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:
51491
Service:
DTV
Call Sign:
KPTM
Channel:
26 (UHF)
File Number:
0000028839
FRN:
0018608190
Date Submitted:
12/10/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KPTM LICENSEE, LLC

Doing Business As: KPTM LICENSEE, LLC

Harvey Arnold

10706 Beaver Dam Road

Cockeysville, MD 21030

United States

+1 (410) 568-1500 fcccontacts@sbg.com Limited Liability Company

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

Paul A. Cicelski , Esq .

Lerman Senter PLLC

Paul Cicelski

2001 L Street NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6756 pcicelski@lermansenter.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. Yes
Briefly describe transition plan See Exhibit A.

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 Quantum QDC2 ESC
Year 2006
Type Inductive Output Tube
IOT Power Type Two
Power Capacity 50 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-36
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 55 kW
Justification for New Transmitter Per the manufacturer, the current transmitter cannot be retuned. See Exhibit B.

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 2 inches
Length 800.0 feet
Other Electrical Service Yes
Description UHF inside RF system including switching
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

Other Costs

Other Costs

Fabrication for Liquid Cooled Transmitter

Fabrication for Liquid Cooled Transmitter

Additional Site Requirements

Additional Site Requirements

Electrical Gutter

Electrical Gutter

Asbestos Testing

Asbestos Testing

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? Yes
Is the existing antenna directional? No
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 Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 64
Design power capacity in use 24.0 %
Lower Limit 476.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 700.0 kW
Manufacturer Electronics Research Inc.
Model ETU-P4H16-(15-51)
Year 2005

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

Facility ID Call Sign
23277 KXVO

Primary Antenna

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Adjustment to Existing Antenna

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

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A

Enter a list of RF channel numbers.

RF Channel Number
26
29

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Installation

Installation

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? Yes
Is the existing antenna directional? No
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 Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 64
Design power capacity in use 24.0 %
Lower Limit 476.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 700.0 kW
Manufacturer
Model ETU-P4H16-(15-51)
Year 2005

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

Facility ID Call Sign
23277 KXVO

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? Yes
Is antenna directional? No
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: 1000.0 kW
Manufacturer
Model TFU-32GTH/VP-R O8 SP
Year 2021
Justification for New Antenna The current antenna is unsupported by ERI and ERI would not guarantee proper phasing. Which would certify the antenna is 100% operational on the two repack channels.

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? Broadband
Feed Line Size 8 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Mounting Adapter

Mounting Adapter

Antenna Input

Antenna Input

Test Transition

Test Transition

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 2
Number of Panels/Bays 24
Lower Limit 470.00 MHz
Upper Limit 608.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 800.0 kW
Manufacturer
Model TFU-24WB/VP-R HP C160
Year 2021
Justification for New Antenna The antenna is needed to keep the two stations on the air while the main antenna is replaced.

Interim 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? B
Feed Line Size 8 3/16 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

Test Transition

Test Transition

Antenna Input

Antenna Input

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer ERI
Type Rigid
Diameter 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 2
Length 1645 feet per run

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

Facility ID Call Sign
23277 KXVO

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Rigid Transmission Line - Copper

Rigid Transmission Line - Copper

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1026025
Coordinates (NAD83) Latitude (NAD83) 41° 04' 15.9" N-
Longitude (NAD83) 096° 13' 32.3" W-
Overall Structure Height 1522.29 feet
Support Structure Height 1450.44 feet
Ground Elevation Above Mean Sea Level (AMSL) 1213.24 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Sinclair Television of Omaha, LLC
Date Constructed 11/01/2005

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
34435 KVSS FM
23277 KXVO DTV

Other Types of Users

Users
Sarpy County 91
FBI
Cass County 911

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: No reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 400
Explanation Outside consulting engineering, legal work, and accounting services, as well as project management for regional and comprehensive repack execution.
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 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 Yes
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Sinclair Internal Costs

Internal Employee Time Costs

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

Tax

Tax

True-up

True-up

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $3,648,604.86 $1,147,816.19 N/A $1,089,800.19 N/A
Total for all systems $4,977,655.85 $2,357,267.11 N/A $2,103,832.09 N/A
Primary Transmitter THU9evo-36 $3,648,604.86 $1,147,816.19 $1,089,800.19
Other Costs $51,990.09 $51,990.09 Updated cost of estimated amount per FCC requirement. $51,990.09 N/A
Other Electrical Service: UHF inside RF system including switching $207,863.89 $207,863.89 N/A $192,902.89 N/A
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $20,000.00 N/A $13,245.00 N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $44,450.00 See quote attached. $44,450.00 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $604,734.47 N/A $604,734.47 N/A
Additional Site Requirements $29,245.66 $29,245.66 N/A $29,245.66 N/A
Fabrication for Liquid Cooled Transmitter $80.22 $80.22 N/A $80.22 N/A
Asbestos Testing $200.00 $200.00 N/A $200.00 N/A
Electrical Gutter $2,425.00 $2,425.00 N/A $2,425.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $150,526.86 ***System Notice: Estimate adjusted and locked because line has been superseded.***See Response to September 6 Inquiry. $150,526.86 Second item should be removed as we've uploaded new version.

Components

Actual Information Description File Name
Other Costs

Component Description:
Building Renovation for Transmitter Installation. #397
Amount:
$7,815.09

Component Description:
Transmitter related cost. #J014290
Amount:
$2,299.00

Component Description:
Asbestos Testing. #392
Amount:
$200.00

Component Description:
Renovation for transmitter installation. #20559
Amount:
$1,400.00

Component Description:
Transmitter related cost. #2019-01925
Amount:
$972.00

Component Description:
Transmitter related cost. #J012885
Amount:
$39,504.00
Other Electrical Service: UHF inside RF system including switching

Component Description:
Transmitter related cost. #3090831
Amount:
$4,680.24

Component Description:
Transmitter related cost. #002913
Amount:
$14,961.00

Component Description:
RF System cost. #002259
Amount:
$188,222.65
2" Rigid Conduit and Wiring (Cost per foot)

Component Description:
Transmitter related cost. #1864
Amount:
$2,550.00

Component Description:
New transmitter building lights. #1845
Amount:
$5,770.00

Component Description:
Transmitter related cost. #1950
Amount:
$4,925.00

Component Description:
Transmitter related cost. #1845
Amount:
$5,770.00
Transformer 3 phase/480v - 300 KVA

Component Description:
Transmitter related cost. #2121
Amount:
$44,450.00
Switchgear - industrial 800 amp Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
Transmitter related cost. #19-0518
Amount:
$900.00

Component Description:
Transmitter related cost. #190407
Amount:
$990.00

Component Description:
Transmitter cost, reimbursable balance plus tax. #9500080461
Amount:
$601,619.47

Component Description:
Resubmitted under Electrical Gutter. #1942
Amount:
N/A

Component Description:
Transmitter related cost. #19-0478
Amount:
$1,225.00

Component Description:
Transmitter related cost. #19-0478
Amount:
$1,225.00
Additional Site Requirements

Component Description:
Transmitter related cost. #9500113216
Amount:
$29,245.66
Fabrication for Liquid Cooled Transmitter

Component Description:
Fabrication cost. #69160
Amount:
$80.22
Asbestos Testing

Component Description:
Asbestos testing cost. #392
Amount:
$200.00
Electrical Gutter

Component Description:
Transmitter related cost. #1942
Amount:
$2,425.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
Transmitter downpayment. #9500074871 - Minus maximization cost.
Amount:
$150,526.86

Component Description:
Transmitter balance. #9500080461
Amount:
$498,201.38

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 $663,252.75 $646,743.76 N/A $646,743.76 N/A
Total for all systems $4,977,655.85 $2,357,267.11 N/A $2,103,832.09 N/A
Interim Antenna TFU-24WB/VP-R HP C160 $131,662.96 $93,854.20 $93,854.20
Antenna Input $2,923.65 $2,923.65 N/A $2,923.65 N/A
Test Transition $2,397.25 $2,397.25 N/A $2,397.25 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $5,023.42 N/A $5,023.42 N/A
Sweep test of existing antenna $6,730.00 $2,867.20 N/A $2,867.20 N/A
UHF - High Power, Side Mount, broadband panel, 24 bay,, 800 kW input, directional,, elliptically or circularly polarized $77,512.06 $77,512.06 N/A $77,512.06 N/A
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $3,130.62 N/A $3,130.62 N/A
Primary Antenna TFU-32GTH/VP-R O8 SP $335,334.31 $292,285.63 $292,285.63
Test Transition $2,397.16 $2,397.16 N/A $2,397.16 N/A
Antenna Input $4,912.10 $4,912.10 N/A $4,912.10 N/A
Mounting Adapter $12,845.05 $12,845.05 N/A $12,845.05 N/A
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $7,459.20 N/A $7,459.20 N/A
Sweep test of existing antenna $6,730.00 $2,867.20 N/A $2,867.20 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $261,804.92 N/A $261,804.92 N/A
Primary Antenna ETU-P4H16-(15-51) $196,255.48 $260,603.93 $260,603.93
Sweep test of existing antenna $6,730.00 $25,351.67 ***System Notice: Estimate adjusted and locked because line has been superseded.***Per ERI quote $25,351.67 N/A
Combiner output splitting/switching for dual feed lines, if applicable $126,000.00 $104,990.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $104,990.00 N/A
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $85,686.78 ***System Notice: Estimate adjusted and locked because line has been superseded.***Per ERI quote $85,686.78 N/A
Installation $44,575.48 $44,575.48 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $44,575.48 N/A

Components

Actual Information Description File Name
Antenna Input

Component Description:
Total invoice amount reduced by 10.40%. #1934586-A
Amount:
$2,923.65
Test Transition

Component Description:
Total invoice amount reduced by 10.40%. #1934586-A
Amount:
$2,397.25
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Total invoice amount reduced by 10.40%. #1934586-A
Amount:
$5,023.42
Sweep test of existing antenna

Component Description:
Total invoice amount reduced by 10.40%. #1934586-A
Amount:
$2,867.20
UHF - High Power, Side Mount, broadband panel, 24 bay,, 800 kW input, directional,, elliptically or circularly polarized

Component Description:
Total invoice amount reduced by 10.40%. #1934586-A
Amount:
$77,512.06
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Total invoice amount reduced by 10.40%. #1934586-A
Amount:
$3,130.62
Test Transition

Component Description:
Total invoice amount reduced by 10.40%. #1934581-A
Amount:
$2,397.16
Antenna Input

Component Description:
Total invoice amount reduced by 10.40%. #1934581-A
Amount:
$4,912.10
Mounting Adapter

Component Description:
Total invoice amount reduced by 10.40%. #1934581-A
Amount:
$12,845.05
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Total invoice amount reduced by 10.40%. #1934581-A
Amount:
$7,459.20
Sweep test of existing antenna

Component Description:
Total invoice amount reduced by 10.40%. #1934581-A
Amount:
$2,867.20
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Total invoice amount reduced by 10.40%. #1934581-A
Amount:
$261,804.92
Sweep test of existing antenna

Component Description:
Sweet test cost. #KPTM-56270
Amount:
$3,096.67

Component Description:
Sweep cost. #KPTM-36722A-1
Amount:
$6,180.00

Component Description:
Sweep test. #KPTM-53022
Amount:
$4,175.00

Component Description:
Sweep cost. #KPTM-36722A
Amount:
$7,725.00

Component Description:
Sweep test costs. #KPTM-001
Amount:
$4,175.00
Combiner output splitting/switching for dual feed lines, if applicable

Component Description:
Combiner/Splitter complex cost. #002242
Amount:
$104,990.00
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Antenna related cost. #KPTM-53022
Amount:
$45,761.43

Component Description:
Elbow complex cost. #53613
Amount:
$2,925.20

Component Description:
Antenna related costs. #KPTM-001
Amount:
$37,000.15
Installation

Component Description:
Installation cost. #KPTM-56270
Amount:
$8,257.78

Component Description:
Installation cost. #KPTM-36722A-1
Amount:
$16,141.20

Component Description:
Installation cost. #KPTM-36722A
Amount:
$20,176.50

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 $45,466.58 $45,466.58 N/A $45,466.58 N/A
Total for all systems $4,977,655.85 $2,357,267.11 N/A $2,103,832.09 N/A
Primary Transmission Line $45,466.58 $45,466.58 $45,466.58
Rigid Transmission Line - Copper $45,466.58 $45,466.58 N/A $45,466.58 N/A

Components

Actual Information Description File Name
Rigid Transmission Line - Copper

Component Description:
Transmission line cost. #KPTM-56270
Amount:
$3,391.60

Component Description:
Transmission line cost. #KPTM-36722A-1
Amount:
$7,321.20

Component Description:
Total invoice amount reduced by 25.40%. #494002
Amount:
$26,589.78

Component Description:
Transmission line cost. #KPTM-36722A
Amount:
$8,164.00

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 $223,100.00 $147,897.00 N/A $147,897.00 N/A
Total for all systems $4,977,655.85 $2,357,267.11 N/A $2,103,832.09 N/A
Primary Tower TOWER $223,100.00 $147,897.00 $147,897.00
Structural engineering tower load study for well documented tower $12,600.00 $7,937.00 N/A $7,937.00 N/A
Tall Tower (greater than 500') $210,500.00 $139,960.00 N/A $139,960.00 N/A

Components

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

Component Description:
Tower study cost. #SIN010271
Amount:
$2,468.50

Component Description:
Tower study. #SIN010260
Amount:
$2,468.50

Component Description:
Tower study. #SIN00263
Amount:
$3,000.00
Tall Tower (greater than 500')

Component Description:
Tower cost. #SIN010296
Amount:
$139,960.00

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 $206,545.84 $179,207.76 N/A $81,809.26 N/A
Total for all systems $4,977,655.85 $2,357,267.11 N/A $2,103,832.09 N/A
Outside Professional Services $206,545.84 $179,207.76 $81,809.26
Sinclair Internal Costs $14,285.84 $14,285.84 N/A $14,285.84 x
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $14,600.00 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
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $0.00 N/A N/A N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $0.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $0.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $221.92 N/A $221.92 x
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 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 $890.62 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,620.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,560.00 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 $3,700.00 Updated cost of the estimated amount per FCC requirement. $3,661.39 N/A
Project management of the transition $63,200.00 $60,000.00 N/A $44,969.49 N/A

Components

Actual Information Description File Name
Sinclair Internal Costs

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 43 stations.
Amount:
$35.82

Component Description:
Internal expense - KPTM - 7-2018
Amount:
$86.97

Component Description:
Internal expense - KPTM - 4-2017
Amount:
$171.36

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$17.02

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$1.69

Component Description:
Internal expense - KPTM - 5-2019
Amount:
$1,884.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 54 stations.
Amount:
$8.64

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 43 stations.
Amount:
$4.60

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$23.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$6.09

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$16.53

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 54 stations.
Amount:
$23.95

Component Description:
Internal expense - KPTM - 2-2019
Amount:
$1,014.65

Component Description:
Internal expense - KPTM - 5-2017
Amount:
$357.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations.
Amount:
$9.79

Component Description:
Internal expense - KPTM - 11-2017
Amount:
$1,627.92

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$1.44

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$32.09

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$9.47

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$15.08

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$7.86

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$8.66

Component Description:
Internal expense - KPTM - 10-2017
Amount:
$214.20

Component Description:
Internal expense - KPTM - 5-2018
Amount:
$695.76

Component Description:
Internal expense - KPTM - 6-2017
Amount:
$442.68

Component Description:
Internal expense - KPTM - 3-2019
Amount:
$2,174.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$26.93

Component Description:
Internal expense - KPTM - 7-2017
Amount:
$99.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$11.03

Component Description:
Internal expense - KPTM - 10-2018
Amount:
$260.91

Component Description:
Internal expense - KPTM - 8-2017
Amount:
$299.88

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$11.39

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations.
Amount:
$41.33

Component Description:
Internal expense - KPTM - 8-2018
Amount:
$86.97

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 35 stations.
Amount:
$5.25

Component Description:
Portion of general repack matter internal time card attributable to this station - divided by 100.
Amount:
$66.55

Component Description:
Internal expense - KPTM - 3-2018
Amount:
$913.18

Component Description:
Internal expense - KPTM - 11-2018
Amount:
$57.98

Component Description:
Internal expense - KPTM - 9-2017
Amount:
$228.48

Component Description:
Internal expense - KPTM - 4-2019
Amount:
$1,623.44

Component Description:
Internal expense - KPTM - 6-2018
Amount:
$231.92

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$5.37

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 35 stations.
Amount:
$30.43

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$7.96

Component Description:
Internal expense - KPTM - 9-2018
Amount:
$550.81

Component Description:
Internal expense - KPTM - 4-2018
Amount:
$550.81

Component Description:
Internal expense - KPTM - 2-2018
Amount:
$28.99

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$25.53

Component Description:
Internal expense - KPTM - 1-2018
Amount:
$28.99

Component Description:
Internal expense - KPTM - 12-2017
Amount:
$199.92
Comprehensive coverage verification via field study, if needed

Component Description:
UAS broadcast measurement. #207043
Amount:
$14,600.00
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.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations 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

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289
Amount:
$122.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$99.92
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Consulting engineering cost.
Amount:
$890.62
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Consulting engineering cost.
Amount:
$1,620.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Consulting engineering cost.
Amount:
$1,560.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Legal services cost.
Amount:
$115.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$152.01

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$869.30

Component Description:
Legal services cost. #464361
Amount:
$120.00

Component Description:
Legal services cost. #462928
Amount:
$382.80

Component Description:
Legal services cost. #457841
Amount:
$480.20

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289
Amount:
$1,311.48

Component Description:
Legal services cost. #460949
Amount:
$230.60
Project management of the transition

Component Description:
Legal services cost. #484759
Amount:
$50.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 43 stations. #194
Amount:
$1,696.84

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations. #153
Amount:
$1,287.27

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465001
Amount:
$596.30

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477305
Amount:
$393.53

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465173
Amount:
$654.26

Component Description:
Legal services cost. #478794
Amount:
$126.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #118
Amount:
$468.97

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475744
Amount:
$305.99

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #1010
Amount:
$86.88

Component Description:
Legal services cost. #477838
Amount:
$57.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 33 stations. #288
Amount:
$1,726.96

Component Description:
Legal services cost. #486810
Amount:
$115.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #479285
Amount:
$372.60

Component Description:
Legal services cost. #473906
Amount:
$163.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474809
Amount:
$395.77

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476885
Amount:
$403.34

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 54 stations. #236
Amount:
$1,117.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472985
Amount:
$282.68

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 33 stations. #486788
Amount:
$583.82

Component Description:
Legal services cost. #488567
Amount:
$57.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations. #481318
Amount:
$814.01

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478288
Amount:
$194.86

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #132
Amount:
$589.44

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1098
Amount:
$238.07

Component Description:
Legal services cost. #475767
Amount:
$4,115.55

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1117
Amount:
$282.68

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1167
Amount:
$313.41

Component Description:
Legal services cost. #476901
Amount:
$540.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1111
Amount:
$159.58

Component Description:
Legal Service Cost. #470275
Amount:
$120.00

Component Description:
Legal Service Cost. #471547
Amount:
$582.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473885
Amount:
$318.62

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #471524
Amount:
$322.83

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1130
Amount:
$281.49

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476367
Amount:
$364.80

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475283
Amount:
$384.08

Component Description:
Legal Service Cost. #473532
Amount:
$51.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1099
Amount:
$266.93

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 99 stations. #469573
Amount:
$377.14

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1156
Amount:
$399.52

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #480175
Amount:
$377.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478780
Amount:
$271.41

Component Description:
Legal services cost. #474426
Amount:
$153.75

Component Description:
Legal services cost. #474833
Amount:
$102.50

Component Description:
Legal Service Cost. #472604
Amount:
$163.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1161
Amount:
$267.48

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473506
Amount:
$421.40

Component Description:
Legal services cost. #481329
Amount:
$57.50

Component Description:
$26,919.78 credit to be split across 93 Sinclair stations reimbursed $999.20 for invoice #461759 (correct reimbursement amount is $709.74).
Amount:
($289.46)

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1090
Amount:
$176.70

Component Description:
Legal services cost. #476389
Amount:
$905.00

Component Description:
Legal services cost. #487907
Amount:
$115.00

Component Description:
Legal services cost. #469601
Amount:
$212.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470237
Amount:
$436.37

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$20.91

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #450412
Amount:
$999.04

Component Description:
Legal services cost. #477323
Amount:
$153.75

Component Description:
Legal services cost. #483817
Amount:
$125.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1105
Amount:
$216.88

Component Description:
Legal services cost. #467404
Amount:
$245.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1078
Amount:
$215.68

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289
Amount:
$91.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1051
Amount:
$105.97

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 99 stations. #468718
Amount:
$349.51

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1151
Amount:
$388.07

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472583
Amount:
$279.89

Component Description:
Legal Service Cost. #465201
Amount:
$240.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #453972
Amount:
$716.28

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1069
Amount:
$246.68

Component Description:
Consulting engineering services cost. #858-55-0005
Amount:
$667.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1156
Amount:
$399.52

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1045
Amount:
$185.10

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$107.53

Component Description:
Legal Service Cost. #467793
Amount:
$956.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 99 stations. #1086
Amount:
$275.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$912.81

Component Description:
Legal Service Cost. #466716
Amount:
$307.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #457851
Amount:
$818.59

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474405
Amount:
$490.56

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477820
Amount:
$320.19

Component Description:
Legal services cost. #488828
Amount:
$172.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #479829
Amount:
$458.99

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1143
Amount:
$436.90

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$43.72

Component Description:
$207.48 credit to be split across 52 Sinclair stations reimbursed $269.71 for invoice #1093 (correct reimbursement amount is $265.72). #CM-7-29-2019-1093
Amount:
($3.99)

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467378
Amount:
$576.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1093
Amount:
$269.71

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1141
Amount:
$406.17

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463026
Amount:
$801.57

Component Description:
Legal Service Cost. #467877
Amount:
$107.50

Component Description:
Legal Service Cost. #472190
Amount:
$163.75

Component Description:
Legal services cost. #464703
Amount:
$57.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463567
Amount:
$566.48

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1063
Amount:
$262.29

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #1012
Amount:
$20.65

Component Description:
Consulting engineering cost. #878-54-0004
Amount:
$890.63

Component Description:
Legal service Cost. #480181
Amount:
$57.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477820
Amount:
$320.19

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463026
Amount:
$815.02

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1079
Amount:
$177.14

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #457331
Amount:
$836.44

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #464321
Amount:
$683.07

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$32.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1123
Amount:
$342.14

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$1,954.93

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470923
Amount:
$406.65

Component Description:
Revised invoice total. Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1039
Amount:
$30.47

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1114
Amount:
$242.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472173
Amount:
$311.78

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$29.98

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$731.72

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #466690
Amount:
$446.87

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1133
Amount:
$307.72

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1055
Amount:
$243.38

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467861
Amount:
$470.30

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1072
Amount:
$237.64

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1145
Amount:
$369.98

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #453686
Amount:
$943.95

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1058
Amount:
$187.24

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1039
Amount:
$30.47

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #107
Amount:
$602.28

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 $190,685.82 $190,135.82 N/A $92,115.30 N/A
Total for all systems $4,977,655.85 $2,357,267.11 N/A $2,103,832.09 N/A
Other Expenses $190,685.82 $190,135.82 $92,115.30
True-up $0.00 $0.00 N/A ($2,245.52) N/A
Tax $3,042.08 $3,042.08 N/A $3,042.08 N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 See Exhibit J. N/A N/A
Develop and air announcement of upcoming channel change $28,050.00 $28,050.00 See Response to September 6 Inquiry. N/A N/A
Equipment Storage $15,000.00 $15,000.00 See Exhibit J. N/A N/A
Equipment Delivery and Handling Charges $10,000.00 $10,000.00 See Exhibit J. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $88,043.74 $88,043.74 See Response to September 6 Inquiry. $88,043.74 N/A
Non-zoning permits $10,000.00 $10,000.00 See Exhibit J. N/A N/A
Local Zoning $20,000.00 $20,000.00 See Exhibit J. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,275.00 N/A

Components

Actual Information Description File Name
True-up

Component Description:
Dielectric true-up. #CM-2021-09-10-KPTM
Amount:
($2,245.52)
Tax

Component Description:
Sales tax. #Tax19-0427
Amount:
$2,495.02

Component Description:
Sales tax. #Tax19-0591
Amount:
$598.56

Component Description:
Sales tax. #Tax18-0817
Amount:
$547.06
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 Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Service fee. This cost is attributable to both KPTM and KXVO, which share a tower. This cost is being fully covered by KPTM.
Amount:
$1,067.70

Component Description:
Disposal cost. #SBG-1906-OMAHA
Amount:
$398.40

Component Description:
Disposal cost. #Sinclair-1001
Amount:
$57,900.00

Component Description:
Service fee.
Amount:
$3,683.82

Component Description:
Disposal removal. #75333121
Amount:
$3,683.82

Component Description:
Disposal cost. #SBG-1905-OMAHA
Amount:
$601.42

Component Description:
Equipment removal. KPTM
Amount:
$13,700.00

Component Description:
Technology removal cost. #9600.00MAR2918
Amount:
$9,600.00

Component Description:
Disposal related cost. #1001
Amount:
$9,600.00

Component Description:
Disposal costs. #73980719
Amount:
$694.00

Component Description:
Disposal cost. #SBG-1907-OMAHA
Amount:
$398.40

Component Description:
Disposal of mineral oil. #75333121
Amount:
$3,683.82
Non-zoning permits Information not provided.
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
Medical notification cost. #1107
Amount:
$3,275.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,977,655.85 $2,357,267.11 $2,103,832.09

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. Yes

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.

Lucy Rutishauser

CFO


12/10/2021

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.

LUCY Rutishauser

CFO


12/10/2021

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.

Lucy Rutishauser

CFO


12/10/2021

Attachments

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