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:
54385
Service:
DTV
Call Sign:
WDEF-TV
Channel:
8 (High VHF)
File Number:
0000028097
FRN:
0015347529
Date Submitted:
02/04/2022

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WDEF-TV, INC.

Doing Business As: WDEF-TV, INC.

Bobby Berry

301 Poplar Street

Macon, GA 31208

United States

+1 (478) 745-4141 bberry@morrisnetwork.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

Ray Luke

Project Manager

Custom Specialty Services, Inc.

Ray Luke

17363 Carlton Cuebas Road

Gulfport, MS 39503

United States

+1 (228) 297-2500 ray.css@att.net

Broadcaster Information and Transition Plan

Back to Top
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 There has been a change in plan due to the COVID-19 virus. The tower crews have shut down and will not have time to do major mods to main tower. WDEF-TV will have to install a interim site on its small tower to be on air by 07/03/2020.

Transmitters

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

Auxiliary Transmitter

Back to Top

Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use use as backup for main when main transmitter is down for repairs or maintance
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 HTEL 1000CD
Year 2007
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 kW

Auxiliary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model VAXTE-2R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.2 kW
Justification for New Transmitter old transmitter is not supported and cannot be re-tuned.

Auxiliary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 175.0 feet
Other Electrical Service Yes
Description electrical wiring from old panel to new panel and wiring to new transmitters and equipment
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? Yes
Size 1120.0 square feet
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

Auxiliary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Information not provided.

Primary Transmitter

Back to Top

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 PTCD10P1l
Year 2007
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 4 kW

Primary Transmitter

Back to Top

New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model VAXTE-6R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 4 kW
Justification for New Transmitter Old transmitter is not supported and cannot be re-tuned to new channel

Primary Transmitter

Back to Top

Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) Yes
Switchgear (industrial 800 amp) Yes
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 3 inches
Length 175.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 10 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

Back to Top

Other Transmitter Cost Not Listed

Name Description

PSIP Generator

needed to generate psip for new transmitter

site survey

site survey by Gates/air to provide electrical drawings and floor plan

Antennas

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

Auxiliary Antenna

Back to Top

Add Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Auxiliary (Backup)
Description of Use back up antenna use when main system is down for maintance and repairs,will also be used for interim
Ownership Owned
Owner N/A
Site N/A
Is this antenna currently shared with any other stations? No
Is this 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 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: 4.0 kW
Manufacturer
Model TLS-V4
Year 2008

Auxiliary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Auxiliary (Backup)
Description of Use backup antenna will be used when main is down for maintance and repairs.will also be used as interim
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types 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/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 26.0 kW
Manufacturer
Model ALV8V7-HSOC-8
Year 2020
Justification for New Antenna old antenna cannot be re-turned to new channel AND THIS WILL BE USED INTERIM ANTENNA UNTIL MAIN TOWER MODS CAN BE COMPLETED

Auxiliary Antenna

Back to Top

Other Antenna Costs

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

Auxiliary Antenna

Back to Top

Other Antenna Cost Not Listed

Name Description

Tower mods interim tower

minor mods on interim tower

Primary Antenna

Back to Top

Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Other
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type Traveling wave
ERP: 26.0 kW
Manufacturer
Model TW-9A12-F
Year 1966

Primary Antenna

Back to Top

New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
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 Horizontal
Type Other
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type traveling wave
ERP: 26.0 kW
Manufacturer
Model ATW10V3-HTO-8H
Year 2020
Justification for New Antenna Old antenna can not be re-tuned to new channel.

Primary Antenna

Back to Top

Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 3 1/8 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

Back to Top

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Interim Transmission Line

Back to Top

New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 400 feet per run
Justification for New Transmission Line needed for interim site to get station on air by the July 3 deadline

Interim Transmission Line

Back to Top

Other Transmission Line Expenses Not Listed

Name Description

hardware for 3in line

installation hardware need to install 3in feed line interim system

Tower Equipment And Rigging Costs

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

Primary Tower

Back to Top

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? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1043736
Coordinates (NAD83) Latitude (NAD83) 35° 08' 06.0" N-
Longitude (NAD83) 085° 19' 25.0" W-
Overall Structure Height 639.76 feet
Support Structure Height 570.86 feet
Ground Elevation Above Mean Sea Level (AMSL) 1907.79 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WDEF-TV, Inc.
Date Constructed 01/01/1966

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
57827 WDEF-FM FM

Primary Tower

Back to Top

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: Major Reinforcements needed

Primary Tower

Back to Top

Tower Rigging Costs

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

Primary Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

tower load study

load study for new antennas

reinforcing analysis

reinforcing analysis and engineering

Interim Tower

Back to Top

Tower Construction Costs

Section Question Response
Construct New Tower Use Interim
Description of Use N/A
Height 350.00 feet
Justification for New Tower this tower is om site and will only need minor mods to use as an interim site

Interim Tower

Back to Top

Tower Rigging Costs

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

Interim Tower

Back to Top

Other Tower Expenses Not Listed

Name Description

minor mods and antenna system install

tower mods and antenna system install for interim use

interim tower permits and fees

city and county permits and fees for interim tower mods

Interim tower analysis

tower analysis and drawings

Outside Professional Services Costs

Back to Top
Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 1255
Explanation Station is one of a group of co-owned stations,all of which are subject to repack. There is no group director of engineering and station has only IT engineer on staff.Co-ordination is needed for entire groups transition in different phases.
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
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 No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Name Description

Additional legal fees

Additional legal fees for 399 forms and progress reports

Other Expenses

Back to Top
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 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? No
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

Back to Top

Other Expenses Not Listed

Name Description

Building Clean out and disposal

clean out of old analog transmitters, interior wall and removal of current transmitters and replace wall after switch

State of Tennessee tax

State of Tennessee sales and use tax

Cost Information

Back to Top

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 $836,988.75 $491,747.37 N/A $337,252.23 N/A
Total for all systems $3,543,333.92 $2,882,817.99 N/A $2,254,831.32 N/A
Primary Transmitter VAXTE-6R37 $627,490.00 $324,398.62 $226,770.59
site survey $17,340.00 $17,340.00 N/A $18,518.24 the MS State tax added $1286.24
PSIP Generator $0.00 $0.00 N/A N/A N/A
10 Ton system $38,900.00 $37,000.00 N/A $18,250.00 N/A
3" Rigid Conduit and Wiring (Cost per foot) $9,100.00 $0.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $0.00 N/A N/A N/A
Switchgear - industrial 800 amp $38,200.00 $38,200.00 N/A $0.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $0.00 N/A N/A N/A
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW $152,500.00 $173,821.04 this cost is transmitter, mask filter, Rf switch,installation, Proof and state taxes $131,964.77 N/A
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW $331,500.00 $58,037.58 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $58,037.58 N/A
Auxiliary Transmitter VAXTE-2R37 $209,498.75 $167,348.75 $110,481.64
Other -- Building Addition Size: 1120.0 $0.00 $0.00 N/A N/A N/A
Other Electrical Service: electrical wiring from old panel to new panel and wiring to new transmitters and equipment $22,348.75 $22,348.75 N/A $22,348.75 N/A
3" Rigid Conduit and Wiring (Cost per foot) $9,100.00 $0.00 N/A N/A N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $0.00 N/A N/A N/A
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW $152,500.00 $145,000.00 N/A $88,132.89 N/A

Components

Actual Information Description File Name
site survey

Component Description:
Site survey with MS tax added
Amount:
$18,518.24
PSIP Generator Information not provided.
10 Ton system

Component Description:
10 ton hvac system
Amount:
$18,250.00
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
Switchgear - industrial 800 amp

Component Description:
all Electrical work for main and backup transmitters
Amount:
N/A
Service entrance 3 phase/800 amp/208 volt Information not provided.
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW

Component Description:
2nd payment due to ship main TX
Amount:
$57,566.38

Component Description:
3rd payment on main TX
Amount:
$58,217.08

Component Description:
Final payment on main TX with install and proof
Amount:
$16,181.31
High VHF - Air Cooled Solid State Transmitter 6.5 . 12.5 kW

Component Description:
2nd payment to ship main transmitter
Amount:
$57,566.38

Component Description:
1/3 down payment of main transmitter invoice total
Amount:
$58,037.58

Component Description:
gates quote Q-62747 main transmitter
Amount:
N/A
Other -- Building Addition Size: 1120.0 Information not provided.
Other Electrical Service: electrical wiring from old panel to new panel and wiring to new transmitters and equipment

Component Description:
electrical wiring for both transmitters and equipment
Amount:
$22,348.75
3" Rigid Conduit and Wiring (Cost per foot) Information not provided.
Transformer 3 phase/480v - 150 KVA Information not provided.
High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW

Component Description:
3rd payment on aux TX
Amount:
$17,132.65

Component Description:
Final payment aux TX
Amount:
$14,508.01

Component Description:
1/3 down payment gates backup transmitter
Amount:
$29,971.47

Component Description:
Gates quote Q-62748 backup transmitter
Amount:
N/A

Component Description:
2nd payment to ship BKU transmitter
Amount:
$26,520.76

Cost Information

Back to Top

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 $490,546.61 $460,136.61 N/A $403,529.08 N/A
Total for all systems $3,543,333.92 $2,882,817.99 N/A $2,254,831.32 N/A
Primary Antenna ATW10V3-HTO-8H $314,330.00 $313,800.00 $257,192.47
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $7,400.00 N/A N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
High VHF - High Power Top Mount One Station horizontally polarized $300,000.00 $300,000.00 N/A $257,192.47 N/A
Auxiliary Antenna ALV8V7-HSOC-8 $176,216.61 $146,336.61 $146,336.61
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $0.00 N/A N/A N/A
Tower mods interim tower $49,433.75 $49,433.75 sales tax added $49,433.75 sales tax added
Sweep test of existing antenna $6,730.00 $0.00 N/A N/A N/A
High VHF - High Power Side Mount One Station horizontally polarized $96,902.86 $96,902.86 sales tax and freight added $96,902.86 sales tax and freight added

Components

Actual Information Description File Name
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) Information not provided.
Sweep test of existing antenna Information not provided.
High VHF - High Power Top Mount One Station horizontally polarized

Component Description:
top mount antenna pedestal with state tax added
Amount:
$12,385.00

Component Description:
final main antenna invoice
Amount:
$41,715.72

Component Description:
E.R.I. second payment main antenna
Amount:
$67,697.25

Component Description:
PAYMENT PRIOR TO SHIPMENT
Amount:
$67,697.25

Component Description:
30% deposit invoice main antenna
Amount:
$67,697.25
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Tower mods interim tower

Component Description:
Balance due on interim tower reinforcement material
Amount:
$26,371.25

Component Description:
50 % down payment invoice for tower mods
Amount:
$23,062.50
Sweep test of existing antenna Information not provided.
High VHF - High Power Side Mount One Station horizontally polarized

Component Description:
50 % down payment invoice for interim antenna
Amount:
$44,877.00

Component Description:
Balance due interim antenna with sales tax and freight added
Amount:
$52,025.86

Cost Information

Back to Top

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 $23,600.00 $23,606.43 N/A $23,606.43 N/A
Total for all systems $3,543,333.92 $2,882,817.99 N/A $2,254,831.32 N/A
Interim Transmission Line $23,600.00 $23,606.43 $23,606.43
hardware for 3in line $0.00 $0.00 N/A N/A N/A
Flexible Air Transmission Line - dielectric, 3" $23,600.00 $23,606.43 sales tax and freight added $23,606.43 added sales tax and freight

Components

Actual Information Description File Name
hardware for 3in line Information not provided.
Flexible Air Transmission Line - dielectric, 3"

Component Description:
Balance Due interim feed line with sales tax and freight added
Amount:
$13,299.40

Component Description:
50% down payment invoice for interim feed line
Amount:
$10,307.03

Cost Information

Back to Top

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 $1,664,600.56 $1,355,366.51 N/A $1,035,365.51 N/A
Total for all systems $3,543,333.92 $2,882,817.99 N/A $2,254,831.32 N/A
Interim Tower $788,400.56 $367,400.56 $297,180.56
interim tower permits and fees $25,122.56 $25,122.56 permits and fees required by city and county $25,122.56 N/A
Interim tower analysis $3,550.00 $3,550.00 tower analysis for interim tower $3,550.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $0.00 N/A N/A N/A
New tower $0.00 $0.00 N/A N/A N/A
minor mods and antenna system install $338,728.00 $338,728.00 Interim tower rigging and equipment $268,508.00 N/A
Primary Tower TOWER $876,200.00 $987,965.95 $738,184.95
Major tower reinforcement/modifications $421,000.00 $660,065.95 Major tower mods including installation of high power top mount antenna , material and equipment rental, final charges for weather days $660,065.95 the winter weather prolonged the job causing extra rental of equipment, longer rental time and a large number of weather days by contractor
reinforcing analysis $4,000.00 $4,000.00 N/A $4,000.00 N/A
tower load study $3,900.00 $3,900.00 load study to include new top mount antenna and PE sealed documents $3,900.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $320,000.00 N/A $70,219.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $0.00 N/A $0.00 N/A

Components

Actual Information Description File Name
interim tower permits and fees

Component Description:
City and County permit fees
Amount:
$25,122.56
Interim tower analysis

Component Description:
interim tower analysis and drawings
Amount:
$3,550.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) Information not provided.
New tower Information not provided.
minor mods and antenna system install

Component Description:
Deposit on tower modification
Amount:
$84,890.00

Component Description:
progress billing interim tower mods and antenna install
Amount:
$95,000.00

Component Description:
Hamilton Co. and City of Walden Business License, Building Permit Fee and Contractors Fees.
Amount:
N/A

Component Description:
Tower analysis and report for interim tower.
Amount:
N/A

Component Description:
Completion of interim tower mods invoice
Amount:
$88,618.00
Major tower reinforcement/modifications

Component Description:
Weather day charges by contract agreement
Amount:
$14,700.00

Component Description:
progress invoice for tower mods
Amount:
$75,000.00

Component Description:
progress billing invoice
Amount:
$95,000.00

Component Description:
Deposit for reinforcement material main tower
Amount:
$55,475.00

Component Description:
BALANCE DUE PRIOR TO SHIP WITH TAX ADDED
Amount:
$63,321.50

Component Description:
weather days invoice
Amount:
$32,900.00

Component Description:
completion of project invoice
Amount:
$46,646.00

Component Description:
City and County permit fees
Amount:
$30,809.70

Component Description:
Progress invoice for tower mods
Amount:
$80,000.00

Component Description:
final invoice with rental fees added
Amount:
$35,389.75

Component Description:
Deposit for main tower mods
Amount:
$124,645.00

Component Description:
REINFORCEMENT MATERIAL with state tax added
Amount:
$6,179.00
reinforcing analysis

Component Description:
Deposit with order
Amount:
$2,000.00

Component Description:
Balance due on order
Amount:
$2,000.00
tower load study

Component Description:
load study and PE sealed documents
Amount:
$3,900.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Deposit to start tower work
Amount:
$70,219.00

Component Description:
proposal for WDEF antennas install
Amount:
N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study Information not provided.

Cost Information

Back to Top

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 $348,015.00 $380,938.07 N/A $326,995.57 N/A
Total for all systems $3,543,333.92 $2,882,817.99 N/A $2,254,831.32 N/A
Outside Professional Services $348,015.00 $380,938.07 $326,995.57
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $50,000.00 N/A $45,732.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $5,000.00 Additional expenses were required due to local issues which arose in connection with the addition of the STA facilities to the existing tower. $4,500.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $1,012.50 N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,210.00 N/A $2,120.50 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $562.50 N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A $0.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,100.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $14,752.49 The standard estimate for legal fees in connection with seeking reimbursement was inadequate, as it did not take into account the technical issues with the form or the time-consuming nature of making entries and clarifications or revising invoices. $14,752.49 N/A
Additional legal fees $8,500.00 $8,500.00 N/A $3,690.00 N/A
Project management of the transition $198,290.00 $254,625.58 Increased time due to covid and contractors increased time due to weather days which thereby prolonged time on job increasing charges on invoices $254,625.58 Increased time due to covid and contractors increased time due to weather days which thereby prolonged time on job increasing charges on invoices

Components

Actual Information Description File Name
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
50% deposit for comprehensive coverage verification due to numerous viewer complaints
Amount:
$22,866.00

Component Description:
Final payment
Amount:
$22,866.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Legal advice and counsel in connection with implementing extended STA for temporary, interim operation
Amount:
$225.00

Component Description:
Legal advice and assistance with local approval of proposed STA facilities and preparation and filing of an STA request
Amount:
$2,250.00

Component Description:
Provided advice and counsel in connection with seeking extended STA to allow temporary interim operation
Amount:
$112.50

Component Description:
Legal advice and assistance with preparation and filing of STA request.
Amount:
$1,912.50

Component Description:
Provided advice and counsel in connection with seeking extended STA to allow temporary interim operation
Amount:
$112.50
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Legal advice and assistance with preparation and filing of application for license to cover
Amount:
$1,012.50
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application

Component Description:
Legal fees for mediator and paperwork needed for county and City of Walden. Permits needed to move forward with mods on interim tower
Amount:
$2,120.50
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Drafted Form 2100 application for construction permit for repack channel
Amount:
$112.50

Component Description:
Drafted Form 2100 application for construction permit for repack channel
Amount:
$112.50

Component Description:
Assisted in preparation and filing of Form 2100 application for construction permit for repack channel
Amount:
$450.00

Component Description:
Legal work and assistance in connection with the preparation of Form 2100 application for construction permit.
Amount:
$450.00
Prepare request for Special Temporary Authorization Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for new channel assignment and antenna development Information not provided.
Prepare and or review reimbursement form

Component Description:
Legal advice and services in connection with seeing reimbursement of expenses.
Amount:
$562.50

Component Description:
Legal fees in connection with preparing and prosecuting Form 399
Amount:
$675.00

Component Description:
Legal advice and assistance in seeking reimbursement of expenses
Amount:
$112.50

Component Description:
Legal advice and counsel in connection with seeking reimbursement of repack expenses
Amount:
$112.50

Component Description:
Legal advice and assistance in seeking reimbursement of expenses
Amount:
$112.50

Component Description:
Legal advice and assistance in seeking reimbursement of expenses
Amount:
$112.50

Component Description:
Legal advice and assistance in connection with requesting reimbursement of repack expenses
Amount:
$900.00

Component Description:
Provide legal advice and assistance in seeking reimbursement of expenses.
Amount:
$225.00

Component Description:
Legal advice and assistance in seeking reimbursement of expenses
Amount:
$1,125.00

Component Description:
Legal advice and assistance in seeking reimbursement of expenses
Amount:
$675.00

Component Description:
Prepared and submitted to FCC information necessary for payment of reimbursement amounts
Amount:
$202.50

Component Description:
Legal advice and assistance with requesting reimbursement of repack expenses
Amount:
$1,687.50

Component Description:
Fees for legal advice regarding reimbursement forms, policies, and procedures - remaining $112.50 will be requested in the future after adding an estimate for such costs.
Amount:
$315.00

Component Description:
Legal fees for assistance in prosecuting request for reimbursement of expenses
Amount:
$45.00

Component Description:
Legal advice and assistance with preparation and filing of Form 399 reimbursement request
Amount:
$675.00

Component Description:
Fees for legal advice regarding reimbursement forms, policies, and procedures
Amount:
$315.00

Component Description:
Provide legal advice and assistance with requesting reimbursement of repack expenses
Amount:
$675.00

Component Description:
Legal advice and services in connection with seeking reimbursement of expenses
Amount:
$562.50

Component Description:
Provide advice and assistance with regard to preparation and filing of reimbursement request
Amount:
$112.50

Component Description:
Assisted in preparation, review, and transmittal of Form 1876 necessary for cost reimbursement and cost of transmittal
Amount:
$239.99

Component Description:
Assisted in determining reason for rejections of invoice, revising and reattaching invoices, dealing with technical issues and communicating with staff to obtain assistance with above
Amount:
$1,575.00

Component Description:
Legal advice and counsel with regard to requesting reimbursement of expenses
Amount:
$675.00

Component Description:
Legal advice and assistance in seeking reimbursement of expenses
Amount:
$112.50

Component Description:
Legal advice and assistance with requesting reimbursement of repack expenses.
Amount:
$1,800.00

Component Description:
Assisted in preparation, review, and transmittal of Form 1876 necessary for cost reimbursement and cost of transmittal
Amount:
$239.99

Component Description:
Assistance with preparation of reimbursement requests
Amount:
$112.50

Component Description:
Provided advice and assistance in adding further requested information to form and meeting revised requirements
Amount:
$1,012.50

Component Description:
Assisted in preparation, review and filing of Schedule 399
Amount:
$337.50

Component Description:
Assisted with preparation and filing of reimbursement request form
Amount:
$112.50

Component Description:
Assisted in preparation, review and filing of Schedule 399
Amount:
$337.50
Additional legal fees

Component Description:
Provided legal advice, counsel and assistance with seeking tolling due to COVID delays in obtaining necessary materials and workforce to complete building of repack facilities
Amount:
$1,575.00

Component Description:
Legal advice and assistance with preparation and filing of required progress reports.
Amount:
$225.00

Component Description:
Legal advice and counsel in connection with status as linked station
Amount:
$112.50

Component Description:
Legal advice and counsel in connection with status as linked station
Amount:
$112.50

Component Description:
Provided legal advice and counsel in connection with developing strategy for dealing with delays related to COVID-19
Amount:
$337.50

Component Description:
Provided legal advice and assistance regarding c.p. extension and interference issues with repack channel.
Amount:
$562.50

Component Description:
Provide legal advice concerning MVPD ad medical facilities notices of transition and channel change
Amount:
$112.50

Component Description:
Assist with preparation and filing of required quarterly transition progress report
Amount:
$45.00

Component Description:
Provided legal advice and assistance with request for cooperation from WDEF-TV with linked station due to transition complications
Amount:
$450.00

Component Description:
Provided legal advice and counsel regarding repack strategy
Amount:
$45.00

Component Description:
Legal fees for review and advice concerning quarterly transition progress report required by FCC
Amount:
$112.50
Project management of the transition

Component Description:
PROJECT MANAGEMENT HOURS APRIL 2017
Amount:
$2,512.50

Component Description:
CSS JAN. 2018 Invoice for project management hours
Amount:
$1,462.50

Component Description:
CSS OCT. 2017 invoice for project management hours
Amount:
$2,587.50

Component Description:
April 2020 PM invoice
Amount:
$11,149.36

Component Description:
WDEF PROJECT MANAGEMENT INVOICE
Amount:
$1,612.50

Component Description:
PROJECT MANAGEMENT HOURS MAY 2017
Amount:
$760.50

Component Description:
CSS JUNE PROJECT MANAGEMENT INVOICE
Amount:
$28,598.72

Component Description:
WDEF PROJECT MANAGEMENT INVOICE
Amount:
$1,725.00

Component Description:
Feb. Project Management
Amount:
$33,337.50

Component Description:
CSS JAN. 2022 INVOICE
Amount:
$7,312.50

Component Description:
CSS MAY 2021 INVOICE
Amount:
$1,387.50

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$150.00

Component Description:
CSS JULY 2021 INVOICE
Amount:
$1,275.00

Component Description:
CSS JUNE 2021 INVOICE
Amount:
$1,350.00

Component Description:
CSS APRIL 2021 INVOICE
Amount:
$1,462.50

Component Description:
CSS AUG.INVOICE
Amount:
$1,275.00

Component Description:
CSS SEPT 2021 INVOICE
Amount:
$1,275.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$750.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$375.00

Component Description:
CSS FEB 2022 INVOICE
Amount:
$2,475.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$375.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$150.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$450.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$975.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$525.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$225.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$225.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$1,500.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$2,100.00

Component Description:
CAMPER RENTAL FOR LODGING NEEDS
Amount:
$675.00

Component Description:
WDEF Aug. 2019 Project Management invoice 19-0807
Amount:
$1,387.50

Component Description:
CSS March 2019 invoice 19-0307
Amount:
$900.00

Component Description:
CSS April 2019 inv 19-0407
Amount:
$412.50

Component Description:
May 2019 Project Management invoice 19-0507
Amount:
$337.50

Component Description:
DEC project management invoice
Amount:
$1,650.00

Component Description:
Jan. project management
Amount:
$25,936.93

Component Description:
CSS July Project Management invoice 19-0707
Amount:
$1,312.50

Component Description:
Jan project management invoice
Amount:
$1,987.50

Component Description:
MAR 2018 PROJECT MANAGEMENT INVOICE
Amount:
$2,550.00

Component Description:
MAR project management invoice
Amount:
$2,700.00

Component Description:
WDEF Sept. 2019 Project Management invoice 19-0907
Amount:
$1,387.50

Component Description:
Mar Project Management
Amount:
$16,599.43

Component Description:
Project Management invoice
Amount:
$2,025.00

Component Description:
SEPT 2017 PROJECT MANAGEMENT INVOICE
Amount:
$405.00

Component Description:
LODGING WITH CAMPER REVISION
Amount:
$750.00

Component Description:
JULY 2017 PROJECT MANAGEMENT INVOICE
Amount:
$1,945.50

Component Description:
WDEF PROJECT MANAGEMENT INVOICE
Amount:
$6,337.36

Component Description:
LODGING WITH CAMPER REVISION
Amount:
$150.00

Component Description:
LODGING WITH CAMPER REVISION
Amount:
$750.00

Component Description:
PROJECT MANAGEMENT INVOICE OCT 2018
Amount:
$487.50

Component Description:
PROJECT MANAGEMENT HOURS JUNE 2017
Amount:
$804.00

Component Description:
PROJECT MANAGEMENT INVOICE SEPT. 2018
Amount:
$450.00

Component Description:
CSS MAY PROJECT MANAGEMENT INVOICE
Amount:
$17,718.86

Component Description:
MAY 2018 PROJECT MANAGEMENT INVOICE
Amount:
$787.50

Component Description:
Jan. 2019 CSS Invoice 19-0107
Amount:
$262.50

Component Description:
WDEF PROJECT MANAGEMENT INVOICE
Amount:
$20,268.72

Component Description:
AUG 2017 PROJECT MANAGEMENT INVOICE
Amount:
$312.00

Component Description:
Project Management invoice
Amount:
$1,744.50

Component Description:
Oct. project Management invoice
Amount:
$1,387.50

Component Description:
FEB project management invoice
Amount:
$17,639.36

Component Description:
Nov, Project Management invoice
Amount:
$4,767.84

Component Description:
Dec. 2018 CSS invoice
Amount:
$225.00

Component Description:
FEB INVOICE FOR PROJECT MANAGEMENT
Amount:
$3,675.00

Component Description:
Project Management invoice
Amount:
$1,387.50

Component Description:
Project Management invoice
Amount:
$187.50

Component Description:
DEC. PROJECT MANAGEMENT INVOICE WITH NAMES ADDED 20-1207
Amount:
$1,987.50

Component Description:
WDEF PROJECT MANAGEMENT INVOICE
Amount:
$1,650.00

Component Description:
Feb. 2019 CSS invoice 19-0207
Amount:
$975.00

Cost Information

Back to Top

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 $179,583.00 $171,023.00 N/A $128,082.50 N/A
Total for all systems $3,543,333.92 $2,882,817.99 N/A $2,254,831.32 N/A
Other Expenses $179,583.00 $171,023.00 $128,082.50
State of Tennessee tax $80,828.00 $80,828.00 State of Tn sales and use tax on repack equipment paid by station $80,828.00 N/A
Equipment Delivery and Handling Charges $19,500.00 $19,500.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $11,000.00 $11,000.00 N/A N/A N/A
Non-zoning permits $2,000.00 $2,000.00 N/A N/A N/A
Local Zoning $1,000.00 $1,000.00 N/A $311.50 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $400.00 The FCC raised its filing fees during the transition, and an extension of the STA for interim operation became necessary. $400.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
Building Clean out and disposal $50,500.00 $50,500.00 N/A $42,443.00 N/A
MVPD Notification of Channel Change $1,265.00 $1,265.00 N/A $1,265.00 N/A
Develop and air announcement of upcoming channel change $300.00 $300.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $2,835.00 N/A $2,835.00 N/A

Components

Actual Information Description File Name
State of Tennessee tax

Component Description:
receipt for State of TN taxes paid by WDEF TV inc
Amount:
$49,496.00

Component Description:
Tn sales and use tax (repack equipment) paid by station
Amount:
$31,332.00
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.
Local Zoning

Component Description:
legal fees for local zoning on tower mods
Amount:
$311.50
FCC Filing Fees - Special Temporary Authorization request

Component Description:
Filing fee for STA extension request to allow station to remain on-air with interim operation
Amount:
$200.00

Component Description:
Filing fee for STA request needed to make channel change.
Amount:
$200.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
Building Clean out and disposal

Component Description:
clean out of channel 12 equipment and replace wall
Amount:
$19,865.00

Component Description:
clean out of old analog equipment and removal of wall
Amount:
$22,578.00
MVPD Notification of Channel Change

Component Description:
MVPD Notifications
Amount:
$1,265.00
Develop and air announcement of upcoming channel change Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notifications
Amount:
$2,835.00

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,543,333.92 $2,882,817.99 $2,254,831.32

Reimbursement Status

Back to Top
Question Response
The facility has ceased operating on its pre-auction channel. Yes
Construction of final facilities or all necessary modifications are complete. Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

Back to Top
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.

Bobby Berry

Chief Operating Officer


02/04/2022

Certification

Back to Top
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.

Bobby Berry

Chief Operating Officer


02/04/2022

Certification

Back to Top
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.

Bobby Berry

Chief Operating Officer


02/04/2022

Attachments

Back to Top