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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:
12896
Service:
DTV
Call Sign:
KITU-TV
Channel:
29 (UHF)
File Number:
0000028181
FRN:
0005077441
Date Submitted:
01/04/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

COMMUNITY EDUCATIONAL TELEVISION, INC.

PO BOX 721800

HOUSTON, TX 77272

United States

 +1 (202) 544-5171 cmmay@maylawoffices.com Not-for-Profit

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

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Reduce TPO to 50% and remove 1/2 of the xmitter system. Install new SS xmitter system. Add AUX antenna & line to the tower & feed it with a reduced signal from the current xmitter. Remove & replace antenna. Test.

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 DCX 2
Year 2005
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? No
Manufacturer
Model HPTV-PRLX-U30
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 50 kW
Justification for New Transmitter see attachment

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) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description disconnects, labor other 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? 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

install

xmitter install

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting 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: 1000.0 kW
Manufacturer
Model ATW25H3-HTC1U-34H
Year 2005

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization 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: 920.0 kW
Manufacturer
Model ATW22H3-HTC1-29H
Year 2017
Justification for New Antenna The old antenna is too far off in frequency to be retuned.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

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? No
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 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: 240.0 kW
Manufacturer
Model RD-12RFS(A)-500626-SM
Year 2017
Justification for New Antenna MAINTAIN A SIGNAL WHILE ANTENNA & LINE ARE CHANGED.

Interim Antenna

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Other Antenna Costs

Section Question Response
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 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? No

Interim Antenna

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Other Antenna Cost Not Listed

Name Description

reducer

reducer adapter

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Other
Other Segment Length 19.547 feet
Number of parallel runs 1
Length 1300 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1300 feet per run
Justification for New Transmission Line flange reflection in old line.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

sweep new

Sweep new line.

Interim Transmission Line

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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 500 feet per run
Justification for New Transmission Line Remain on the air while antenna and line are replaced.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

system test

Sweep of new interim line / antenna

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?
Is this tower currently shared with any other stations? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1047397
Coordinates (NAD83) Latitude (NAD83) 30° 10' 42.0" N-
Longitude (NAD83) 093° 54' 27.0" W-
Overall Structure Height 1056.42 feet
Support Structure Height 1000.64 feet
Ground Elevation Above Mean Sea Level (AMSL) 22.97 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner COMMUNITY EDUCATION TV
Date Constructed 05/21/1986


Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Other
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? No
Number of Hours N/A
Explanation N/A
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 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 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 2
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 No
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

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
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)? No
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? No
Does this relocation require MVPD Notification of a Channel Change? No

Other Expenses

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Other Expenses Not Listed

Name Description

road repair

repair road to transmitter

Core drilling

core wall.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,636,000.00 $1,269,667.00 N/A $1,602,600.45 N/A
Total for all systems $3,349,830.00 $2,733,552.00 N/A $2,797,694.39 N/A
Primary Transmitter HPTV-PRLX-U30 $1,636,000.00 $1,269,667.00 $1,602,600.45
install $35,000.00 $35,000.00 N/A $35,000.00 N/A
Other Electrical Service: disconnects, labor other equipment $128,000.00 $128,000.00 N/A $73,600.00 N/A
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW $1,473,000.00 $1,106,667.00 N/A $1,494,000.45 N/A

Components

Actual Information Description File Name
install

Component Description:
xmitter install
Amount:
$35,000.00
Other Electrical Service: disconnects, labor other equipment

Component Description:
balance.
Amount:
$600.00

Component Description:
electrical for xmitter.
Amount:
$73,000.00
UHF - Liquid Cooled Solid State Transmitter 35 - 50 kW

Component Description:
30% due after 60 days
Amount:
$332,000.10

Component Description:
final payment for xmitter
Amount:
$55,333.35

Component Description:
30% due prior to shipping
Amount:
$332,000.10

Component Description:
35% deposit for U30 xmitter
Amount:
$387,333.45

Component Description:
35 % deposit on xmitter
Amount:
$387,333.45

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 $482,680.00 $308,300.00 N/A $258,183.45 N/A
Total for all systems $3,349,830.00 $2,733,552.00 N/A $2,797,694.39 N/A
Interim Antenna RD-12RFS(A)-500626-SM $216,650.00 $74,000.00 $30,873.35
reducer $4,000.00 $4,000.00 quoted $2,228.35 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $10,000.00 N/A $0.00 N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized $189,500.00 $60,000.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $28,645.00 N/A
Primary Antenna ATW22H3-HTC1-29H $266,030.00 $234,300.00 $227,310.10
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,000.00 N/A $6,452.00 N/A
Sweep test of existing antenna $6,730.00 $6,300.00 N/A $3,600.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized $247,000.00 $218,000.00 N/A $217,258.10 N/A

Components

Actual Information Description File Name
reducer

Component Description:
reducer
Amount:
$2,228.35
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized

Component Description:
aux antenna
Amount:
$28,645.00

Component Description:
Final payment antenna plus freight.
Amount:
$6,044.82

Component Description:
antenna plus freight
Amount:
$31,832.50

Component Description:
45% payment 8 weeks after order.
Amount:
$12,890.25

Component Description:
interim antenna
Amount:
$28,645.00

Component Description:
antenna
Amount:
$28,645.00

Component Description:
45% deposit on antenna
Amount:
$12,890.25

Component Description:
aux antenna input xformer
Amount:
N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
final balance on elbow complex
Amount:
$3,226.00

Component Description:
50% elbow complex
Amount:
$3,226.00
Sweep test of existing antenna

Component Description:
Sweep test of existing line
Amount:
$3,600.00
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized

Component Description:
50% main antenna
Amount:
$106,935.52

Component Description:
Balance due on antenna
Amount:
$110,322.58

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 $304,600.00 $288,500.00 N/A $186,794.33 N/A
Total for all systems $3,349,830.00 $2,733,552.00 N/A $2,797,694.39 N/A
Interim Transmission Line $35,500.00 $33,000.00 $21,479.83
system test $6,000.00 $6,000.00 Sweep new interim antenna and line $6,000.00 q
Flexible Air Transmission Line - dielectric, 3" $29,500.00 $27,000.00 N/A $15,479.83 q
Primary Transmission Line $269,100.00 $255,500.00 $165,314.50
sweep new $6,500.00 $6,500.00 Sweep new main coax. $6,250.00 N/A
Rigid Transmission Line - copper, 6 1/8" $262,600.00 $249,000.00 N/A $159,064.50 N/A

Components

Actual Information Description File Name
system test

Component Description:
system test
Amount:
$6,000.00

Component Description:
Final payment on system sweep
Amount:
$600.00

Component Description:
payment, system test
Amount:
$2,700.00

Component Description:
System sweep
Amount:
$6,000.00

Component Description:
aux system sweep
Amount:
$6,000.00

Component Description:
45% deposit, system test
Amount:
$2,700.00

Component Description:
sweep aux
Amount:
$6,000.00
Flexible Air Transmission Line - dielectric, 3"

Component Description:
line plus freight
Amount:
$15,479.83

Component Description:
45% deposit line and hangers
Amount:
$5,502.84

Component Description:
line, hangers and misc
Amount:
$12,292.33

Component Description:
3" flex, misc parts and freight.
Amount:
$15,479.83

Component Description:
45% payment on line and hangers
Amount:
$5,567.44

Component Description:
line plus freight
Amount:
$15,479.83

Component Description:
final payment for line and misc.
Amount:
$1,229.23
sweep new

Component Description:
50% deposit system sweep new coax
Amount:
$3,125.00

Component Description:
balance on new coax system sweep.
Amount:
$3,125.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
freight
Amount:
$3,056.47

Component Description:
Balance due on main coax plus freight.
Amount:
$71,693.17

Component Description:
field cuts
Amount:
$16,521.61

Component Description:
50% deposit for coax
Amount:
$67,793.25

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $854,600.00 $808,000.00 N/A $730,976.17 N/A
Total for all systems $3,349,830.00 $2,733,552.00 N/A $2,797,694.39 N/A
Primary Tower TOWER $854,600.00 $808,000.00 $730,976.17
Structural engineering tower load study for well documented tower $12,600.00 $8,000.00 N/A $7,450.00 N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $400,000.00 N/A $333,923.00 N/A
Major tower reinforcement/modifications $421,000.00 $400,000.00 N/A $389,603.17 N/A

Components

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

Component Description:
structural reinforcement analysis
Amount:
$3,500.00

Component Description:
structural analysis
Amount:
$3,950.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
Deposit
Amount:
$60,800.00

Component Description:
payment antenna and line install
Amount:
$50,000.00

Component Description:
transmission line install
Amount:
$76,635.00

Component Description:
progress payment, antenna # 8021701T
Amount:
$56,488.00

Component Description:
Progress payment, antenna # 8021701 & 8021702T
Amount:
$50,000.00

Component Description:
antenna replacement
Amount:
$15,000.00

Component Description:
Progress Billing antenna per #8021701T
Amount:
$25,000.00

Component Description:
void
Amount:
N/A
Major tower reinforcement/modifications

Component Description:
site work & gravel for antenna replacement.
Amount:
$3,249.24

Component Description:
Deposit
Amount:
$50,731.00

Component Description:
final balance on tower modifications.
Amount:
$119,035.28

Component Description:
Tower modifications, # 8021701T
Amount:
$44,215.00

Component Description:
Tower modifications
Amount:
$61,930.15

Component Description:
50% deposit
Amount:
$110,442.50

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 $41,705.00 $38,250.00 N/A $3,650.00 N/A
Total for all systems $3,349,830.00 $2,733,552.00 N/A $2,797,694.39 N/A
Outside Professional Services $41,705.00 $38,250.00 $3,650.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 N/A N/A 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 $600.00 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 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 $1,750.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,300.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $7,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
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

Component Description:
license
Amount:
$600.00
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

Component Description:
engineering for 2100 portion of CP
Amount:
$1,750.00
Perform engineering study for new channel assignment and antenna development

Component Description:
further interference study for CP
Amount:
$650.00

Component Description:
interference study for CP
Amount:
$650.00
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Prepare and or review reimbursement form Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $30,245.00 $20,835.00 N/A $15,489.99 N/A
Total for all systems $3,349,830.00 $2,733,552.00 N/A $2,797,694.39 N/A
Other Expenses $30,245.00 $20,835.00 $15,489.99
road repair $15,000.00 $15,000.00 road repair to xmitter $13,393.99 N/A
Core drilling $1,000.00 $1,000.00 quoted $0.00 N/A
Equipment Delivery and Handling Charges $2,500.00 $2,500.00 forklift to offload equipment N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $2,145.00 N/A $2,096.00 N/A

Components

Actual Information Description File Name
road repair

Component Description:
matt rental
Amount:
$1,580.00

Component Description:
credit memo
Amount:
($35.10)

Component Description:
credit memo
Amount:
($35.10)

Component Description:
materials for road
Amount:
$578.99

Component Description:
matt pickup, road repair.
Amount:
$1,080.00

Component Description:
repair
Amount:
$385.00

Component Description:
road repair
Amount:
$9,805.10
Core drilling

Component Description:
drill transmitter wall.
Amount:
$600.00
Equipment Delivery and Handling Charges Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification

Component Description:
Toatal payment
Amount:
$2,096.00

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $3,349,830.00 $2,733,552.00 $2,797,694.39

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.

Steve Hastings

Network RF Manager


01/04/2022

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.

Steve Hastings

Network RF Manager


01/04/2022

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.

Steve Hastings

Network RF Manager


01/04/2022

Attachments

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