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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:
10587
Service:
DTV
Call Sign:
WCBD-TV
Channel:
20 (UHF)
File Number:
0000028750
FRN:
0009961889
Date Submitted:
07/19/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Nexstar Media Inc.

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

 +1 (972) 373-8800 eryder@nexstar.tv 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

Elizabeth Ryder

General Counsel

Nexstar Media Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

 +1 (972) 373-8800 eryder@nexstar.tv

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 See attached WCBD transition plan.

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 Backup transmitter
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 Harris Diamond CD 1.8 kW
Year 2003
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1.8 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 TMU9-3
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.8 kW
Justification for New Transmitter Existing 1.8kW Harris Diamond backup transmitter is not designed to operate on this channel and transmitter is not supported per manufacturer.

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

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Electrical and Installation

Transmitter Electrical and Installation

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 unknown
Year 2011
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 40 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9evo-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 25.5 kW
Justification for New Transmitter Existing transmitter is no longer supported by the manufacturer and is not capable of being retuned to the repacked channel. See attached quote from Comark for IOT price and from Gates for the SS requested. Final purchase is R&S. See quote 159162.1

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) Yes
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 3 inches
Length 50.0 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

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Other Transmitter Cost Not Listed

Name Description

Transmitter Electrical and Installation

Transmitter Electrical and Installation

Additional Transmitter Costs

Additional Transmitter Costs

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 Retune Existing
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? Yes
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 Broadband Panel
Number of Stations Supported 3
Number of Panels 48
Design power capacity in use 67.0 %
Lower Limit 470.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer Dielectric
Model TUD-P5SP-16/48-1-B
Year 2009

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
416 WTAT-TV
9015 WCIV

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

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? Yes
Type New
Number of channels supported 3
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
25
17
20

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Class A
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 16.0 kW
Manufacturer
Model TLP-8H
Year 2019
Justification for New Antenna Existing backup antenna is not designed to operate on post-repack channel

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
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

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Additional Antenna Costs

Additional Antenna Costs

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 2000 feet per run

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
9015 wciv
416 wtat-tv

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

BACKUP

Backup site T-line for STA operation while primary site under construction.

Line Sweep

Confirm line reuse

Auxiliary Transmission Line

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Add Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup
Ownership Owned
Owner N/A
Site N/A
Is this transmission currently shared with any other stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 650 feet per run

Auxiliary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Auxiliary (Backup)
Description of Use Backup
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 650 feet per run
Justification for New Transmission Line Backup site T-Line has not been used on new channel. Swept measurement has not been executed and costs for this must be planned until proper operation is confirmed or determined problematic.

Auxiliary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1042963
Coordinates (NAD83) Latitude (NAD83) 32° 56' 25.0" N-
Longitude (NAD83) 079° 41' 44.0" W-
Overall Structure Height 1991.45 feet
Support Structure Height 1889.74 feet
Ground Elevation Above Mean Sea Level (AMSL) 16.40 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Nexstar Broadcasting, Inc.
Date Constructed 03/31/1987

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
416 WTAT-TV DTV
9015 WCIV DTV

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 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 173
Explanation It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification 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 No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 9
Justification Complexity of site will require additional field work.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

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 Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application 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

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Other Expenses Not Listed

Name Description

Equipment Rentals

Equipment Rentals

Sales and Use Tax Due

Sales and Use Tax Due

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 $1,255,633.00 $849,833.00 N/A $811,083.00 N/A
Total for all systems $2,015,337.00 $1,364,318.00 N/A $1,000,289.82 N/A
Primary Transmitter THU9evo-20 $1,109,833.00 $768,983.00 $730,233.00
Additional Transmitter Costs $10,033.00 $10,033.00 See Rohde & Schwarz quote 199591.2 $10,033.00 N/A
Transmitter Electrical and Installation $112,000.00 $112,000.00 See Land Communications estimate 1033 $112,000.00 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $608,200.00 See Rohde & Schwarz quote 159162.1; total cost $632,715 less upgrade cost ($24,515) $608,200.00 N/A
3" Rigid Conduit and Wiring (Cost per foot) $2,600.00 $2,450.00 N/A N/A N/A
Auxiliary Transmitter TMU9-3 $145,800.00 $80,850.00 $80,850.00
Transmitter Electrical and Installation $19,800.00 $19,800.00 See Land Communications quote 1145 $19,800.00 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $61,050.00 See Rohde & Schwarz quote 235728.0 $61,050.00 N/A

Components

Actual Information Description File Name
Additional Transmitter Costs

Component Description:
Additional transmitter components
Amount:
$10,033.00
Transmitter Electrical and Installation

Component Description:
Transmitter electrical and installation
Amount:
$112,000.00
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Transmitter, installment #3, less upgrade cost
Amount:
$60,820.00

Component Description:
Transmitter, installment #2, less upgrade cost
Amount:
$395,330.00

Component Description:
Transmitter, installment #1, less upgrade cost
Amount:
$152,050.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transmitter Electrical and Installation

Component Description:
Transmitter electrical and installation
Amount:
$19,800.00
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Auxiliary transmitter, installment #2
Amount:
$45,787.50

Component Description:
Auxiliary transmitter, installment #1
Amount:
$15,262.50

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 $143,960.00 $128,305.00 N/A $29,460.00 N/A
Total for all systems $2,015,337.00 $1,364,318.00 N/A $1,000,289.82 N/A
Interim Antenna TLP-8H $53,030.00 $41,905.00 $24,795.80
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $26,300.00 $15,505.00 See Dielectric order confirmation 1929669 $15,505.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Additional Antenna Costs $20,000.00 $20,000.00 See Dielectric order confirmations $9,290.80 N/A
Primary Antenna TUD-P5SP-16/48-1-B $90,930.00 $86,400.00 $4,664.20
New combiner, cost per channel (without antenna) $84,200.00 $80,000.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $4,664.20 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
Auxiliary antenna
Amount:
$15,505.00

Component Description:
Auxiliary antenna
Amount:
$15,505.00
Sweep test of existing antenna Information not provided.
Additional Antenna Costs

Component Description:
Additional antenna component
Amount:
$780.80

Component Description:
Additional antenna components
Amount:
$6,760.00

Component Description:
Additional antenna component
Amount:
$1,750.00
New combiner, cost per channel (without antenna) Information not provided.
Sweep test of existing antenna

Component Description:
Main antenna sweep test
Amount:
$4,664.20

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $44,750.00 $42,800.00 N/A $0.00 N/A
Total for all systems $2,015,337.00 $1,364,318.00 N/A $1,000,289.82 N/A
Primary Transmission Line $6,400.00 $6,400.00 $0.00
BACKUP $0.00 $0.00 N/A N/A N/A
Line Sweep $6,400.00 $6,400.00 N/A N/A N/A
Auxiliary Transmission Line $38,350.00 $36,400.00 $0.00
Flexible Air Transmission Line - dielectric, 3" $38,350.00 $36,400.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $381,100.00 $162,700.00 N/A $46,575.00 N/A
Total for all systems $2,015,337.00 $1,364,318.00 N/A $1,000,289.82 N/A
Primary Tower TOWER $381,100.00 $162,700.00 $46,575.00
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A $8,675.00 N/A
Minor tower reinforcement/modifications $158,000.00 $75,700.00 See Legacy Tower Proposals for Site analysis and tower modifications $30,100.00 N/A
Tall Tower (greater than 500') $210,500.00 $75,000.00 N/A $7,800.00 N/A

Components

Actual Information Description File Name
Structural engineering tower load study for well documented tower

Component Description:
Structural analysis
Amount:
$8,675.00
Minor tower reinforcement/modifications

Component Description:
Refund for cancelled tower services
Amount:
($10,000.00)

Component Description:
Tower modifications, installment #1
Amount:
$22,900.00

Component Description:
Deposit as agreed per Nexstar Commitment Letter and Coast to Coast Tower Service
Amount:
$10,000.00

Component Description:
Tower site analysis
Amount:
$7,200.00
Tall Tower (greater than 500')

Component Description:
Auxiliary antenna installation
Amount:
$7,800.00

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 $81,309.00 $77,700.00 N/A $25,784.00 N/A
Total for all systems $2,015,337.00 $1,364,318.00 N/A $1,000,289.82 N/A
Outside Professional Services $81,309.00 $77,700.00 $25,784.00
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A $625.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $27,334.00 $25,950.00 N/A $20,346.50 N/A
Additional Field Engineering Service, 9 Days $18,000.00 $18,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,812.50 N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Prepare Engineering Portion of License to Cover
Amount:
$625.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
Project management services
Amount:
$2,584.00

Component Description:
Professional management services 10.27.18 through 12.31.18
Amount:
$250.00

Component Description:
Project management services 8.25.17 through 5.25.18
Amount:
$5,078.00

Component Description:
Project management services
Amount:
$4,294.00

Component Description:
Project management services April 2019
Amount:
$45.50

Component Description:
Project management services February 2019
Amount:
$123.50

Component Description:
Project management services
Amount:
$316.00

Component Description:
Project management services 4.27.19 through 5.31.19
Amount:
$75.00

Component Description:
Project management services Jul 2020
Amount:
$75.00

Component Description:
Project management services 3.30.19 through 4.26.19
Amount:
$225.00

Component Description:
Project management services Sep 2020
Amount:
$50.00

Component Description:
Project management services 3.2.19 through 3.29.19
Amount:
$150.00

Component Description:
Project management services 7.28.18 through 9.28.18
Amount:
$150.00

Component Description:
Project management services 5/26/18 through 6/29/18
Amount:
$450.00

Component Description:
Project management services
Amount:
$400.00

Component Description:
Project management services 2.1.19 through 3.1.19
Amount:
$150.00

Component Description:
Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates. Services from January 27, 2018 through February 23, 2018.
Amount:
$525.00

Component Description:
Project management services 6.1.19 through 6.28.19
Amount:
$4,350.00

Component Description:
Project management services
Amount:
$869.00

Component Description:
Project management services 9.29.18 through 10.26.18
Amount:
$150.00

Component Description:
Project management services March 2019
Amount:
$32.50

Component Description:
Vendor has issued a revised invoice.
Amount:
($525.00)

Component Description:
Project management services 1.1.19 through 1.31.19
Amount:
$450.00

Component Description:
Project management services
Amount:
$79.00

Component Description:
Project management services
Amount:
$2,584.00
Additional Field Engineering Service, 9 Days Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Revise storyboard, interference study, create CP and recalculate ERP if COR changed, transition plan document, create 399, coverage maps, & upload draft documents to ASANA.
Amount:
$1,137.50

Component Description:
Creation of initial repacked versus licensed map comparison. Information gathering for all station transmission facilities and creation of repack plan.
Amount:
$2,100.00

Component Description:
Repack plan and revision, 399 form info
Amount:
$875.00

Component Description:
Information gathering, creation of transition plan with definition of initial equipment and service needs. lx evaluation of proposed facility.
Amount:
$700.00

Component Description:
Repack engineering services. Evaluation of expansion options for WCBD for 2nd priority window application.
Amount:
$175.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $108,585.00 $102,980.00 N/A $87,387.82 N/A
Total for all systems $2,015,337.00 $1,364,318.00 N/A $1,000,289.82 N/A
Other Expenses $108,585.00 $102,980.00 $87,387.82
Sales and Use Tax Due $500.00 $500.00 Estimated taxes due; see related invoices $254.28 N/A
Equipment Rentals $2,000.00 $2,000.00 Forklift rental required; see related invoice $1,968.96 N/A
MVPD Notification of Channel Change $3,500.00 $3,500.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Develop and produce spots and crawls for viewer notification. N/A N/A
Equipment Storage $8,395.00 $8,395.00 See Dielectric order confirmation 1929669; the antenna had to be stored until the tower crew was available for the installation. $8,395.00 N/A
Equipment Delivery and Handling Charges $42,000.00 $42,000.00 See related invoices $41,252.02 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $35,000.00 $35,000.00 Disposal costs necessary per vendor quote. See also fluid disposal costs. $33,159.16 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
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $6,000.00 N/A $2,358.40 N/A
Local Zoning $500.00 $500.00 N/A N/A N/A

Components

Actual Information Description File Name
Sales and Use Tax Due

Component Description:
Tax on forklift rental
Amount:
$174.27

Component Description:
Tax on disposal costs
Amount:
$80.01
Equipment Rentals

Component Description:
Forklift rental
Amount:
$1,968.96
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Auxiliary antenna storage cost
Amount:
$8,395.00
Equipment Delivery and Handling Charges

Component Description:
Antenna shipping costs
Amount:
$404.39

Component Description:
Auxiliary antenna freight cost
Amount:
$2,430.00

Component Description:
Transmitter consolidation services
Amount:
$19,809.00

Component Description:
Antenna component shipping
Amount:
$37.21

Component Description:
Antenna shipping costs
Amount:
$1,647.42

Component Description:
Auxiliary transmitter consolidation services
Amount:
$16,924.00

Component Description:
Transmitter consolidation services
Amount:
$19,809.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
50% cost of equipment removal
Amount:
$12,500.00

Component Description:
Disposal costs
Amount:
$3,324.00

Component Description:
Transformer oil and Coolant disposal
Amount:
$4,835.16

Component Description:
Disposal costs, 50% down payment due on acceptance of quote
Amount:
$12,500.00

Component Description:
Disposal costs, balance due on completion of work
Amount:
$12,500.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities
Amount:
$2,358.40
Local Zoning Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $2,015,337.00 $1,364,318.00 $1,000,289.82

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.

Elizabeth Ryder

General Counsel


07/19/2021

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.

Elizabeth Ryder

General Counsel


07/19/2021

Attachments

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