TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
SOUTH CAROLINA EDUCATIONAL TV COMMISSION Doing Business As: SOUTH CAROLINA EDUCATIONAL TV COMMISSION	Mark Jahnke 1041 GEORGE ROGERS BOULEVARD COLUMBIA, SC 29201 United States	+1 (803) 737-3486	mjahnke@scetv.org	Government Entity

Applicant

Address

Phone

Applicant Type

SOUTH CAROLINA EDUCATIONAL TV COMMISSION

Doing Business As: SOUTH CAROLINA EDUCATIONAL TV COMMISSION

Mark Jahnke

1041 GEORGE ROGERS BOULEVARD

COLUMBIA, SC 29201

United States

+1 (803) 737-3486

mjahnke@scetv.org

Government Entity

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
Robert Gehman ConsultingEngineer Kessler and Gehman Associates, Inc.	Robert Gehman 507 NW 60 Street Suite D Gainesville, FL 32607 United States	+1 (352) 332-3157	bob@kesslerandgehman.com

Applicant

Address

Phone

Robert Gehman

ConsultingEngineer

Kessler and Gehman Associates, Inc.

Robert Gehman

507 NW 60 Street

Suite D

Gainesville, FL 32607

United States

+1 (352) 332-3157

bob@kesslerandgehman.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.	Yes
Briefly describe transition plan	Replace transmitter and antenna using existing transmission line. Add antenna system as interim during construction and duration of assigned phase. Map and analyze tower; design and implement modifications if required. See attached.

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	Platinum
	Year	2008
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	5 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	ULXTE-50
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	31.7 kW
	Justification for New Transmitter	The manufacturer of the existing transmitter advises that the transmitter cannot be re-tuned to the assigned channel. WITV applied for and was granted a change to a UHF channel. See cover letter in documentation.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	Yes
	Power	150 kVA
	Rigid Conduit and Wiring	Yes
	Size	3 inches
	Length	100.0 feet
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	No
	Size	N/A
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A

Primary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Internal RF System	Internal RF System

Antennas

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

Primary Antenna

Add 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 this antenna currently shared with any other stations?	No
	Is this antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	No
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Circular
	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:	20.0 kW
	Manufacturer
	Model	THV-8A7/CP-R C150
	Year	2015

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?	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	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Circular
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels/Bays	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Design power capacity in use	N/A
	Other Antenna Type	N/A
	ERP:	1000.0 kW
	Manufacturer
	Model	TFU-22JSC/VP-R S390
	Year	2020
	Justification for New Antenna	Existing VHF antenna was single channel. Moved channel assignment to UHF. See letter of explanation included in documentation package.

Primary Antenna

Other Antenna Costs

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

Primary Antenna

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

Add 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 this transmission currently shared with any other 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	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	1975 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	Rigid
	Diameter	6 1/8 inches
	Other Diameter	N/A
	Segment Length	19 3/4 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	1975 feet per run
	Justification for New Transmission Line	Line length not compatible with new CP channel. Old line of obsolete Unibolt design - spare sections for repair no longer available.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

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	Leased
	Is this tower consider Complex?	No
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	Yes
	Is tower documented for structural analysis?	No
	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	1051231
Coordinates (NAD83)	Latitude (NAD83)	32° 55' 29.0" N-
	Longitude (NAD83)	079° 41' 57.0" W-
	Overall Structure Height	1999.98 feet
	Support Structure Height	1999.98 feet
	Ground Elevation Above Mean Sea Level (AMSL)	16.08 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	WCSC, LLC
	Date Constructed	10/07/2009

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
21536	WGWG	DTV
60039	WIWF	FM
60950	WSCI	FM
71297	WCSC-TV	DTV

Other Types of Users

Users
Various RPU
WITV microwave

Primary Tower

Tower Modification Costs

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

Primary Tower

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

Information not provided.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	109
	Explanation	It will be necessary to schedule and coordinate multiple vendors and complete progress reports. Station does not have available personnel or personnel trained in project management for such complex projects.
Outside RF consulting Engineering Services	Perform engineering study for new channel assignment and antenna development	Yes
	Prepare engineering section of Form FCC Construction Permit Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare engineering section of Form FCC License to Cover Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare request for Special Temporary Authority	Yes
	Quantity	1
	Do you have Distributed Transmission System engineering services?	N/A
	Critical Facility	N/A
	Terrain-Shielded Facility	N/A
Attorney and Other Outside Consulting Services	Prepare and file Form FCC Construction Permit Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare and file Form FCC License to Cover Application	Yes
	For Auxiliary Facility	No
	For Main Facility	Yes
	Prepare request for Special Temporary Authority	Yes
	Quantity	1
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	No
	FAA Consultation (including preparation of FAA Form 7460)	No
	Negotiation of Lease and other Matter for Shared Locations	Yes
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	No
	Additional Field Engineering Service	Yes
	Number of Days	10
	Justification	It will be necessary to plan the installation, develop specifications for purchasing, and perform final inspections of this RF project. Station does not have available personnel or personnel trained in such services.

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Misc Field RF Mechanical Engineering Services	On-site coaxial transmission line work not covered by tower workers
Misc Legal Services	Miscellaneous repack related legal services
Tower Structural Analysis	Analysis by tower owner's preferred Engineering company

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	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	No
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?	Yes
	Does this relocation require MVPD Notification of a Channel Change?	Yes

Other Expenses

Other Expenses Not Listed

Information not provided.

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	$180,940.53	$177,490.53	N/A	$113,508.37	N/A
Total for all systems	$1,911,928.53	$1,931,989.53	N/A	$1,084,019.55	N/A
Primary Transmitter ULXTE-50	$180,940.53	$177,490.53		$113,508.37
Internal RF System	$36,000.00	$36,000.00	N/A	$35,766.81	N/A
UHF - Liquid Cooled Solid State Transmitter 31.7 kW	$75,990.53	$75,990.53	N/A	$75,990.53	N/A
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	N/A	N/A	N/A
Transformer 3 phase/480v - 150 KVA	$25,550.00	$24,300.00	N/A	N/A	N/A
3" Rigid Conduit and Wiring (Cost per foot)	$5,200.00	$4,900.00	N/A	$1,751.03	N/A

Components

Actual Information Description	File Name
Internal RF System	Component Description: Amount of invoice allocated to WITV - See cover letter Amount: $240.12 Component Description: Dummy load for RF system Amount: $17,601.69 Component Description: Parts for Internal RF System Amount: $17,925.00
UHF - Liquid Cooled Solid State Transmitter 31.7 kW	Component Description: 50% down payment for equivalent transmitter Amount: $75,990.53
Switchgear - industrial 800 amp	Information not provided.
Transformer 3 phase/480v - 150 KVA	Information not provided.
3" Rigid Conduit and Wiring (Cost per foot)	Component Description: Misc electrical parts Amount: $1,751.03

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	$460,180.00	$258,080.00	N/A	$19,050.00	N/A
Total for all systems	$1,911,928.53	$1,931,989.53	N/A	$1,084,019.55	N/A
Primary Antenna TFU-22JSC/VP-R S390	$460,180.00	$258,080.00		$19,050.00
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized	$200,000.00	$200,000.00	N/A	N/A	N/A
High-VHF, One station antenna . side mount,, elliptically or circularly polarized	$218,000.00	$19,050.00	*System Notice: Estimate adjusted and locked because line has been superseded.*	$19,050.00	Purchased UHF antenna rather than VHF due to channel change as explained in cover letter.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$12,300.00	N/A	$0.00	N/A
Sweep test of existing antenna	$6,730.00	$6,730.00	N/A	$0.00	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$20,000.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized	Information not provided.
High-VHF, One station antenna . side mount,, elliptically or circularly polarized	Component Description: V polarity for UHF Elliptically Polarized Antenna Amount: $19,050.00 Component Description: Moved to UHF antenna category Amount: N/A Component Description: Freight & storage for antenna - stored at Dielectric to avoid having it stored at unguarded site between manufacture and installation Amount: $5,752.00 Component Description: Moved to UHF antenna category Amount: N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: Elbow complex - 45% Amount: $4,633.87 Component Description: Elbow complex - 45% Amount: $4,633.87
Sweep test of existing antenna	Component Description: Sweep test - 45% Amount: $2,880.00 Component Description: Sweep test - 45% Amount: $2,880.00 Component Description: Sweep - 45% Amount: $2,880.00 Component Description: Sweep - 45% Amount: $2,880.00
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: Mounting brackets - 45% Amount: $7,391.25 Component Description: Mounting brackets - 45% Amount: $7,391.25

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	$398,950.00	$300,000.00	N/A	$261,741.72	N/A
Total for all systems	$1,911,928.53	$1,931,989.53	N/A	$1,084,019.55	N/A
Primary Transmission Line	$398,950.00	$300,000.00		$261,741.72
Rigid Transmission Line - copper, 6 1/8"	$398,950.00	$300,000.00	N/A	$261,741.72	N/A

Components

Actual Information Description	File Name
Rigid Transmission Line - copper, 6 1/8"	Component Description: Line portion - 2nd 45% down payment Amount: $120,900.27 Component Description: Shipping and storage for transmission line - stored at DIelectric to avoid having it stored at the unguarded transmitter site Amount: $8,863.87 Component Description: Transmission line - 45% Amount: $120,900.27 Component Description: Special length cut section of transmission line Amount: $910.00 Component Description: Transmission line adapters - See cover letter Amount: $7,195.00 Component Description: Line portion - 45% down payment Amount: $120,900.26 Component Description: Transmission line - 45% Amount: $120,900.27 Component Description: Overnight shipping for special cut length of transmission line - overnight delivery required because tower crew was onsite waiting for it. Amount: $2,972.32

Actual Information Description

File Name

Rigid Transmission Line - copper, 6 1/8"

Component Description:: Line portion - 2nd 45% down payment
Amount:: $120,900.27

Component Description:: Shipping and storage for transmission line - stored at DIelectric to avoid having it stored at the unguarded transmitter site
Amount:: $8,863.87

Component Description:: Transmission line - 45%
Amount:: $120,900.27

Component Description:: Special length cut section of transmission line
Amount:: $910.00

Component Description:: Transmission line adapters - See cover letter
Amount:: $7,195.00

Component Description:: Line portion - 45% down payment
Amount:: $120,900.26

Component Description:: Transmission line - 45%
Amount:: $120,900.27

Component Description:: Overnight shipping for special cut length of transmission line - overnight delivery required because tower crew was onsite waiting for it.
Amount:: $2,972.32

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	$657,800.00	$1,025,000.00	N/A	$592,920.00	N/A
Total for all systems	$1,911,928.53	$1,931,989.53	N/A	$1,084,019.55	N/A
Primary Tower TOWER	$657,800.00	$1,025,000.00		$592,920.00
Major tower reinforcement/modifications	$421,000.00	$400,000.00	N/A	N/A	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$25,000.00	N/A	N/A	N/A
Tall Tower (greater than 500')	$210,500.00	$600,000.00	Tower is 2000 feet. Antenna is at 1800 feet.	$592,920.00	N/A

Components

Actual Information Description	File Name
Major tower reinforcement/modifications	Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Information not provided.
Tall Tower (greater than 500')	Component Description: Tower rigging to install new transmission line and remove old TV antenna - See cover letter Amount: $291,420.00 Component Description: Portion of invoice for partial removal and replacement of transmission line not requested previously - See cover letter Amount: $40,000.00 Component Description: Reimbursable portion of Invoice 7459. See cover letter. Amount: $250,000.00 Component Description: Installation of interim antenna and site prep for rigging tag lines - See cover letter Amount: $11,500.00

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	$169,342.00	$135,303.00	N/A	$85,078.43	N/A
Total for all systems	$1,911,928.53	$1,931,989.53	N/A	$1,084,019.55	N/A
Outside Professional Services	$169,342.00	$135,303.00		$85,078.43
Tower Structural Analysis	$8,500.00	$8,500.00	N/A	$8,500.00	N/A
Misc Legal Services	$3,000.00	$3,000.00	N/A	$1,386.00	N/A
Misc Field RF Mechanical Engineering Services	$1,500.00	$1,500.00	N/A	$1,500.00	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$45,000.00	N/A	$38,872.20	N/A
Prepare and or review reimbursement form	$2,630.00	$3,000.00	Engineering AND Legal services to prepare reimbursement form	$2,647.00	N/A
Project management of the transition	$17,222.00	$22,000.00	With ten stations, reimbursement filing is taking longer than expected.	$21,450.23	N/A
Additional Field Engineering Service, 10 Days	$20,000.00	$20,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$3,500.00	N/A	$189.00	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$4,000.00	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	$750.00	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$231.00	N/A
Prepare request for Special Temporary Authorization	$2,050.00	$1,553.00	N/A	$1,553.00	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
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$5,000.00	For CP's on original and reassigned repack channels	$4,750.00	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$3,250.00	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

Components

Actual Information Description	File Name
Tower Structural Analysis	Component Description: Tower Structural Analysis by tower owner's preferred engineering company Amount: $8,500.00
Misc Legal Services	Component Description: Misc legal services Amount: $21.00 Component Description: Misc legal services Amount: $21.00 Component Description: Misc legal services portion of invoice Amount: $399.00 Component Description: Misc legal services Amount: $231.00 Component Description: Misc legal services Amount: $21.00 Component Description: Misc legal services Amount: $105.00 Component Description: Misc legal services Amount: $84.00 Component Description: Misc legal services Amount: $63.00 Component Description: Misc legal services Amount: $231.00 Component Description: Misc legal services Amount: $42.00 Component Description: Misc legal services Amount: $168.00
Misc Field RF Mechanical Engineering Services	Component Description: RF mechanical work interior to transmitter building Amount: $1,500.00
Comprehensive coverage verification via field study, if needed	Component Description: WITV portion - 50% down payment Amount: $20,579.40 Component Description: WITV portion of invoice - remaining balance - see cover letter Amount: $18,292.80
Prepare and or review reimbursement form	Component Description: 399 prep Amount: $126.00 Component Description: WITV Form 399 Prep portion of invoice Amount: $2,500.00 Component Description: 399 portion of invoice Amount: $21.00
Project management of the transition	Component Description: Project Management - Jan thru Jun 2019 Amount: $2,227.50 Component Description: WITV Project Management Jul-Dec 2017 Amount: $1,804.05 Component Description: Project Management - Jan - June 2021 Amount: $1,860.00 Component Description: Project Management - July - Dec 2020 Amount: $1,927.50 Component Description: WITV Project Management Feb - Jun 2017 Amount: $1,807.43 Component Description: Project Management - Jul thru Dec 2019 Amount: $2,407.50 Component Description: Project Management July - December 2018 Amount: $2,010.00 Component Description: Project Management January - June 2018 Amount: $2,696.25 Component Description: Project Management - July through 10/8/2021 Amount: $1,755.00 Component Description: Project Management - Jan - June 2020 Amount: $2,955.00
Additional Field Engineering Service, 10 Days	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Component Description: STA portion of invoice Amount: $189.00
Attorney Fees - Negotiation of lease and other matters for shared locations	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: Engineering services for License to Cover CP Amount: $750.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: CP portion of invoice Amount: $231.00
Prepare request for Special Temporary Authorization	Component Description: STA for interim TV antenna Amount: $1,553.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: CP portion of invoice Amount: $2,500.00 Component Description: Prepare CP Application Amount: $2,500.00 Component Description: Prepare CP after channel re-assignment to UHF Amount: $2,250.00
Perform engineering study for new channel assignment and antenna development	Component Description: Channel Study portion of invoice Amount: $3,250.00 Component Description: WITV Channel Study Amount: $3,250.00
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.

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	$44,716.00	$36,116.00	N/A	$11,721.03	N/A
Total for all systems	$1,911,928.53	$1,931,989.53	N/A	$1,084,019.55	N/A
Other Expenses	$44,716.00	$36,116.00		$11,721.03
Develop and air announcement of upcoming channel change	$2,500.00	$2,500.00	N/A	$2,496.00	N/A
MVPD Notification of Channel Change	$666.00	$666.00	N/A	$666.00	N/A
Equipment Delivery and Handling Charges	$30,000.00	$30,000.00	N/A	$5,609.03	N/A
DTV Medical Facility Notification	$11,550.00	$2,950.00	N/A	$2,950.00	N/A

Components

Actual Information Description	File Name
Develop and air announcement of upcoming channel change	Component Description: WITV portion of monthly invoice Amount: $273.00 Component Description: WITV portion of monthly invoice Amount: $543.00 Component Description: WITV portion of monthly invoice Amount: $162.00 Component Description: WITV portion of monthly invoice Amount: $1,053.00 Component Description: WITV portion of monthly invoice Amount: $465.00
MVPD Notification of Channel Change	Component Description: MVPD Notifications Amount: $666.00
Equipment Delivery and Handling Charges	Component Description: Freight for RF components - See cover letter Amount: $2,571.53 Component Description: Freight for internal RF system components Amount: $3,037.50
DTV Medical Facility Notification	Component Description: Medical Notifications Amount: $2,950.00

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$1,911,928.53	$1,931,989.53	$1,084,019.55

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.	No

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.	Hap Griffin Repack Project Manager 03/16/2022

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.

Hap Griffin

Repack Project Manager

03/16/2022

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.	Hap Griffin Repack Project Manager 03/16/2022

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.

Hap Griffin

Repack Project Manager

03/16/2022

Certification

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.
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.	Hap Griffin Repack Project Manager 03/16/2022

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.

Hap Griffin

Repack Project Manager

03/16/2022

(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

Antennas

Primary Antenna

Add Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Add Transmission Line

Primary Transmission Line

New Transmission Line

Primary 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

Other Types of Users

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary 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

Cost Information

Transmission Line

Components

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services

Components

Cost Information

Other Expenses

Components

Cost Information

Grand Total

Reimbursement Status

Certification

Certification

Certification