Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
WOODS COMMUNICATIONS CORPORATION |
David Woods PO Box 36111 Montgomery, AL 36111 United States |
+1 (334) 323-5581 | david@wcov.com | Corporation |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Michael Carroll Chief Engineer Woods Communications |
Michael Carroll One WCOV Ave Montgomery, AL 36111 United States |
+1 (334) 288-7024 | mikec@wcov.com |
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 | WIYC Ch.48, Troy, AL has been reassigned to Ch19. The Ch 19 operation will employ a new antenna to be side-mounted to the existing WIYC tower in lieu of the existing Ch. 48 antenna. No change in the antenna location will take place. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
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 | InnovatorHX HU500AD | |
Year | 2011 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 2 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | UAXTE-12R44 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 7.2 kW | |
Justification for New Transmitter | New transmitter is required as old transmitter will not work on new channel. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | Yes | |
Power | 300 kVA | |
Rigid Conduit and Wiring | Yes | |
Size | 2 inches | |
Length | 50.0 feet | |
Other Electrical Service | Yes | |
Description | Fitzpatrick, Alabama station electrical work per Frazier and Gardner Electric Co. | |
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 |
Name | Description |
---|---|
Primary Transmitter - Internal Transmission Line |
Primary Transmitter - Internal Transmission Line |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
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 | Top | |
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: | 50.0 kW | |
Manufacturer | ||
Model | DIE,TLP-24C | |
Year | 2011 |
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 | Side 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: | 185.0 kW | |
Manufacturer | ||
Model | ANT TLP-24C | |
Year | 2019 | |
Justification for New Antenna | Existing antenna can not be retuned. |
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? | Yes |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | Yes |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
Name | Description |
---|---|
Sweep Test for Pre-Transition Transmission Line |
Sweep Test of pre-transition line to determine feasibility to use on repack channel |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
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 | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | 20 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1200 feet per run |
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 | 1200 feet per run | |
Justification for New Transmission Line | Old line will not work with new frequency. |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
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? | No | |
One or more FM, AM or TV radio broadcaster(s) | N/A | |
Others Types of Users | N/A | |
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 |
ASR Number | 1210049 | |
Coordinates (NAD83) | Latitude (NAD83) | 32° 03' 36.5" N- |
Longitude (NAD83) | 085° 57' 01.8" W- | |
Overall Structure Height | 999.99 feet | |
Support Structure Height | 999.99 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 567.91 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | WIYC, Inc. | |
Date Constructed | 10/11/2000 |
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: | Serious Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Tower Modification Design |
Tower modification Design |
Tower Modifications |
Modification to tower to be in compliance with Rev G |
Structural Analysis |
Structural Analysis for Tower |
Tower Mapping-TIA |
Tower Mapping and TIA Inspection for Tower. |
Tower Geotech Report |
Geo Report for Tower |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 595 | |
Explanation | WIYC requires the aid of outside project management services in order to fulfill the requirements of the repack. WIYC does not have sufficient resource capacity and expertise in house to handle all of the repack related expenses. | |
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 | 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 | 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 | 1 | |
NEPA Section 106 environmental review | No | |
Environmental Assessment | No | |
ASR Modification | No | |
FAA Consultation (including preparation of FAA Form 7460) | No | |
Negotiation of Lease and other Matter for Shared Locations | No | |
Prepare or Review FCC Form 399 for Reimbursement | No | |
Address transition timing and coordination issues w/ other stations and wireless providers | No | |
RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
RF exposure measurements | No | |
Additional Field Engineering Service | Yes | |
Number of Days | 1 | |
Justification | On-site engineering work required to modify WIYC's transmission line for the repack and other on-site engineering work as required. |
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)? | No |
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 |
Name | Description |
---|---|
VSWR Sweep Test |
VSWR Sweep Test |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $355,037.25 | $354,087.25 | N/A | $151,277.01 | N/A |
Total for all systems | $4,319,511.54 | $3,047,830.31 | N/A | $2,158,882.72 | N/A |
Primary Transmitter UAXTE-12R44 | $355,037.25 | $354,087.25 | $151,277.01 | ||
Primary Transmitter - Internal Transmission Line | $9,099.17 | $9,099.17 | Please see Estimated Cost Justification WIYC-110-1st Primary Transmitter - Internal Transmission Line V0 | $9,099.17 | N/A |
Other Electrical Service: Fitzpatrick, Alabama station electrical work per Frazier and Gardner Electric Co. | $8,252.00 | $8,252.00 | per WIYC Frazier and Gardner Electric Co. | $8,006.00 | N/A |
2" Rigid Conduit and Wiring (Cost per foot) | $1,300.00 | $1,300.00 | N/A | $0.00 | N/A |
Transformer 3 phase/480v - 300 KVA | $36,800.00 | $35,850.00 | N/A | $4,166.37 | N/A |
UHF - Air Cooled Solid State Transmitter 7.2 kW | $299,586.08 | $299,586.08 | see Estimated Cost Justification WIYC-110-1st Primary Transmitter - UHF Air Cooled Solid State 7.2 kW V1 | $130,005.47 | N/A |
Actual Information Description | File Name |
---|---|
Primary Transmitter - Internal Transmission Line | |
Other Electrical Service: Fitzpatrick, Alabama station electrical work per Frazier and Gardner Electric Co. | |
2" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
Transformer 3 phase/480v - 300 KVA | |
UHF - Air Cooled Solid State Transmitter 7.2 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $144,640.00 | $85,388.61 | N/A | $71,359.61 | N/A |
Total for all systems | $4,319,511.54 | $3,047,830.31 | N/A | $2,158,882.72 | N/A |
Primary Antenna ANT TLP-24C | $144,640.00 | $85,388.61 | $71,359.61 | ||
Sweep Test for Pre-Transition Transmission Line | $6,400.00 | $6,400.00 | Please see attached Justification for WIYC THTV Invoice 132 - Pre-Transition Line Sweep Test | $6,400.00 | N/A |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | $5,260.00 | $5,120.00 | N/A | $0.00 | N/A |
Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $15,719.31 | see Estimated Cost Justification WIYC-210-Primary Antenna - Side Mount Brackets v0 | $15,535.55 | N/A |
Sweep test of existing antenna | $6,730.00 | $9,151.67 | Please see Estimated Cost Justification WIYC-210-Primary Antenna - Sweep Test V0 | $9,151.67 | N/A |
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized | $103,100.00 | $48,997.63 | see Estimated Cost Justification WIYC-210-Primary Antenna - UHF High Power Side Mount, Directional, E-POL v0 | $40,272.39 | a |
Actual Information Description | File Name |
---|---|
Sweep Test for Pre-Transition Transmission Line | |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | Information not provided. |
Side mount brackets for high power antennas (if not included in antenna base cost) | |
Sweep test of existing antenna | |
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $242,400.00 | $0.00 | N/A | $0.00 | N/A |
Total for all systems | $4,319,511.54 | $3,047,830.31 | N/A | $2,158,882.72 | N/A |
Primary Transmission Line | $242,400.00 | $0.00 | $0.00 | ||
Rigid Transmission Line - copper, 6 1/8" | $242,400.00 | $0.00 | Station is not getting new primary transmission line | $0.00 | N/A |
Actual Information Description | File Name |
---|---|
Rigid Transmission Line - copper, 6 1/8" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $3,335,235.00 | $2,364,220.16 | N/A | $1,820,839.51 | N/A |
Total for all systems | $4,319,511.54 | $3,047,830.31 | N/A | $2,158,882.72 | N/A |
Primary Tower TOWER | $3,335,235.00 | $2,364,220.16 | $1,820,839.51 | ||
Structural Analysis | $8,775.00 | $8,775.00 | see Estimated Cost Justification WIYC-410-Existing Primary Tower - Structural Analysis V0 | $8,775.00 | Uploaded requested info. (Quote) |
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | $26,300.00 | $25,600.00 | N/A | $0.00 | N/A |
Tall Tower (greater than 500') | $210,500.00 | $292,185.16 | see Estimated Cost Justification WIYC-410-Existing Primary Tower - Tower Rigging Tall Tower V0 | $292,185.16 | N/A |
Tower Mapping-TIA | $15,000.00 | $15,000.00 | See Spartacus Gin Pole LLC proposals (job number) SGP005-A and SGP002, pluse estimated taxes. | $14,575.00 | Cost Section is for both TIA Inspection and Tower Mapping. Invoices SGP0007 and SGP0012 |
Tower Geotech Report | $11,000.00 | $11,000.00 | See Spartacus Gin Pole LLC proposal (job number) SGP003, plus estimated taxes. | $9,797.70 | Uploaded requested info. (Quote) |
Tower Modification Design | $11,660.00 | $11,660.00 | See Spartacus Gin Pole LLC proposal (job number) SGP0015 plus estimated taxes. | $11,660.00 | Uploaded requested info (Quote) |
Tower Modifications | $2,000,000.00 | $2,000,000.00 | See Spartacus Gin Pole LLC proposal (job number SGP022, plus estimated taxes and freight. | $1,483,846.65 | Uploaded requested information. (Quote) |
Serious tower reinforcement/modifications | $1,052,000.00 | $0.00 | Post no invoices in this category | $0.00 | N/A |
Actual Information Description | File Name |
---|---|
Structural Analysis | |
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | Information not provided. |
Tall Tower (greater than 500') | |
Tower Mapping-TIA | |
Tower Geotech Report | |
Tower Modification Design | |
Tower Modifications | |
Serious tower reinforcement/modifications |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $204,449.29 | $206,684.29 | N/A | $107,453.42 | N/A |
Total for all systems | $4,319,511.54 | $3,047,830.31 | N/A | $2,158,882.72 | N/A |
Outside Professional Services | $204,449.29 | $206,684.29 | $107,453.42 | ||
Additional Field Engineering Service, 1 Days | $789.29 | $789.29 | Please see WIYC RF Eng Additional Field Days Budget Revision Justification Letter | $789.09 | N/A |
Comprehensive coverage verification via field study, if needed | $84,200.00 | $81,900.00 | N/A | $0.00 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,585.00 | N/A | $0.00 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,305.00 | N/A | $0.00 | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,120.00 | N/A | $0.00 | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $1,535.00 | N/A | $525.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,535.00 | N/A | $250.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,070.00 | N/A | $1,600.00 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,170.00 | N/A | $5,773.82 | N/A |
Project management of the transition | $94,010.00 | $99,675.00 | Please see the Widelity Quote | $98,515.51 | N/A |
Actual Information Description | File Name |
---|---|
Additional Field Engineering Service, 1 Days | |
Comprehensive coverage verification via field study, if needed | 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare request for Special Temporary Authorization | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Perform engineering study for new channel assignment and antenna development | |
Project management of the transition |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $37,750.00 | $37,450.00 | N/A | $7,953.17 | N/A |
Total for all systems | $4,319,511.54 | $3,047,830.31 | N/A | $2,158,882.72 | N/A |
Other Expenses | $37,750.00 | $37,450.00 | $7,953.17 | ||
VSWR Sweep Test | $4,500.00 | $4,500.00 | Please see WIYC VSWR Sweep Test Budget Revision Justification Letter | $4,500.00 | N/A |
MVPD Notification of Channel Change | $3,000.00 | $3,000.00 | N/A | $0.00 | N/A |
Develop and air announcement of upcoming channel change | $1,200.00 | $1,200.00 | N/A | $0.00 | N/A |
Equipment Storage | $15,000.00 | $15,000.00 | N/A | $0.00 | N/A |
Equipment Delivery and Handling Charges | $2,500.00 | $2,500.00 | N/A | $503.17 | N/A |
DTV Medical Facility Notification | $11,550.00 | $11,250.00 | N/A | $2,950.00 | N/A |
Actual Information Description | File Name |
---|---|
VSWR Sweep Test | |
MVPD Notification of Channel Change | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage | Information not provided. |
Equipment Delivery and Handling Charges | |
DTV Medical Facility Notification |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $4,319,511.54 | $3,047,830.31 | $2,158,882.72 |
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 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | David Woods President 04/06/2021 |