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:
40861
Service:
DTV
Call Sign:
WPXS
Channel:
13 (High VHF)
File Number:
0000028082
FRN:
0001843697
Date Submitted:
08/23/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WORD OF GOD FELLOWSHIP, INC.

Doing Business As: WORD OF GOD FELLOWSHIP, INC.

Arnold Torres

3901 HIGHWAY 121 S

BEDFORD, TX 76021

United States

+1 (817) 571-1229 ARNOLD.TORRES@DAYSTAR.COM 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

Samuel Hariton

Engineer

Word of God Fellowship, Inc.

Samuel Hariton

4031 University Drive

Ste 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.com

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 Coordinate with new tower owner and other Broadcasters in area; transition during assigned phase. Station will move from existing leased site to another leased tower site. No interim facility will be built.

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 UTX10K
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 4.3 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 TXVD10000AAC B3
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 10 kW
Justification for New Transmitter Current transmitter cannot be retuned to new antenna at allotted power level. Existing transmitter will remain on air on pre-auction channel during transition. New transmitter must be VHF, current is UHF.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 500 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 150.0 feet
Other Electrical Service Yes
Description In an abundance of caution, we believe that there may be some incidental expenses.
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 20 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

Primary Transmitter - Additional Parts

Primary Transmitter - Additional Parts

Primary Transmitter - Installation

Primary Transmitter - Installation

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Other
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 Single Channel Reflector Array
ERP: 350.0 kW
Manufacturer
Model PR-TV Array
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? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Circular
Type Other
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 Cavity Back Resonator side mounted
ERP: 160.0 kW
Manufacturer
Model SWCBRR9-9-0/13-CP
Year 2017
Justification for New Antenna Old antenna cannot be retuned to new frequency or power level. Old antenna is UHF new must be VHF. Existing antenna will remain in use until transition is complete.

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? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Antenna Shipping

Shipping of antenna from Ebensburg, PA to New Athens. IL.

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 Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 330 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? Yes
Type Flexible Air
Diameter 3 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 450 feet per run
Justification for New Transmission Line Station is changing tower sites (location). Pre- auction channel will continue operation. No interim channel will be built.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Hanger clips and various line hangers

Hanger clips and various line hangers list and prices included in uploaded attachment.

Flanges

Heliax connectors list and prices included in uploaded attachment

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 Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1008657
Coordinates (NAD83) Latitude (NAD83) 38° 41' 19.0" N-
Longitude (NAD83) 089° 33' 38.0" W-
Overall Structure Height 304.13 feet
Support Structure Height 299.87 feet
Ground Elevation Above Mean Sea Level (AMSL) 507.87 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner TOWERS OF KLL, LLC
Date Constructed 12/01/1997


Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Remove Pre-Auction Channel antenna, line and transmitter.

Removal of Pre Auction Equipment.

Removal of prefabricated transmitter building hut.

Removal and disposal of prefab structure containing pre-auction equipment.

Primary Tower

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Add 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? No
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1008634
Coordinates (NAD83) Latitude (NAD83) 38° 21' 53.6" N-
Longitude (NAD83) 089° 53' 23.5" W-
Overall Structure Height 375.00 feet
Support Structure Height 310.04 feet
Ground Elevation Above Mean Sea Level (AMSL) 481.95 feet
Structure Type LTOWER - Lattice Tower
Tower Owner American Towers, LLC.
Date Constructed 12/07/1964


Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

American Tower Project management of the transition

American Tower Project management of the transition

Ground and Building A and E Permit Drawing Package

Ground and Building A and E Permit Drawing Package

Site Coordination Meeting

Site Coordination Meeting

Tower Permit Drawing Package

Tower Permit Drawing Package

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 595
Explanation WPXS requires outside project management to fulfill repack requirements, since it does not have sufficient resource capacity and expertise in house to handle all activities necessary for completion of the station's build by the construction deadline.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
ASR Modification Yes
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 No
RF exposure measurements Yes
Additional Field Engineering Service Yes
Number of Days 10
Justification Installation of transmitter and supervision of antenna installation.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $550,030.07 $492,646.07 N/A $211,830.67 N/A
Total for all systems $1,476,962.40 $1,204,809.40 N/A $509,532.73 N/A
Primary Transmitter TXVD10000AAC B3 $550,030.07 $492,646.07 $211,830.67
Primary Transmitter - Additional Parts $134.08 $134.08 Please see WPXS Primary Transmitter Additional Parts Budget Justification Letter $134.08 N/A
Other Electrical Service: In an abundance of caution, we believe that there may be some incidental expenses. $5,000.00 $5,000.00 N/A N/A N/A
3" Rigid Conduit and Wiring (Cost per foot) $7,800.00 $7,350.00 N/A N/A N/A
Transformer 3 phase/480v - 500 KVA $48,400.00 $46,000.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $0.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $13,700.00 N/A $0.00 N/A
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $331,500.00 $279,566.00 N/A $107,100.60 N/A
Primary Transmitter - Installation $10,905.99 $10,905.99 Please see Estimated Cost Justification WPXS-110-1st Primary Transmitter - Installation v3 $10,905.99 N/A
Other -- HVAC Service Type: C Size:20 (Other) $93,690.00 $93,690.00 see Estimated Cost Justification WPXS-110-1st Primary Transmitter - 20 Ton HVAC v0 $93,690.00 N/A

Components

Actual Information Description File Name
Primary Transmitter - Additional Parts

Component Description:
WPXS-110-1st Primary Transmitter - Additional Parts
Amount:
$134.08
Other Electrical Service: In an abundance of caution, we believe that there may be some incidental expenses. Information not provided.
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 500 KVA Information not provided.
Switchgear - industrial 800 amp Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
Elettronika TXVD10.000AAC
Amount:
$105,374.00

Component Description:
Shipping and Handling from Miami to Asland, KY
Amount:
$1,726.60
Primary Transmitter - Installation

Component Description:
Work on the new WPXS TV station
Amount:
$1,250.00

Component Description:
Repack travel expenses and supplies
Amount:
$2,594.47

Component Description:
WPXS Repack Contract Labor
Amount:
$956.25

Component Description:
Labor
Amount:
$674.88

Component Description:
Repack travel expenses and supplies
Amount:
$2,008.73

Component Description:
Removed rack from KUMO location
Amount:
$1,921.90

Component Description:
Perform final network configuration
Amount:
$150.00

Component Description:
Labor
Amount:
$1,349.76
Other -- HVAC Service Type: C Size:20 (Other)

Component Description:
Capital Contribution- Freeburg
Amount:
$93,690.00

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 $255,380.00 $205,330.00 N/A $169,980.00 N/A
Total for all systems $1,476,962.40 $1,204,809.40 N/A $509,532.73 N/A
Primary Antenna SWCBRR9-9-0/13-CP $255,380.00 $205,330.00 $169,980.00
Antenna Shipping $7,500.00 $7,500.00 N/A N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $14,450.00 N/A $14,200.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
High-VHF, One station antenna . side mount,, elliptically or circularly polarized $218,000.00 $176,980.00 Please see SWR quote 18272-04 $155,780.00 N/A

Components

Actual Information Description File Name
Antenna Shipping Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
WPXS-210-Primary Antenna - Side Mount Brackets
Amount:
$14,200.00
Sweep test of existing antenna Information not provided.
High-VHF, One station antenna . side mount,, elliptically or circularly polarized

Component Description:
medium power cavity backed resonator TV transmit antenna
Amount:
$155,780.00

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 $53,229.59 $44,719.59 N/A $34,061.86 N/A
Total for all systems $1,476,962.40 $1,204,809.40 N/A $509,532.73 N/A
Primary Transmission Line $53,229.59 $44,719.59 $34,061.86
Flanges $3,388.32 $3,388.32 N/A $3,388.32 N/A
Hanger clips and various line hangers $23,291.27 $23,291.27 N/A $12,633.54 N/A
Flexible Air Transmission Line - dielectric, 3" $26,550.00 $18,040.00 N/A $18,040.00 N/A

Components

Actual Information Description File Name
Flanges

Component Description:
WPXS-310-Primary Transmission Line - Flanges
Amount:
$3,388.32
Hanger clips and various line hangers

Component Description:
WPXS-310-Primary Transmission Line - Hanger Clips and Line Hangers
Amount:
$12,633.54
Flexible Air Transmission Line - dielectric, 3"

Component Description:
WPXS-310-Primary Transmission Line - 3" Flexible Air Dielectric
Amount:
$18,040.00

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 $395,380.00 $251,855.00 N/A $1,600.00 N/A
Total for all systems $1,476,962.40 $1,204,809.40 N/A $509,532.73 N/A
Primary Tower LTOWER $276,180.00 $136,855.00 $0.00
Minor tower reinforcement/modifications $158,000.00 $25,000.00 N/A N/A N/A
Ground and Building A and E Permit Drawing Package $4,700.00 $4,700.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $10,475.00 N/A N/A N/A
Short Tower (less than 500') $84,200.00 $80,000.00 N/A N/A N/A
Site Coordination Meeting $2,500.00 $2,500.00 N/A N/A N/A
American Tower Project management of the transition $9,480.00 $9,480.00 N/A N/A N/A
Tower Permit Drawing Package $4,700.00 $4,700.00 N/A N/A N/A
Primary Tower TOWER $119,200.00 $115,000.00 $1,600.00
Short Tower (less than 500') $84,200.00 $80,000.00 N/A $0.00 N/A
Removal of prefabricated transmitter building hut. $10,000.00 $10,000.00 N/A N/A N/A
Remove Pre-Auction Channel antenna, line and transmitter. $25,000.00 $25,000.00 N/A $1,600.00 N/A

Components

Actual Information Description File Name
Minor tower reinforcement/modifications Information not provided.
Ground and Building A and E Permit Drawing Package Information not provided.
Structural engineering tower load study for well documented tower Information not provided.
Short Tower (less than 500') Information not provided.
Site Coordination Meeting Information not provided.
American Tower Project management of the transition Information not provided.
Tower Permit Drawing Package Information not provided.
Short Tower (less than 500') Information not provided.
Removal of prefabricated transmitter building hut. Information not provided.
Remove Pre-Auction Channel antenna, line and transmitter.

Component Description:
RF Engineering
Amount:
$400.00

Component Description:
2 Climbers to remove Antenna
Amount:
$1,200.00

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 $191,020.00 $182,425.00 N/A $75,320.45 N/A
Total for all systems $1,476,962.40 $1,204,809.40 N/A $509,532.73 N/A
Outside Professional Services $191,020.00 $182,425.00 $75,320.45
Project management of the transition $94,010.00 $99,675.00 see Estimated Cost Justification WPXS-510-Project Management v0 $74,893.45 N/A
Additional Field Engineering Service, 10 Days $20,000.00 $20,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $10,000.00 N/A 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 $2,000.00 N/A N/A N/A
ASR modification (prepare FCC Form 854) $2,105.00 $2,000.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $10,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $6,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $4,000.00 N/A $427.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
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 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project management
Amount:
$5,929.25

Component Description:
Project Management
Amount:
$2,921.20

Component Description:
Project Management
Amount:
$4,139.70

Component Description:
Project Management
Amount:
$1,032.65

Component Description:
Project Management
Amount:
$1,620.15

Component Description:
Project Management
Amount:
$1,824.10

Component Description:
Project Management
Amount:
$2,973.15

Component Description:
Project management
Amount:
$3,914.15

Component Description:
Project Management
Amount:
$1,627.10

Component Description:
Project Management
Amount:
$1,710.15

Component Description:
Project Management
Amount:
$1,528.75

Component Description:
Project Management
Amount:
$2,587.45

Component Description:
Project Management
Amount:
$1,514.90

Component Description:
Project Management
Amount:
$1,563.20

Component Description:
Project Management
Amount:
$1,962.25

Component Description:
Project Management
Amount:
$4,292.75

Component Description:
Project Management
Amount:
$2,565.10

Component Description:
Project Management
Amount:
$1,770.10

Component Description:
Project Management
Amount:
$3,684.20

Component Description:
Project Management
Amount:
$4,124.25

Component Description:
Project Management
Amount:
$2,389.35

Component Description:
Project Management
Amount:
$26.40

Component Description:
Project Management
Amount:
$2,114.85

Component Description:
Project Management
Amount:
$1,288.65

Component Description:
Project Management
Amount:
$1,721.70

Component Description:
Project Management
Amount:
$1,803.40

Component Description:
Project Management
Amount:
$1,519.30

Component Description:
Project Management
Amount:
$3,537.30

Component Description:
Project Management
Amount:
$7,207.95
Additional Field Engineering Service, 10 Days Information not provided.
RF Exposure Measurements Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet Information not provided.
NEPA Section 106 environmental review, if needed Information not provided.
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:
For Professional Services Rendered
Amount:
$74.50

Component Description:
For Professional Services Rendered
Amount:
$139.00

Component Description:
For Professional Services Rendered
Amount:
$69.50

Component Description:
For Professional Services Rendered
Amount:
$69.50

Component Description:
For Professional Services Rendered
Amount:
$74.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit 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 Information not provided.
Prepare and or review reimbursement form Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application 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 $31,922.74 $27,833.74 N/A $16,739.75 N/A
Total for all systems $1,476,962.40 $1,204,809.40 N/A $509,532.73 N/A
Other Expenses $31,922.74 $27,833.74 $16,739.75
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 N/A $112.01 N/A
Equipment Delivery and Handling Charges $4,848.94 $4,848.94 please see Estimated Cost Justification WPXS-610-Equipment Delivery and Handling Charges v1 $4,848.94 N/A
Local Zoning $750.00 $750.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $7,516.00 per DTV Notification estimate EST-001719 $7,516.00 N/A
MVPD Notification of Channel Change $4,133.80 $4,133.80 per DTV Notification estimate EST-001720 $4,133.80 N/A
Develop and air announcement of upcoming channel change $500.00 $500.00 N/A N/A N/A
Equipment Storage $3,500.00 $3,500.00 N/A $129.00 N/A

Components

Actual Information Description File Name
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
WPXS-610-Disposal Costs
Amount:
$112.01
Equipment Delivery and Handling Charges

Component Description:
8k-9k 42' Cab shooting boom forklift
Amount:
$89.39

Component Description:
Rental fixed
Amount:
$779.50

Component Description:
STATE RECOVERY FEE
Amount:
$536.16

Component Description:
WPXS equipment installation
Amount:
$194.80

Component Description:
Toll Rebill
Amount:
$18.35

Component Description:
STATE RECOVERY FEE
Amount:
$779.50

Component Description:
Weekly Rental
Amount:
$779.50

Component Description:
Rental Fixed
Amount:
$779.50

Component Description:
DEFADD
Amount:
$112.74

Component Description:
Rental Fixed
Amount:
$779.50
Local Zoning Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
DTV Notification Service
Amount:
$7,516.00
MVPD Notification of Channel Change

Component Description:
MVPD Notification Services
Amount:
$4,133.80
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
WPXS-610-Equipment Storage
Amount:
$129.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,476,962.40 $1,204,809.40 $509,532.73

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. Yes
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.

Arnold Torres

Business Administrator


08/23/2021

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.

Arnold Torres

Business Administrator


08/23/2021

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information 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 and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. 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.

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

  6. 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.

Arnold Torres

Business Administrator


08/23/2021

Attachments

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