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:
68889
Service:
DTV
Call Sign:
KTVX
Channel:
30 (UHF)
File Number:
0000028267
FRN:
0009961889
Date Submitted:
08/27/2021

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 DTV Utah is a complex site with 8 stations sharing a two main antennas as well as aux antenna, combiner system and building. Replacement antenna panels, combiner and transmitters will be required. DTVU is still working on its transition plans.

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 SigmaCD2
Year 1999
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 20 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 kW
Justification for New Transmitter Existing transmitter is obsolete and can not be retuned to new channel. See attached quotes. Upgrading to a SS at one power step up from the required TPO. Single tube IOT is the max reimbursement, but Gates quote is lower.

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) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 200.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 30 tons
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

Transformer Costs

Transformer Costs

Transmitter Electrical, Installation and Decommission

Transmitter Electrical, Installation and Decommission

Remote Control Wiring

Wire Up Existing Remote Control to New Transmitter

Removal of Existing Equipment

Remove Existing Equipment from Farnsworth Peak

Plan Transmitter Layout and Develop Installation Drawings

Develop Installation Layout. Develop Installation Drawings

Additional Transmitter Costs

Additional Transmitter Costs to conform to DTV Group equipment

Interim Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Interim
Description of Use N/A
Change Type Purchase
Manufacturer
Model ULTXE-20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 12.9 kW
Justification for New Transmitter DTV Utah Stations will operate on an interim transmitter one at a time in rotating fashion as their existing transmitter is removed and replaced. This is for the KTVX allocated costs for one interim transmitter for the site.

Interim 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) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 800.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 50 tons
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
Inside RF System Is an additional interior RF system required to support this interim transmitter? Yes

Interim Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

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 Leased
Owner DTV Utah
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? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels 48
Design power capacity in use 100.0 %
Lower Limit 602.00 MHz
Upper Limit 700.00 MHz
Other Antenna Type N/A
ERP: 475.0 kW
Manufacturer
Model 773 928
Year 1999

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

Facility ID Call Sign
36607 KJZZ-TV
1136 KUCW
35823 KUTV
6359 KSL-TV
6823 KBYU-TV
69396 KUED
69582 KUEN

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? Yes
Is antenna directional? Yes
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 Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 8
Number of Panels/Bays 48
Lower Limit 482.00 MHz
Upper Limit 608.00 MHz
Design power capacity in use 50.0 %
Other Antenna Type N/A
ERP: 2000.0 kW
Manufacturer
Model 759 25063
Year 2017
Justification for New Antenna The current panel antenna is finely tuned to a specific band, but cannot be retuned to the new band.

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 8
Frequencies of channels supported Upper and lower frequency
Frequency 488.0 MHz - 608.0 MHz
Do you need a combiner output splitter/switcher for dual feed lines? Yes
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

Antenna Installation

Costs for antenna install.

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 Leased
Is this tower consider Complex? Terrain Constrained
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? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1062408
Coordinates (NAD83) Latitude (NAD83) 40° 39' 33.0" N-
Longitude (NAD83) 112° 12' 10.0" W-
Overall Structure Height 308.40 feet
Support Structure Height 308.40 feet
Ground Elevation Above Mean Sea Level (AMSL) 9035.32 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner DTV UTAH, LC
Date Constructed 10/28/1999

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
69582 KUEN DTV
1136 KUCW DTV
6823 KBYU-TV DTV
69396 KUED DTV
35823 KUTV DTV
36607 KJZZ-TV DTV
6359 KSL-TV 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: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
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 800
Explanation KTVX Allocated Costs: DTV Utah will provide project management on site. Additionally, station will retain RF Engineers to review site construction as needed.
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) Yes
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 30
Justification On site RF Engineering to inspect and supervise construction on behalf of station

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Allocation Consulting

RF Consultant analysis of channel allocations, Interference issues, and spectrum issues

Building Structural Engineering

Structural Engineer review and analysis of building and 2nd Floor Combiner Weight Issues

Prepare and File FCC Progress Reports

Prepare and File FCC Quarterly Progress Reports

RF Consultant

RF Consultant for antenna and combiner designs

Reimbursement Reviews

Reimbursement Reviews with FCC, E&Y, and Cavell.

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

Accounting

DTV Utah Accounting and Allocation of costs to stations

DTV Utah Operating Agreement Equity Equalization

Per 1988 Operating Agreement. See Exhibit M attached.

KSTU Mask Filter

Adjacent Channel Mask Filter for KSTU. See Exhibit N attached.

Raod Maintenance

Snowplowing Grating and repairs to existing road to remote mountain top.

Remove and Disposal of Equipment

Common Equipment Removal and Disposal. Rigging, road access, packing materials

Site Access and Transportation

Snow Cat access; helicopter site access; Road opening (snow plowing) etc.

Temporary Sanitation

Required for work on the mountaintop.

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 $2,145,668.38 $1,170,801.37 N/A $1,001,243.13 N/A
Total for all systems $4,402,473.54 $2,632,192.11 N/A $1,736,202.90 N/A
Interim Transmitter ULTXE-20 $1,003,800.00 $263,062.99 $223,107.81
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $94,045.33 Revised to reflect 1/6th of Shared Cost $83,460.30 Original application cost estimate based on 1/8 total costs. Approval received for 1/6 total costs. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
50 Ton system $266,000.00 $133,000.00 Revised to increase amount to 1/6 vs 1/8 as well as design and engineering changes required due to a new heat exchanger design for the transmitters. $132,936.71 Actual design HVAC designs called for more cooling than originally estimated. Additionally, original application estimates submitted at 1/8 cost. Reimbursement submitted on 1/6.
UHF inside RF system including switching $147,500.00 $23,333.33 Revised to reflect 1/6th of Shared Cost $6,710.80 N/A
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $2,500.00 1/8 Shared Cost N/A N/A
Switchgear - industrial 800 amp $38,200.00 $5,809.33 Revised to reflect 1/6th of shared cost. $0.00 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $4,375.00 1/8 Shared Cost N/A N/A
Primary Transmitter THU9evo-20 $1,141,868.38 $907,738.38 $778,135.32
Additional Transmitter Costs $4,025.00 $4,025.00 See Heartland quote WISQ49895 and justification; shared cost with KUCW $4,021.94 N/A
Plan Transmitter Layout and Develop Installation Drawings $15,000.00 $15,000.00 KTVX Allocated Costs for Transmitter Installation layout and installation drawings N/A N/A
Removal of Existing Equipment $0.00 $0.00 See Transmitter Electrical, Installation and Decommission N/A N/A
Remote Control Wiring $3,500.00 $3,500.00 Wire up existing remote control to new transmitter. N/A N/A
Transmitter Electrical, Installation and Decommission $57,743.38 $57,743.38 See Marsand quote 1882 $52,743.38 N/A
Transformer Costs $4,200.00 $4,200.00 Change out transformers; see Rohde & Schwarz quote 802-055153.0 $4,200.00 N/A
Other -- HVAC Service Type: C Size:30 (Other) $25,000.00 $25,000.00 KTVX Allocated costs for modification of HVAC systems. N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $10,400.00 $9,800.00 Catalog N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $35,000.00 Catalog N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 Catalog N/A N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $717,170.00 Cost revised down from 788,930 to 717,170 per Rohde & Schwarz quote 802-049530.1 attached $717,170.00 N/A

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
Ross Video HD/SD/SDI equipment. Taxes not charged on shipping. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$459.77

Component Description:
Sencore HD/SD/SDI equipment. Taxes not charged on shipping. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$660.43

Component Description:
Transmitter ProgPay 1 - 1/3 Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$27,365.14

Component Description:
Transmitter ProgPay 2 - 1/3 Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$27,365.14

Component Description:
Ross 2RU 3G/HD/SD/SDI Audio Monitoring Bridge equipment. No sales tax on shipping charges. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$514.00

Component Description:
Transmitter install. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$5,412.88

Component Description:
Transmitter - ProgPay 3. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$21,682.94
50 Ton system

Component Description:
HVAC final installment
Amount:
$8,627.50

Component Description:
Cooling system evaluation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$153.79

Component Description:
Advance payment to secure the equipment and materials before transmitters are installed. Amount specific to KTVX.
Amount:
$9,357.00

Component Description:
Progress payment for HVAC Work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$11,163.83

Component Description:
Credit memo for transmitter and cooling system HVAC projects.
Amount:
($1,046.68)

Component Description:
Final Work on 2017 Proposal
Amount:
$8,627.50

Component Description:
Progress payment for HVAC Work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$14,166.66

Component Description:
Advance payment to secure the equipment and materials before transmitters are installed. Amount requested specific to KTVX.
Amount:
$27,022.00

Component Description:
Oct work on HVAC/ Progress payment
Amount:
$11,160.91

Component Description:
Mechanical design for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$266.66

Component Description:
Progress payment for HVAC done on KTVX primary transmitter and cooling system per Appril 24, 2018 proposal. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$6,366.28

Component Description:
HVAC mechancial & structural work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Revised attachment. - Invoice amount corrected.
Amount:
$3,652.40

Component Description:
Mechanical design for transmitter HVAC project. Amount requested specific to KTVX.
Amount:
$6,200.00

Component Description:
Credit memo due to internal project audit for transmitter and cooling system projects.
Amount:
($2,083.71)

Component Description:
Progress payment for August for HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$2,118.15

Component Description:
Progress Payment for HVAC Work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$16,416.66

Component Description:
HVAC Mechanical Design Work for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$2,400.00

Component Description:
Progress payment - Mechanical design for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$933.33

Component Description:
KTVX portion of HVAC mechanical & structural work
Amount:
$673.62

Component Description:
Progress billing for KTVX Transmitter Hood and HVAC system.
Amount:
$1,782.82

Component Description:
Mechanical design for the Transmitter HVAC - final phase payment
Amount:
$933.33

Component Description:
Progress payment for HVAC Work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$12,672.16
UHF inside RF system including switching

Component Description:
KTVX share of Sync Server
Amount:
$1,236.39

Component Description:
Tax on Microsemi 268011, Dielectric 233001 and Dielectric 233017
Amount:
$101.43

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoices 233001 & 230017 and Microsemi invoice 268011. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table.
Amount:
$101.43

Component Description:
Dell Computer for Control Systems
Amount:
$190.05

Component Description:
Transmission line 25% down payment
Amount:
$201.09

Component Description:
Additional transmission line elbows
Amount:
$917.06

Component Description:
Syncserver
Amount:
$1,236.39

Component Description:
SyncServer
Amount:
$2,589.33

Component Description:
Final Transmission line
Amount:
$603.26

Component Description:
Additional transmission line and gas barrier line
Amount:
$557.63

Component Description:
Additional Flex Line for DTV Transmitter
Amount:
$308.50

Component Description:
Syncserver freight from invoice 267999
Amount:
$6.06

Component Description:
Shipping of new transmission line rework
Amount:
$727.51
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Switchgear - industrial 800 amp

Component Description:
Installation of electrical panels and transformer for the interim transmitter. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$496.60

Component Description:
Installation of electrical panels and transformer for the interim transmitter. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$3,149.19
Transformer 3 phase/480v - 300 KVA Information not provided.
Additional Transmitter Costs

Component Description:
Additional transmitter components required to conform to DTV Group equipment
Amount:
$4,021.94
Plan Transmitter Layout and Develop Installation Drawings Information not provided.
Removal of Existing Equipment Information not provided.
Remote Control Wiring Information not provided.
Transmitter Electrical, Installation and Decommission

Component Description:
Transmitter services, installment #2
Amount:
$10,630.00

Component Description:
Transmitter services, installment #1
Amount:
$28,871.70

Component Description:
Transmitter services, installment #3
Amount:
$13,241.68
Transformer Costs

Component Description:
Transformer change out required
Amount:
$4,200.00
Other -- HVAC Service Type: C Size:30 (Other) Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 300 KVA Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Primary transmitter, installment #3
Amount:
$179,292.52

Component Description:
Primary transmitter, installment #2
Amount:
$358,585.00

Component Description:
25% down payment Transmitter System; Original estimate is for a Gates Air system. Actual product purchased is a Rohde & Schwarz system (quote attached).
Amount:
$179,292.48

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 $589,830.00 $695,357.24 N/A $585,564.81 N/A
Total for all systems $4,402,473.54 $2,632,192.11 N/A $1,736,202.90 N/A
Primary Antenna 759 25063 $589,830.00 $695,357.24 $585,564.81
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized $300,000.00 $300,000.00 Revised to increase amount to 1/6 vs 1/8 as well as adding an increase for the addition of nitrogen generators $246,721.08 Original 399 budget proposed at 1/8 cost. Special approval received for 1/6 of costs causing budget overage.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $16,000.00 Revised to increase amount to 1/6 vs 1/8 shared cost, as well as adding for an increase in the elbow complex design caused by the antenna configuration. $12,421.39 Initial estimate based on 1/6 reimbursement for Elbow complex - broadband and transmission line material installation related to SOW: S&I Elbow Complex
New combiner, cost per channel (without antenna) $84,200.00 $317,000.00 Revised to increase amount to 1/6 vs 1/8 as well as adding for additional equipment necessary for unanticipated management of the system. See Exhibit E. $267,927.87 See in attachment-FCC Incentive Auction Repack Reimbursement Request and Explanation.
Antenna Installation $59,200.00 $59,200.00 Revised to increase amount to 1/6 vs 1/8 shared cost, as well as adding for inspection of the transmission line to ensure the integrity of the line after the antenna removal. See Exhibit D. $55,337.23 Please see FCC Incentive Auction Repack Reimbursement Request & Explanation - Original 399 application estimate was based on 1/8 cost. Approval received for 1/6 cost reimbursement.
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $0.00 Included in combiner costs. See Exhibit E. N/A N/A
Sweep test of existing antenna $6,730.00 $3,157.24 Revised to increase to 1/6th of shared cost $3,157.24 Original estimate for 1/8 costs with approval to request reimbursement at 1/6. Please see FCC Incentive auction repack reimbursement request and explanation.

Components

Actual Information Description File Name
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized

Component Description:
Sales use tax for GTIA-1054 invoice. Please see table AN-P-2 for section 3.5 uhf hp on attachment page 5.
Amount:
$12,759.12

Component Description:
Antenna Material 25% down payment. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$47,876.97

Component Description:
Utah State Sales Tax for SouthTek invoice STS87757-1. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. See also explanation of Vendor EIN/TIN.
Amount:
$284.98

Component Description:
Re-tuning of antenna pattern to remove null areas
Amount:
$3,333.33

Component Description:
Antenna Structural 25% Progress Payment. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$6,400.09

Component Description:
Antenna system final billing for line items 2, 3, 6 & 7 per quote. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$7,710.92

Component Description:
Antenna 25% Progress Payment - Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$47,876.97

Component Description:
Antenna 45% - Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$86,178.56

Component Description:
Sales use tax for GTIA-1054 invoice. Please see table AN-P-2 for section 3.5 uhf hp on attachment page 5.
Amount:
$12,759.12

Component Description:
Antenna Structural 25% Progress Payment. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$7,710.92

Component Description:
Antenna Factory Test - Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$5,142.50

Component Description:
Nitrogen Generation with sales tax noted. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$4,160.41

Component Description:
Antenna 5% Final Payment - Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$9,575.39

Component Description:
Antenna 25 % Down Payment - Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$7,710.92
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
KPNZ Line Reroute labor/install
Amount:
$1,309.50

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for GTI invoice GTIA-1057 and Dielectric invoice 75050
Amount:
$529.50

Component Description:
Final billing for additional transmission line and installation services provided by GTI America. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$4,794.94

Component Description:
Progress Invoice - 50% down payment for transmission line material and installation
Amount:
$4,794.94

Component Description:
Q3 2018 State of Utah Use Tax Return - Component for GTI invoice GTIA-1057 and Dielectric invoice 75050. See breakdown of sales tax accrual calculations table.
Amount:
$529.50

Component Description:
Reducer, T/L Tuner, Flange Assy, Fright and shipping and handling.
Amount:
$992.51
New combiner, cost per channel (without antenna)

Component Description:
Tax due on Burk invoices
Amount:
$1,075.62

Component Description:
Combiner components
Amount:
$1,401.51

Component Description:
Line pieces for combiner
Amount:
$406.25

Component Description:
Line pieces for combiner
Amount:
$406.25

Component Description:
Combiner, installment #1
Amount:
$5,123.06

Component Description:
Combiner Downpayment #1 due with order. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$5,123.06

Component Description:
Dielectric sales tax for invoices-156010/235015/250008/237008/242051/236006/2373003.
Amount:
$11,070.13

Component Description:
Pressure Gauge 2 Port. Please see FCC cover letter for reimbursement request and explanation.
Amount:
$61.85

Component Description:
DownPay #3 Combiner monitoring & control
Amount:
$3,906.86

Component Description:
Cable, tubes, crimp and freight for new combiner
Amount:
$246.05

Component Description:
Install additional transmission line. Please see FCC cover letter for reimbursement request and explanation.
Amount:
$6,727.52

Component Description:
belden cable
Amount:
$277.43

Component Description:
Combiner - Prog Pay 2. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$90,717.50

Component Description:
Gas Barrier. Please see FCC cover letter for reimbursement request and explanation.
Amount:
$1,410.51

Component Description:
Combiner - Prog Pay 2. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$90,717.50

Component Description:
Installation of 20A, High-Density Plug Strip and Power
Amount:
$106.33

Component Description:
Belden cable freight
Amount:
$4.51

Component Description:
Combiner Downpayment #2. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$5,123.06

Component Description:
Combiner - Prog Pay 3. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$90,717.49

Component Description:
Combiner - Prog Pay 1 - Down Payment. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$22,679.37

Component Description:
80KW Cooling System. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$3,320.18

Component Description:
Combiner Downpayment #2. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$5,123.06

Component Description:
N Resistive Power Divider and freight
Amount:
$237.33

Component Description:
rg223 cable
Amount:
$196.25

Component Description:
Line pieces
Amount:
$406.25

Component Description:
80KW Cooling System. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$3,320.18

Component Description:
Combiner - Prog Pay 1 - Down payment. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation.
Amount:
$22,679.37

Component Description:
Combiner - Prog Pay 3. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$90,717.49

Component Description:
Onsite crew for bids on new combiner- travel
Amount:
$216.88

Component Description:
Station specific and shared electrical costs
Amount:
$816.84

Component Description:
crimping tools & supplies
Amount:
$213.19

Component Description:
Freight for return of waveguide sections
Amount:
$443.17

Component Description:
Dielectric sales tax for invoices-156010/235015/250008/237008/242051/236006/2373003. See table page 5 of attachment for AN-P-12 - new combiner portion
Amount:
$11,070.12

Component Description:
Progress payment for installation
Amount:
$22,679.29

Component Description:
Burk sales tax for invoices: 68513 DP, 68513-2, 69115. See table page 2 of attachment for sales and use tax amount and FCC incentive auction repack reimbursement request and explanation for detail on requested amount.
Amount:
$1,075.62

Component Description:
Line pieces
Amount:
$406.25

Component Description:
Combiner Downpayment #1 due with order. Please see attached - FCC Incentive Auction Repack Reimbursement Request and Explanation. - Information updated
Amount:
$5,123.06
Antenna Installation

Component Description:
Installation 50% final payment
Amount:
$11,754.09

Component Description:
Use tax for GTIA-1021 invoice
Amount:
$53.45

Component Description:
Installation services final payment - see line 1 of quote
Amount:
$4,445.72

Component Description:
Installation Services 25% down payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$11,754.09

Component Description:
Transmission line final payment. Sales tax accrual attached separately. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$798.45

Component Description:
Site survey 25% down payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$1,310.83

Component Description:
Antenna Installation 25% Progress Payment
Amount:
$23,508.19

Component Description:
2018 Q1 Corrected sales and use tax return for GTI invoice 1011
Amount:
$17.81

Component Description:
Bullet installation 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
Amount:
$1,748.05
Combiner output splitting/switching for dual feed lines, if applicable Information not provided.
Sweep test of existing antenna

Component Description:
Rental of impedance transformer used to test the CH.24 system. Please see FCC Incentive auction repack reimbursement request and explanation. Revised attachment.
Amount:
$329.16

Component Description:
Test existing Kathrein UHF Antenna System. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$2,828.08

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 $854,600.00 $135,333.34 N/A $4,019.65 N/A
Total for all systems $4,402,473.54 $2,632,192.11 N/A $1,736,202.90 N/A
Primary Tower TOWER $854,600.00 $135,333.34 $4,019.65
Major tower reinforcement/modifications $421,000.00 $66,666.67 Revised to increase amount to 1/6 vs 1/8 $3,121.33 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $66,666.67 Revised to increase amount to 1/6 vs 1/8 N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $2,000.00 Revised to increase amount to 1/6 vs 1/8 $898.32 N/A

Components

Actual Information Description File Name
Major tower reinforcement/modifications

Component Description:
Installing the tower lighting system
Amount:
$1,515.15

Component Description:
New strobes for tower
Amount:
$1,606.18
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Tower Analysis Services
Amount:
$671.66

Component Description:
Structural Engineering & Design services - May 2017
Amount:
$226.66

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 $399,005.00 $216,505.00 N/A $65,069.27 N/A
Total for all systems $4,402,473.54 $2,632,192.11 N/A $1,736,202.90 N/A
Outside Professional Services $399,005.00 $216,505.00 $65,069.27
Prepare request for Special Temporary Authorization $4,100.00 $4,100.00 Predetermined Cost Estimate $3,625.00 Prepare request for Special Temporary Authorization originally estimated at 1/8 and requested at 1/6 per allowance.
RF Consultant $16,000.00 $16,000.00 KTVX Allocation of Costs. RF Consulting Engineer for Antenna and Combiner overall system design. Vendor specs and system range testing. $14,296.87 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Catalog $231.86 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $4,975.00 Prepare engineering section of FCC Form 2100 (main), Construction Permit Application and Minor Modification of CP Application; see related invoices $4,975.00 N/A
Prepare and File FCC Progress Reports $18,000.00 $18,000.00 Prepare and file FCC Progress Reports $1,200.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,580.00 Catalog $1,558.33 N/A
Reimbursement Reviews $10,600.00 $10,600.00 Reimbursement Reviews with FCC, E&Y, Cavell. $0.00 N/A
Building Structural Engineering $20,000.00 $20,000.00 KTVX specific and allocation of costs related to building structural and weight analysis. N/A N/A
Allocation Consulting $15,000.00 $15,000.00 KTVX Allocation of costs. RF Engineering Consultant to review channel allocations, interference, alternative channels, support can not construct filing. N/A N/A
Additional Field Engineering Service, 30 Days $45,000.00 $45,000.00 RF Engineer on site to supervise installation and construction of KTVX Equipment. N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $10,000.00 1/8 Shared Cost N/A N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $500.00 N/A $275.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 Catalog N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,500.00 DTV Utah has 8 partners of which 6 are being repacked. Legal negotiations related to repacking being submitted at 1/6 cost for each station being repacked. $4,472.21 Legal fees associated with repacking lease negotiations estimated at 1/8 and requested at 1/6 per allowance
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Catalog N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Catalog $14.58 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 Catalog $1,200.00 N/A
Project management of the transition $126,400.00 $37,500.00 Catalog $33,220.42 N/A
RF Exposure Measurements $21,050.00 $2,500.00 1/8 Shared Cost N/A N/A

Components

Actual Information Description File Name
Prepare request for Special Temporary Authorization

Component Description:
Prepare STA
Amount:
$1,500.00

Component Description:
Prepare and File FCC Emergency STA Application
Amount:
$1,125.00

Component Description:
See cover letter item number 6 - Prepare and submit STA filing by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$1,000.00

Component Description:
Special temporary authorization filing
Amount:
$876.75

Component Description:
See cover letter item number 3 - Prepare and submit STA filing by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$1,500.00
RF Consultant

Component Description:
RF Consulting Services
Amount:
$14,296.87
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Group legal fees associated with repack construction permit application
Amount:
$202.70

Component Description:
Group legal fees associated with repack construction permit application
Amount:
$29.16
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Prepare Form 2100 CP Application and Associated Exhibits
Amount:
$2,475.00

Component Description:
Minor Modification of CP Application
Amount:
$2,500.00

Component Description:
See cover letter item 3 - Prepare engineering portion of FCC Form 2100 services by Kessler and Gehman Associates. Station specific cost.
Amount:
$625.00
Prepare and File FCC Progress Reports

Component Description:
Form 387 Q4 2018 Progress Report
Amount:
$150.00

Component Description:
Form 387 Progress Report "10 Days after"
Amount:
$150.00

Component Description:
See cover letter item 2 - Progress report preparation services by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$150.00

Component Description:
See cover letter items 2-4: Prepare progress reporting services by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$600.00

Component Description:
See cover letter item 2 - Progress report preparation services by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$150.00

Component Description:
See cover letter item 2 - Progress report preparation services by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$150.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Prepare License to Cover Application
Amount:
$625.00

Component Description:
Preparation of Form 2100
Amount:
$933.33
Reimbursement Reviews Information not provided.
Building Structural Engineering Information not provided.
Allocation Consulting Information not provided.
Additional Field Engineering Service, 30 Days Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase

Component Description:
Subcontractor to prepare and submit FAA filing. Split charge with KUCW.
Amount:
$275.00
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Legal consulting - lease negotiations
Amount:
$1,960.50

Component Description:
Legal consulting - lease negotiations
Amount:
$362.91

Component Description:
Legal consulting - lease negotiations
Amount:
$165.91

Component Description:
Legal consulting - lease negotiations
Amount:
$501.40

Component Description:
Legal consulting - lease negotiations
Amount:
$68.00

Component Description:
Legal consulting - lease negotiations
Amount:
$640.66

Component Description:
Legal consulting - lease negotiations
Amount:
$415.83

Component Description:
Legal consulting - lease negotiations
Amount:
$357.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Legal fees associated with transition
Amount:
$14.58
Prepare and or review reimbursement form

Component Description:
Invoice compliance audit and prep.
Amount:
$1,200.00
Project management of the transition

Component Description:
KTVX Share of June 2018 Consulting Fees
Amount:
$1,215.74

Component Description:
Project management fees 2/24/17 through 3/30/17
Amount:
$699.66

Component Description:
Project management services Jan 2019
Amount:
$75.00

Component Description:
Project management services, items 1 and 2 from invoice summary
Amount:
$1,600.00

Component Description:
KTVX share of project management Oct 2018
Amount:
$1,057.25

Component Description:
Project management of the transition - James and James Consulting
Amount:
$699.66

Component Description:
Project management services
Amount:
$150.00

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from January 1, 2019 through January 31, 2019.
Amount:
$75.00

Component Description:
Project management of the transition - James and James Consulting for July 2017.
Amount:
$891.87

Component Description:
Project management of the transition - James and James Consulting for June 2017.
Amount:
$916.62

Component Description:
Project management of the transition - James and James Consulting for station specific costs July 2018.
Amount:
$288.41

Component Description:
Project management of the transition - James and James Consulting for Station Specific April 2018.
Amount:
$94.74

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from June 30, 2018 through July 27, 2018. Station specific.
Amount:
$225.00

Component Description:
Project management services provided by consultant Ray Carnovale - Please see cover letter FCC reimbursement request and explanation.
Amount:
$2,763.54

Component Description:
Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates for preparation of Form 387 progress report. Services from May 26, 2018 through June 29, 2018.
Amount:
$450.00

Component Description:
Project management services provided by consultant Ray Carnovale - Please see cover letter FCC reimbursement request and explanation.
Amount:
$1,750.00

Component Description:
Project management of the transition - James and James Consulting for June 2018.
Amount:
$1,215.74

Component Description:
Project management services
Amount:
$347.50

Component Description:
Project management of the transition - James and James Consulting for October 2017.
Amount:
$696.62

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from October 27, 2017 through December 31, 2017.
Amount:
$600.00

Component Description:
Project management of the transition - James and James Consulting for November 2017.
Amount:
$742.45

Component Description:
See cover letter item 1 and 2 for project management services including those provided by subcontractor Kessler and Gehman Associates. Station specific cost
Amount:
$1,600.00

Component Description:
Project management of the transition - James and James Consulting for December 2017.
Amount:
$545.14

Component Description:
Project management of the transition - James and James Consulting for December 2018.
Amount:
$182.02

Component Description:
Project management of the transition - James and James Consulting for February 2018.
Amount:
$358.38

Component Description:
Project management of the transition - James and James Consulting for September 2018.
Amount:
$1,497.06

Component Description:
Project management of the transition - James and James Consulting for April 2017.
Amount:
$1,102.36

Component Description:
Project management of the transition - James and James Consulting for April 2018.
Amount:
$521.19

Component Description:
See cover letter items 1 and 5: Project management of the transition including services by subcontractor Kessler and Gehman Associates. Station specific cost.
Amount:
$1,874.00

Component Description:
Project management of the transition - James and James Consulting for October 2018.
Amount:
$1,057.25

Component Description:
Project management of the transition - station specific cost
Amount:
$225.00

Component Description:
Engineering consulting fees - invoice coding
Amount:
$50.00

Component Description:
Project management of the transition - James and James Consulting and supply purchase for August 2018.
Amount:
$2,803.83

Component Description:
Project management services
Amount:
$75.00

Component Description:
Project management of the transition - James and James Consulting for May 2017.
Amount:
$916.41

Component Description:
Project management of the transition - James and James Consulting for July 2018.
Amount:
$1,046.00

Component Description:
Consulting fees - invoice preparation and submission
Amount:
$65.00

Component Description:
Project management services
Amount:
$2,325.00

Component Description:
See cover letter item 1 - Project management of the transition 7.28.18 through 9.28.18. Station specific cost.
Amount:
$375.00

Component Description:
Consulting fees - invoice preparation and submission
Amount:
$78.00

Component Description:
Project management of the transition - James and James Consulting for November 2018.
Amount:
$754.52

Component Description:
Project management of the transition - James and James Consulting for September 2017
Amount:
$445.45

Component Description:
Project management of the transition - James and James Consulting for May 2018.
Amount:
$837.25

Component Description:
Project management of the transition - James and James Consulting for August 2017.
Amount:
$703.95

Component Description:
Project management of the transition - James and James Consulting for May 2018.
Amount:
$256.94

Component Description:
Project management of the transition - James and James Consulting for March 2018.
Amount:
$525.66

Component Description:
Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates. Services from March 31, 2018 through April 27, 2018.
Amount:
$674.00

Component Description:
Project management of the transition - James and James Consulting for station specific costs June 2018.
Amount:
$415.37

Component Description:
Project management of the transition - James and James Consulting compliance audit adjustment for hours and mileage.
Amount:
$17.82

Component Description:
Project management of the transition - James and James Consulting for January 2018.
Amount:
$359.67

Component Description:
Project Management for Structural Analysis and Tower Modifications. Services from January 1, 2018 through January 26, 2018.
Amount:
$450.00
RF Exposure Measurements 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 $413,370.16 $414,195.16 N/A $80,306.04 N/A
Total for all systems $4,402,473.54 $2,632,192.11 N/A $1,736,202.90 N/A
Other Expenses $413,370.16 $414,195.16 $80,306.04
Sales and Use Tax Due $46,000.00 $46,000.00 Estimated tax due $45,040.68 N/A
Temporary Sanitation $3,000.00 $3,000.00 1/8 Shared Cost N/A N/A
Site Access and Transportation $25,000.00 $25,000.00 Cost Allocation to KTVX for site transportation and site access including snow cats, helicopter services, road clearing, snow plowing etc. $3,679.97 N/A
Remove and Disposal of Equipment $5,000.00 $5,000.00 Removal and disposal of KTVX Equipment down the mountain. $2,970.83 N/A
Raod Maintenance $10,000.00 $10,000.00 1/8 Shared Cost N/A N/A
KSTU Mask Filter $9,330.00 $9,330.00 1/8 Shared Cost changed to 1/6 shared cost $9,329.70 Please see FCC Incentive Auction Repack Reimbursement Request & Explanation - Original 399 application estimate was based on 1/8 cost. Approval received for 1/6 cost reimbursement.
DTV Utah Operating Agreement Equity Equalization $223,083.00 $223,083.00 See Exhibit M. N/A N/A
Accounting $5,800.00 $5,800.00 DTV Utah estimate of KTVX allocation of costs for accounting services for project. N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 Production costs to develop and air channel change announcement. N/A N/A
Equipment Storage $6,067.16 $6,067.16 1125 per month for 16 months plus pod storage on mountains. Increased to 1850 in May 2018. Revised to increase amount to 1/6 vs 1/8. $5,758.82 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $27,500.00 $27,500.00 DTV Utah estimate of allocated costs for KTVX - Combiner and other common equipment removal and rigging down mountain. $1,287.50 N/A
Non-zoning permits $5,900.00 $5,900.00 KTVX Estimate of Cost Allocation. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 Catalog $4,549.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $2,500.00 See related invoice $0.00 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
Equipment Delivery and Handling Charges $25,000.00 $25,000.00 Estimate of KTVX specific and Allocation of Costs for delivery of equipment up mountain. $7,689.54 N/A

Components

Actual Information Description File Name
Sales and Use Tax Due

Component Description:
Tax charged on snowcat for site survey
Amount:
$92.48

Component Description:
Tax on transformer changes
Amount:
$287.70

Component Description:
Tax due on transmitter
Amount:
$44,660.50
Temporary Sanitation Information not provided.
Site Access and Transportation

Component Description:
Snowcat required for site survey
Amount:
$1,350.00

Component Description:
Transportation to top of the mountain for staff and equipment while road was closed by snow.
Amount:
$241.66

Component Description:
Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals.
Amount:
$362.50

Component Description:
Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals.
Amount:
$507.50

Component Description:
Transportation to top of the mountain for staff and equipment while road was closed by snow.
Amount:
$216.66

Component Description:
Transportation to top of the mountain for staff and equipment while road was closed by snow.
Amount:
$216.66

Component Description:
Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals.
Amount:
$676.66

Component Description:
Transportation to top of the mountain for staff and equipment while road was closed by snow.
Amount:
$108.33
Remove and Disposal of Equipment

Component Description:
Removal of used downtherm
Amount:
$173.33

Component Description:
Removal and disposal of old equipment and debris from tower site - station specific cost to KTVX only
Amount:
$1,147.50

Component Description:
Removal and disposal of old equipment and debris from tower site - station specific cost to KTVX only
Amount:
$1,650.00
Raod Maintenance Information not provided.
KSTU Mask Filter

Component Description:
2018 Q3 State of Utah Use tax paid directly for Dielectric invoice 75049 see chart
Amount:
$321.38

Component Description:
2018 Q3 State of Utah Use tax paid directly for Dielectric invoice 75049 see chart
Amount:
$321.37

Component Description:
KSTU Mask Filter installation
Amount:
$4,316.66

Component Description:
KSTU Mask Filter
Amount:
$4,691.66
DTV Utah Operating Agreement Equity Equalization Information not provided.
Accounting Information not provided.
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Warehouse storage - October 2017
Amount:
$187.50

Component Description:
Storage pods for on site equipment storage
Amount:
$1,927.50

Component Description:
Warehouse storage - December 2017
Amount:
$187.50

Component Description:
Warehouse storage - July 2018
Amount:
$308.33

Component Description:
Warehouse storage - October 2018
Amount:
$308.33

Component Description:
Warehouse storage - Sept 2018
Amount:
$308.33

Component Description:
Warehouse storage - February 2018
Amount:
$187.50

Component Description:
Warehouse Storage - January 2018
Amount:
$187.50

Component Description:
Warehouse Storage - March 2018
Amount:
$187.50

Component Description:
Labor to set storage containers on site
Amount:
$33.33

Component Description:
Warehouse storage - April 2018
Amount:
$187.50

Component Description:
Warehouse storage - Sept 2017
Amount:
$187.50

Component Description:
Warehouse storage - May 2018
Amount:
$187.50

Component Description:
Warehouse storage - August 2018
Amount:
$308.33

Component Description:
Warehouse storage - November 2018
Amount:
$308.33

Component Description:
Warehouse storage - May 2018 rental price increase
Amount:
$120.83

Component Description:
Pallet jack
Amount:
$139.68

Component Description:
Warehouse storage - November 2017
Amount:
$187.50

Component Description:
Warehouse storage - June 2018
Amount:
$308.33
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Dumpster service at site
Amount:
$225.00

Component Description:
Dumpster service at site
Amount:
$150.00

Component Description:
Dumpster service at site
Amount:
$225.00

Component Description:
Dumpster service at site
Amount:
$75.00

Component Description:
Dumpster service at site
Amount:
$300.00

Component Description:
Dumpster service at site
Amount:
$312.50
Non-zoning permits Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Facility Notification
Amount:
$2,385.00

Component Description:
Medical Facility Notice
Amount:
$2,164.00
FCC Filing Fees - Form 2100 minor change CP application

Component Description:
Prepare Minor Modification of CP Application
Amount:
$2,500.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Manbasket rental
Amount:
$264.97

Component Description:
KTVX share of Equipment and Delivery costs May 2018
Amount:
$425.00

Component Description:
Equipment transport - May 2018 Please see FCC Incentive auction repack reimbursement request and explanation. Invoice date updated.
Amount:
$425.00

Component Description:
Equipment delivery and handling - November 2017
Amount:
$56.66

Component Description:
Reach lift man basket rental from 05/14/18-08/06/18.
Amount:
$264.97

Component Description:
Equipment handling and transportation - July 2018
Amount:
$70.83

Component Description:
Transport of Reach Forklift up mountain
Amount:
$40.83

Component Description:
Equipment delivery and handling - September 2018
Amount:
$99.16

Component Description:
Split invoice between KTVX & KUCW for station specific equipment delivery to tower site
Amount:
$225.00

Component Description:
KTVX specific freight costs for delivery to tower site.
Amount:
$450.00

Component Description:
Equipment delivery and handling - June 2018 DTV Group radio parts
Amount:
$100.00

Component Description:
Equipment delivery and handling - December 2017
Amount:
$100.00

Component Description:
Forklift equipment rental 09/19/17 - 10/17/17
Amount:
$503.82

Component Description:
Reach lift man basket rental from 08/06/18 to 10/01/18.
Amount:
$176.98

Component Description:
Equipment delivery and handling - January 2018
Amount:
$14.16

Component Description:
Equipment delivery and handling - April 2018
Amount:
$42.50

Component Description:
Split invoice between KTVX & KUCW station specific freight charges for delivery to tower site.
Amount:
$225.00

Component Description:
Forklift Rental 5/14/2018 to 8/06/2018. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$1,553.69

Component Description:
Equipment delivery and handling - May 2018 - antenna combining system
Amount:
$68.75

Component Description:
Equipment delivery and handling - Antenna Equipment
Amount:
$28.33

Component Description:
Howe Rental Forklift Payments 10/17/17 to 11/14/17 and 11/14/17 to 12/12/17 paid by KSL
Amount:
$955.98

Component Description:
Equipment delivery and handling - May 2018 - antenna combining system
Amount:
$68.75

Component Description:
Equipment delivery and handling - September 2017
Amount:
$70.83

Component Description:
Forklift Rental 8/06/2018 to 10/01/2018. Please see FCC Incentive auction repack reimbursement request and explanation.
Amount:
$1,020.24

Component Description:
Equipment handling and transportation - July 2018
Amount:
$517.08

Component Description:
Equipment handling and transportation - KTVX radio parts
Amount:
$450.00

Component Description:
Equipment delivery and handling - August 2018
Amount:
$62.50

Component Description:
Equipment delivery and handling - December 2017
Amount:
$42.50

Component Description:
Split invoice between KTVX & KUCW station specific freight charges for delivery to tower site.
Amount:
$225.00

Component Description:
Equipment delivery and handling - February 2018
Amount:
$14.16

Component Description:
Forklift equipment rental 10/01/18 - 10/31/18
Amount:
$385.58

Component Description:
Equipment delivery and handling - December 2018
Amount:
$28.33

Component Description:
Equipment delivery and handling - October 2017
Amount:
$77.91

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,402,473.54 $2,632,192.11 $1,736,202.90

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


08/27/2021

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


08/27/2021

Attachments

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