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:
73152
Service:
DTV
Call Sign:
WJZY
Channel:
25 (UHF)
File Number:
0000027837
FRN:
0005047105
Date Submitted:
08/13/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

TRIBUNE MEDIA COMPANY

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

+1 (972) 373-8000 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. No
Briefly describe transition plan WJZY will remove the existing top mount antenna and transmission line and install a new antenna and transmission line in its place.

Transmitters

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

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 CD3200P2
Year 2005
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 60 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-72
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 106 kW
Justification for New Transmitter New transmitter is required. Current transmitter is obsolete and no longer supported by its manufacturer. See quote 0928_quote_xmtr_upgrade regarding upgrade cost

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) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description New Transmitter Electrical Installation. See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS Quote.
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

Installation

Transmitter Installation. Includes upgrade cost. See 0928_xmtr_install_upgrade quote.

STL related equipment

Relocation of equipment from old to new building. See 0928_Micro move and ethernet switch quote

Additional Transmitter Costs

Additional Transmitter Costs

Air Conditioner Backup Power

Install transformer and breaker for backup power to air conditioning. See 0928_PO X20-66 Data Power Source quote.

Pre-Install Site Survey

Preliminary survey to determine needs for install.

Remote Control Wiring

Wire up remote control to new transmitter.

Removal of Existing Equipment

Remove existing equipment

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? 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: 1000.0 kW
Manufacturer
Model ATW30H5-HSO-47H
Year 2008

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 1000.0 kW
Manufacturer
Model ATW25H5-ETO4-25H
Year 2019
Justification for New Antenna New antenna required for new channel. See quote 0928_quote_antenna_upgrade for upgrade cost

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Bad Weather days

Days where no work could be performed due to weather. Tower crew idle.

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 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 8 3/16 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2090 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 2090 feet per run
Justification for New Transmission Line existing transmission line is incorrect length for operation on new channel. Transmission line must be replaced.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Waveguide Switch

Waveguide RF Switch

Additional Transmission Line Components

Additional Transmission Line Components

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 Move Equipment
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Candelabra
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1006705
Coordinates (NAD83) Latitude (NAD83) 35° 21' 44.5" N-
Longitude (NAD83) 081° 09' 18.3" W-
Overall Structure Height 1943.55 feet
Support Structure Height 1887.44 feet
Ground Elevation Above Mean Sea Level (AMSL) 805.76 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Fox Television Stations, LLC
Date Constructed 01/01/1986

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
74194 WHQC FM
53975 WNKS FM
20624 WMYT-TV DTV
6586 WPEG FM
70097 WGTB-CD DTV

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Candelabra
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Geotechnical Survey

Geotechnical Survey and Report for tower installation

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 650
Explanation Project Management of repack project with outside consulting and project management services. Coordinate Tower work with tenants.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
NEPA Section 106 environmental review 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 Yes
RF exposure measurements Yes
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

RF Consulting Services

RF Consulting Services required

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 Yes
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 Racks

Racks for system gear next to transmitter

Prepare FCC Quarterly Progress Reports

FCC Progress reports. Prepare and file. See attached quote.

Transmitter Building Construction

Construction, floor leveling, painting for new transmitter room. Size 1015 sq feet.

Equipment Inventory, Re-channel or Replace Analysis

Perform inventory of existing equipment, determine channel specific components, re-channel or replace analysis

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 $3,082,349.08 $2,555,424.08 N/A $1,745,119.50 N/A
Total for all systems $4,949,209.23 $4,496,171.83 N/A $3,456,664.71 N/A
Primary Transmitter THU9EVO-72 $3,082,349.08 $2,555,424.08 $1,745,119.50
Removal of Existing Equipment $15,000.00 $15,000.00 Remove existing equipment. See attached quote. N/A N/A
Remote Control Wiring $3,630.00 $3,630.00 Wire existing remote control to new transmitter. See Attached Quote $3,630.00 N/A
Pre-Install Site Survey $15,237.50 $15,237.50 Site survey with drawing package. Preliminary survey to determine needs for install. $15,237.50 N/A
Air Conditioner Backup Power $9,250.00 $9,250.00 Install transformer and breaker for backup power to air conditioning. See attached quote 0928_PO X20-66 Data Power Source. $9,250.00 N/A
Additional Transmitter Costs $43,536.00 $43,536.00 See R&S quote 180821.1 $43,536.00 N/A
STL related equipment $8,282.58 $8,282.58 Relocation of STL waveguide and purchase of IT Switches to relocate in new building. See quote 0928_Micro move and ethernet switch $0.00 N/A
Installation $88,413.00 $88,413.00 Transmitter installation, less upgrade cost. See quote 0928_xmtr_install_upgrade. $88,413.00 N/A
Other Electrical Service: New Transmitter Electrical Installation. See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS Quote. $269,000.00 $269,000.00 See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS $269,000.00 N/A
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW $2,630,000.00 $2,103,075.00 Cost reflects like-for-like transmitter with upgrade. See 0928 revised narrative and quote 0928_Quote_xmtr_upgrade. $1,316,053.00 N/A

Components

Actual Information Description File Name
Removal of Existing Equipment Information not provided.
Remote Control Wiring

Component Description:
Remote control and license
Amount:
$3,630.00

Component Description:
Transmitter remote control
Amount:
$3,630.00
Pre-Install Site Survey

Component Description:
50% of full site survey w/drawing package prior to install.
Amount:
$15,237.50
Air Conditioner Backup Power

Component Description:
Installation of standby power for AC units serving transmitter room
Amount:
$9,250.00
Additional Transmitter Costs

Component Description:
Additional transmitter components
Amount:
$43,536.00
STL related equipment

Component Description:
Micro move and switch. See quote 0928_Micro_move _and_ethernet_switch.pdf
Amount:
$70.69

Component Description:
Remove coax line for STL at old transmitter building. Reinstall at new building.
Amount:
$2,500.00

Component Description:
Micro move and switch. See quote 0928_Micro_move_ and_ethernet_switch.pdf
Amount:
$5,711.89
Installation

Component Description:
Transmitter installation, less upgrade cost
Amount:
$88,413.00
Other Electrical Service: New Transmitter Electrical Installation. See quote 0928_WJZY FOX CHARLOTTE TRANSMITTER SITE ELECTRICAL MODIFICATIONS Quote.

Component Description:
Materials and Labor 6/1/19-6/30/19. Progress payment to 0928_WJZY_FOX_CHARLOTTE_ TRANSMITTER_SITE_ELECTRICAL_ MODIFICATIONS_Quote
Amount:
$89,800.00

Component Description:
Materials and Labor 5/1/19-5/31/19. Progress payment for: 0928_WJZY_FOX_CHARLOTTE_ TRANSMITTER_SITE_ELECTRICAL_ MODIFICATIONS_Quote
Amount:
$89,600.00

Component Description:
Initial payment equipment and materials. Progress payment towards: 0928_WJZY_FOX_CHARLOTTE_ TRANSMITTER_SITE_ELECTRICAL_ MODIFICATIONS_Quote
Amount:
$89,600.00
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW

Component Description:
Transmitter, installment #3, less upgrade cost
Amount:
$131,605.30

Component Description:
Transmitter, balance due
Amount:
$131,605.30

Component Description:
Rohde and Schwarz Transmitter 30% downpayment. Includes variance report to address upgrade.
Amount:
$394,815.90

Component Description:
50% downpayment for Rohde and Schwarz transmitter. Includes variance report for upgraded transmitter.
Amount:
$658,026.50

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 $300,780.00 $229,425.00 N/A $213,925.00 N/A
Total for all systems $4,949,209.23 $4,496,171.83 N/A $3,456,664.71 N/A
Primary Antenna ATW25H5-ETO4-25H $300,780.00 $229,425.00 $213,925.00
Sweep test of existing antenna $6,730.00 $6,250.00 N/A $6,250.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $218,625.00 Cost includes upgrade. See 0928_Quote_antenna_upgrade. $203,125.00 N/A
Bad Weather days $4,550.00 $4,550.00 Days where no work could be performed due to weather. Tower crew idle. $4,550.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
ERI TV system sweep. 30% prior to shipping.
Amount:
$1,875.00

Component Description:
Sweep test, balance due
Amount:
$625.00

Component Description:
ERI 30% down at time of order for TV System Sweep
Amount:
$1,875.00

Component Description:
ERI TV system sweep. 30% downpayment 30 days ARO.
Amount:
$1,875.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
ERI Antenna variance 30% downpayment prior to shipping
Amount:
$60,937.00

Component Description:
Main antenna, balance due
Amount:
$20,314.00

Component Description:
ERI Antenna variance 30% downpayment ARO
Amount:
$60,937.00

Component Description:
ERI antenna 30% at time of order. See 0928_Quote_antenna_upgrade.pdf
Amount:
$60,937.00
Bad Weather days

Component Description:
ERI installation Weather Delay costs.
Amount:
$4,550.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $751,815.10 $531,078.70 N/A $505,459.20 N/A
Total for all systems $4,949,209.23 $4,496,171.83 N/A $3,456,664.71 N/A
Primary Transmission Line $751,815.10 $531,078.70 $505,459.20
Additional Transmission Line Components $4,085.10 $4,085.10 See ERI Change Order $4,085.10 N/A
Waveguide Switch $22,500.00 $22,500.00 Waveguide RF Switch and controller N/A N/A
Rigid Transmission Line - copper, 8 3/16" $725,230.00 $504,493.60 See quote 0928_Quote_antenna_upgrade. $501,374.10 N/A

Components

Actual Information Description File Name
Additional Transmission Line Components

Component Description:
Additional transmission line components
Amount:
$4,085.10
Waveguide Switch Information not provided.
Rigid Transmission Line - copper, 8 3/16"

Component Description:
ERI Transmission line variance 30% downpayment prior to shipping
Amount:
$150,412.23

Component Description:
ERI 30% down at time of order for Transmission Line. See 0928_Quote_antenna_upgrade.pdf.
Amount:
$150,412.23

Component Description:
Transmission line, balance due
Amount:
$50,137.41

Component Description:
ERI transmission line variance 30% downpayment ARO
Amount:
$150,412.23

Component Description:
Transmission line system, system sweep and main antenna 30% deposit due with order.
Amount:
$218,810.58

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 $431,475.00 $803,069.00 N/A $803,069.00 N/A
Total for all systems $4,949,209.23 $4,496,171.83 N/A $3,456,664.71 N/A
Primary Tower TOWER $431,475.00 $803,069.00 $803,069.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $792,594.00 See WJZY ERI antenna helicopter install quote (quote number 20180925-353 Rev B $792,594.00 N/A
Tower Helicopter Lift $0.00 $0.00 N/A N/A N/A
Geotechnical Survey $10,475.00 $10,475.00 N/A $10,475.00 N/A

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Antenna installation, installment #2
Amount:
$317,037.60

Component Description:
50% payment at time of order for ERI antenna helicopter installation. See attachment 'WJZY ERI antenna helicopter install quote' for quote.
Amount:
$396,297.00

Component Description:
Antenna installation, balance due
Amount:
$79,259.40
Tower Helicopter Lift Information not provided.
Geotechnical Survey

Component Description:
Geotechnical survey and report. Please disregard previous invoice 'ERI --Inc#52864--$10,475.00' it did not include TAX ID. Pls see REVISED invoice.
Amount:
$10,475.00

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 $264,390.00 $259,380.00 N/A $154,949.99 N/A
Total for all systems $4,949,209.23 $4,496,171.83 N/A $3,456,664.71 N/A
Outside Professional Services $264,390.00 $259,380.00 $154,949.99
RF Consulting Services $20,000.00 $20,000.00 See related invoices $5,254.85 N/A
RF Exposure Measurements $21,050.00 $20,000.00 Catalog $19,150.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 Catalog $15,237.50 N/A
Prepare and or review reimbursement form $2,630.00 $8,577.50 Develop form 399 budgets, narratives, amend and file revised 399/narratives. For work completed between 1/1/17-12/31/17 $8,577.50 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Catalog N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 Catalog $5,463.75 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $5,052.50 Additional engineering required for CP app and technical exhibits. $5,052.50 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 Catalog N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Catalog N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Catalog N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Catalog N/A N/A
Project management of the transition $102,700.00 $97,500.00 Catalog $94,713.89 N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 Catalog $1,500.00 N/A

Components

Actual Information Description File Name
RF Consulting Services

Component Description:
RF Consulting Services 1/1/19 through 12/31/19
Amount:
$1,077.08

Component Description:
RF Consulting Services 1/5/17 through 12/31/17
Amount:
$3,583.75

Component Description:
RF Consulting Services 1/4/18 through 12/31/18
Amount:
$594.02
RF Exposure Measurements

Component Description:
Climbing Inspection w/line layout and tower structural analysis- remaining balance due
Amount:
$9,575.00

Component Description:
Climbing Inspection w/line layout and tower structural analysis- 50% deposit
Amount:
$9,575.00
Comprehensive coverage verification via field study, if needed

Component Description:
Full Site Survey with drawing package- 50% down payment
Amount:
$15,237.50

Component Description:
Please disregard invoice. Placed in incorrect category.
Amount:
N/A
Prepare and or review reimbursement form

Component Description:
Develop initial form 399 budgets and narratives. Amend and file revised budgets and narratives. Work completed from 1/1/17-12/31/17.
Amount:
$8,577.50
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
RF consulting - channel study, MX analysis, pop counts
Amount:
$5,463.75
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
RF Consulting - prepare and file CP application and technical exhibits
Amount:
$5,052.50
Prepare engineering section of 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.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Project management of the transition

Component Description:
Project management services 3.2.19 through 3.29.19
Amount:
$17,775.56

Component Description:
Project management services 3/28/20 through 4/24/20
Amount:
$6,081.60

Component Description:
project mgmt. srvs 3/31/18 - 4/27/18
Amount:
$7,013.10

Component Description:
Project management services 1.1.19 through 1.31.19
Amount:
$8,880.23

Component Description:
Project Mgmt Services 6/29/19-7/26/19
Amount:
$2,026.20

Component Description:
Project management services 2.1.19 through 3.1.19
Amount:
$13,625.20

Component Description:
Project management services 7.27.19 through 8.30.19
Amount:
$5,700.00

Component Description:
project management srvs 6/30/18 - 7/27/18
Amount:
$1,650.00

Component Description:
project management srvs 7/28/18 - 8/31/18
Amount:
$975.00

Component Description:
project management srvs 5/26/18 - 6/29/18
Amount:
$3,450.00

Component Description:
Project Management 10/27/18-11/30/18 services
Amount:
$9,397.11

Component Description:
Project Mgmt Services 2/1/19 - 3/1/19
Amount:
$13,625.20

Component Description:
project management srvs 9/1/18 - 9/28/18
Amount:
$5,146.29

Component Description:
Project management services 8.31.19 through 9.27.19
Amount:
$8,236.84

Component Description:
Project Mgmt Services 6/1/19 - 6/28/19
Amount:
$2,418.60

Component Description:
Project Mgmt Services 3/30/19 - 4/26/19
Amount:
$4,910.10

Component Description:
Project Management 12/1/18-12/31/18 services
Amount:
$1,950.00

Component Description:
Project Mgmt Services 3/2/19-3/29/19
Amount:
$17,775.56

Component Description:
Project Mgmt Services 1/1/19-1/31/19
Amount:
$8,800.23

Component Description:
Project Mgmt Services 4/27/19 - 5/31/19
Amount:
$2,925.00

Component Description:
project management srvs 4/28/18 -5/25/18
Amount:
$1,125.00

Component Description:
project management srvs 9/29/18 - 10/26/18
Amount:
$4,575.00
Prepare request for Special Temporary Authorization

Component Description:
Prepare STA Extension
Amount:
$1,500.00

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 $118,400.05 $117,795.05 N/A $34,142.02 N/A
Total for all systems $4,949,209.23 $4,496,171.83 N/A $3,456,664.71 N/A
Other Expenses $118,400.05 $117,795.05 $34,142.02
Equipment Inventory, Re-channel or Replace Analysis $2,585.00 $2,585.00 N/A $2,585.00 N/A
Transmitter Building Construction $10,480.00 $10,480.00 Construction, floor leveling, painting for new transmitter room (1015 sq ft) $10,480.00 N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 Catalog N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 Catalog N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 Catalog N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 Catalog N/A N/A
Non-zoning permits $12,000.00 $12,000.00 Local Permits. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $15,000.00 $15,000.00 Disposal of old equipment N/A N/A
Equipment Delivery and Handling Charges $13,500.00 $13,500.00 See related invoices $12,961.97 N/A
Equipment Storage $10,000.00 $10,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,500.00 $1,500.00 N/A N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A N/A N/A
Equipment Racks $8,115.05 $8,115.05 Equipment racks to hold near next to transmitter. $8,115.05 N/A
Prepare FCC Quarterly Progress Reports $27,030.00 $27,030.00 Prepare and file FCC Progress reports quarterly. See attached vendor quote. N/A N/A

Components

Actual Information Description File Name
Equipment Inventory, Re-channel or Replace Analysis

Component Description:
Equipment inventory, determine channel specific components, re-channel or replace determination
Amount:
$2,585.00
Transmitter Building Construction

Component Description:
Transmitter building leveling and paint
Amount:
$10,480.00

Component Description:
New transmitter room painting, leveling. Pls see quote 'S_wjzy new trans room 1182019'. Room size 1015 sq ft. Pls see 'Building and Racks Building Justification'.
Amount:
$10,480.00
DTV Medical Facility Notification Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Non-zoning permits Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Transmission line freight
Amount:
$1,847.69

Component Description:
ERI antenna and transmission line freight
Amount:
$11,114.28
Equipment Storage Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change Information not provided.
Equipment Racks

Component Description:
Equipment racks for gear stored next to transmitter.
Amount:
$8,115.05
Prepare FCC Quarterly Progress Reports Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,949,209.23 $4,496,171.83 $3,456,664.71

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


08/13/2021

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


08/13/2021

Attachments

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