TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
TELEVICENTRO OF PUERTO RICO, LLC	Olga Bonnin P.O. BOX 362050 SAN JUAN, PR 00936 United States	+1 (787) 792-4444	olga.bonnin@wapa-tv.com	Limited Liability Company

Applicant

Address

Phone

Applicant Type

TELEVICENTRO OF PUERTO RICO, LLC

Olga Bonnin

P.O. BOX 362050

SAN JUAN, PR 00936

United States

+1 (787) 792-4444

olga.bonnin@wapa-tv.com

Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Sally A. Buckman , Esq . Lerman Senter PLLC	2001 L Street NW Suite 400 Washington, DC 20036 United States	+1 (202) 416-6762	TelevicentroRepack@SummitRidgeGroup.com

Applicant

Address

Phone

Sally A. Buckman , Esq .

Lerman Senter PLLC

2001 L Street NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6762

TelevicentroRepack@SummitRidgeGroup.com

Broadcaster Information and Transition Plan

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	Minor change application for CP, tower modification as needed, transmitter, mask filter and antenna replacement, auxiliary facility, filling for a license.

Transmitters

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

Primary Transmitter

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	TDU-2
	Year	2003
	Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power Capacity	10 kW

Primary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Primary (Main)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Manufacturer
	Model	HPTV-PRLX-U16
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	27.5 kW
	Justification for New Transmitter	The manufacturer indicated that channel retuning for the existing transmitter is not supported. Due to additional Ch-14 filter losses additional power is needed to achieve current ERP and coverage.

Primary Transmitter

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	Yes
	Size	2 inches
	Length	360.0 feet
	Other Electrical Service	Yes
	Description	Service disconnect switch and main breaker.
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	30

Primary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Service Tax	Consulting and services @ 4%
Sales Tax	Equipment @ 11.5%
Other Costs	Other Costs associated with the Transmitter

Interim Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Interim
	Description of Use	N/A
	Change Type	Purchase
	Manufacturer
	Model	MPTV-PRLX-U9
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	15.0 kW
	Justification for New Transmitter	See attached WTIN Interim transmitter justification document.

Interim Transmitter

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	Yes
	Size	2 inches
	Length	150.0 feet
	Other Electrical Service	Yes
	Description	Main Breaker, UPS and 300 ft. cable run from existing generator to feed the interim transmitter.
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
Inside RF System	Is an additional interior RF system required to support this interim transmitter?	Yes

Interim Transmitter

Other Transmitter Cost Not Listed

Name	Description
Sales Tax	Equipment @ 11.5%
Other Costs	Other Costs associated with the transmitter
Local Service Tax	Local and consulting services @ 4%

Antennas

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

Primary Antenna

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?	Yes
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels	N/A
	Design power capacity in use	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Other Antenna Type	N/A
	ERP:	380.2 kW
	Manufacturer
	Model	TLP-24 (C) DC
	Year	2003

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	Yes
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:	371.0 kW
	Manufacturer
	Model	TFU-24JSC S180
	Year	2017
	Justification for New Antenna	The existing antenna is single channel, not field tuneable.

Primary Antenna

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?	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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Sales Tax	Equipment @ 11.5%

Interim Antenna

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?	Yes
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:	200.0 kW
	Manufacturer
	Model	TLP-24B (C)
	Year	2017
	Justification for New Antenna	To remain on the air while present tower structural upgrades, present antenna removal and new antenna installation are in progress an interim antenna along with an interim transmitter and tower are needed.

Interim Antenna

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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Interim Antenna

Other Antenna Cost Not Listed

Name	Description
Sales Tax	Equipment @ 11.5%

Transmission Line

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

Primary Transmission Line

Existing Transmission Line

Section	Question	Response
Existing Transmission Line Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing transmission line shared with another station or stations?	No
	Is Transmission Line in operating condition?	Yes
Existing Transmission Line Manufacturer and Type	Manufacturer
	Type	Flexible Air
	Diameter	3 inches
	Other Diameter	N/A
	Segment Length	N/A
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	175 feet per run

Primary Transmission Line

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	Flexible Air
	Diameter	5 inches
	Other Diameter	N/A
	Segment Length	N/A
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	165 feet per run
	Justification for New Transmission Line	Current transmission line will not accommodate the new post-repack channel.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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	225 feet per run
	Justification for New Transmission Line	An interim transmission line, interim transmitter, interim antenna and interim tower are needed to remain on the air while main main tower structural upgrades, present antenna removal and new antenna installation are in progress.

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Sales Tax	Equipment @ 11.5%

Tower Equipment And Rigging Costs

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

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Is this tower consider Complex?	No
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	No
	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?	No
Existing Tower Structure Registration	ASR Number
Coordinates (NAD83)	Latitude (NAD83)	18° 10' 02.85" N-
	Longitude (NAD83)	066° 34' 34.6" W-
	Overall Structure Height	185.00 feet
	Support Structure Height	170.00 feet
	Ground Elevation Above Mean Sea Level (AMSL)	4298.00 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Televicentro of PR, LLC
	Date Constructed	05/18/1990

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
39887	WIRS	DTV

Primary Tower

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

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Sales Tax	Equipment @ 11.5%

Auxiliary Tower

Add Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Auxiliary (Backup)
	Description of Use	Interim Tower
	Ownership	Owned
	Is this tower consider Complex?	No
	Is this tower currently shared with any other stations?	No
	One or more FM, AM or TV radio broadcaster(s)	N/A
	Others Types of Users	N/A
	Is tower documented for structural analysis?	Yes
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1010731
Coordinates (NAD83)	Latitude (NAD83)	18° 10' 04.0" N-
	Longitude (NAD83)	066° 34' 37.0" W-
	Overall Structure Height	274.93 feet
	Support Structure Height	272.31 feet
	Ground Elevation Above Mean Sea Level (AMSL)	4268.32 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Televicentro of Puerto Rico, LLC
	Date Constructed	07/30/1997

Auxiliary Tower

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

Auxiliary Tower

Tower Rigging Costs

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

Auxiliary Tower

Other Tower Expenses Not Listed

Name	Description
Sales Tax	Equipment @ 11.5%

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	1095
	Explanation	Due to budget constraints the station does not have the necessary personnel to manage the project.
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	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	Yes
	Number of Days	30
	Justification	Verification of the position and angle of the high power antenna on the WTIN main site.

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Service Tax	Local Consulting and services @ 4%
Repacking Related Tax Services	Repacking Related Tax Services
Quarterly Progress Reports.	Quarterly Repack Progress Report.

Other Expenses

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

Other Expenses

Other Expenses Not Listed

Name	Description
System Design and Site Survey	Main Transmitter System Design and Site Survey, as per Hitachi Comark Proposal.
Motorized Switch	Main transmitter Motorized Switch
Service Tax	Consulting and services @ 4%
Interim Transmitter system Design	Interim Transmitter System Design and Site Survey, as per Hitachi Comark Proposal.
Station Employees Time	Station Employee Time

Cost Information

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	$2,487,631.69	$1,793,786.30	N/A	$1,413,167.97	N/A
Total for all systems	$4,930,723.52	$4,694,215.60	N/A	$3,445,351.73	N/A
Interim Transmitter MPTV-PRLX-U9	$1,193,177.38	$843,170.51		$711,091.75
Local Service Tax	$220.00	$220.00	State Service tax 4%	$0.00	N/A
Sales Tax	$67,011.16	$67,011.16	State and City Sales Tax 11.5%	$67,011.16	N/A
Other Costs	$2,146.22	$2,146.22	Other Costs associated with the transmitter	$2,146.22	N/A
UHF inside RF system including switching	$147,500.00	$11,948.48	Inside building RF components for the interconnection of transmitter to ch. 14 sharp tuned filter and transmission line.	$11,948.48	N/A
Channel 14 Mask Filter	$189,500.00	$93,203.00	See Attached Hitachi Kokusai Electric Comark LLC Proposal P#3911PRLXU8-110218 Item 2.3 Part No. NS1	$0.00	N/A
10 Ton system	$38,900.00	$22,908.00	See attached AIr-Con C-17-0411 quote	$17,642.91	N/A
Other Electrical Service: Main Breaker, UPS and 300 ft. cable run from existing generator to feed the interim transmitter.	$60,000.00	$60,000.00	Based on manufacturer UPS pricing consultations, previous experience during the analog to digital transition, the amount of high voltage switches, breakers and other materials needed, site remote location, and difficulty of getting contractors to the site	$30,359.33	N/A
2" Rigid Conduit and Wiring (Cost per foot)	$3,900.00	$3,750.00	N/A	$0.00	N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	$684,000.00	$581,983.65	*System Notice: Estimate adjusted and locked because line has been superseded.*See Attached Hitachi Kokusai Electric Comark LLC Proposal P#3911PRLXU8-110218 Less Item 2.3, CH. 14 Mask Filter.	$581,983.65	See invoice S10209-3
Primary Transmitter HPTV-PRLX-U16	$1,294,454.31	$950,615.79		$702,076.22
Service Tax	$464.00	$464.00	State Service tax 4%	N/A	N/A
Sales Tax	$70,363.79	$70,363.79	State and City Sales Tax 11.5%	$70,363.79	N/A
Other Costs	$5,000.00	$5,000.00	Other Costs associated with the transmitter.	$1,078.78	N/A
Additional field engineering time, 10-30 days	$63,100.00	$60,000.00	N/A	N/A	N/A
Channel 14 Mask Filter	$189,500.00	$180,000.00	N/A	$4,500.00	N/A
Other Electrical Service: Service disconnect switch and main breaker.	$4,406.52	$4,406.52	As per previous experience, includes transmitters main breakers, safety switches, cooling pumps breakers, Heat Exchange breakers and Safety switches.	$4,406.52	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$610,713.48	*System Notice: Estimate adjusted and locked because line has been superseded.*See attached Hitachi Comark Proposal and Invoice	$611,059.13	Shipping costs were approved under this line item, thus pushing the total above expected
RF Consulting Engineer	$5,260.00	$10,668.00	Preparing of WTIN Special conditions compliance enginnering report and Ch. 14 L-M study.	$10,668.00	N/A
2" Rigid Conduit and Wiring (Cost per foot)	$9,360.00	$9,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Local Service Tax	Information not provided.
Sales Tax	Component Description: Sales tax for invoice #2HC14632HP789405C. #0-718-979-255 Amount: $50.02 Component Description: Sales tax for invoice #2B700425DD079671H. #0-718-068-605 Amount: $12.06 Component Description: Sales tax for #1LV37432HU9358136. #0-718-056-666 Amount: $34.49 Component Description: Interim tx sales taxes. #SC6041 Amount: $66,888.37 Component Description: Sales tax for #01108019XM676114E. #0-718-195-354 Amount: $26.22
Other Costs	Component Description: Inv# 2B700425DD079671H, Interchangeable trip circuit breaker rating plug. Will not allow use of (&) in Vendor name. Amount: $190.76 Component Description: Inv# 1LV37432HU9358136; Amp Circuit breaker. Vendor name will not allow inclusion of "_" symbol Amount: $299.99 Component Description: Roger Electric Invoice #0003503811. Including Taxes. Amount: $524.55 Component Description: Cutler Hammer Amp Breaker Amount: $484.50 Component Description: Roger Electric Invoice; Including Taxes Amount: $646.42
UHF inside RF system including switching	Component Description: Dielectric Invoice 279001, RF components. Amount: $11,948.48 Component Description: Item 1-4 on the invoice. #279001 Amount: $11,948.48
Channel 14 Mask Filter	Information not provided.
10 Ton system	Component Description: WTIN Universal Air Conditioner Inv# 1773 Amount: $2,534.00 Component Description: WTIN - Air-Con Inc. - auxiliary/interim transmitter HVAC work plus tax. Invoice # 336865, PO # 132181. Amount: $12,854.84 Component Description: WTIN Universal Air Conditioner Inv#1790 Amount: $2,144.63 Component Description: WTIN - Refricentro - aux/interim transmitter HVAC work plus tax. Invoice # BP-110402, PO # 132568. Amount: $109.44
Other Electrical Service: Main Breaker, UPS and 300 ft. cable run from existing generator to feed the interim transmitter.	Component Description: Credit For UPS Amount: ($30,073.24) Component Description: WTIN - auxiliary/interim transmitter HVAC work, final payment plus tax. Invoice # 1344, PO # 132144. Amount: $19,006.95 Component Description: Graybar Invoice 9307410443 for Interim transmitter electrical work Amount: $203.29 Component Description: Graybar invoice 9307933668 for Interim Transmitter electrical work Amount: $172.74 Component Description: Universal Engineering Inv# U1810 33i. First 50% of quote for Interim Transmitter electrical installation. Amount: $12,127.96 Component Description: WTIN - auxiliary/interim transmitter HVAC work, 40% down payment plus tax. Invoice # 1314, PO # 132144 Amount: $12,671.28 Component Description: Universial Engineering inv# U1810 35i. For installation of interim transmitter. Amount: $4,304.20 Component Description: WTIN - Graybar_INV#9306923149_PO23497_Revised, Transmitter, Interim, Other Electrical Amount: $427.07 Component Description: Graybar invoice 9307368350 for interim transmitter electrical work. Amount: $85.68 Component Description: Electrical installation. #U1909 39i Amount: $4,081.52 Component Description: WTIN_ American Express_01108019XM676114E, Interim Transmitter, Other Electrical Amount: $250.00 Component Description: Inv# 7943 for installation of safety line for transmitter work. Amount: $3,149.88 Component Description: Inv# 7923 for interim transmitter work. Amount: $3,952.00
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	Component Description: Comark Inv# 11439A for Interim Transmitter; First 50% payment. Amount: $290,819.00 Component Description: WTIN_Comark_Interim_Transmitter_INv#_S10209-3_PO#_132717 _With CL attached, UHF - Liquid Cooled Solid State Transmitter, Final 5% Amount: $31,383.70 Component Description: WTIN_Hitachi_Interim_Transmitter_INv#_S10204-3_PO#_132717__4-10-2020, Interim transmitter, 14-20 Kw Amount: $29,081.90 Component Description: Comark Inv# S10204-2A for Interim Transmitter. Second 45% payment. Amount: $261,737.10 Component Description: Mays Ochoa Inv # 163322 Amount: $345.65
Service Tax	Information not provided.
Sales Tax	Component Description: Sales tax for #6T2663272W4201136. #0-919-893-476 Amount: $37.37 Component Description: Sales tax for #241619. #1-487-806-720 Amount: $200.00 Component Description: Primary tx sales taxes. #SC6041 Amount: $70,126.42
Other Costs	Component Description: Angular Galvanizado. #1776 Amount: $541.89 Component Description: Roger Electric Invoice#0003502729, Including Tax. Amount: $304.33 Component Description: Roger Electric Inv# 0003500014 Amount: $232.56
Additional field engineering time, 10-30 days	Information not provided.
Channel 14 Mask Filter	Component Description: Mounting Communications Inv. # 1779 for Teleware 400 Bandpass Amount: $4,500.00
Other Electrical Service: Service disconnect switch and main breaker.	Component Description: Split in half Amount: $4,081.53 Component Description: JRL Electric Inv for 125 amp. Amount: $325.00 Component Description: Electrical installation. #U1909 39i Amount: $4,081.52
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: WTIN 10209-3, Primary Transmitter balance to be reimbursed. WTIN paid an $31383.7 in excess for the WTIN main transmitter, Amount: $15,244.87 Component Description: WTIN - Hitachi Comark main transmitter 50% down payment. Invoice # 11434, PO #132263 with proposals and cover letter - REVISED. Amount: $69,897.50 Component Description: Mays Ochoa Inv 170541 for Deionized Water Amount: $172.83 Component Description: PLEASE DELETE AND IGNORE. Invoice was moved to different cost category per Fund Admin request Amount: $345.65 Component Description: Comark Invoice# S10209-2, minus maximization costs Amount: $289,652.63 Component Description: Mays Ochoa inv 170542 for Deionized Water Amount: $345.65 Component Description: WTIN - Hitachi Comark main transmitter 50% down payment. Invoice # 11434, PO #132263 with proposals and cover letter - REVISED. Amount: $235,000.00 Component Description: WTIN - Empreses Rolon_2019-07_133047, Primary Transmitter, UHF Amount: $400.00
RF Consulting Engineer	Component Description: WTIN - Channel 14 land mobile interference study. Invoice # 241619, PO # 132173. Amount: $5,000.00 Component Description: Main TX RF consulting services. #1237 Amount: $5,668.00
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.

Cost Information

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	$551,851.76	$139,833.06	N/A	$128,231.62	N/A
Total for all systems	$4,930,723.52	$4,694,215.60	N/A	$3,445,351.73	N/A
Interim Antenna TLP-24B (C)	$321,055.07	$62,019.87		$55,538.43
Sales Tax	$7,015.07	$7,015.07	State and City Sales Tax 11.5%	$7,015.07	N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,120.00	N/A	$0.00	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$10,615.00	See Attached WTIN Interim Antenna Dielectric Quote 8000044CMZ-1, Line 2, Item 11000000077, CUSTOM ANTENNA MOUNTING BRACKETS FOR ITEM 1.	$9,893.56	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	See Attached WTIN Interim Antenna Dielectric Quote 8000044CMZ-1, Line 20, REPACK SWEEP,	$5,760.00	N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized	$189,500.00	$16,434.90	*System Notice: Estimate adjusted and locked because line has been superseded.*See Attached WTIN Interim Antenna Dielectric Quote 8000044CMZ-1, Line 1, Item 11000000077, ANTENNA - UHF SIDE MOUNT ONE STATION HORIZONTAL POLARIZATION.	$16,434.90	N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized	$89,400.00	$16,434.90	*System Notice: Estimate adjusted and locked because line has been superseded.*	$16,434.90	N/A
Primary Antenna TFU-24JSC S180	$230,796.69	$77,813.19		$72,693.19
Sales Tax	$6,156.69	$6,156.69	State and City Sales Tax 11.5%	$6,156.69	N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,120.00	N/A	$0.00	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$10,614.75	N/A	$10,614.75	N/A
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized	$189,500.00	$49,521.75	*System Notice: Estimate adjusted and locked because line has been superseded.*	$49,521.75	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	See Attached WTIN Main Antenna Dielectric Quote 700396CMZ-2, Line 21, Item REPACK SWEEP	$6,400.00	N/A

Components

Actual Information Description	File Name
Sales Tax	Component Description: Interim antenna sales taxes. #0-718-080-725 Amount: $5,794.34 Component Description: Interim antenna sales tax balance. #SC6041 Amount: $1,220.73
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: WTIN - Dielectric - interim/auxiliary antenna brackets, second 45% payment. Invoice # MAN00398, PO #132170. Amount: $4,776.75 Component Description: Antenna mounting, balance. #272006 Amount: $340.06 Component Description: Portion of the initial WTIN 45% interim antenna invoice attributable to the brackets. Amount: $4,776.75
Sweep test of existing antenna	Component Description: WTIN - Dielectric - interim/auxiliary antenna sweep, second 45% payment. Invoice # MAN00398, PO #132170. Amount: $2,880.00 Component Description: Portion of the initial WTIN 45% interim antenna invoice attributable to the antenna sweep. Amount: $2,880.00
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized	Component Description: WTIN - Dielectric - interim/auxiliary antenna, second 45% payment. Invoice # MAN00398, PO #132170. Amount: $16,434.90 Component Description: MAN00398, Side Mount Amount: $16,434.90
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized	Component Description: Portion of the initial WTIN 45% invoice attributable to the interim antenna. Amount: $16,434.90
Sales Tax	Component Description: Primary antenna sales taxes balance. #SC6041 Amount: $1,956.69 Component Description: Primary antenna sales taxes. #0-718-080-721 Amount: $4,200.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: Antenna side brackets. #272011 Amount: $1,061.49 Component Description: WTIN - Dielectric, main antenna bracket cost (minus maximization), second 45% payment. Invoice # MAN00407, PO #132182. Amount: $4,776.63 Component Description: Portion of the initial WTIN 45% main antenna invoice attributable to the brackets. Dielectric Invoice # MAN00286, PO #132182 with proposals and cover letter - 2nd REVISED version. Amount: $4,776.63
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized	Component Description: Antenna costs. #272011 Amount: $3,652.19 Component Description: Pegasus Group Inv # 4024 for Antenna work, including tax Amount: $13,000.00 Component Description: WTIN - Dielectric - main antenna costs (minus maximization), second 45% payment. Invoice # MAN00407, PO # 132182. Amount: $16,434.78 Component Description: 45% of Antenna costs. Amount: $16,434.78
Sweep test of existing antenna	Component Description: Repack sweep. #272011 Amount: $640.00 Component Description: Portion of the initial WTIN 45% main antenna invoice attributable to the antenna sweep. Dielectric Invoice # MAN00286, PO #132182 with proposals and cover letter - REVISED version. Amount: $2,880.00 Component Description: WTIN - Dielectric - main antenna sweep costs (minus maximization), second 45% payment. Invoice # MAN00407, PO # 132182. Amount: $2,880.00

Cost Information

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	$32,049.00	$38,874.04	N/A	$12,477.26	N/A
Total for all systems	$4,930,723.52	$4,694,215.60	N/A	$3,445,351.73	N/A
Interim Transmission Line	$14,724.00	$15,312.62		$12,477.26
Sales Tax	$1,449.00	$1,449.00	State and City Sales Tax 11.5%	$0.00	N/A
Flexible Air Transmission Line - dielectric, 3"	$13,275.00	$13,863.62	See attached WTIN Aux antenna Dielectric proposal .800044CMZ-1 Line 3	$12,477.26	N/A
Primary Transmission Line	$17,325.00	$23,561.42		$0.00
Flexible Air Transmission Line - dielectric, 5"	$17,325.00	$23,561.42	See the attached Dielectric invoice and Purchase Order, Inv. # MAN00286, PO #132182.	$0.00	N/A

Components

Actual Information Description	File Name
Sales Tax	Information not provided.
Flexible Air Transmission Line - dielectric, 3"	Component Description: N/A Amount: N/A Component Description: Portion of the WTIN initial 45% interim antenna invoice attributable to the transmission line. Amount: $6,238.63 Component Description: WTIN - Dielectric - interim/auxiliary transmission line, second 45% payment. Invoice # MAN00398, PO #132170. Amount: $6,238.63
Flexible Air Transmission Line - dielectric, 5"	Component Description: The applicant no longer requests reimbursement for this item. Please see the associated cover letter for explanation. Amount: N/A

Cost Information

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	$1,148,672.07	$2,009,765.62	N/A	$1,465,376.39	N/A
Total for all systems	$4,930,723.52	$4,694,215.60	N/A	$3,445,351.73	N/A
Primary Tower TOWER	$603,272.07	$1,490,165.62		$1,465,376.39
Short Tower (less than 500')	$84,200.00	$80,000.00	N/A	$56,495.50	N/A
Major tower reinforcement/modifications	$421,000.00	$1,312,693.55	See uploaded WTIN tower modifications change order narrative, TCI proposal Number TCI-19-077C and original proposal.	$1,312,693.55	N/A
Sales Tax	$85,472.07	$85,472.07	State and City Sales Tax 11.5%	$85,472.07	N/A
Structural engineering tower load study for well documented tower	$12,600.00	$12,000.00	N/A	$10,715.27	N/A
Auxiliary Tower TOWER	$545,400.00	$519,600.00		$0.00
Short Tower (less than 500')	$84,200.00	$80,000.00	N/A	$0.00	N/A
Structural engineering tower load study for well documented tower	$12,600.00	$12,000.00	N/A	$0.00	N/A
Major tower reinforcement/modifications	$421,000.00	$400,000.00	N/A	$0.00	N/A
Sales Tax	$27,600.00	$27,600.00	State and City Sales Tax 11.5%	$0.00	N/A

Components

Actual Information Description	File Name
Short Tower (less than 500')	Component Description: WTIN-TV Main Antenna Installation verification for the antenna to be plumb. Amount: $807.50 Component Description: WTIN_BORINQUEN_INV 8197, primary short tower Amount: $884.00 Component Description: Weather days. #9232 Amount: $10,725.00 Component Description: Borinquen Inv 8012 for installation of dielectric antenna to tower. Plus sales tax. Amount: $33,280.00 Component Description: Dielectric Inv 491031 for relocation mount kit and shipping costs. Amount: $2,583.00 Component Description: Communications with antenna manufacturer and installation reports. #1241 Amount: $8,216.00 Component Description: Preparation of Main antenna installation report. #1241 Amount: $6,240.00
Major tower reinforcement/modifications	Component Description: TCI invoice 9125, 35% initial deposit. WTIN tower modifications as per TCI proposal number TCI-19-077B. Amount: $443,065.49 Component Description: Repack modification and antenna installation services, 2nd 35%. #9220 Amount: $443,065.49 Component Description: WTIN_Borinquen Communication Inc_Inv 7969 With CL, Tower Equipment, Major Tower Reinforcement Amount: $10,140.00 Component Description: Mount replacement. #9234 Amount: $29,652.15 Component Description: Malouf Inv#1803640V1, structural modifications. Amount: $7,000.00 Component Description: Repack modification and antenna installation services, 3rd - 30%. #9231 Amount: $379,770.42
Sales Tax	Component Description: Sales tax for #1803640V1. #1-459-930-304 Amount: $280.00 Component Description: 10.5% sales tax for #9125. #0-978-792-768 Amount: $46,521.88 Component Description: 4% sales taxes for #1803640V0. #0-394-176-768 Amount: $140.00 Component Description: 4% sales taxes for #9231. #0-729-038-528 Amount: $15,190.83 Component Description: 4% sales taxes for #9220. #1-187-379-904 Amount: $17,722.62 Component Description: Sales tax for #9234. #0-635-088-320 Amount: $1,186.09 Component Description: 1% municipality taxes for #9125. #979359 Amount: $4,430.65
Structural engineering tower load study for well documented tower	Component Description: WTIN - Office Depot receipt - scan of tower analysis costs with tax, January 26, 2018. Receipt # 2684-5-9417-787776-17.9.2. Amount: $75.27 Component Description: Tower work. #8125 Amount: $884.00 Component Description: WTIN_Malouf Engineering_PO132903_INV#1903640v0, Structural Studies Amount: $3,500.00 Component Description: WTIN - Malouf Engineering - tower structural analysis. Invoice # 1803640V0, PO # 132000. Amount: $3,500.00 Component Description: Tower work. #8212 Amount: $884.00 Component Description: WTIN - Alejandro Luciano tower mapping. Invoice # 1179, PO # 132288. Amount: $1,872.00
Short Tower (less than 500')	Information not provided.
Structural engineering tower load study for well documented tower	Information not provided.
Major tower reinforcement/modifications	Information not provided.
Sales Tax	Information not provided.

Cost Information

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	$328,869.00	$330,871.58	N/A	$256,622.56	N/A
Total for all systems	$4,930,723.52	$4,694,215.60	N/A	$3,445,351.73	N/A
Outside Professional Services	$328,869.00	$330,871.58		$256,622.56
Quarterly Progress Reports.	$2,150.00	$2,150.00	Quarterly repack progress report documents preparation and filling based on previous experience with FCC filings	$613.50	N/A
Repacking Related Tax Services	$1,768.00	$1,768.00	N/A	$1,768.00	N/A
Additional Field Engineering Service, 30 Days	$2,000.00	$2,000.00	N/A	$0.00	N/A
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	$62,219.28	Please see uploaded Comprehensive Coverage Verification and Antenna Pattern Verification via UAV quote from QCommunications. Quote # 856C	$45,481.28	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$3,500.00	N/A	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	N/A	N/A
Attorney Fees - 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	$1,500.00	N/A
Prepare and or review reimbursement form	$2,630.00	$30,000.00	The actual cost exceeded the estimated costs, so we were instructed to increase the estimate.	$29,879.75	N/A
Project management of the transition	$173,010.00	$172,898.30	N/A	$172,880.80	N/A
Prepare request for Special Temporary Authorization	$2,050.00	$1,500.00	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	N/A	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	$0.00	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	N/A	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$2,777.00	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,500.00	N/A	N/A	N/A
Service Tax	$6,086.00	$6,086.00	State Service Tax 4%	$1,722.23	N/A

Components

Actual Information Description	File Name
Quarterly Progress Reports.	Component Description: WTIN - Luciano Invoice # 1175, PO # 132494 - repack progress reports, plus tax. Amount: $312.00 Component Description: Lerman Senter Invoice for preparing quarterly reports. Amount: $301.50
Repacking Related Tax Services	Component Description: Taxes related services. #70714 Amount: $1,768.00
Additional Field Engineering Service, 30 Days	Component Description: WTIN_Luciano_2019-0630-02, outside professional, additional field engineering service Amount: $807.50
RF Exposure Measurements	Information not provided.
Comprehensive coverage verification via field study, if needed	Component Description: Comprehensive coverage verification. #341029 Amount: $45,481.28
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
Attorney Fees - 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	Component Description: du Treil invoice# 240855; Services engineering portion of 2100 construction permit Amount: $1,500.00
Prepare and or review reimbursement form	Component Description: LS invoice 467305 for legal services Amount: $962.50 Component Description: LS invoice 457440 for legal services Amount: $1,541.50 Component Description: LS Invoice 460680 for legal services. Amount: $2,479.00 Component Description: WTIN - Alejandro Luciano outside services, 399 preparation and review. Invoice # 1173, PO # 132291 - Revised. Amount: $2,184.00 Component Description: LS Invoice 455664 for legal services Amount: $752.50 Component Description: Lerman Senter November 2018 Invoice; Preparing and reviewing reimbursement form. Amount: $5,156.25 Component Description: WTIN - Alejandro Luciano outside services, 399 preparation and review. Invoice # 1161, PO # 132299 - Revised. Amount: $1,092.00 Component Description: Luciano 1159 Invoice for project management Amount: $1,404.00 Component Description: Repack invoices review. #22 Amount: $253.75 Component Description: Lerman Senter Invoice for preparing and reviewing reimbursement form. Amount: $3,160.00 Component Description: Lerman Senter Invoice for Preparing and Reviewing Reimbursement form. Amount: $3,478.75 Component Description: LS invoice 464476 for legal services Amount: $536.00 Component Description: WTIN - Alejandro Luciano outside services, 399 preparation and review. Invoice # 1167, PO # 132294 - Revised. Amount: $1,248.00 Component Description: WTIN - Alejandro Luciano outside services, 399 preparation and review. Invoice # 1159, PO # 132298 - Revised. Amount: $1,404.00 Component Description: LS invoice 461692 for legal services Amount: $134.00 Component Description: LS Invoice 467118 for legal services Amount: $443.00 Component Description: Reimbursement form review and preparation. #338 Amount: $437.00 Component Description: Lerman Senter Invoice for services related to Preparing and Reviewing Reimbursement form. Amount: $4,617.50
Project management of the transition	Component Description: WTIN - Luciano Invoice # 1157, PO # 132490 - repack project management plus tax. Revised Amount: $39.00 Component Description: WTIN - Luciano Invoice # 1155, PO # 132489 - repack project management plus tax. Revised Amount: $468.00 Component Description: Luciano Inv# 1163 for Station Management. Amount: $624.00 Component Description: Lerman Senter Invoice for November 2018 Legal services; Project Management. Amount: $1,562.50 Component Description: Project management. #13 Amount: $472.50 Component Description: Project management. #4 Amount: $455.00 Component Description: WTIN - Luciano Invoice # 1153, PO # 132488 - repack project management plus tax. Revised Amount: $780.00 Component Description: Project management. #8 Amount: $280.00 Component Description: Project management. #12 Amount: $402.50 Component Description: Project management. #14 Amount: $455.00 Component Description: Legal services costs. #482225 Amount: $8,483.75 Component Description: Project management. #20 Amount: $437.50 Component Description: Luciano Invoice 1151 for project evaluation Amount: $936.00 Component Description: WTIN - September 2019 w expenses, Project Management Amount: $2,014.85 Component Description: September 2018 WTIN 471144 w expenses CL, Project Management Amount: $8,358.25 Component Description: April 2020 LS services Amount: $4,276.40 Component Description: Project management. #15 Amount: $437.50 Component Description: WTIN_Luciano_2019-0630-02_With CL, Outside Professional, Project Management Amount: $807.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #302 Amount: $2,748.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #239 Amount: $3,576.50 Component Description: WTIN - LS March 2019 Repack, Other Professional, Project Management Amount: $2,400.00 Component Description: Project management. #17 Amount: $420.00 Component Description: March 2020 WTIN 480151 Repack, Project Management Amount: $4,050.00 Component Description: May 2018 WTIN 468237-EXP revised w CL, Project Management Amount: $1.40 Component Description: Project management. #17 Amount: $420.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #256 Amount: $333.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #272 Amount: $2,921.00 Component Description: WTIN - Luciano Invoice # 1177, PO # 132493 - repack project management plus tax. Revised Amount: $468.00 Component Description: CM for #17. #CM-11-30-2021-WTIN Amount: ($17.50) Component Description: Project management. #21 Amount: $402.50 Component Description: Project management. #5 Amount: $472.50 Component Description: October 2018 WTIN 471730-EXP revised w CL, Project Management Amount: $9.80 Component Description: WTIN - LS January 2019 Repack, Other Professional, Project Management Amount: $6,681.25 Component Description: WTIN - April 2019 Repack, Project Management Amount: $2,670.00 Component Description: March 2020 LS Amount: $4,050.00 Component Description: WTIN - Luciano Invoice # 1171, PO # 132492 - repack project management plus tax. Amount: $312.00 Component Description: Lerman Senter May 2018 Invoice for legal services Amount: $1,235.00 Component Description: Feb 2020 LS Amount: $2,792.35 Component Description: WTIN - June 2019 w expenses, Project Management Amount: $6,981.60 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #225 Amount: $2,250.50 Component Description: Legal services costs. #488357 Amount: $220.00 Component Description: Project management. #6 Amount: $455.00 Component Description: Luciano Amount: $468.00 Component Description: August 2018 WTIN 470552, Project Management Amount: $5,470.00 Component Description: Project mangement. #1250 Amount: $8,112.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #310 Amount: $1,184.50 Component Description: WTIN - May 2019 W expenses, Project Management Amount: $4,722.95 Component Description: May 2020 Amount: $5,703.95 Component Description: April 2017 WTIN Repack revised, Project Management Amount: $801.75 Component Description: Project management. #9 Amount: $280.00 Component Description: Lerman Senter Invoice for July 2018; Project Management of the transition. Amount: $4,623.75 Component Description: Project management. #11 Amount: $385.00 Component Description: July 2018 WTIN 469736-EXP revised with CL, Project Management Amount: $12.70 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #325 Amount: $6,348.00 Component Description: November 2019 WTIN w expenses, Project Management Amount: $2,668.30 Component Description: WTIN - LS February 2019 Repack, Other Professional, Amount: $3,467.50 Component Description: WTIN - August 2019 w expenses, Project Management Amount: $3,191.60 Component Description: WTIN - July 2019 Repack minus Maximization W CL, Project Management Amount: $4,734.20 Component Description: Project management. #7 Amount: $455.00 Component Description: Legal service costs. #484989 Amount: $1,846.25 Component Description: December 2018 WTIN 472826 w expenses CL, Project Management Amount: $5,049.00 Component Description: June 2018 WTIN 469162-EXP Revised w CL, Project Management Amount: $6.00 Component Description: Noveber 2018 WTIN 472552 w expenses CL, Project Management Amount: $3,507.55 Component Description: Project management. #1248 Amount: $7,332.00 Component Description: Project management. #1251A Amount: $3,380.00 Component Description: Project management. #18 Amount: $402.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #250 Amount: $1,276.50 Component Description: December 2019 LS Amount: $3,205.20 Component Description: Legal service costs. #485200 Amount: $1,461.25 Component Description: Legal service costs. #483446 Amount: $3,597.50 Component Description: Legal service costs. #489072-WTIN Amount: $760.00 Component Description: Legal services costs. #488645-WTIN Amount: $1,460.00 Component Description: September 2017 WTIN Repack Revised___, project Management Amount: $671.80 Component Description: Legal service costs. #483918 Amount: $3,263.75 Component Description: WTIN - Luciano Invoice # 1151, PO # 132487 - repack project management plus tax. Amount: $936.00 Component Description: October 2019 WTIN w expenses Revised___, Project Management Amount: $7,136.15 Component Description: Jan 2020 LS services Amount: $2,162.50 Component Description: Lerman Senter Invoice; Fees for Project Management of the Transition. Amount: $852.50 Component Description: Project management. #10 Amount: $455.00 Component Description: Project management. #19 Amount: $402.50 Component Description: Jan 2020 WTIN 479086 Repack, Project Management Amount: $2,162.50 Component Description: Feb 2020 WTIN 479672 Repack, Project Management Amount: $2,792.35 Component Description: Outside project management. Luciano. Prepare status tracking charts. Amount: $468.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #317 Amount: $3,151.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #293 Amount: $1,127.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 2 stations. #280 Amount: $1,817.00
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	Component Description: Luciano 1169 Invoice for antenna project management costs Amount: $2,652.00 Component Description: WTIN - Alejandro Luciano channel studies for main and aux antennas. Invoice # 1169, PO # 132292 - Revised. Amount: $2,652.00 Component Description: du Treil Inv#240855; Engineering study for new channel. Amount: $125.00
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Service Tax	Component Description: LS sales taxes. #0-978-792-768 Amount: $839.05 Component Description: SR sales taxes. #0-635-088-320 Amount: $72.68 Component Description: LS and SR sales taxes. #1-187-379-904 Amount: $797.16 Component Description: SR sales taxes. #0-729-038-528 Amount: $13.34

Cost Information

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	$381,650.00	$381,085.00	N/A	$169,475.93	N/A
Total for all systems	$4,930,723.52	$4,694,215.60	N/A	$3,445,351.73	N/A
Other Expenses	$381,650.00	$381,085.00		$169,475.93
Station Employees Time	$216,963.00	$216,963.00	Estimated based on internal calculations for station employees repack dedicates time. See attached Exhibit 1.	$82,651.23	N/A
Interim Transmitter system Design	$15,300.00	$15,300.00	Interim Transmitter System Design and Site Survey as per attached Hitachi Comark Interim transmitter proposal. Item 2.4 P/N S34	N/A	N/A
Service Tax	$3,060.00	$3,060.00	4% State Service Tax	N/A	N/A
Motorized Switch	$4,835.00	$4,835.00	Existing system has motorized switch for antenna to test load transfer. See attached Hitachi Comark Main Transmitter Proposal Item 2.1 P/N T5	N/A	N/A
System Design and Site Survey	$15,912.00	$15,912.00	Transmitter System Design and Site Survey as per attached Hitachi Comark Main Transmitter Proposal Item 2.4 P/N S34	$15,912.00	N/A
MVPD Notification of Channel Change	$7,000.00	$7,000.00	Estimate based on previous experience during the analog to digital transition.	N/A	N/A
Develop and air announcement of upcoming channel change	$20,000.00	$20,000.00	N/A	N/A	N/A
Equipment Storage	$7,000.00	$7,000.00	Estimate based on previous experience during the analog to digital transition.	N/A	N/A
Equipment Delivery and Handling Charges	$65,000.00	$65,000.00	See Attached Relocation Fund Administrator Request for Additional Information Document	$62,722.88	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$4,500.00	$4,500.00	Estimate based on previous experience during the analog to digital transition, the site remote location and difficult accessibility.	$3,550.00	N/A
Local Zoning	$10,000.00	$10,000.00	Based on previous experience during analog to digital transition. Local authority estimated fees for tower work permits.	$500.00	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	$4,139.82	N/A

Components

Actual Information Description	File Name
Station Employees Time	Component Description: J. Guerra May 18 Amount: $470.68 Component Description: WTIN JC Internal Time_JC-IL-04-14-2017-WTIN_w_CL, Internal Time Amount: $152.24 Component Description: Internal time 2021 AM. Amount: $12,404.16 Component Description: Internal time 2021 JG. Amount: $10,297.84 Component Description: J. Guerra April 18 Amount: $571.54 Component Description: WTIN_Alex Internal_IL-06-28-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $1,797.71 Component Description: WTIN_Alex Internal_IL-05-23-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $599.24 Component Description: WTIN_Televicentro_IL-05-31-2019-JA-WTIN, Other Expenses, Internal Time Amount: $238.32 Component Description: WTIN_Craig Internal_IL-02-14-2019-CF-WTIN, Other Expenses, Internal Time Amount: $644.49 Component Description: WTIN JG Internal Time_IL-02-22-2017-WTIN, Internal time Amount: $684.07 Component Description: WTIN JG Internal Time_IL-05-23-2017-WTIN, Internal Time Amount: $996.79 Component Description: WTIN_Craig Internal_IL-12-13-2018-CF-WTIN, Other Expenses, Internal Time Amount: $161.12 Component Description: J. Guerra June 18 Amount: $4,269.74 Component Description: WTIN AM Internal Time_AM-IL-06-05-2017-WTIN_w_CL, Internal Time Amount: $99.32 Component Description: J. Guerra March 18 Amount: $336.20 Component Description: WTIN_Televicentro_IL-12-31-2018-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN_Televicentro_IL-11-30-2018-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN_Televicentro_IL-08-31-2019-JA-WTIN, Other Expenses, Internal Time Amount: $238.32 Component Description: WTIN_Televicentro_IL-07-31-2019-JA-WTIN, Other Expenses, Internal Time Amount: $238.32 Component Description: Medina May 2018 Internal Time Amount: $241.10 Component Description: WTIN_Televicentro_IL-03-31-2019-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN AM Internal Time_AM-IL-04-14-2017-WTIN Amount: $744.90 Component Description: J. Guerra Oct 18 Amount: $134.48 Component Description: Internal time 2021 GS. Amount: $3,036.80 Component Description: WTIN_Alex Internal_IL-07-28-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $342.42 Component Description: WTIN_Craig Internal_IL-09-20-2017-CF-WTIN, Other Expenses, Internal Time Amount: $644.49 Component Description: WTIN_Craig Internal_IL-07-25-2018-CF-WTIN, Other Expenses, Internal Time Amount: $322.25 Component Description: J. Guerra Sept 18 Amount: $1,210.32 Component Description: J. Guerra Feb 18 Amount: $336.20 Component Description: J. Guerra Dec 18 Amount: $134.48 Component Description: WTIN_Alex Internal_IL-09-20-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $342.42 Component Description: WTIN_Craig Internal_IL-11-28-2017-CF-WTIN, Other Expenses, Internal Time Amount: $483.37 Component Description: WTIN_Televicentro_IL-10-31-2018-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN_Televicentro_IL-09-30-2018-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN_Alex Internal_IL-02-14-2019-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $171.21 Component Description: WTIN_Craig Internal_IL-04-21-2017-CF-WTIN, Other Expenses, Internal Time Amount: $161.12 Component Description: WTIN_J.Maynulet_Timesheet_July_2018, Other Expenses, with Withholding and Cover letter Amount: $832.95 Component Description: WTIN_Televicentro_IL-02-28-2019-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN_Alex Internal_IL-02-21-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $599.24 Component Description: WTIN_Alex Internal_IL-11-28-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $428.03 Component Description: WTIN_Alex Internal_IL-04-21-2017-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $171.21 Component Description: WTIN_J.Maynulet_Timesheet_May_2018, Other Expenses, with Withholding and Cover letter Amount: $370.20 Component Description: WTIN_Craig Internal_IL-06-29-2018-CF-WTIN, Other Expenses, Internal Time Amount: $322.25 Component Description: J Guerra Jan 18 Amount: $134.48 Component Description: WTIN_Televicentro_IL-01-31-2019-JA-WTIN, Other Expenses, Internal Time Amount: $230.80 Component Description: WTIN_J.Maynulet_Timesheet_June_2018, Other Expenses, with Withholding and Cover letter Amount: $462.75 Component Description: WTIN_Televicentro_IL-09-30-2019-JA-WTIN, Other Expenses, Internal Time Amount: $238.32 Component Description: WTIN_J.Maynulet_Timesheet_Dec_2018, Other Expenses, with Withholding and Cover letter Amount: $370.20 Component Description: WTIN_Craig Internal_IL-01-18-2019-CF-WTIN, Other Expenses, Internal Time Amount: $1,611.23 Component Description: WTIN_Craig Internal_IL-07-28-2017-CF-WTIN, Other Expenses, Internal Time Amount: $5,317.04 Component Description: J. Guerra August 18 Amount: $2,891.32 Component Description: WTIN JG Internal Time_IL-06-24-2017-WTIN, Internal Time Amount: $1,400.72 Component Description: WTIN_J.Maynulet_Timesheet_Sept_2018, Other Expenses, with Withholding and Cover letter Amount: $185.10 Component Description: WTIN_Televicentro_IL-04-30-2019-JA-WTIN, Other Expenses, Internal Time Amount: $238.32 Component Description: WTIN_Alex Internal_IL-05-11-2018-AT-WTIN_Revised, Other Expenses, Internal TIme Amount: $256.82 Component Description: Internal time 2020 AM. Amount: $408.24 Component Description: WTIN_Alex Internal_IL-04-15-2019-AT-WTIN_Revised, (Real Invoice number in IL-04-05-2019-AT-WTIN), Other Expenses, Internal Time Amount: $85.61 Component Description: Internal time 2020 JG. Amount: $1,438.87 Component Description: WTIN RR Internal Time_RR-IL-04-04-2017-WTIN_w_CL, Internal Time Amount: $146.16 Component Description: WTIN_Craig Internal_IL-05-23-2017-CF-WTIN, Other Expenses, Internal Time Amount: $1,611.23 Component Description: WTIN_Craig Internal_IL-05-15-2018-CF-WTIN, Other Expenses, Internal Time Amount: $2,416.84 Component Description: WTIN_Craig Internal_IL-06-28-2017-CF-WTIN, Other Expenses, Internal Time Amount: $2,900.21 Component Description: WTIN JG Internal Time_IL-07-06-2017-WTIN_w_CL_Revised, Internal Time Amount: $130.30 Component Description: WTIN_Televicentro_IL-06-30-2019-JA-WTIN, Other Expenses, Internal Time Amount: $238.32 Component Description: WTIN_Alex Internal_IL-01-10-2018-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $256.82 Component Description: WTIN_J.Maynulet_Timesheet_May_2018, Other Expenses, with Withholding and Cover letter Amount: $370.20 Component Description: J. Guerra July 18 Amount: $6,354.18 Component Description: Medina April 18 Internal Time Amount: $1,253.72 Component Description: Medina March '18 Amount: $482.20 Component Description: WTIN_Alex Internal_IL-08-09-2018-AT-WTIN_Revised, Other Expenses, Internal Time Amount: $428.03 Component Description: WTIN RR Internal Time_RR-IL-06-05-2017-WTIN_w_CL Revised, Internal Time Amount: $48.72 Component Description: Alex_WTIN Dec '18, Other, Station time. Amount: $343.42 Component Description: WTIN JG Internal Time_IL-04-21-2017-WTIN, Internal Time Amount: $1,661.32 Component Description: Alex_WTIN Jan '19, Other, Station employee time Amount: $600.99 Component Description: WTIN_J.Maynulet_Timesheet_Aug_2018, Other Expenses, With Withholding Statement Amount: $370.20 Component Description: WTIN-J.Maynult_Timesheet_May_2018_REVISED, Other, station time. Amount: $370.20 Component Description: WTIN_REVISED_Labor hours - J. Alejandro (Aug 2018), Other Expenses, Station Employee Time, With Cover Letter Amount: $879.92 Component Description: WTIN_Craig Internal_IL-02-10-2017-CF-WTIN, Other Expenses, Internal Time Amount: $644.49
Interim Transmitter system Design	Information not provided.
Service Tax	Information not provided.
Motorized Switch	Information not provided.
System Design and Site Survey	Component Description: 4% sales taxes for #11342. #0-394-176-768 Amount: $612.00 Component Description: WTIN_Hitachi_PO132111_INV#11342_$15,300.00, Other Expenses Amount: $15,300.00
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Information not provided.
Equipment Delivery and Handling Charges	Component Description: WTIN - Transportes Rolon, equipment delivery charges. Invoice # 2018-35, PO # 132566. Amount: $600.00 Component Description: Transportes Rolon Invoice # 2018-51 for shipping and handling charges. Amount: $740.00 Component Description: DB Schenker Inv# 20185772, Delivery charges. Revised Amount: $7,895.00 Component Description: Transportes Rolon Invoice #2021-15 for shipping and handling charges. Amount: $1,950.00 Component Description: Transportes Rolon invoice 2018-93 for shipping costs Amount: $350.00 Component Description: Transportes Rolon invoice 2018-49 for shipping costs Amount: $1,800.00 Component Description: WTIN DB Schenker Inv #201087576, Unloading and delivery charges. Amount: $295.00 Component Description: WTIN DB Schenker Inv# 201087403, for delivery and unloading charges Amount: $295.00 Component Description: Movement and unloading of platforms and container. #2021-04 Amount: $1,950.00 Component Description: WTIN - Transportes Rolon, equipment delivery charges. Invoice # 2018-28, PO # 132567. Note, UPS refers to Unit Power Supply. Amount: $800.00 Component Description: Invoice 2019-03 for equipment transporting. Amount: $600.00 Component Description: WTIN_Transportes Rolon_ INV2019-22_PO#133265.pdf, Equipment Delivery and Handling Charges. Amount: $375.00 Component Description: Transportes Rolon Inv 2018-95 for equipment delivery and handling. Amount: $600.00 Component Description: Transportes Rolon Invoice 2018-89 for shipping costs Amount: $600.00 Component Description: Delivery of 20' container, material and tools. #2021-05 Amount: $3,650.00 Component Description: Transportes Rolon Invoice # 2018-67 for shipping costs Amount: $800.00 Component Description: DB Schenker Invoice# 201087377, unloading and delivery charges. Amount: $295.00 Component Description: Transportes Rolon Invoice 2018-57 for shipping costs Amount: $650.00 Component Description: WTIN_-_Transportes_Rolon_Delivery,_Inv#_2018-28,_PO#_132567_with_CL Revised, Other Expenses, Equipment Delivery Amount: $800.00 Component Description: Hitachi Air Freight PO 132717 Revised, Shipping Amount: $12,850.00 Component Description: DB Schenker Invoice # 201092064 for Delivery and Unloading Amount: $12,390.00 Component Description: Shipping Charges on Dielectric Invoice 279001 Amount: $1,417.88 Component Description: Transportes Rolon Invoice 2018-71 for shipping costs Amount: $700.00 Component Description: DB Schenker inv#201085771, delivery charges. Revised Amount: $7,895.00 Component Description: Transportes Rolon inv 2019-17 for shipping and delivery costs Amount: $3,800.00 Component Description: DB Schenker Invoice # 201087576; For unloading charges. Amount: $295.00 Component Description: DB Schenker Inv #201080787, for antenna transport to WTIN. Revised Amount: $9,970.00 Component Description: DB Schenker_Inv # 201104415_PO132516_revised w/ cover letter. Amount: $1,145.00 Component Description: Freight and shipping for Dielectric 279001. Amount: $1,417.88 Component Description: DB Schenker Inv#201092064, delivery and unloading charges. Amount: $12,390.00 Component Description: DB Schenker Inv # 201087377 for unloading charges. Amount: $295.00 Component Description: Transportes Rolon invoice 2018-69 for shipping costs Amount: $700.00
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Transportes Rolon Inv 2018-74; For Disposal Costs Amount: $1,900.00 Component Description: WTIN_Transportes Rolon_Inv# 2018-43_PO#132569 REVISED, Other Expenses, Disposal Amount: $450.00 Component Description: Transporte Rolon Inv# 2018-43; Removal and Disposal Costs of transfer switch Amount: $450.00 Component Description: Transportes Rolon Inv: 2018-75; For disposal costs Amount: $1,200.00
Local Zoning	Component Description: WTIN - Secretary of Hacienda, Government of Puerto Rico zoning permit cost. Receipt # 2018004707. Amount: $250.00 Component Description: WTIN local zoning permit for construction. March 2018. Receipt #2018004706. Amount: $250.00
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
DTV Medical Facility Notification	Component Description: DTV Notification with Quote Amount: $3,980.60 Component Description: DTVNotification Inv#001834, Medical facility notification. Amount: N/A Component Description: Sales tax for #001834. #1-459-930-304 Amount: $159.22

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$4,930,723.52	$4,694,215.60	$3,445,351.73

Reimbursement Status

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

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Craig D. Fischer

Vice President

02/04/2022

Certification

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).

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 certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Craig D. Fischer

Vice President

02/04/2022

Certification

Section

Question

Response

Submission of Final Allocation or Accounting Information Statements

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.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Craig D. Fischer

Vice President

02/04/2022

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Interim Transmitter

New Transmitter Costs

Interim Transmitter

Other Transmitter Costs

Interim Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Auxiliary Tower

Add Tower

Auxiliary Tower

Tower Modification Costs

Auxiliary Tower

Tower Rigging Costs

Auxiliary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components