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:
54728
Service:
DTV
Call Sign:
WPGA-TV
Channel:
23 (UHF)
File Number:
0000028414
FRN:
0018223693
Date Submitted:
06/02/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Marquee Broadcasting Georgia, Inc.

202 Downtown Plaza

PO Box 4009

Salisbury, MD 21803

United States

+1 (410) 742-4747 lindsy.adkins@marquee.email Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Susan Hansen

B. W. St. Clair

2305 Vida Shaw Rd.

New Iberia, LA 70563

United States

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

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan WPGA-TV will move from channel 32 to 23. A new transmitter will be needed because the current one cannot be retuned according to the manufacturer (as shown in the attached). A new antenna and transmission line will also be needed.

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 Emergency backup
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 DT-834A
Year 2003
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 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? No
Manufacturer
Model UAXTE-2
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1 kW
Justification for New Transmitter Current transmitter cannot be retuned to operate at the new repack channel, 23. It cannot be made to operate below channel 27.

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) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Conduit, Cabling, and Other 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

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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 CST II
Year 2007
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 25 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? No
Manufacturer
Model ULXTE-16
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 10.8 kW
Justification for New Transmitter The company which made the current 25kw transmitter, ABS, is no longer actively supporting the equipment to the extent of manufacturing circuit boards needed to facilitate the channel change.

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 Installation of Transmitter, Transformer, and other Electrical Equipment
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

Name Description

Jampro Mask Filter

RCEC-306-UAM Reflective Standard ATSC Mask Filter, 11kw, 6 Pole

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? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
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: 100.0 kW
Manufacturer
Model TLP-16J(C)
Year 2003

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? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class 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: 82.2 kW
Manufacturer
Model JA/MS-12
Year 2018
Justification for New Antenna Current channel 32 antenna is not retunable to operate on the post-repack channel 23.

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? No
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 3 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Channel 23 antenna

Replacement antenna

Transmission Line

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

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? 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? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1019967
Coordinates (NAD83) Latitude (NAD83) 32° 45' 04.3" N-
Longitude (NAD83) 083° 33' 26.7" W-
Overall Structure Height 898.94 feet
Support Structure Height 895.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 312.99 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner RADIO PERRY, INC.
Date Constructed 12/29/2003


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: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

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 595
Explanation Station does not have the internal resources to project manage the transition.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Quantity N/A
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority 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 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 No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Phase Assignment Change

Engineering for request to change phase assignment

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

Other Expenses

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Other Expenses Not Listed

Information not provided.

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 $829,194.19 $533,018.22 N/A $508,986.36 N/A
Total for all systems $2,204,216.19 $1,807,426.59 N/A $994,625.61 N/A
Primary Transmitter ULXTE-16 $702,711.86 $458,811.24 $444,578.04
Jampro Mask Filter $14,780.00 $14,780.00 N/A $14,780.00 N/A
UHF - Liquid Cooled Solid State Transmitter 7.1 kW $156,648.78 $156,648.78 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $156,648.78 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $11,715.41 N/A $11,715.41 N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $264,433.97 Please see Estimated Cost Justification WPGA-TV-110-1st Primary Transmitter - UHF Liquid Cooled Solid State 8.2-13.0 kW v0 $261,433.85 N/A
Other Electrical Service: Installation of Transmitter, Transformer, and other Electrical Equipment $11,233.08 $11,233.08 Please see COMB WPGA-TV Mid GA Electrical Services Inv 29828 Justification Letter $0.00 N/A
Auxiliary Transmitter UAXTE-2 $126,482.33 $74,206.98 $64,408.32
Other Electrical Service: Conduit, Cabling, and Other Electrical Installation $482.33 $482.33 Please see “COMB WPGA-TV Mid GA Electrical Services Inv 29249 Justification Letter $0.00 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $73,724.65 Please see Estimated Cost Justification WPGA-TV-150-1st Auxiliary Transmitter - UHF Air Cooled Solid State 1-2.5 kW v0 $64,408.32 N/A

Components

Actual Information Description File Name
Jampro Mask Filter

Component Description:
Mask filter for new repack channel.
Amount:
$14,780.00
UHF - Liquid Cooled Solid State Transmitter 7.1 kW

Component Description:
Technician will inspect equipment installation, conduct VSWR testing, provide a report of test results,
Amount:
$8,395.66

Component Description:
One-third down payment for GatesAir 7.1kw transmitter
Amount:
$116,249.12

Component Description:
4-1/16" 4-Port Coax Transfer Switch
Amount:
$21,933.00

Component Description:
On-site survey by GatesAir to determine method of installation of transmitter
Amount:
$6,471.00

Component Description:
Shipping: Main & Temporary AUX System
Amount:
$3,600.00

Component Description:
PLEASE DENY THIS COMPONENT
Amount:
N/A
Transformer 3 phase/480v - 150 KVA

Component Description:
MID GA ELECTRICAL INSTALL
Amount:
$11,233.08

Component Description:
MID GA ELECTRICAL INSTALL
Amount:
$482.33
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Balance due FS Transmitter
Amount:
$145,184.73

Component Description:
UHF Air Cooled Solid State
Amount:
$116,249.12
Other Electrical Service: Installation of Transmitter, Transformer, and other Electrical Equipment Information not provided.
Other Electrical Service: Conduit, Cabling, and Other Electrical Installation Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
A. Transmitter
Amount:
$22,830.48

Component Description:
WPGA-TV-150-1st Auxiliary Transmitter - UHF Air Cooled Solid State 1-2.5 kW
Amount:
$1,404.34

Component Description:
1. WPGA-TV-150-1st Auxiliary Transmitter - UHF Air Cooled Solid State 1-2.5 kW
Amount:
$3,600.00

Component Description:
1/3 down payment
Amount:
$18,286.75

Component Description:
Transmitter, Filter Coupler, Installation & Proof
Amount:
$18,286.75

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 $159,390.00 $154,204.00 N/A $46,900.00 N/A
Total for all systems $2,204,216.19 $1,807,426.59 N/A $994,625.61 N/A
Primary Antenna JA/MS-12 $159,390.00 $154,204.00 $46,900.00
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $7,144.00 N/A $0.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $0.00 N/A
Channel 23 antenna $55,660.00 $55,660.00 N/A $46,900.00 N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized $89,400.00 $85,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna Information not provided.
Channel 23 antenna

Component Description:
Channel 23 antenna to replace existing channel 32 antenna.
Amount:
$31,000.00

Component Description:
Temporary antenna for CH 23
Amount:
$15,900.00
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized Information not provided.

Cost Information

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Transmission Line

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 $394,800.00 $477,016.00 N/A $375,240.00 N/A
Total for all systems $2,204,216.19 $1,807,426.59 N/A $994,625.61 N/A
Primary Tower TOWER $394,800.00 $477,016.00 $375,240.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,100.00 N/A $25,100.00 N/A
Tall Tower (greater than 500') $210,500.00 $347,040.00 Structural Tower Revision $254,440 Antenna Installation $92,600.00 $245,264.00 N/A
Minor tower reinforcement/modifications $158,000.00 $104,876.00 Please See: WPGA-TV Tower Consultants Inc., Proposal TCI-20-081R1 and Invoices 9217, 9223, 9224.pdf $104,876.00 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:
Payment for inspection, mapping and analysis of tower
Amount:
$25,100.00
Tall Tower (greater than 500')

Component Description:
Tower Consultants Structural Mod 60% Downpayment
Amount:
$152,664.00

Component Description:
Installation of the following equipment on the customers existing tower in Macon, GA
Amount:
$92,600.00
Minor tower reinforcement/modifications

Component Description:
20% Mobilization Invoice
Amount:
$50,888.00

Component Description:
20% Completion Invoice
Amount:
$50,888.00

Component Description:
Change Order #1 Invoice
Amount:
$3,100.00

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 $123,170.00 $124,820.00 N/A $59,349.25 N/A
Total for all systems $2,204,216.19 $1,807,426.59 N/A $994,625.61 N/A
Outside Professional Services $123,170.00 $124,820.00 $59,349.25
Phase Assignment Change $500.00 $500.00 Request to change phase assignment. $500.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $270.00 Please see Justification Document for WPGA-TV Wilkinson Barker Knauer Invoice #1018368 $270.00 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $3,142.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $2,125.00 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $2,125.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A 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
Project management of the transition $94,010.00 $99,675.00 Please see the attached quote from Widelity. $53,312.25 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Phase Assignment Change

Component Description:
Phase assignment duTreil
Amount:
$500.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal Services
Amount:
$270.00
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:
Reimbursement to WBK for repacking legal fees
Amount:
$3,142.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Preparation of engineering section of form 2100
Amount:
$1,500.00

Component Description:
du Treil License to Cover Eng
Amount:
$625.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$2,478.60

Component Description:
Project Management
Amount:
$2,261.65

Component Description:
Project Management
Amount:
$1,677.50

Component Description:
Project Management
Amount:
$671.15

Component Description:
Project Management
Amount:
$271.25

Component Description:
Project Management
Amount:
$4,297.40

Component Description:
Project Management
Amount:
$1,063.75

Component Description:
Project Management
Amount:
$4,438.60

Component Description:
Project Management
Amount:
$623.75

Component Description:
Project Management
Amount:
$36.25

Component Description:
Project Management
Amount:
$503.75

Component Description:
Project Management
Amount:
$1,146.60

Component Description:
Project Management
Amount:
$4,259.90

Component Description:
Project Management
Amount:
$3,276.60

Component Description:
Project Management
Amount:
$4,710.50

Component Description:
Project Management
Amount:
$187.50

Component Description:
Project Management
Amount:
$4,621.85

Component Description:
Project Management
Amount:
$489.80

Component Description:
Project Management
Amount:
$3,201.40

Component Description:
Project Management
Amount:
$2,245.00

Component Description:
Project Management
Amount:
$1,738.55

Component Description:
Project Management
Amount:
$2,157.55

Component Description:
Project Management
Amount:
$4,392.90

Component Description:
Project Management
Amount:
$2,560.45
Prepare and or review reimbursement form Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $15,885.00 $15,325.00 N/A $4,150.00 N/A
Total for all systems $2,204,216.19 $1,807,426.59 N/A $994,625.61 N/A
Other Expenses $15,885.00 $15,325.00 $4,150.00
MVPD Notification of Channel Change $1,500.00 $1,500.00 Required notifications to cable and satellite providers to ensure uninterrupted service during the transition to the new channel. $1,200.00 N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 Estimate for development of announcement and airing to ensure over-the-air viewers are able to enjoy uninterrupted service during the transition to the new channel. $0.00 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 $2,950.00 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
MVPD Notification
Amount:
$1,200.00
Develop and air announcement of upcoming channel change Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Payment in full for medical notification mailings
Amount:
$2,950.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,204,216.19 $1,807,426.59 $994,625.61

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.

Harold Rogers Sutton

Chief Engineer, WPGA-TV


06/02/2021

Certification

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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).

  1. 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.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. 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) .

  6. 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.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. 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.

Harold Rogers Sutton

Chief Engineer, WPGA-TV


06/02/2021

Attachments

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