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:
24813
Service:
DTV
Call Sign:
WFXR
Channel:
36 (UHF)
File Number:
0000028751
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. No
Briefly describe transition plan Replace transmitter, antenna and line, moving to top of tower. Map and analyze tower; design and implement modifications if required. See attached.

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 Sigma CD2300P3
Year 2007
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 30 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-24 37 kW ATSC
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 37 kW
Justification for New Transmitter The manufacturer of the existing IOT transmitter advises that the transmitter cannot be re-tuned to the assigned channel. See attached quotes.

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 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 100.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter electrical and installation

Transmitter electrical and installation

Additional Interior RF System

Interior RF System Existing Transmitter to Interim Transmission line

Additional Transmitter Costs

Additional Transmitter Costs

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change 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 Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 695.0 kW
Manufacturer
Model TFU-22JSC-R C180SP
Year 2007

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 Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 923.0 kW
Manufacturer
Model TFU-21ETT/VP-R 4C180
Year 2018
Justification for New Antenna The existing primary antenna is a single channel slotted coaxial which cannot accommodate the assigned channel. Moving side to top mount. Use existing as Interim.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 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

Information not provided.

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 135 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 Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 230 feet per run
Justification for New Transmission Line Moving from side to new top mount. Need new line for new antenna. Use existing antenna and line as Interim

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? Terrain Constrained
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? No
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 37° 11' 47.7" N-
Longitude (NAD83) 080° 09' 14.6" W-
Overall Structure Height 184.00 feet
Support Structure Height 184.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 3733.00 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Nexstar Broadcasting, Inc.
Date Constructed 01/01/2007


Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Terrain constrained
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Weather Delays

Weather Delays

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 279
Explanation Schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects. Internal accounting and Project management.
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 No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 14
Justification It will be necessary to survey the site, plan the equipment, develop specifications for purchasing, and oversee multiple vendor RF projects. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Prepare engineering portion of minor modification to CP application

Prepare engineering portion of minor modification to CP application

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

Fence Replacement

Security fence around guy wires had to be removed to allow crane correct access for antenna installation and subsequently replaced

Equipment Rentals

Equipment Rentals

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,826,199.00 $1,136,999.00 N/A $931,499.00 N/A
Total for all systems $3,038,921.00 $1,863,792.20 N/A $1,501,170.14 N/A
Primary Transmitter THU9evo-24 37 kW ATSC $1,826,199.00 $1,136,999.00 $931,499.00
Additional Transmitter Costs $11,249.00 $11,249.00 See Rohde & Schwarz quote 199610.2 $11,249.00 N/A
Additional Interior RF System $140,000.00 $140,000.00 N/A $0.00 N/A
Transmitter electrical and installation $133,000.00 $133,000.00 See Land Communications Estimate #1030 $133,000.00 N/A
3" Rigid Conduit and Wiring (Cost per foot) $5,200.00 $4,900.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $24,300.00 N/A $0.00 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A $0.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $787,250.00 Cost revised from $1,360,075 down to $787250. See Rohde & Schwarz quote 159120.4 attached. $787,250.00 N/A

Components

Actual Information Description File Name
Additional Transmitter Costs

Component Description:
Additional transmitter costs
Amount:
$11,249.00
Additional Interior RF System Information not provided.
Transmitter electrical and installation

Component Description:
Transmitter electrical and installation, installment #1
Amount:
$66,500.00

Component Description:
Transmitter electrical and installation, installment #2
Amount:
$66,500.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Transmitter, installment #1
Amount:
$196,812.50

Component Description:
Transmitter, installment #2
Amount:
$511,712.50

Component Description:
Transmitter, installment #3
Amount:
$78,725.00

Component Description:
Transmitter, installment #2
Amount:
$511,712.50

Component Description:
Remove request pending confirmation of delivery
Amount:
($511,712.50)

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $308,530.00 $210,981.00 N/A $210,981.00 N/A
Total for all systems $3,038,921.00 $1,863,792.20 N/A $1,501,170.14 N/A
Primary Antenna TFU-21ETT/VP-R 4C180 $308,530.00 $210,981.00 $210,981.00
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $194,283.00 See Dielectric quote DMS138-2; antenna cost $212,808 less vpol ($18,525) which is an upgrade and not reimbursable. $194,283.00 N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,298.00 Cost reduced from $11700 to $10298 per Dielectric quote DMS138-2. $10,298.00 N/A

Components

Actual Information Description File Name
Sweep test of existing antenna

Component Description:
Sweep test
Amount:
$6,400.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Main antenna, balance due
Amount:
$19,428.30

Component Description:
Main antenna, installment #2, line 1 of invoice
Amount:
$87,427.35

Component Description:
Main antenna, installment #1, line 1 of invoice
Amount:
$87,427.35
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Elbow complex, balance due
Amount:
$1,029.80

Component Description:
Elbow complex, installment #1, line 3 of invoice
Amount:
$4,634.10

Component Description:
Elbow complex, installment #2, line 3 of invoice
Amount:
$4,634.10

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 $46,460.00 $35,375.20 N/A $35,375.20 N/A
Total for all systems $3,038,921.00 $1,863,792.20 N/A $1,501,170.14 N/A
Primary Transmission Line $46,460.00 $35,375.20 $35,375.20
Rigid Transmission Line - copper, 6 1/8" $46,460.00 $35,375.20 See Dielectric quote DMS138-2. $35,375.20 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Transmission line, balance due
Amount:
$3,537.52

Component Description:
Transmission line, installment #1, line 4 of invoice
Amount:
$15,918.84

Component Description:
Transmission line, installment #2, line 4 of invoice
Amount:
$15,918.84

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 $608,900.00 $236,402.00 N/A $216,902.00 N/A
Total for all systems $3,038,921.00 $1,863,792.20 N/A $1,501,170.14 N/A
Primary Tower TOWER $608,900.00 $236,402.00 $216,902.00
Weather Delays $3,600.00 $3,600.00 See Precision Addendum to Proposal 19365-5 $3,600.00 N/A
Minor tower reinforcement/modifications $158,000.00 $108,202.00 See PCI Proposal 19365-5 and FDH Infrastructure materials Proposal P18_330006_001A $108,202.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 N/A $5,500.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $99,600.00 See PCI Proposal 19366-5 $99,600.00 N/A

Components

Actual Information Description File Name
Weather Delays

Component Description:
Weather delays
Amount:
$3,600.00
Minor tower reinforcement/modifications

Component Description:
Structural modification materials, installment #2
Amount:
$4,601.00

Component Description:
Tower modifications, installment #2
Amount:
$33,000.00

Component Description:
Tower modifications, installment #1
Amount:
$66,000.00

Component Description:
Structural modification materials, installment #1
Amount:
$4,601.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Structural analysis, installment #2
Amount:
$2,750.00

Component Description:
Structural analysis, installment #1
Amount:
$2,750.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Antenna installation, installment #2
Amount:
$33,200.00

Component Description:
Antenna installation, installment #1
Amount:
$66,400.00

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 $105,292.00 $101,100.00 N/A $32,988.30 N/A
Total for all systems $3,038,921.00 $1,863,792.20 N/A $1,501,170.14 N/A
Outside Professional Services $105,292.00 $101,100.00 $32,988.30
Prepare engineering portion of minor modification to CP application $2,500.00 $2,500.00 See Osborn invoice 32757; minor modification to CP permit application needed to decrease center of radiation height by 6.6m and increase the ERP by 21kW to compensate for the reduced antenna height. $2,500.00 N/A
Additional Field Engineering Service, 14 Days $28,000.00 $28,000.00 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 -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 $625.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $3,000.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $7,000.00 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 $2,500.00 N/A
Project management of the transition $44,082.00 $41,850.00 N/A $17,363.30 N/A

Components

Actual Information Description File Name
Prepare engineering portion of minor modification to CP application

Component Description:
Minor Modification of CP Application
Amount:
$2,500.00
Additional Field Engineering Service, 14 Days Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - 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

Component Description:
Prepare License to Cover Application
Amount:
$625.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
KGA subcontractor invoice line 3
Amount:
$3,000.00

Component Description:
Prepare engineering section of Form 2100, item 4 from invoice summary
Amount:
$3,000.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Perform engineering study for new channel assignment, item 3 from invoice summary
Amount:
$7,000.00

Component Description:
KGA subcontractor invoice line 2
Amount:
$7,000.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
KGA subcontractor invoice line 1
Amount:
$2,500.00

Component Description:
Prepare reimbursement form, item 2 from invoice summary
Amount:
$2,500.00
Project management of the transition

Component Description:
Project management services
Amount:
$308.00

Component Description:
Project management services Jun 2019
Amount:
$97.50

Component Description:
Project management services
Amount:
$616.00

Component Description:
Project management services 4.27.19 through 5.31.19
Amount:
$150.00

Component Description:
Project management services February 2019
Amount:
$214.50

Component Description:
Project management services
Amount:
$2,980.00

Component Description:
Project management services March 2019
Amount:
$110.50

Component Description:
Project management services 5.26.18 through 6.29.18
Amount:
$600.00

Component Description:
Project management services 1.1.18 through 1.26.18
Amount:
$150.00

Component Description:
Project management services 10.27.18 through 12.31.18
Amount:
$600.00

Component Description:
Project management services April 2019
Amount:
$39.00

Component Description:
Project management services, item 8 from invoice summary
Amount:
$2,612.00

Component Description:
Project management services 3.30.19 through 4.26.19
Amount:
$150.00

Component Description:
In house printing and reproductions relating to project management, item 9 from invoice summary
Amount:
$2.30

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

Component Description:
Prepare FCC Schedule 387, item 5 from invoice summary
Amount:
$300.00

Component Description:
Project management services, item 1 from invoice summary
Amount:
$3,300.00

Component Description:
Project management services
Amount:
$1,185.00

Component Description:
Prepare FCC Schedule 387, item 7 from invoice summary
Amount:
$150.00

Component Description:
Project management services
Amount:
$260.00

Component Description:
Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates. Services from May 27, 2017 through June 30, 2017.
Amount:
$1,000.00

Component Description:
Project management services May 2019
Amount:
$78.00

Component Description:
Project management services
Amount:
$50.00

Component Description:
Project management services 6.1.19 through 6.28.19
Amount:
$1,875.00

Component Description:
Project management services
Amount:
$2,980.00

Component Description:
Prepare FCC Schedule 387, item 6 from invoice summary
Amount:
$150.00

Component Description:
Project management services
Amount:
$785.50

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

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $143,540.00 $142,935.00 N/A $73,424.64 N/A
Total for all systems $3,038,921.00 $1,863,792.20 N/A $1,501,170.14 N/A
Other Expenses $143,540.00 $142,935.00 $73,424.64
Equipment Rentals $9,000.00 $9,000.00 See related invoices; forklift, crane and toilets required during installations $8,686.85 N/A
Fence Replacement $10,850.00 $10,850.00 See Sam Fencing Quote 690/19 $10,850.00 N/A
MVPD Notification of Channel Change $2,000.00 $2,000.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $3,500.00 $3,500.00 N/A N/A N/A
Equipment Storage $25,000.00 $25,000.00 N/A N/A N/A
Equipment Delivery and Handling Charges $30,000.00 $30,000.00 See related invoices $29,847.79 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $25,000.00 $25,000.00 N/A $21,200.00 N/A
Non-zoning permits $25,000.00 $25,000.00 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 1% loss station will file in the first priority window. Should be a reimbursed expense. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $2,840.00 N/A

Components

Actual Information Description File Name
Equipment Rentals

Component Description:
Forklift rental
Amount:
$3,380.01

Component Description:
Crane and forklift charges from tower company
Amount:
$5,121.00

Component Description:
Toilet rental
Amount:
$77.92

Component Description:
Toilet rental
Amount:
$107.92
Fence Replacement

Component Description:
Fence replacement
Amount:
$10,850.00
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges

Component Description:
Consolidation services
Amount:
$18,814.00

Component Description:
Antenna freight cost
Amount:
$6,883.75

Component Description:
Freight charges
Amount:
$4,150.04

Component Description:
Antenna shipping cost
Amount:
$4,150.04
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
50% of cost due on acceptance of quote;
Amount:
$10,000.00

Component Description:
Dumpster costs
Amount:
$1,200.00

Component Description:
Transmitter disposal services balance due
Amount:
$10,000.00

Component Description:
Removal services provided March 2018, balance due on completion
Amount:
$10,000.00
Non-zoning permits 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:
Notification of Medical Facilities
Amount:
$2,840.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,038,921.00 $1,863,792.20 $1,501,170.14

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

Attachments

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