410-Existing Primary Tower - Tall Tower - Tower Rigging and Equipment v2	$64,209.21	N/A

Components

Actual Information Description	File Name
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: BROADCAST TOWER MAPPING - ORLANDO - BITHLO FL Amount: $6,590.60
Structural Analysis	Component Description: BROADCAST STRUCTURAL - ORLANDO - BITHLO FL Amount: $4,750.00
Tall Tower (greater than 500')	Component Description: Balance due upon completion per Quote # SJR-20-0122-02B Amount: $16,566.66 Component Description: 1/3 due upon signed SOW & PO Amount: $8,283.35 Component Description: WRCF-CD-410-Existing Primary Tower - Tall Tower - Tower Rigging and Equipment Amount: $18,478.50 Component Description: WRCF-CD-410-Existing Primary Tower - Tall Tower - Tower Rigging and Equipment Amount: $16,944.78 Component Description: WRCF-CD-410-Existing Primary Tower - Tall Tower - Tower Rigging and Equipment Amount: $3,935.92

Cost Information

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	$213,775.00	$151,840.48	N/A	$142,239.08	N/A
Total for all systems	$747,857.05	$275,980.33	N/A	$248,194.42	N/A
Outside Professional Services	$213,775.00	$151,840.48		$142,239.08
Project management of the transition	$100,330.00	$136,945.48	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$136,945.48	Please see submitted invoices.
Environmental Assessment - Tower Nest Review	$1,335.00	$1,335.00	Please see WRCF-CD Environmental Assessment - Tower Nest Review Budget Revision Justification Letter	$1,335.00	N/A
Engineering Study for New Channel Assignment and Antenna Development	$1,350.00	$1,350.00	Please see the combined justification document for WH Beam Associates, LLC - New Channel Assignment and Antenna Development	N/A	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$1,360.00	Please see WRCF-CD A.H. Systems quote 200205-A2	$1,360.00	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$2,000.00	N/A	$1,326.60	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$1,500.00	N/A	N/A	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$2,500.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$1,000.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$1,000.00	N/A	$750.00	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$1,350.00	WRCF Justification Letter for WH Beam Associates, LLC - New Channel Assignment and Antenna Development	N/A	N/A
Prepare and or review reimbursement form	$2,630.00	$1,500.00	N/A	$522.00	N/A

Components

Actual Information Description	File Name
Project management of the transition	Component Description: Project management Services, including: invoice Amount: $209.30 Component Description: Project Management Amount: $9.00 Component Description: Project Management Amount: $112.50 Component Description: Project Management Amount: $2,685.05 Component Description: Project management Amount: $427.50 Component Description: Project Management Services Amount: $631.30 Component Description: Project management Amount: $308.75 Component Description: Project Management Amount: $40.50 Component Description: Project Management Amount: $4,285.95 Component Description: Project Management Services Amount: $127.50 Component Description: Project Management Services Amount: $517.50 Component Description: Project management Services Amount: $212.50 Component Description: Project Management Amount: $4,321.20 Component Description: Project Management Amount: $6,401.15 Component Description: Project Management Amount: $3,211.75 Component Description: Project Management Amount: $449.58 Component Description: Project Management Services Amount: $211.25 Component Description: Project management Amount: $205.40 Component Description: Project Management Services Amount: $313.95 Component Description: Project Management Amount: $3,005.35 Component Description: Project Management Amount: $3,663.10 Component Description: Project management Services Amount: $323.75 Component Description: Project Management Amount: $2,649.15 Component Description: Project Management Services Amount: $664.34 Component Description: Project Management Amount: $2,829.05 Component Description: Project Management Services Amount: $396.25 Component Description: Project Management Services Amount: $590.00 Component Description: Project management Services Amount: $281.25 Component Description: Project Management Services Amount: $79.50 Component Description: Project management Services Amount: $222.30 Component Description: Project Management Services Amount: $217.50 Component Description: Project management Services Amount: $243.75 Component Description: Project Management Amount: $3,640.60 Component Description: Project management Services Amount: $240.50 Component Description: Project management Services Amount: $51.35 Component Description: Project Management Services Amount: $244.50 Component Description: Project management Services Amount: $202.15 Component Description: Project management Services Amount: $247.50 Component Description: Project Management Services Amount: $321.00 Component Description: Project management Services Amount: $232.50 Component Description: Project management Services Amount: $219.70 Component Description: Project Management Services Amount: $268.75 Component Description: Project management Services Amount: $282.75 Component Description: Ant and coverage mtg Amount: $75.00 Component Description: Project Management Services Amount: $85.50 Component Description: Project Management Amount: $2,405.60 Component Description: Project management Services Amount: $408.75 Component Description: Project Management Amount: $4,224.65 Component Description: Project Management Services Amount: $313.95 Component Description: Project Management and Repack Implementation Engineering Services Amount: $187.50 Component Description: Project management Services Amount: $645.00 Component Description: Project management Services Amount: $337.35 Component Description: Project Management Services Amount: $318.00 Component Description: Project Management Services Amount: $388.22 Component Description: Project management Services Amount: $288.75 Component Description: Project Management Services Amount: $608.88 Component Description: Project management Services Amount: $542.50 Component Description: Project Management Amount: $2,588.40 Component Description: Project Management Services Amount: $428.34 Component Description: Project Management Services Amount: $589.50 Component Description: Project Management Amount: $37.50 Component Description: Project management Services Amount: $526.25 Component Description: Project Management and Repack Implementation Engineering Services Amount: $37.50 Component Description: Project Management Services Amount: $781.50 Component Description: Project Management Amount: $3,189.50 Component Description: Project management Amount: $4,795.55 Component Description: Project management Amount: $305.00 Component Description: Project Management Services Amount: $204.00 Component Description: Project management Amount: $376.25 Component Description: Project Management Services Amount: $204.00 Component Description: Project management Services Amount: $219.70 Component Description: Project Management and Repack Implementation Engineering Services Amount: $150.00 Component Description: Project management Services Amount: $302.25 Component Description: Project Management Amount: $2,055.75 Component Description: Project Management Amount: $4,648.70 Component Description: Project management Amount: $517.50 Component Description: Project Management Amount: $90.00 Component Description: Project Management Amount: $3,683.95 Component Description: Project Management Services Amount: $463.50 Component Description: Project management services Amount: $335.00 Component Description: Project Management Services Amount: $549.88 Component Description: Project management services Amount: $85.50 Component Description: Project Management Amount: $2,236.95 Component Description: Project management Amount: $576.25 Component Description: Project Management and Repack Implementation Engineering Services Amount: $75.00 Component Description: Project management services Amount: $46.50 Component Description: Project Management Amount: $512.50 Component Description: Project Management Amount: $444.86 Component Description: Project management Services Amount: $393.75 Component Description: Project Management Amount: $1,829.40 Component Description: Project Management Amount: $124.50 Component Description: Project management Services Amount: $272.35 Component Description: Project management Services Amount: $337.35 Component Description: Project management services Amount: $90.00 Component Description: Project management Services Amount: $272.35 Component Description: Project Management Services Amount: $460.50 Component Description: Project Management and Repack Implementation Engineering Services Amount: $187.50 Component Description: Project management Services Amount: $271.05 Component Description: Project management services Amount: $34.50 Component Description: Ant specs, spec TX line, loss calcs Amount: $712.50 Component Description: Project Management Amount: $475.54 Component Description: Project Management Services, including: supervision Amount: $397.66 Component Description: Project management Services Amount: $342.50 Component Description: Project Management Amount: $4,262.65 Component Description: Project Management Services Amount: $329.22 Component Description: Project Management Services Amount: $1,452.00 Component Description: Project Management Amount: $1,237.30 Component Description: Project management Services Amount: $302.25 Component Description: Project Management Amount: $3,669.30 Component Description: Process Univision invoices - Widelity Amount: $150.00 Component Description: Project management Services Amount: $341.25 Component Description: Project Management Services Amount: $6,904.50 Component Description: Project Management Amount: $3,167.95 Component Description: Project Management Services Amount: $94.50 Component Description: Project Management Amount: $1,483.60 Component Description: Line test plan, materials needed, tower work Amount: $375.00 Component Description: Project Management Amount: $4,290.00 Component Description: Project Management and Repack Implementation Engineering Services Amount: $525.00 Component Description: Project management services Amount: $513.00 Component Description: Project management Services Amount: $243.75 Component Description: Project Management Services Amount: $236.25 Component Description: Project management Services Amount: $291.25 Component Description: Project management Services Amount: $51.35 Component Description: Project management Services Amount: $270.40 Component Description: Project Management Amount: $3,534.55 Component Description: Project Management Services Amount: $356.85 Component Description: Project Management Services Amount: $536.90 Component Description: Project Management Amount: $281.25 Component Description: Project Management Services Amount: $490.50 Component Description: Project management Services Amount: $310.00 Component Description: Project Management Amount: $2,462.50 Component Description: Project management Amount: $267.80 Component Description: Project Management Amount: $3,534.05 Component Description: Project Management Amount: $136.50 Component Description: Project Management Services Amount: $102.00 Component Description: Project management Services Amount: $306.25 Component Description: Project management Amount: $279.50 Component Description: Project Management Amount: $444.86 Component Description: Project management Services Amount: $398.45 Component Description: Project management services Amount: $49.50 Component Description: Project Management Amount: $183.00 Component Description: Project management Amount: $316.25 Component Description: Project Management Amount: $2,692.10 Component Description: Project management services Amount: $112.50
Environmental Assessment - Tower Nest Review	Component Description: On-Site Evaluation - Drone Review Amount: $135.00 Component Description: On-Site Evaluation - Drone Review Amount: $1,200.00
Engineering Study for New Channel Assignment and Antenna Development	Information not provided.
Comprehensive coverage verification via field study, if needed	Component Description: Tuned Dipole Antenna Amount: $1,360.00
Attorney Fees - Negotiation of lease and other matters for shared locations	Component Description: Legal Services Amount: $142.20 Component Description: Legal Services Amount: $418.50 Component Description: Legal Services Amount: $437.40 Component Description: WRCF-CD-550-Attorney - Negotiate Lease and Other Matters Amount: $98.55 Component Description: Legal Services Amount: $229.95
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: Prepare Tech. Portion of CP Modification Professional Services Amount: $750.00
Perform engineering study for new channel assignment and antenna development	Information not provided.
Prepare and or review reimbursement form	Component Description: Legal Services Amount: $522.00

Cost Information

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	$22,475.00	$12,875.00	N/A	$2,000.00	N/A
Total for all systems	$747,857.05	$275,980.33	N/A	$248,194.42	N/A
Other Expenses	$22,475.00	$12,875.00		$2,000.00
DTV Medical Facility Notification	$11,550.00	$2,000.00	Please see WRCF-CD RF Notifications Invoice 1316.	$2,000.00	N/A
FCC Filing Fees - Form 2100 minor change CP application	$1,110.00	$1,070.00	N/A	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	N/A	N/A
American Tower Admin Fee	$9,480.00	$9,480.00	American Tower Repack Services Admin Fee	N/A	N/A

Components

Actual Information Description	File Name
DTV Medical Facility Notification	Component Description: Medical Notification Amount: $2,000.00
FCC Filing Fees - Form 2100 minor change CP application	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
American Tower Admin Fee	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$747,857.05	$275,980.33	$248,194.42

Reimbursement Status

Question	Response
The facility has ceased operating on its pre-auction channel.	No
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

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.
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. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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). 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. 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. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Jose Franchi , Franchi . VP Finance 01/26/2021

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Jose Franchi , Franchi .

VP Finance

01/26/2021

Certification

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).
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 certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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) . 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. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Jose Franchi , Franchi . VP Finance 01/26/2021

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).

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 certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Jose Franchi , Franchi .

VP Finance

01/26/2021

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

Retuning Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services

Components