TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
ANDERSON (WFBC-TV) LICENSEE, INC. Doing Business As: ANDERSON (WFBC-TV) LICENSEE, INC.	Lisa Asher 2000 WEST 41ST STREET BALTIMORE, MD 21211 United States	+1 (410) 662-9688	LAsher@cunninghambroadcasting.com	Corporation

Applicant

Address

Phone

Applicant Type

ANDERSON (WFBC-TV) LICENSEE, INC.

Doing Business As: ANDERSON (WFBC-TV) LICENSEE, INC.

Lisa Asher

2000 WEST 41ST STREET

BALTIMORE, MD 21211

United States

+1 (410) 662-9688

LAsher@cunninghambroadcasting.com

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
Paul A. Cicelski , Esq . Lerman Senter PLLC	2001 L Street NW Suite 400 Washington, DC 20036 United States	+1 (202) 416-6756	sinclair399s@summitridgegroup.com

Applicant

Address

Phone

Paul A. Cicelski , Esq .

Lerman Senter PLLC

2001 L Street NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6756

sinclair399s@summitridgegroup.com

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.	No
Briefly describe transition plan	See Exhibit A.

Transmitters

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

Auxiliary Transmitter

Add Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Retune Existing
	Use	Auxiliary (Backup)
	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	Rohde & Schwarz
	Model	NV 7041E
	Year	2001
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	0.4 kW

Auxiliary 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

Auxiliary Transmitter

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	Electrical Installation
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	No
	Size	N/A
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Transient Voltage Suppressor	Transient Voltage Suppressor

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	Quantum QX2
	Year	2006
	Type	Inductive Output Tube
	IOT Power Type	Two
	Power Capacity	55 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	THU9evo 24
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	37 kW
	Justification for New Transmitter	Per the manufacturer, the current transmitter cannot be retuned. See Exhibit B.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	Yes
	Power	300 kVA
	Rigid Conduit and Wiring	Yes
	Size	2 inches
	Length	800.0 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

Primary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Electrical Installation	Electrical Installation
Additional parts	Additional parts

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	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels	N/A
	Design power capacity in use	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Other Antenna Type	N/A
	ERP:	360.0 kW
	Manufacturer
	Model	TFU-16DSC-R T200SP
	Year	2003

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?	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	Elliptical
	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:	600.0 kW
	Manufacturer
	Model	TFU-28GTH/VP-R 6T200
	Year	2017
	Justification for New Antenna	Current antenna is a single channel antenna that cannot be used for the new post-auction channel.

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?	Yes
	Broadband or Single Channel?	Single Channel
	Feed Line Size	6 1/8 inches inches
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?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Field Service	Field Service

Transmission Line

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

Primary Transmission Line

Existing Transmission Line

Section	Question	Response
Existing Transmission Line Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing transmission line shared with another station or stations?	No
	Is Transmission Line in operating condition?	Yes
Existing Transmission Line Manufacturer and Type	Manufacturer
	Type	Rigid
	Diameter	4 1/16 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	950 feet per run

Primary Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Type	Rigid
	Diameter	6 1/8 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	990 feet per run
	Justification for New Transmission Line	The current transmission line will not be able to handle the power needed to operate on the new, higher post-auction channel.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

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	Owned
	Is this tower consider Complex?	No
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	No
	Is tower documented for structural analysis?	Yes
	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	1045371
Coordinates (NAD83)	Latitude (NAD83)	34° 38' 51.0" N-
	Longitude (NAD83)	082° 16' 12.0" W-
	Overall Structure Height	1050.84 feet
	Support Structure Height	999.00 feet
	Ground Elevation Above Mean Sea Level (AMSL)	798.22 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	CHESAPEAKE TELEVISION, INC
	Date Constructed	01/01/1983

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
318	WROQ	FM

Primary Tower

Tower Modification Costs

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

Information not provided.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	470
	Explanation	Outside consulting engineering, legal work, and accounting services, as well as project management for regional and comprehensive repack execution.
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	Yes
	Quantity	2
	Do you have Distributed Transmission System engineering services?	N/A
	Critical Facility	N/A
	Terrain-Shielded Facility	N/A
Attorney and Other Outside Consulting Services	Prepare and file Form FCC Construction Permit Application	Yes
	For Auxiliary Facility	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	Yes
	Quantity	2
	NEPA Section 106 environmental review	Yes
	Environmental Assessment	Yes
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	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	Yes
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
Sinclair Internal Costs	Internal Employee Time Costs

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	Yes
	Non-zoning permits	Yes
	BLM or NFS Coordination	No
	FCC Construction Permit Minor Change	No
	FCC License to Cover Application	Yes
	FCC Special Temporary Authority Application	Yes
Other Miscellaneous Expenses	Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)?	Yes
	Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs?	Yes
	Does this relocation require Equipment Storage?	Yes
	Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change?	Yes
	Does this relocation require MVPD Notification of a Channel Change?	Yes

Other Expenses

Other Expenses Not Listed

Name	Description
Forklift Rental	Forklift Rental

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	$1,763,804.21	$1,658,789.21	N/A	$925,950.11	N/A
Total for all systems	$3,328,997.08	$3,316,693.30	N/A	$1,796,183.78	N/A
Primary Transmitter THU9evo 24	$1,605,434.79	$1,527,934.79		$848,161.69
Electrical Installation	$31,800.00	$31,800.00	See Emory Electric quote.	$31,800.00	N/A
Additional parts	$4,834.79	$4,834.79	N/A	$4,834.79	N/A
Transformer 3 phase/480v - 300 KVA	$36,800.00	$35,000.00	N/A	$0.00	N/A
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW	$1,473,000.00	$1,400,000.00	N/A	$811,526.90	N/A
2" Rigid Conduit and Wiring (Cost per foot)	$20,800.00	$20,000.00	N/A	N/A	N/A
Auxiliary Transmitter NV 7041E	$158,369.42	$130,854.42		$77,788.42
Transient Voltage Suppressor	$2,629.75	$2,629.75	N/A	$2,629.75	N/A
Other Electrical Service: Electrical Installation	$21,959.67	$21,959.67	N/A	$21,959.67	N/A
Transformer 3 phase/480v - 150 KVA	$25,550.00	$3,465.00	N/A	$3,465.00	N/A
1.5 kW mask filter	$3,030.00	$2,800.00	N/A	N/A	N/A
UHF and VHF - minor banding issues	$105,200.00	$100,000.00	N/A	$49,734.00	N/A

Components

Actual Information Description	File Name
Electrical Installation	Component Description: Transmitter related cost. #36325 Amount: $8,100.00 Component Description: Transmitter related cost. #369911 Amount: $8,700.00 Component Description: Transmitter related cost. #36518 Amount: $10,000.00 Component Description: Transmitter related cost. #36748 Amount: $5,000.00 Component Description: Resubmitted under Disposal Cost. #735 Amount: N/A
Additional parts	Component Description: Transmitter related cost. #9500119199 Amount: $4,555.00 Component Description: Transmitter related cost. #002760 Amount: $279.79
Transformer 3 phase/480v - 300 KVA	Component Description: Transmitter related cost. #002312 Amount: $3,465.00
Switchgear - industrial 800 amp	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW	Component Description: Resubmitted under Transient Voltage Suppressor. #002247 Amount: N/A Component Description: Transmitter related cost. #9500088446 Amount: $606,676.84 Component Description: Transmitter related cost. #002210 Amount: $2,624.45 Component Description: Transmitter related cost. #9500088446 Amount: $202,225.61 Component Description: Transmitter cost, 25% down. #9500088446 Amount: $202,225.61
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Transient Voltage Suppressor	Component Description: Transmitter related cost. #002249 Amount: $2,629.75
Other Electrical Service: Electrical Installation	Component Description: Transmitter related cost. #369484 Amount: $5,000.00 Component Description: Transmitter related cost. #35396 Amount: $9,500.00 Component Description: Transmitter electrical install. #35396 Amount: $9,500.00 Component Description: Transmitter related cost. #369664 Amount: $7,000.00 Component Description: Transmitter related cost. #369615 Amount: $459.67
Transformer 3 phase/480v - 150 KVA	Component Description: Transmitter related cost. #002312 Amount: $3,465.00
1.5 kW mask filter	Information not provided.
UHF and VHF - minor banding issues	Component Description: Transmitter related cost. #002388 Amount: $49,734.00

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	$314,264.40	$436,859.70	N/A	$202,613.96	N/A
Total for all systems	$3,328,997.08	$3,316,693.30	N/A	$1,796,183.78	N/A
Primary Antenna TFU-28GTH/VP-R 6T200	$314,264.40	$436,859.70		$202,613.96
Field Service	$5,734.40	$5,734.40	N/A	$5,734.40	N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$11,700.00	N/A	$8,236.34	The two invoices have the same invoice name but newly uploaded one has an updated cover letter.
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$413,025.30	See Response to August 7 Inquiry.	$183,524.50	The newly uploaded invoice has an uploaded cover letter to give a better explanation. #141002
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$5,118.72	N/A

Components

Actual Information Description	File Name
Field Service	Component Description: Total invoice amount reduced by 10.40%. #986027 Amount: $5,734.40
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: Antenna related cost for elbow complex reduced by 20.02%. #141002 Amount: $8,236.34 Component Description: No. 3 on the invoice $10,298.00 reduced by 20.02%. #141002 Amount: $8,236.34
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: Total of No.1 and No.2 on the invoice reduced by 20.02%. #141002 Amount: $207,278.56 Component Description: Antenna related cost for UHF High Power reduced by 20.02%. #141002 Amount: $183,524.50
Sweep test of existing antenna	Component Description: Total amount reduced by 20.02%. #196016 Amount: $5,118.72

Cost Information

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	$199,980.00	$190,080.00	N/A	$119,443.36	N/A
Total for all systems	$3,328,997.08	$3,316,693.30	N/A	$1,796,183.78	N/A
Primary Transmission Line	$199,980.00	$190,080.00		$119,443.36
Rigid Transmission Line - copper, 6 1/8"	$199,980.00	$190,080.00	N/A	$119,443.36	The newly updated invoice is an updated invoice for the one that needs more information. Attached is an updated cover letter.

Components

Actual Information Description	File Name
Rigid Transmission Line - copper, 6 1/8"	Component Description: Transmission line related cost reduced by 20.02%. #150001 Amount: $4,675.03 Component Description: Transmission line related cost reduced by 20.02%. #189008 Amount: $285.52 Component Description: Total of No.4 and No.22 reduced by 20.02%. #141002 Amount: $112,307.38 Component Description: Transmission Line related cost reduced by 20.02%. #141002 Amount: $112,307.38 Component Description: Transmission line related cost reduced by 20.02%. #161003 Amount: $2,175.43

Actual Information Description

File Name

Rigid Transmission Line - copper, 6 1/8"

Component Description:: Transmission line related cost reduced by 20.02%. #150001
Amount:: $4,675.03

Component Description:: Transmission line related cost reduced by 20.02%. #189008
Amount:: $285.52

Component Description:: Total of No.4 and No.22 reduced by 20.02%. #141002
Amount:: $112,307.38

Component Description:: Transmission Line related cost reduced by 20.02%. #141002
Amount:: $112,307.38

Component Description:: Transmission line related cost reduced by 20.02%. #161003
Amount:: $2,175.43

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	$644,100.00	$654,609.00	N/A	$448,109.00	N/A
Total for all systems	$3,328,997.08	$3,316,693.30	N/A	$1,796,183.78	N/A
Primary Tower TOWER	$644,100.00	$654,609.00		$448,109.00
Structural engineering tower load study for well documented tower	$12,600.00	$12,000.00	N/A	$5,500.00	N/A
Tall Tower (greater than 500')	$210,500.00	$200,000.00	N/A	$47,940.00	N/A
Major tower reinforcement/modifications	$421,000.00	$442,609.00	Adjustment needs to be made due to the remaining invoice that was the balance due.	$394,669.00	N/A

Components

Actual Information Description	File Name
Structural engineering tower load study for well documented tower	Component Description: Engineering structural analysis. Amount: $2,750.00 Component Description: Engineering structural analysis. Amount: $2,750.00
Tall Tower (greater than 500')	Component Description: Final 50% upon completion. #174783 Amount: $47,940.00 Component Description: Tall tower related cost. #E-174783 Amount: $78,458.00
Major tower reinforcement/modifications	Component Description: Major tower related cost. #E-173507 Amount: $26,439.10 Component Description: Major tower related cost. #E-173392 Amount: $158,634.60 Component Description: Final 50% upon completion. #174783 Amount: $30,518.00 Component Description: Tower related cost. #92540234-0002 Amount: $43.73 Component Description: Tower related cost. #9250234-0001 Amount: $2,586.67 Component Description: Clear land for rigging the tower. #1446 Amount: $7,000.00 Component Description: Modification/field services. #142725 Amount: $78,458.00 Component Description: Remaining 50% for tower related cost. #E-174783 Amount: $78,458.00 Component Description: Tower related cost. #E-190541 Amount: $14,302.00 Component Description: Clear land for rigging the tower. #1446 Amount: $7,000.00 Component Description: 30% downpayment. #E-149997 Amount: $79,317.30 Component Description: Tree Removal cost for Tower. #1446 Amount: $7,000.00

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	$230,150.00	$200,221.92	N/A	$55,184.61	N/A
Total for all systems	$3,328,997.08	$3,316,693.30	N/A	$1,796,183.78	N/A
Outside Professional Services	$230,150.00	$200,221.92		$55,184.61
Project management of the transition	$74,260.00	$70,500.00	N/A	$46,754.03	N/A
Sinclair Internal Costs	$10,000.00	$10,000.00	N/A	$541.12	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$80,000.00	N/A	N/A	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$2,000.00	N/A	N/A	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$2,000.00	N/A	N/A	N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	$10,520.00	$10,000.00	N/A	N/A	N/A
NEPA Section 106 environmental review, if needed	$6,310.00	$6,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$7,360.00	$0.00	N/A	N/A	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$0.00	N/A	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$0.00	N/A	N/A	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$221.92	N/A	$221.92	x
Prepare request for Special Temporary Authorization	$4,100.00	$3,000.00	N/A	$1,353.75	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$1,500.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	$2,460.00	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	$2,500.00	N/A	$3,148.79	The actual cost came out to more than the Widelity Report estimate.
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$705.00	N/A

Components

Actual Information Description	File Name
Project management of the transition	Component Description: Portion of general repack matter invoice attributable to this station - divided by 40 stations. #141 Amount: $1,800.46 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475744 Amount: $305.99 Component Description: Portion of general repack matter invoice attributable to this station - divided by 48 stations. #206 Amount: $1,354.25 Component Description: Legal services cost. #466733 Amount: $57.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #453972 Amount: $716.28 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #457851 Amount: $818.59 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #479829 Amount: $458.99 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #480193 Amount: $852.50 Component Description: Legal services cost. #465218 Amount: $182.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1072 Amount: $237.64 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #457331 Amount: $836.44 Component Description: Legal services cost. #477852 Amount: $51.25 Component Description: Portion of general repack matter invoice attributable to this station - divided by 54 stations. #236 Amount: $1,117.50 Component Description: Legal services cost. #477337 Amount: $268.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1069 Amount: $246.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #453686 Amount: $943.95 Component Description: Portion of general repack matter invoice attributable to this station - divided by 40 stations. #480760 Amount: $1,326.43 Component Description: Legal services cost. #482423 Amount: $115.00 Component Description: Legal services cost. #480780 Amount: $310.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473885 Amount: $318.62 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #480175 Amount: $377.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #1010 Amount: $86.88 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477305 Amount: $393.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1063 Amount: $262.29 Component Description: Legal services cost. #483825 Amount: $302.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1133 Amount: $307.72 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #471524 Amount: $322.83 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1161 Amount: $267.48 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1114 Amount: $242.25 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478288 Amount: $194.86 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #107 Amount: $602.28 Component Description: Legal services cost. #473922 Amount: $370.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1156 Amount: $399.52 Component Description: Portion of general repack matter invoice attributable to this station - divided by 99 stations. #469573 Amount: $377.14 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470923 Amount: $406.65 Component Description: Legal services cost. #474850 Amount: $166.25 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1130 Amount: $281.49 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473506 Amount: $421.40 Component Description: Legal services cost. #472204 Amount: $157.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475283 Amount: $384.08 Component Description: Legal services cost. #478806 Amount: $985.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476367 Amount: $364.80 Component Description: $26,919.78 credit to be split across 93 Sinclair stations reimbursed $999.20 for Invoice 461759 (correct reimbursement amount is $709.74). #CM-11-21-2019-461759 Amount: ($289.46) Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1143 Amount: $436.90 Component Description: Legal Service Cost. #478302 Amount: $51.25 Component Description: Legal services cost. #474438 Amount: $292.50 Component Description: Legal services cost. #476918 Amount: $3,725.50 Component Description: Legal services cost. #484767 Amount: $58.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472985 Amount: $282.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476885 Amount: $403.34 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $20.91 Component Description: Portion of general repack matter invoice attributable to this station - divided by 99 stations. #468718 Amount: $349.51 Component Description: Legal services cost. #473578 Amount: $102.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1058 Amount: $187.24 Component Description: Legal services cost. #475784 Amount: $51.25 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1141 Amount: $406.17 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #1012 Amount: $20.64 Component Description: Legal services cost. #476406 Amount: $280.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #466690 Amount: $446.87 Component Description: Legal services cost. #470888 Amount: $163.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477820 Amount: $320.19 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1055 Amount: $243.38 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1098 Amount: $238.07 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #450412 Amount: $999.04 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $912.82 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $107.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $29.98 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1079 Amount: $177.14 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472583 Amount: $279.89 Component Description: Legal Service Cost. #479848 Amount: $2,788.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1099 Amount: $266.93 Component Description: Legal services cost. #470264 Amount: $235.00 Component Description: Legal services cost. #479317 Amount: $135.00 Component Description: Legal services cost. #481918 Amount: $57.50 Component Description: Legal Service Cost. #467885 Amount: $120.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465173 Amount: $654.26 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289 Amount: $91.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463026 Amount: $801.57 Component Description: Legal services cost. $473027 Amount: $157.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1078 Amount: $215.68 Component Description: Legal services cost. #482717 Amount: $450.00 Component Description: Legal services cost. #471564 Amount: $163.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $1,954.93 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1039 Amount: $30.47 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1105 Amount: $216.88 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470237 Amount: $436.37 Component Description: Portion of general repack matter invoice attributable to this station - divided by 43 stations. #194 Amount: $1,696.84 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $43.72 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1093 Amount: $269.71 Component Description: Legal services cost. #467421 Amount: $120.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1045 Amount: $185.10 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467861 Amount: $470.30 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1145 Amount: $369.98 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473885 Amount: $318.62 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467378 Amount: $576.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465001 Amount: $596.30 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1090 Amount: $176.70 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1151 Amount: $388.07 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474405 Amount: $490.56 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1123 Amount: $342.14 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1167 Amount: $313.41 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1117 Amount: $282.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #118 Amount: $468.97 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1111 Amount: $159.58 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $32.35 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $731.72 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1051 Amount: $105.97 Component Description: $207.48 credit to be split across 52 Sinclair stations reimbursed $269.71 for invoice 1093 (correct reimbursement amount is $265.72). #1093 Amount: ($3.99) Component Description: Portion of general repack matter invoice attributable to this station - divided by 99 stations. #1086 Amount: $275.35 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472173 Amount: $311.78 Component Description: Legal Service Cost. #468739 Amount: $482.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463567 Amount: $566.48 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #464321 Amount: $683.07 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #132 Amount: $589.44 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478780 Amount: $271.41 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474809 Amount: $395.77
Sinclair Internal Costs	Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $6.09 Component Description: Portion of general repack matter invoice attributable to this station - divided by 54 stations. Amount: $8.64 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $16.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 40 stations. Amount: $58.48 Component Description: Portion of general repack matter invoice attributable to this station - divided by 48 stations. Amount: $6.78 Component Description: Portion of general repack matter invoice attributable to this station - divided by 48 stations. Amount: $31.70 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $5.37 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $9.47 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $25.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $15.08 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $11.39 Component Description: Internal expense - WMYA - 1-2019 Amount: $76.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $7.86 Component Description: Portion of general repack matter invoice attributable to this station - divided by 54 stations. Amount: $23.95 Component Description: Portion of general repack matter invoice attributable to this station - divided by 43 stations. Amount: $35.82 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $7.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $23.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $33.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $8.66 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $26.93 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $32.09 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $17.02 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $11.03 Component Description: Portion of general repack matter internal time card attributable to this station - divided by 100. Amount: $66.55 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $1.69 Component Description: Portion of general repack matter invoice attributable to this station - divided by 43 stations. Amount: $4.60
Comprehensive coverage verification via field study, if needed	Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Information not provided.
ASR modification (prepare FCC Form 854)	Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	Information not provided.
NEPA Section 106 environmental review, if needed	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations	Information not provided.
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	Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $99.92 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289 Amount: $122.00
Prepare request for Special Temporary Authorization	Component Description: Outside professional service cost. #868-32-0014 Amount: $1,353.75
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: Consulting engineering cost. #868-32-0015 Amount: $855.00 Component Description: Consulting engineering cost Amount: $1,605.00
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Prepare and or review reimbursement form	Component Description: Legal services cost. #460957 Amount: $247.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289 Amount: $1,311.48 Component Description: Legal services cost. #464684 Amount: $115.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $869.30 Component Description: Legal services cost. #461826 Amount: $391.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $152.01 Component Description: Legal services cost. #464342 Amount: $62.50
Perform engineering study for new channel assignment and antenna development	Component Description: Consulting engineering cost Amount: $705.00

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	$176,698.47	$176,133.47	N/A	$44,882.74	N/A
Total for all systems	$3,328,997.08	$3,316,693.30	N/A	$1,796,183.78	N/A
Other Expenses	$176,698.47	$176,133.47		$44,882.74
Equipment Delivery and Handling Charges	$11,458.74	$11,458.74	See Exhibit J.	$11,458.74	N/A
Forklift Rental	$43.73	$43.73	N/A	$43.73	N/A
MVPD Notification of Channel Change	$5,000.00	$5,000.00	See Exhibit J.	N/A	N/A
Develop and air announcement of upcoming channel change	$74,550.00	$74,550.00	See Response to August 7 Inquiry.	N/A	N/A
Equipment Storage	$15,000.00	$15,000.00	See Exhibit J.	$8,400.72	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$28,566.00	$28,566.00	See Response to August 7 Inquiry.	$21,229.55	N/A
Non-zoning permits	$10,000.00	$10,000.00	See Exhibit J.	N/A	N/A
Local Zoning	$20,000.00	$20,000.00	See Exhibit J.	N/A	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	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
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	$3,750.00	N/A

Components

Actual Information Description	File Name
Equipment Delivery and Handling Charges	Component Description: Equipment delivery and handling cost. #000200 Amount: $819.82 Component Description: Equipment delivery and handling cost. #87664229 Amount: $817.17 Component Description: Equipment delivery and handling cost. #92540234-0001 Amount: $2,586.67 Component Description: Total invoice amount reduced by 10.40%. #984023 Amount: $2,116.80 Component Description: Equipment delivery and handling cost. #002388 Amount: $5,118.28 Component Description: Equipment delivery and handling charge. #000200 Amount: $819.82
Forklift Rental	Component Description: Forklift cost. #92540234-0002 Amount: $43.73 Component Description: Forklift rental cost. #92540234-0002 Amount: $43.73
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: Equipment storage cost. #335414 Amount: $95.40 Component Description: Equipment storage cost. #347525 Amount: $238.50 Component Description: Equipment storage cost. #343500 Amount: $238.50 Component Description: Equipment storage cost. #311105 Amount: $95.40 Component Description: Total invoice amount reduced by 10.40%. #984022 Amount: $2,190.72 Component Description: Equipment storage cost. #339604 Amount: $95.40 Component Description: Equipment storage cost. #339603 Amount: $238.50 Component Description: Equipment storage cost. #327201 Amount: $238.50 Component Description: Equipment storage cost. #092669 Amount: $190.80 Component Description: Equipment storage cost. #092121 Amount: $190.80 Component Description: Equipment storage cost. #092588 Amount: $415.40 Component Description: Equipment storage cost. #089867 Amount: $990.80 Component Description: Equipment Storage related cost. #093832 Amount: $415.40 Component Description: Equipment storage cost. #311104 Amount: $143.10 Component Description: Equipment storage cost. #090425 Amount: $190.80 Component Description: Equipment storage cost. #094329 Amount: $381.60 Component Description: Equipment storage related cost. #093240 Amount: $286.20 Component Description: Storage cost. #327202 Amount: $95.40 Component Description: Equipment storage cost. #331333 Amount: $95.40 Component Description: Equipment storage cost. #335415 Amount: $238.50 Component Description: Equipment storage cost. #090994 Amount: $190.80 Component Description: Equipment storage related cost. #093796 Amount: $286.20 Component Description: Storage cost. #331332 Amount: $238.50 Component Description: Equipment storage cost. #323597 Amount: $95.40 Component Description: Equipment storage cost. #323598 Amount: $238.50 Component Description: Storage related cost. #327202 Amount: $95.40 Component Description: Storage related cost. #343501 Amount: $95.40 Component Description: Equipment storage cost. #091555 Amount: $190.80 Component Description: Equipment storage related cost. #323598 Amount: $238.50
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Disposal related cost. #0744-001968447 Amount: $642.63 Component Description: Disposal related cost. #0744-001970755 Amount: $407.24 Component Description: Disposal cost. #735 Amount: $18,679.68 Component Description: Disposal cost. #1095 Amount: $1,500.00 Component Description: Disposal cost. #735 Amount: $18,679.68
Non-zoning permits	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
DTV Medical Facility Notification	Component Description: Medical notification cost. #1214 Amount: $3,750.00

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$3,328,997.08	$3,316,693.30	$1,796,183.78

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.	Lisa Asher Secretary 04/08/2021

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.

Lisa Asher

Secretary

04/08/2021

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.	Lisa Asher Secretary 04/08/2021

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.

Lisa Asher

Secretary

04/08/2021

(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

Auxiliary Transmitter

Add Transmitter Information

Auxiliary Transmitter

Retuning Transmitter Costs

Auxiliary Transmitter

Other Transmitter Costs

Auxiliary 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

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

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

Components

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services

Components