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:
23948
Service:
DTV
Call Sign:
WGTV
Channel:
7 (High VHF)
File Number:
0000027682
FRN:
0001844976
Date Submitted:
02/10/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GEORGIA PUBLIC TELECOMMUNICATIONS COMMISSION

260 14TH ST NW

ATLANTA, GA 30318

United States

+1 (404) 685-2400 elaprade@gpb.org Government Entity

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Robert Gehman

ConsultingEngineer

Kessler and Gehman Associates, Inc.

Robert Gehman

507 NW 60 Street

Suite D

Gainesville, FL 32607

United States

+1 (352) 332-3157 bob@kesslerandgehman.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 Replace Main & Standby antennas and Main and Standby transmitters; retain existing lines. Map and analyze sub-Rev. F tower; design and modify if necessary. Contract Outside Professional services for entire project. See attachment.

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 Alternate Main
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 PTCD 20P2 -1
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 7 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? Yes
Manufacturer
Model MPTV-PRLX-V3
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 4.3 kW
Justification for New Transmitter Manufacturer cannot re-channel existing transmitter.

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) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 100.0 feet
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

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 PTCD 20P2-1
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 7 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 MPTV-PRLX-V6
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 8.7 kW
Justification for New Transmitter Manufacturer cannot re-channel existing transmitter

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) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Disconnect existing transmitter and reconnect new transmitter in same location
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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)
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 Top
Polarization Horizontal
Type Other
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 Travelling Wave
ERP: 21.0 kW
Manufacturer
Model TW-12B8-R SP
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? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Circular
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: 21.0 kW
Manufacturer
Model JSM-11/7 TCO-V-R
Year 2018
Justification for New Antenna Existing antenna is a stacked channel 8 travelling wave on top of an unused channel 12 batwing. The travelling wave will not accommodate channel 7 and the batwing gain is far too low to produce the assigned ERP with a reasonable TPO.

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?
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?
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

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
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 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 10.0 kW
Manufacturer
Model JSM-4/7SHO-V
Year 2020
Justification for New Antenna The station requires an Interim antenna in order to be able to remain on-the-air while the Main antenna is replaced.

Interim Antenna

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Other Antenna Costs

Section Question Response
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 an 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

Interim 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 Utilize Existing
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 Dielectric
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 650 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep

Sweep line to ensure performance on channel 7

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Auxiliary (Backup)
Description of Use Backup
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer ERI
Type Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 600 feet per run

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep

Verify performance is acceptable on channel 7

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? Terrain Constrained
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) No
Others Types of Users Yes
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
ASR Number 1018776
Coordinates (NAD83) Latitude (NAD83) 33° 48' 18.0" N-
Longitude (NAD83) 084° 08' 40.0" W-
Overall Structure Height 403.54 feet
Support Structure Height 312.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 1628.59 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Georgia Public Telecommunications Commission
Date Constructed 09/01/1969


Other Types of Users

Users
WTDR 2-way
WSB microwave

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 Terrain constrained
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Geotechnical Report

Geotechnical Report

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 60
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. 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 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification 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 No
RF exposure measurements No
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

Engineering services not already included in a pre-established OPS section.

Other Legal Services

Legal services not already included in a pre-established OPS section.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? No
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

System Design and Site Survey

System Design and Site Survey

Electrical Work

Electrical Work

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 $801,500.00 $367,130.00 N/A $272,742.50 N/A
Total for all systems $2,518,662.00 $2,053,654.00 N/A $1,168,820.00 N/A
Primary Transmitter MPTV-PRLX-V6 $483,050.00 $167,965.00 $139,077.50
Other Electrical Service: Disconnect existing transmitter and reconnect new transmitter in same location $10,000.00 $10,000.00 N/A $5,412.50 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A N/A N/A
High VHF - Liquid Cooled Solid State Transmitter 8.5 . 12.5 kW $447,500.00 $133,665.00 N/A $133,665.00 N/A
Auxiliary Transmitter MPTV-PRLX-V3 $318,450.00 $199,165.00 $133,665.00
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
High VHF - Liquid Cooled Solid State Transmitter 3.3 . 6.5 kW $249,500.00 $133,665.00 N/A $133,665.00 N/A

Components

Actual Information Description File Name
Other Electrical Service: Disconnect existing transmitter and reconnect new transmitter in same location

Component Description:
NBP Eng 18186 v200320jgv2
Amount:
$5,412.50
Transformer 3 phase/480v - 150 KVA Information not provided.
High VHF - Liquid Cooled Solid State Transmitter 8.5 . 12.5 kW

Component Description:
Comark S10456-1 v190911jgv1
Amount:
$133,665.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
Switchgear - industrial 800 amp Information not provided.
High VHF - Liquid Cooled Solid State Transmitter 3.3 . 6.5 kW

Component Description:
Comark S10457-1 v190912jgv2
Amount:
$133,665.00

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 $274,180.00 $274,180.00 N/A $274,180.00 N/A
Total for all systems $2,518,662.00 $2,053,654.00 N/A $1,168,820.00 N/A
Interim Antenna JSM-4/7SHO-V $68,040.00 $68,040.00 $68,040.00
High VHF - High Power Side Mount One Station horizontally polarized $68,040.00 $68,040.00 See attached / uploaded PDF file titled "Jampro 1 v210204jgv1.pdf" $68,040.00 N/A
Primary Antenna JSM-11/7 TCO-V-R $206,140.00 $206,140.00 $206,140.00
High VHF - High Power Top Mount One Station elliptically or circularly polarized $206,140.00 $206,140.00 See attached / uploaded PDF file titled "Jampro 1 v210204jgv1.pdf" $206,140.00 N/A

Components

Actual Information Description File Name
High VHF - High Power Side Mount One Station horizontally polarized

Component Description:
Jampro 1a v210210jgv2
Amount:
$11,480.00

Component Description:
Jampro 1a v210210jgv2
Amount:
$34,440.00

Component Description:
Jampro 3a v210210jgv2
Amount:
$2,870.00

Component Description:
Jampro 4a v210210jgv2
Amount:
$10,640.00

Component Description:
Jampro 2a v210210jgv2
Amount:
$2,870.00

Component Description:
Jampro 1a v210210jgv2
Amount:
$5,740.00
High VHF - High Power Top Mount One Station elliptically or circularly polarized

Component Description:
Jampro 1a v210210jgv2
Amount:
$17,595.00

Component Description:
Jampro 5a v210210jgv2
Amount:
$9,775.00

Component Description:
Jampro 5a v210210jgv2
Amount:
$10,640.00

Component Description:
Jampro 5a v210210jgv2
Amount:
$19,550.00

Component Description:
Jampro 5a v210210jgv2
Amount:
$64,515.00

Component Description:
Jampro 3a v210210jgv2
Amount:
$9,775.00

Component Description:
Jampro 3a v210210jgv2
Amount:
$9,775.00

Component Description:
Jampro 3a v210210jgv2
Amount:
$17,595.00

Component Description:
Jampro 2a v210210jgv2
Amount:
$17,595.00

Component Description:
Jampro 2a v210210jgv2
Amount:
$19,550.00

Component Description:
Jampro 2a v210210jgv2
Amount:
$9,775.00

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 $12,800.00 $12,800.00 N/A $0.00 N/A
Total for all systems $2,518,662.00 $2,053,654.00 N/A $1,168,820.00 N/A
Primary Transmission Line $6,400.00 $6,400.00 $0.00
Sweep $6,400.00 $6,400.00 N/A N/A N/A
Auxiliary Transmission Line $6,400.00 $6,400.00 $0.00
Sweep $6,400.00 $6,400.00 N/A N/A N/A

Components

Information not provided.

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 $1,127,866.00 $1,089,980.00 N/A $436,480.00 N/A
Total for all systems $2,518,662.00 $2,053,654.00 N/A $1,168,820.00 N/A
Primary Tower TOWER $1,127,866.00 $1,089,980.00 $436,480.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $30,414.00 See attached / uploaded PDF file titled "TEP 442385 v200922jgv1.pdf" $30,414.00 N/A
Geotechnical Report $7,566.00 $7,566.00 See attached / uploaded PDF file titled "TEP 442385 v200922jgv1.pdf" $7,566.00 N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $146,500.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A N/A N/A
Tower Helicopter Lift $252,000.00 $252,000.00 See attached / uploaded PDF file titled "Jampro 1 v210204jgv1.pdf" $252,000.00 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:
TEP 395548 v200415jgv1
Amount:
$6,000.00

Component Description:
TEP 378960 v200305jgv1
Amount:
$2,500.00

Component Description:
TEP 442385 v200922jgv1
Amount:
$15,414.00

Component Description:
TEP 369154 v200305jgv1
Amount:
$6,500.00
Geotechnical Report

Component Description:
TEP 442385 v200922jgv1
Amount:
$7,566.00
Major tower reinforcement/modifications

Component Description:
TEP 472917 v201209jgv1
Amount:
$10,000.00

Component Description:
TEP CI-472915 v201209jgv1
Amount:
$95,000.00

Component Description:
TEP 472916 v201209jgv1
Amount:
$3,500.00

Component Description:
TEP 477356 v201209jgv1
Amount:
$3,000.00

Component Description:
TEP 458574 v201209jgv1
Amount:
$35,000.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Tower Helicopter Lift

Component Description:
Jampro 3a v210210jgv2
Amount:
$63,000.00

Component Description:
Jampro 5a v210210jgv2
Amount:
$126,000.00

Component Description:
Jampro 2a v210210jgv2
Amount:
$63,000.00

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 $138,921.00 $146,719.00 N/A $60,714.50 N/A
Total for all systems $2,518,662.00 $2,053,654.00 N/A $1,168,820.00 N/A
Outside Professional Services $138,921.00 $146,719.00 $60,714.50
Other Legal Services $10,626.00 $10,626.00 Other Legal Services related to the station's DTV Repack $10,626.00 N/A
Other Engineering Services $36,000.00 $36,000.00 N/A $24,920.00 N/A
Additional Field Engineering Service, 20 Days $40,000.00 $40,000.00 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 $3,680.00 $3,500.00 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 $2,425.50 N/A
Prepare request for Special Temporary Authorization $2,050.00 $2,303.00 See attached / uploaded PDF files titled "KGA 554-838 v201208jgv1.pdf" and "KGA 554-860 v201208jgv1.pdf" $2,303.00 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 $0.00 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 $2,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $3,500.00 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 $12,540.00 The Estimated Cost includes Form 399 submissions including ongoing Actual Cost invoice prep and submission, and amendments as needed. $12,540.00 N/A
Project management of the transition $9,480.00 $9,000.00 N/A $2,400.00 N/A

Components

Actual Information Description File Name
Other Legal Services

Component Description:
GMP 33049 v201203jgv1
Amount:
$38.50

Component Description:
GMP 31879 v200618pmv1
Amount:
$115.50

Component Description:
WGTV amount. Refer to GMP master summary invoice WGTV with attached invoice.
Amount:
$115.50

Component Description:
WGTV amount. Refer to GMP master summary invoice WGTV with attached invoice.
Amount:
$77.00

Component Description:
GMP 32752 v201203jgv1
Amount:
$2,079.00

Component Description:
GMP 32419 v200618pmv1
Amount:
$192.50

Component Description:
GMP 32893 v201203jgv1
Amount:
$5,274.50

Component Description:
GMP 31879 v200415jgv1
Amount:
$115.50

Component Description:
WGTV amount. Refer to GMP matter summary Jan- April 2018.Refer to letter and attachments uploaded by GPB 8.2.18
Amount:
$154.00

Component Description:
GMP 31274 v200203jgv1
Amount:
$77.00

Component Description:
GMP 30378 v190702pmv1
Amount:
$500.50

Component Description:
WGTV amount. Refer to GMP matter summary May 2018. Refer to letter and attachments uploaded by GPB 8.2.18
Amount:
$654.50

Component Description:
GMP 30547 v200128jgv1
Amount:
$115.50

Component Description:
Form 387 review and Repack advice during Fed govt shutdown
Amount:
$115.50

Component Description:
Repack phase change considerations
Amount:
$539.00

Component Description:
Repack review of Form 387
Amount:
$38.50

Component Description:
WGTV amount. Refer to GMP master summary invoice WGTV with attached invoice.
Amount:
$38.50

Component Description:
Repack Prep for legal Invoices
Amount:
$346.50

Component Description:
GMP 30911 v200128jgv1
Amount:
$77.00

Component Description:
GMP 32600 v201203jgv1
Amount:
$77.00
Other Engineering Services

Component Description:
KGA 554-849 v201203jgv1
Amount:
$1,675.00

Component Description:
KGA 554-732 v200128jgv1
Amount:
$175.00

Component Description:
KGA 554-721 v200128jgv1
Amount:
$1,075.00

Component Description:
KGA 554-858 v201203jgv1
Amount:
$250.00

Component Description:
KGA 554-826 v200922jgv1
Amount:
$675.00

Component Description:
KGA inv #554-563 Actual Cost invs RG 2018 Aug UL20190426jgv2
Amount:
$795.00

Component Description:
KGA 554-667 v200128jgv1
Amount:
$2,425.00

Component Description:
KGA 554-702 v200128jgv1
Amount:
$1,525.00

Component Description:
KGA 554-674 v200128jgv1
Amount:
$2,000.00

Component Description:
KGA 554-813 v200922jgv1
Amount:
$275.00

Component Description:
KGA 554-609 v190620pmv1
Amount:
$1,750.00

Component Description:
KGA 554-739 v200213jgv2
Amount:
$925.00

Component Description:
KGA 554-627 v190620pmv1
Amount:
$2,750.00

Component Description:
KGA 554-872 v201203jgv1
Amount:
$1,625.00

Component Description:
KGA 554-883 v201203jgv1
Amount:
$900.00

Component Description:
KGA 554-640 v190702pmv1
Amount:
$3,675.00

Component Description:
KGA 554-823 v200922jgv1
Amount:
$1,050.00

Component Description:
KGA 554-590 v190620pmv1
Amount:
$150.00

Component Description:
KGA 554-617 v190620pmv1
Amount:
$825.00

Component Description:
KGA 554-775 v200609jgv1
Amount:
$400.00
Additional Field Engineering Service, 20 Days 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

Component Description:
WGTV amount. Refer to GMP master summary invoice WGTV with attached invoice. Refer to letter and attachments uploaded by GPB 8.2.18
Amount:
$423.50

Component Description:
WGTV amount. Refer to GMP master summary invoice WGTV with attached invoice. Refer to letter and attachments uploaded by GPB 8.2.18
Amount:
$2,002.00
Prepare request for Special Temporary Authorization

Component Description:
KGA 554-838 v201208jgv1
Amount:
$1,553.00

Component Description:
KGA 554-860 v201208jgv1
Amount:
$750.00
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 Information not provided.
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

Component Description:
Prepare engineering section form 2100 (main) CPA
Amount:
$2,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Engineering services for new channel assignment
Amount:
$3,500.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
KGA 554-891 v201203jgv1
Amount:
$1,075.00

Component Description:
KGA 554-627 v190620pmv1
Amount:
$75.00

Component Description:
KGA 554-608 v190620pmv1
Amount:
$650.00

Component Description:
KGA 554-706 v200128jgv1
Amount:
$1,000.00

Component Description:
KGA 554-681 v200128jgv1
Amount:
$675.00

Component Description:
Prepare and review FCC form 399
Amount:
$2,500.00

Component Description:
KGA 554-621 v190620pmv1
Amount:
$370.00

Component Description:
KGA 554-753 v200609jgv1
Amount:
$700.00

Component Description:
KGA 554-654 v200609jgv1
Amount:
$410.00

Component Description:
KGA 554-646 v190702pmv1
Amount:
$200.00

Component Description:
KGA 554-797 v200618pmv1
Amount:
$800.00

Component Description:
KGA 554-766 v200609jgv1
Amount:
$225.00

Component Description:
KGA 554-807 v200922jgv1
Amount:
$725.00

Component Description:
KGA 554-854 v201203jgv1
Amount:
$2,235.00

Component Description:
KGA 554-783 v200618pmv1
Amount:
$900.00
Project management of the transition

Component Description:
Project management Bob Gehman
Amount:
$225.00

Component Description:
Project management Bob Gehman
Amount:
$225.00

Component Description:
Form 387 2Q18
Amount:
$150.00

Component Description:
KGA 554-750 v200609jgv1
Amount:
$150.00

Component Description:
KGA 554-897 v201208jgv1
Amount:
$150.00

Component Description:
Form 387 3Q18
Amount:
$150.00

Component Description:
KGA 554-552 v200618pmv1
Amount:
$150.00

Component Description:
Form 387 4Q18
Amount:
$150.00

Component Description:
KGA 554-864 v201208jgv1
Amount:
$150.00

Component Description:
KGA 554-787 v200618pmv1
Amount:
$150.00

Component Description:
KGA 554-597 v190620pmv1b
Amount:
$150.00

Component Description:
KGA 554-861 v201208jgv1
Amount:
$150.00

Component Description:
KGA 554-712 v200128jgv1
Amount:
$150.00

Component Description:
Project management Bob Gehman
Amount:
$300.00

Component Description:
KGA 554-660 v200128jgv1
Amount:
$150.00

Component Description:
KGA inv #554-574 Form 387 2018 Q4 by RG v190430jgv1
Amount:
$150.00

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 $163,395.00 $162,845.00 N/A $124,703.00 N/A
Total for all systems $2,518,662.00 $2,053,654.00 N/A $1,168,820.00 N/A
Other Expenses $163,395.00 $162,845.00 $124,703.00
Electrical Work $62,715.00 $62,715.00 See attached / uploaded PDF file titled "All-State 3711 v200415jgv1.pdf" $62,715.00 N/A
System Design and Site Survey $15,300.00 $15,300.00 N/A $15,300.00 N/A
MVPD Notification of Channel Change $3,130.00 $3,130.00 See attached / uploaded PDF files titled "KGA 554-795 v200619pmv1.pdf" and "KGA 554-835 v200922jgv1.pdf" $3,130.00 N/A
Equipment Delivery and Handling Charges $38,700.00 $38,700.00 See attached / uploaded PDF files titled "P Wallace 23500 v200406jgv2.pdf" and "Jampro 1 v210204jgv1.pdf" $38,700.00 N/A
Equipment Storage $16,000.00 $16,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $16,000.00 $16,000.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $4,858.00 N/A

Components

Actual Information Description File Name
Electrical Work

Component Description:
All-State 3711 v200519jgv2
Amount:
$62,715.00
System Design and Site Survey

Component Description:
Comark 12829 v190911jgv1
Amount:
$15,300.00
MVPD Notification of Channel Change

Component Description:
KGA 554-795 v200619pmv1
Amount:
$1,878.00

Component Description:
KGA 554-835 v200922jgv1
Amount:
$1,252.00
Equipment Delivery and Handling Charges

Component Description:
Jampro 5a v210210jgv2
Amount:
$8,600.00

Component Description:
Jampro 2a v210210jgv2
Amount:
$8,600.00

Component Description:
P Wallace 23500 v200406jgv2
Amount:
$21,500.00
Equipment Storage Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
DTV Medical Facility Notification

Component Description:
KGA 554-794 v200619pmv1
Amount:
$4,858.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,518,662.00 $2,053,654.00 $1,168,820.00

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


02/10/2021

Attachments

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